Health Care Organization, Primary Health Care and Structural Violence Flashcards
Describe health care organization in Canada.
It is a complex, diffuse, and decentralized arrangement of actors and services.
True or false. There is one single national health system.
False. There are 15 single-payer, universal, and public systems in Canada.
What is the Canadian Healthcare Act?
Canada’s federal legislation for publicly funded health care insurance
What is the primary objective of the Canadian Healthcare Act?
To protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers
What are the 5 founding principles of the Canadian Healthcare Act?
Public administration
Comprehensiveness (insurance plans coverage)
Universality (equity and equality)
Portability (care at home)
Accessibility (equity and equality)
What are functions of the federal in the healthcare system?
Establishing standards, funding, providing health care to specific groups (first nations, inuits, members of the Canadian Forces, veterans, inmates, some refugees), etc.
What are functions of the provinces/territories in the healthcare system?
All medically necessary services provided by hospitals and physicians.
“Medically necessary” is determined by provinces and territories
What is the mission of Public Health Agency Canada?
Promote and protect the health of Canadians
True or false. In Québec, the prevalence of chronic diseases is increasing faster than anywhere else.
True
True or false. In Québec, 30% of patients seen in primary care have 5 or more chronic diseases (multimorbidity).
False. 50% of them.
What is the RUIS?
Réseau Universitaire Intégré de Santé
Facilitate specialized care, medical education and research throughout the province
Favoring complementary and integration of care
Mandate to institute a culture of collaboration
What is a CLSC?
Centres Locaux de Services Communautaires
Attempt at integration at a structural level
Wide range of services : routine, prevention, nursing services, rehabilitation, reintegration, public health services
What is a GMF?
Family medicine groups
Group of family physicians who are responsible for a large group of patients and work in collaboration with nurses and other professionals
What are the goals of a GMF?
Improve access to family MD and hours available
Improve quality patient follow-up, and continuity of care
Decrease unnecessary visits to ER
What is the CIUSSS/CISSS?
Centre intégré (universitaire) de santé et de services sociaux
What is the organizational difference between the healthcare system before and after the Bill 10 reforms?
In 2004, there were 18 health and social services regional agencies, in which there were 94 health and social services centres
In 2015, there were 13 integrated health and social services centres and 9 integrated university health and social services centres
What is the goal of public health?
Keep people healthy
Prevent injury, illness and premature death
Combination of programs, services and policies that protect and promote the health of all Canadians
Name implementations of public health.
Health promotion, protection, surveillance
Population health assessment
Disease and injury prevention
Emergency preparedness or disaster response
What are the 5 levels of prevention? Briefly describe each of them.
Primordial : prevent risk factors
Primary : eliminate risk factors, prevent occurrence of disease
Secondary : detect and stop disease development before symptoms occur
Tertiary : reduce negative effects of the disease
Quaternary : identify those at risk for overmedicalization