Class 6 Health Care Economics

Question 1

The study of the use of scarce resources to satisfy unlimited human wants

Answer 1

Economics

Question 2

is a behavioral science that addresses how to allocate limited resources among unlimited demands and how to pay for these resources.
Financial thinking is added to the role of the nurse

Answer 2

Health care economics

Question 3

What are Attributes (characteristics) of Health Care Economics

Answer 3

1. Cost effectiveness: efficient and equitable decisions ar emade about the allocation of resources
2. Efficiency: is determined by how resources are used
3. Value: health outcomes achieved per dollar spent; remains largely unmeasured and misunderstood

Question 4

• 1947 - 50 Saskatchewan, Alberta, BC – province wide universal hospital care plan
• 1957 - Hospital Insurance and Diagnostic Services Act involved diagnostic and hospital services- 50-50 cost sharing model
• By 1961 all 10 provinces participated in HIDS Act

• 1962 – Saskatchewan Medical Insurance Act under Premier Tommy Douglas
• Universal, provincial medical insurance plan covered doctor’s services to all Saskatchewan residents
• Saskatchewan doctors strike for 23 days
• 1966 – Federal Government passes Medical Care Act
• Feds would pay ½ of provincial costs for medical services by a doctor outside of hospital

Answer 4

Evolution of our health care system : Post WWII

Question 5

• Privately delivered and funded
• Hospitals were avoided
• Government involved in sanitation and quarantine (infectious disease)
• Physicians had high social & financial standing
• 1929 – 1939 The Great Depression

Answer 5

Evolution of our health care system: pre WWII

Question 6

Provinces responsible for most health care Federal government pays for health care for military and Indigenous people living on reserve

Answer 6

British North America Act (1867)

Question 7

1what are the five principles of Canada Health Act

Answer 7

1. Comprehensive
2. Universal
3. Portability
4. Public;y administered
5. Accessible

Question 8

Resource Distribution
Service classifications

Answer 8

• Public health services/prevention services
• Community care services
• Hospital care services

Question 9

Top Reasons for Hospital Admissions

Answer 9

Childbirth
Acute MI
Pneumonia
Heart Failure
Mood Disorders
Bronchitis
Osteoarthritis

Question 10

the differences or gaps in care experienced by one population compared with another population

Answer 10

health care disparaties

Question 11

What does DISPARITIES result in

Answer 11

—->access to care —> provider bias —-> poor communication —- poor health literacy —> other factors —-> access to care

Question 12

• What type of information is relevant to cost or quality issues?

• Why does the quality of care decrease when registered nursing care hours are reduced?

Question 13

What services that clients often have to wait for?

Answer 13

 30% of hip, knee replacements & cataracts not done
within recommended times  MRI scan waits long Other diagnostics wait times improved  Timely access for hip# and radiation