Class 3: Health Care Within Cdas Health Care System Flashcards

0
Q

What are the 4 areas of federal jurisdiction for health in cda?

A

Providing national policies to promote health & prevent disease
Assisting financially prov&territorial health care services through transfer payments
Delivery of Hcs for target groups
Setting & administrating national standards of Hcs through Cda health act

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1
Q

What’s the hisotry of cdn health care system?

A

1) 1867 British North America act (got only stepped in it epidemic situation occurred)
2) 1914-1939 the world wars (brought up Q we need a safety net?)
3) 1947 tommy Douglas introduced the 1st initial public health insurance plan; acted as a safety net
4) 1984 Cda health act (effectively bans user fees for health care; regulates drugs; sets out national standards for insured health care)

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2
Q

Who are the target groups for federal govt?

A

Federal inmates, members of RCMP, military veterans, aboriginals ( First Nations & Inuit), or areas that are not served by their province or territory

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3
Q

What is the role of the provincial & territorial govt in organization & delivery of health care?

A
  • develop & administer their own health care insurance plans
  • manage, finance, & plan insurance health care see I da & delivery
  • determine organizational & location of hospitals & health care facilities & amount of $ deducted to health care services
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4
Q

Of the 5 principle of Cda health act, what’s the first principle?

A

1) public administration: examining fraser health & insuring they’re operating a non-profit organization; making sure they are willing to be openly examined by public authority (public can see their #s and where $ is going)

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5
Q

Of the 5 principle of Cda health act, what’s the second principle?

A

2) comprehensiveness: refers to the to the coverage of ALL insured health services provided by hospitals & specific health professionals (equality)

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6
Q

Of the 5 principle of Cda health act, what’s the 3rd principle?

A

Universality: 100% of insured persons of the province are entitled to whatever health care services are provided

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7
Q

Of the 5 principle of Cda health act, what’s the 4th principle?

A

Portability: HCS are provided to insured residents (3 months) who are temporarily out of their home, province, or territory.

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8
Q

Of the 5 principle of Cda health act, what’s the 5th principle?

A

Accessibility: ensure all residents of a province/territory have reasonable access to health care services ( hospital, surgical, medical services) regardless of discrimination

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9
Q

What are the major levels of cdn health care system?

A

1) primary care: health promotion & disease prevention (ex. Emergency room care, Immunizations, prenatal/well-baby clinics)
2) secondary care: diagnosis & treatment (ex: care from specialist following referral)
3) tertiary: focus on rehabilitation (ex: acute care, care of the diseases in hospital)
4) quaternary: centres of highly specialized care (ex. Transplantation peri operative & post surgical nursing, end of life care )

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10
Q

Identify trends facing cdn health care systems?

A

-advancements of tec ( cancer treatment), Internet self-diagnosing, evidence-informed practice, tourism health, woman/men ratio (HC pros), nurses in high demand/schools not enough seats ($), demographics (increase of baby boomers), cultural densities, CAM (complementary alternative methods)

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11
Q

Identify challenges & issues facing cdn health care systems?

A

-wait lists for surgeries, lack of physicians in rural setting, daily limits for walk in clinics, inconstant coverage for specific drugs (cancer patients), high client/patient to health care provider (nurse/doc) ratio, transferring coverage for patients going from childhood to adulthood (19yrs)

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12
Q

What are the factors influencing the development of the Cdn health care system?

A

Leadership (by elect & appointed persons (LPNS/RN) who advocate for beneficial reforms, homeless, womans health, population aging, climate change, fee for service transactions, uneven distribution of services, access to health care, evidence informed nursing practice

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