Chapter 9 Social Work

Question 1

Contracting out

Answer 1

The government is contracting out the management of hospitals to private companies. If the company generates additions funds for the hospital, it can claim those funds as profits. So people will be paying for non-insured services while they are receiving an insured service.

Question 2

Privatization (pg. 179)

Answer 2

One of the biggest threats to our public system of health car is the current movement to privatize care income province, particularly in Alberta and Ontario. Look at text book for trends.

Question 3

Threats to universal health care

Answer 3

Our public health care system is not entirely secure. An aging population and ever-spiralling cost wil require defenders of universal care to be even more alert to the dangers outlined: privatization, comprehensiveness, contracting out

Question 4

Accessibilty

Answer 4

The health care insurance plan of a province must provide for : (a) insured health services on uniform terms and conditions and reasonable access by insured persons to insured health service unprecluded or unimpeded either directly or indirectly, by charges or other means; (b) reasonable compensation to physicians and dentists for all insured health services rendered; payments to hospitals in respect of the cost of insured health services.

Question 5

Portability

Answer 5

Residents moving to another province must continue to be covered for insured health services by the home province during any minimum waiting period imposed by the new province, not to exceed three months.

Question 6

Universality

Answer 6

it is requires that 100 percent of the insured persons of a procaine be entitled to the insured health services provided for by the plan on uniform terms and condition.

Question 7

Comprehensiveness

Answer 7

the plan must cover all unsure health services (“medically necessary services”) provided by hospitals, medical practitioners, or dentists, and , where permitted, cover services rendered by other health care practitioners.

Question 8

Public Administration

Answer 8

The health care insurance plan mud the administered and opted on a nn-profit basis by public authority responsible to the provincial government, and be subject to an audit of its accounts and financial transactions.

Question 9

Medicare

Answer 9

Canadian health care system that is funded by government insurance, and is publicly delivers to hospitals and privately delivered by physicians (who are self-employed or employ by physician-owned corporations). There are 5 principles of medicare each province must meet in order to get funding from the federal government; public administration, comprehensiveness, Universality, Portability, Accessibility.

Question 10

Romanow Commission (pg. 174-175)

Answer 10

• Ramanow Commission: in 2002 the final report was released. In his work, he was guided by two things
  1. Canadian values of fairness, equity, and solidarity
  2. and by the evidence.

  * This approach led him recommend
  
     * expanding public, not-for-profit medicare
     * to include home care and pharmacare
     * and to introduce a genuine system of primary health care. 
  
  * the Romanow report has been the backdrop for the major debated and disagreements between the federal and provincial governments over health care in recent years.

Question 11

Canada Health Act (1984)

Answer 11

changed the funding structure, introducing conditions that provincial health systems must meet.

Question 12

Hall Report

Answer 12

In 1964, the Hall Report disclosed the 7.5 million Canadians did not have medical coverage and recommended that a comprehensive, publicly administered universal health service plan be implemented.

Question 13

Pre-payment health plans

Answer 13

Health plans sponsored by local governments, industries, and counter agencies from 1880 to the 1950s. These voluntary insurance plans did not cover all medical expenses and were available only to those who could afford to pay premiums.

Question 14

Universal public health care

Answer 14

Publicly funded health care that is available to all who meet requirements of eligibly.

Question 15

Health Gap

Answer 15

despite the availability of public health car across the country, there is a serious gap between the rich and the poor in Canaa. The rich are healthier than the middle class, who are in turn healthier the poor

Question 16

Explain the harm-reduction approach to addictions treatment

Answer 16

Those using a harm-reduction approach believe that people can overcome an addiction in incremental steps. The focus may be on sager use patterns for addicts rather than on immediate suspension of use.

Question 17

Describe the social worker’s role in palliative care?

Answer 17

Social workers play a role in : (1) pain management (2) symptom management (3) Social, psychological, emotional, and spiritual support (4) caregiver support

Question 18

What are some signs that universal public health care is being eroded in Canada?

Answer 18

The beginnings of privatization, comprehensiveness, and contracting out.

Question 19

What are the five fundamental principles of medicare in Canada?

Answer 19

(1) public administration (2) Comprehensiveness (3)Universality (4) Portability (5) Accessibility

Question 20

Briefly outline the history of Canada’s health care system.

Answer 20

look in textbook

Question 21

Canada’s health care system is publicly financed but largely privately delivered. Explain.

Answer 21

It is funded by the government but delivered by private physicians (doctors, dentists).

Question 22

What is the health gap in Canada,and why should it concern us?

Answer 22

There is a serious health gap between the rich and the poor in Canada–the rich are healthier than the middle class, who are in turn healthier than the poor. The well educated are healthier than the less educated, the employed are healthier than the unemployed and so on. In other worlds, the health gap is serious in Canada, and it is getting larger. Moreover, there is evidence that new immigrants and visible minorities are at an even greater disadvantage when it comes to health care. And, located as they are in the lowest quintile of the Canadian socio-economic hierarchy, Aboriginal peoples have the poorest levels of overall health.

Question 23

Holistic approaches to health and healing

Answer 23

while improvements in health care services have eased this situation somewhat (aboriginal health being much worse than the average Canadian), they have also contributed to the gradual erosion of tradition aboriginal approaches

Question 24

Harm-reduction approach

Answer 24

the belief that people can over come an addiction incremnetal steps. The focus may be on safer use patterns for addicts rather than on immediate suspension of use.

Question 25

Addiction

Answer 25

A compulsive need for , or persistent use of, a substance know to be harmful. Nearly one in ten adult CAnadians have problems with alcohol consumption, others experience with drugs.Addictions is a growing concern and , increasingly, social workers and social service workers are being called upon to address problems of this kind.

Question 26

Mental illness

Answer 26

is the term used to refer to a variety of diagnosable mental disorders. Mental disorders are health conditions that are characterized by alterations in thinking, mood, or behaviour associated with distress or impaired functioning. Social workers are playing increasingly important role in promoting ht mental health of Canadians with respect to prevention, treatment and rehabilitation.

Question 27

HIV/AIDS

Answer 27

a sexually transmitted and blood-born retrovirus that undermines a person’s immune system. Acquired immune deficiency (AIDS) syndrome is the stage in which the immune system is destroyed

Question 28

Hospice or palliative care

Answer 28

concentrates on reducing the severity of disease symptoms, rather than providing a cure, to those at the end of life. It can all include bereavement support or relieving the distress of family members and other caregivers.

Question 29

Medical social work practice

Answer 29

one of the chief settings for this is the hospital. The type of work performed by social workers in hospital is wider ranging an includes direct casework, group work, discharge planning, family consultation, advocating for patients, counselling terminally ill patients, training other professionals, and policy and administration.

Question 30

Interdisciplinary Teams

Answer 30

When working in a hospital setting, the social worker is often a member of this team. The team approach is increasingly used to ensure that each patients needs are met. Social workers roles are becoming more central in this holistic approach to health care, which involves taking into account not only the physical aspects of health, which have commonly been addressed by physicians, but also social, cultural, mental, and spiritual aspects.

Question 31

Community health centres

Answer 31

Centres that provide primary care, health promotion, and prevention services using salaried primary health care professionals. Tend to network with other health and social services agencies and are accountable to their communities through community boards. Social workers are central to the provision of both direct care and community development in this model of health care delivery.

Question 32

Social workers in the mental health field may deliver any of the following services

Answer 32

(1) Direct Services (2) Case management (3)Community development (4) Administration (5) Program management (6) Teaching and research (7) Policy analysis (8) Social Action

Question 33

Social workers have contributed two key ideas to the mental health field

Answer 33

(1) they have expanded the understanding of mental health. Highlights the influence of social and economic factors, family and other relationships, and the physical and organization environment on individual mental health. (2) social workers have worked to avoid labelling those with mental illness.

Question 34

social workers in the mental health field may deliver any of the following services

Answer 34

direct services, case management, community development, administration, program management, teaching and research, policy analysis, social action

Question 35

What services can social workers deliver for people with HIV/AIDS?

Answer 35

include prevention initiatives, primary care, hospital care, home care, hospice care, support groups, family support, and advocacy . Social workers also provide information and public education, make referrals to community resources, and prepare discharge plans.

Question 36

Social workers in hospital setting

Answer 36

play a pivotal role as part of wider health care team. In many cases, the social worker is the only person in the hospital who deals with non-medical or non-physical needs.