health and the HC system Flashcards
What is health
a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity (WHO, 1948).
A resource for everyday living not the objective of living (Ottawa Charter, 1986)
Describe how the Canadian healthcare system works
Publically funded but privately delivered (Health care services ‘free’ at point of use delivered by private providers i.e. physicians)
Medically necessary care is covered
Public Health focuses on
Organized efforts of society to keep people healthy and prevent injury, illness and premature death.
What is primary health care, the 8 elements, and 2 core values
An approach to health and a large spectrum of services beyond the traditional health care system. Includes all the services that affect health.
8 elements:
1. Education
2. Adequate nutrition supply
3. Adequate water supply/ sanitation
4. Maternal child health and family planning
5. Immunization
6. Prevent/control endemic diseases
7. Treatment for diseases with technology
8. Medication
2 core values: Social justice and equity
Key focus for community health nursing
is advocacy for social justice and the essentials of life and health, including health promotion and immunizations
Requirements for provinces enacted by the Canada Health Act
Public administration
Portability
Universality
Comprehensiveness
Accessibility
What is the Canadian Public health in relation to ON health ministry
An independent non-governmental agency acting as an advisory role
elements of the nursing paradigm
Person
Environment
Health
Nursing
The federal government is the care provider for
Inmates, indigenous people, RCMP, Canadian forces and veterans, some refugees
health and wellness are
subjective and dynamic
The historical timeline focus of care
Pre 20th century:
- Family based, regulated by religious order, volunteer work
- young demographic, few interventions, problems with birth, infections, trauma.
Early 20th century:
- rise of public health
- young demographic, Post WW1, understanding water, air and housing impact on health. focus on infections, infant/mother mortality
Mid late 20th century
- Expansion in technology, pharmacology
- Identification of DNA
- Medical model
- Publicly funded health care
- Mid/aging demographic
- Focus in individual/ extended life spans
- Rise of chronic disease
Early 21st century
- Health System Reform
- Cost burden/ sustainability
- Recognition of connections b/t individual + environment
- Aging demographic
- Lifestyle impacts/chronic illness
- Primary care + community impacts
- Global impacts
- Pandemic
The Canadian Health Act (1984) role and eligibility
A federal act that gives money to the 13 provinces’/territories’ health care insurance plans.
Role: to govern health care delivery. Prepaid and accessible necessary medical care.
Eligibility: lawful residents of provinces and territories.
The two main parts of Wellness
- realization of one’s fullest potential
- fulfilling one’s role expectations
What is Medicare
The collection of the 13 provincial and territorial health insurance plans. In order to get their full funding from the federal government (Canadian health transfer) they must abide by the 5 criteria and two conditions:
Conditions: recognition and information (keep federal government in the loop)
What is Primary care
Refers to family physician and the care that the provide (usually biomedical focused: health promotion, illness prevention, diagnosis and treatment)
