Class 2

Question 1

Medicare is? Who created?

Answer 1

Universal health care

Tommy Douglas

Question 2

Canada Health Act is?

Created by?

Answer 2

• Federal funding would continue so long as provinces met certain criteria
• Monique Begin & P-E Trudeau

Question 3

5 criteria of the Canada Health Act

Answer 3

Publicly administered
Comprehensive
Universal
Portable
Accessible

Question 4

Federal General Responsibility

Answer 4

• Standards/ regulation
• Funding
• Tax support
• Health care for specific groups

Question 5

Provinces-territories responsibility

Answer 5

All ‘‘medically necessary’’ services (determined by province)

Question 6

Specific group healthcare provide by the federal government

Answer 6

• First Nations people living on reserves
• Inuits
• Serving members of the Canadian Forces
• Eligible veterans
• Inmates in federal penitentiaries
• Some groups of refugee claimants

Question 7

Levels of Care and what it is

Answer 7

Primary care: First point of consultation of all patient within the healthcare syst. (check-up, vaccination, family doctor, clinic/clsc)

Secondary care: Involve refferal to a specialist at the hospital for closer assessment/tx

Tertiary care: Complex surgery, neurochir, palliatif care, cancer care, transplant, psychiatry…

Quaternary: Experimentals tx or procedures

Question 8

RUIS (reseau universitaire integre de sante)

Answer 8

Facilitate specialized care, medical education and medical research

Question 9

CLSC (centre local de services communautaires)

Answer 9

Wide range of services: Routine health & social services, Preventive or nursing services, rehab/reintegration. public health activities.

Question 10

GMF (family medicine groups)

Answer 10

Group 6-12 physicians responsible to 1000-2200 patient.

Question 11

Clinique reseau

Answer 11

Network clinics play a coordinator and liaison role with the CSSS.

Question 12

Reform 2003/2005

What happend?

Answer 12

• Various mergers of CLSC, Long-term care, nursing homes create 95 CSSS & 79 CSSSs (include hospital + rehab center)

Question 13

2 principles were foundational in the reform of 2003/2005 :

Answer 13

• Shift from ‘services-based to ‘population-based’ approach

- Hierarchy of services (1-2-3)

Question 14

Bill 10 is:

THe Goals:

Answer 14

• Act modify organization healthcare by abolishing the regional agencies (33 CISSS)
• Simplified patient trajectory, better circulation of info & saving money

Question 15

Bill 20 is:

Answer 15

Enhancing family medicine’s accessibility, regulating specialists’ services and modify in vitro fertilization policy

Question 16

Lowest trend for Canada:

Answer 16

Low in Patient safety
Timeliness of care
Efficiency of care

Question 17

Canda doses well in

Answer 17

Stroke mortality
Perceived health status
Avoidable Admissions: Asthma

Question 18

Areas Canada have to improve:

Answer 18

• Highest prevalence rates of diabetes (below average on rate of obesity, diet and physical activity)
• Safety and access in health care

Question 19

Patient safety area to improve

Answer 19

• Foreign Body left in

- OB trauma, instrument

Question 20

Challenges & opportunities in Healthcare in Canada and Qc

Answer 20

• Demographic transition (Aging population)

- Epidemiological transition (Chronic diseases)

Question 21

Primary care:

Answer 21

First point of consultation of all patient within the healthcare syst. (check-up, vaccination, family doctor, clinic/clsc)

Question 22

Secondary care:

Answer 22

Involve refferal to a specialist at the hospital for closer assessment/tx

Question 23

Tertiary care:

Answer 23

Complex surgery, neurochir, palliatif care, cancer care, transplant, psychiatry…

Question 24

Quaternary:

Answer 24

Experimentals tx or procedures

Question 25

What did specially Qc about intersectoral cooperation?

Answer 25

Ministry of health can review politics of other ministries.