Lecture 2 Flashcards
Define health care system
The organization of people, institutions and resources that deliver health care to meet the health needs of target population
Who of health care
Well-trained and adequately paid workforce
Where of health care
Well maintained facilities and logistics to deliver healthcare
How of health care
Financing mechanism
How of health care (2)
Reliable information on which to base decisions and policies
What is the Canada Health Act (1984)
The legislation that defines national principles for provincial and territorial health insurance plans (health care systems)
In the Canada Health Act provinces and territories are constitutionally responsible for
The administration, organization, and delivery of health care
The Canada health act sets conditions for provincial and territorial health care systems to meet in order to?
To obtain federal contributions via the Canada Health Transfer
What is the Canada Health Tranfer
Federal transfer payment program to support provincial and territorial health care systems
Provides long-term funding for health care and supports principles of the Canada Health Act
In order to qualify for full federal funding through the Canada Health Transfer, provinces and territories must meet how many requirements under the Canada Health Act?
9 (5 criteria you are being tested on)
CHA 5 Criteria - Public Administration
The provincial/territorial health insurance plans must be administered and operated on a non-profit basis by a public authority (Ex. MSP in BC)
CHA 5 Criteria - Comprehensiveness
- Provincial/territorial health insurance plans must cover all medically necessary health services provided by: physicians, hospitals, dentists when performed in hospitals
- Provincial and territorial insurance plans decide on what are medically necessary for health care insurance purposes
CHA 5 Criteria - Universality
The provincial/territorial health insurance plans must cover all residents on uniform terms
CHA 5 Criteria - Portability
Provincial/territorial health insurance plans must cover residents when they move within-Canada
Residents temporarily moving away from their home provinces or territories must
Continue to be covered for insured health care services
Residents permanently moving from one province or territory to another must
Continue to be covered for insured health services by the “home” province during any minimum waiting period, not to exceed 3 months, imposed by the new province of residence. After the waiting period, the new province or territory of residence assumes health care coverage
CHA 5 Criteria - Accessibility
The provincial and territorial plans must provide all residents reasonable access to medically necessary services
Access must be based on medical need and not impeded by:
- Ability to pay (socioeconomic status)
- Age
- Health status
Do we have a Canadian Health Care Sytem?
Not a single system but 13 provincial/territorial health care systems working in parallel with differences
BC health care system - Ministry of Health
Overall responsibility for ensuring that quality, appropriate, cost, effective, and timely health services are available for all British Columbians
- Set policies (definition of insured health care services)
- Set Budget
- Regulate health professional bodies: Licensure, discipline
Many provinces/territories have regionalized inpatient health care (one or several regional entities. What is the region responsible for?
Region is responsible for inpatient health care for residents through hospitals and long-term care facilities
How is inpatient health care funded?
Funded by the province within the global budget
Ex. Province -> health authority -> hospital
In British Columbia how many regional health authorities are there?
5:
- Northern Health (NHA)
- Interior Health (IHA)
- Fraser Health (FHA)
- Vancouver Island (VIHA)
- Vancouver Coastal (VCHA)
In BC how many Provincial health authorities are there and what is there role
1 (PHSA)
- Coordination and delivery of provincial programs and highly specialized health care services
What is the other health authority in BC (
First nations health authority (2013)
Outpatient Health Care involves?
- Physicians -predominantly fee-for-service
- Prescription drugs
How is outpatient health care funded?
Directly by the province (contrast with funding for inpatient health care)
For Outpatient Health Care fee schedules are?
- negotiated and administered by the province
