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PPHC > Lecture 2 > Flashcards

Lecture 2 Flashcards

1
Q

Define health care system

A

The organization of people, institutions and resources that deliver health care to meet the health needs of target population

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2
Q

Who of health care

A

Well-trained and adequately paid workforce

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3
Q

Where of health care

A

Well maintained facilities and logistics to deliver healthcare

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4
Q

How of health care

A

Financing mechanism

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5
Q

How of health care (2)

A

Reliable information on which to base decisions and policies

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6
Q

What is the Canada Health Act (1984)

A

The legislation that defines national principles for provincial and territorial health insurance plans (health care systems)

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7
Q

In the Canada Health Act provinces and territories are constitutionally responsible for

A

The administration, organization, and delivery of health care

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8
Q

The Canada health act sets conditions for provincial and territorial health care systems to meet in order to?

A

To obtain federal contributions via the Canada Health Transfer

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9
Q

What is the Canada Health Tranfer

A

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

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10
Q

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?

A

9 (5 criteria you are being tested on)

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11
Q

CHA 5 Criteria - Public Administration

A

The provincial/territorial health insurance plans must be administered and operated on a non-profit basis by a public authority (Ex. MSP in BC)

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12
Q

CHA 5 Criteria - Comprehensiveness

A
  • 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
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13
Q

CHA 5 Criteria - Universality

A

The provincial/territorial health insurance plans must cover all residents on uniform terms

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14
Q

CHA 5 Criteria - Portability

A

Provincial/territorial health insurance plans must cover residents when they move within-Canada

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15
Q

Residents temporarily moving away from their home provinces or territories must

A

Continue to be covered for insured health care services

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16
Q

Residents permanently moving from one province or territory to another must

A

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

17
Q

CHA 5 Criteria - Accessibility

A

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

18
Q

Do we have a Canadian Health Care Sytem?

A

Not a single system but 13 provincial/territorial health care systems working in parallel with differences

19
Q

BC health care system - Ministry of Health

A

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

20
Q

Many provinces/territories have regionalized inpatient health care (one or several regional entities. What is the region responsible for?

A

Region is responsible for inpatient health care for residents through hospitals and long-term care facilities

21
Q

How is inpatient health care funded?

A

Funded by the province within the global budget

Ex. Province -> health authority -> hospital

22
Q

In British Columbia how many regional health authorities are there?

A

5:
- Northern Health (NHA)
- Interior Health (IHA)
- Fraser Health (FHA)
- Vancouver Island (VIHA)
- Vancouver Coastal (VCHA)

23
Q

In BC how many Provincial health authorities are there and what is there role

A

1 (PHSA)

  • Coordination and delivery of provincial programs and highly specialized health care services
24
Q

What is the other health authority in BC (

A

First nations health authority (2013)

25
Q

Outpatient Health Care involves?

A
  • Physicians -predominantly fee-for-service
  • Prescription drugs
26
Q

How is outpatient health care funded?

A

Directly by the province (contrast with funding for inpatient health care)

27
Q

For Outpatient Health Care fee schedules are?

A
  • negotiated and administered by the province

PPHC (11 decks)

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