Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

HLTH305 > Chapter 7: Health care reform in Canada > Flashcards

Chapter 7: Health care reform in Canada Flashcards

1
Q

Political ideologies and health care: two main

A
  1. Libertarian versus collectivist ideologies
  2. Neoliberal versus social democratic welfare state
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Resulting conflicts of political ideologies

A
  1. Health care as a commodity in the marketplace vs as a right
  2. Privatization vs public administration and delivery
  3. User fees vs tax revenues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Main recommendations of the Mazankowski report

A

Increase role of private sector, provide choices for citizens, require more direct payments from citizens (ie. user fees) and ensure sustainability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Mazankowski private versus public administration and delivery

A

Private over public to encourage competition, innovation and cost reductions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Role of federal government in Mazankowski report

A

Minimal, less taxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Does the Mazankowski report support user fees?

A

Yes to encourage people to be healthier and to deter unnecessary service seeking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Main recommendations of the Kirby report

A

Reduce dependency on government, expand role of private sector, introduce market mechanisms, stabilize financing and ensure sustainability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Kirby private versus public administration and delivery

A

Believes it’s not important who delivers health services and he stresses that under the Canada Health Act, health care services do not have to be delivered by public agencies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Role of federal government in the Kirby report

A

Strong federal role to ensure sustainability by providing greater funding and to set national standards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Does the Kirby report support uses fees?

A

No, will decrease access to care and increase inequalities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Main recommendations of the Romanow report

A

Ensure long term sustainability of universally accessible, publicly funded system, health care as a right not a commodity
Recommit to principle of need over income

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Romanow private versus public administration and delivery

A

Public over private
Ancillary services like cleaning and food can be contracted to private providers to reduce costs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Role of federal government in Romanow report

A

System is under-resourced and requires more federal funds for sustainability
Federal government share needs to be increased to 25% with escalator clause (increase based on inflation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What makes the Romanow report different?

A

He wants to strengthen the existing public system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Does the Romanow report support user fees?

A

No, will decrease access to care and increase inequalities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Medical savings account

A

Health accounts formed in conjunction with high-deductible health insurance that can be set up by individuals, employers or governments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where does money come from for the medical savings account?

A

Employer or government

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the citizens responsible for paying for with a medical savings account?

A

Initial costs–> co-pay and deductibles
Paying for medical care when policy funds run out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Catastrophic insurance

A

Citizens are responsible for paying for their medical care up to a designated cap, at which coverage will be provided

20
Q

Regionalization

A

Administration developed to municipal or regional governments

21
Q

The theory behind regionalization

A

Local control
Better targeted services
Citizen involvement
Compatible with public health

22
Q

Advantage to regionalization

A

Seen as a way to reduce funding

23
Q

Limitation to regionalization

A

Could increase costs bc it places more responsibility on each region

24
Q

Public-private partnerships (P3S)

A

An arrangement in which a government contracts with the private sector to finance, develop, construct, own, and operate infrastructure

25
Q

Limitations of public-private partnerships (P3P)

A

Privatization by stealth
Lack of accountability
Violation of Canada Health act principles

26
Q

Health care guarantees

A

Pre-determined wait-time deadlines for various procedures and after the deadline you can receive that service from a diff public or private provider (ie. diff province or US)

27
Q

Goal of primary health care reform

A

Make service provision streamlined to control costs

28
Q

Suggestions for primary health reform

A
  1. Create multidisciplinary health care teams
  2. Alternatives for fee-for-service like capitation or blended approaches
  3. Incorporate health promotion and disease prevention into primary care
29
Q

Capitation

A

Health care providers being paid a set rate for serving a designated population

30
Q

Blended approach

A

Capitation and fee for service above a certain amount

31
Q

Does Mazanowski support medical savings accounts?

A

Yes to save money by reducing demand for services

32
Q

Does Kirby support medical savings accounts?

A

Yes to make system more efficient and effective

33
Q

Does Romanow support medical savings accounts?

A

No will decrease access to and quality of care

34
Q

Does Mazankowski support regional health authorities?

A

Yes to encourage specialization and revenue generation

35
Q

Does Kirby support regional health authorities?

A

Yes to make mangement more effective bc of market like reforms

36
Q

Does Mazankowski support public-private partnerships?

A

Yes to build hospitals and provide services

37
Q

Does Romanow support public-private partnerships?

A

No will decrease access to and quality of care

38
Q

Does Mazankowski support health care guarantees?

A

Yes to provide better service and to encourage system reform

39
Q

Does Kirby support health care guarantees?

A

Yes to restore confidence in the system and provide evidence of responsible spending of health care funds

40
Q

Does Romanow support health care guarantees?

A

Approach with caution to ensure funds aren’t directed away from life-saving treatments

41
Q

Other reform suggestions by Kirby (primary care reform)

A

Reform primary care system to reduce health care expenditures and introduce independent health commission

42
Q

Other reform suggestion by Romanow

A

Expand medicare to include home care and palliative care

43
Q

Which reform suggestion is unique to Kirby report?

A

Primary health care reform

44
Q

Examples of public-private partnership

A

Brampton civic hospital
Highway 407

45
Q

User fees

A

A charge imposed by the government to cover the cost of providing a service
ie. deductibles, co-pays

HLTH305 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions