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Health Policy > Lecture 3 > Flashcards

Lecture 3 Flashcards

1
Q

What is Public health

A

Looks at health of populations and prevention and promotion

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2
Q

What is the concept of the TB cases in toronto

A

Tibetan refugees and were sent to a shelter in Toronto awaiting processing because 5 were found to have active MDR TB and the media hyped it

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3
Q

What is the direct communicable disease

A

Person to person

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4
Q

What is inderict in relation to a vehicle

A

You get it from something else that is not the person for example water

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5
Q

What is indirect vector

A

Briding species some stop when they reach a human others don’t

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6
Q

What is airbone

A

Droplets are suspended

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7
Q

What is latent TB

A

not infectious action needs to be taken for at risk people

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8
Q

What is active tb

A

Infectious and deadly if not treated adherence is important prompt treatment necessary

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9
Q

What is MDR-TB

A

Multi drug resistant TB it is extremely expensive to treat

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10
Q

What makes up framing

A

Mental structures that people use to provide categories and structure to their thoughts looking at biases
How a potential hazard is processed percived and evaluated
Demonstrate how the same set of facts can be used to present different messages
How to best influence an outcome
What stakeholders can particpate

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11
Q

What are different ways that the TB can frame this issue

A

Immigration problem
Infectious disease treatment and natural progression
Public healht and risk
Cost opportunity diease
Old disease so you just ignore the problem

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12
Q

What goes into risk identification and perception

A

Decesion and not doing anything involve risk how well risk is understood how well that risk is understood
extent to it evokes dread
How many people are exposed
less acceptable if classified as involuntary dread or catastrophic
Risks with identifiable victims are more severe than statistical

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13
Q

What is the difference between hazard and risk

A

Hazard is something that could maybe cause harm but risk is hazar plus exposure

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14
Q

What alters the perceived risk

A

Media attention

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15
Q

What makes risk less acceptable

A

Involuntary dread or catastrophic vs common

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16
Q

What makes risk more severe

A

Identifiable victims thatn statistics

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17
Q

what is prevalence

A

how often a disease or condition occurs in a population at particular point in time

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18
Q

What is incidence

A

measures the rate of occurrence of new cases of a disease or condition in relationship to the population which is initially disease-free

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19
Q

Who had the majority of cases of TB

A

Foreign born and indigenous people

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20
Q

One of the lowest rate in the world

A

Canada

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21
Q

Almost all TB is treated with first line TB drugs True or Flase

A

True

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22
Q

Where is tubericolous concentrated in

A

Urban areas with ethnic and homeless populations

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23
Q

What should we do about risks

A

What you want is not always possible immigration is not under our jursidiction some policy doesn’t let us do what we want

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24
Q

What are the different types of screening

A

Mass
Selective
Multiphasic
Surevillance
Case finding population surveys

25
Q

What is mass screening

A

Examples are like dental newborn and the cost’s dosen’t outweigh doing something

26
Q

What is selective screening

A

One group you just screen the population at risk

27
Q

What is multiphasic screening

A

We do it now and then we do it 2 months from now

28
Q

What is surveillance

A

Look at data in the environment we go looking

29
Q

What is surveillance

A

Look at the data in the envinroment we go looking

30
Q

What is case finding

A

Public health goes looking for people

31
Q

What are some thing you need to consider

A

Ethical principles moral decision making risk, intervention effectiveness, economic costs, individual burden, fairness of policy

32
Q

Is there an obligation to protect/act even if there is not sufficient evidence

A

Ice in front of your resturant

33
Q

What are institutional arrangements

A

Polices systems and processes that organizations use to legislate plan and manage their activities efficiently and to effectively coordiante with others to fulfill their mandate

34
Q

What was the British North America Act

A

It is the foundation for distribution of power

35
Q

What does the Federal Government cover

A

Peace Order and good government of Canada and quarantine and the establishment/maintenance of marine hospitals

36
Q

What are the provinces responsible for

A

Most health care services establishment, maintenance and amanagement of hospitals, asylums, charities eleemosynary instiutions other than marine hospitals

37
Q

Who provides finanical support for health care

A

The fedral goverment

38
Q

When did the constitution act be in stated

A

1982

39
Q

What are some details about the constitution act

A

Has 7 parts, parts 1-4 is the charter of rights and freedoms recognizes the right of aboriginal peoples and equalization payments process parts 6 and 7 amended the BNA act to include provincial jurisdiction over natural resources

40
Q

What is the Canada Health Act

A

1984 it is to protect promote and restore the physical and mental well being of residents of canada and acess to health services without financial barriers it sets out criteria and conditions that provincial and territoral health insurance plans have to meet in order to receive full cash UPPAC

41
Q

What is UPPAC

A

Universaility
Public Admin
Portability
Acessebility
Comphrensiveness

42
Q

What are the three constitutional powers

A

Spending the power
Power to pass laws for peace
Order and good government and criminal law power

43
Q

Who falls under the fedral goverment

A

First nations Inuit Veterans and active military prisoners in federal peanitentiaries

44
Q

Where do refugees fall under

A

Protected persons including resettled refugees refugee claimants and certain other groups you use to have to wait three months but you don’t anymore IFHP

45
Q

What is the role of provinicial government

A

Public Hospitals and Clinics
Drug benefit plants
Training and regulations of physicians and other health professionals
Long term care

46
Q

What is the HPPA

A

Provides leagal framework for public health services enabling municipalities to promote and protect the health of residents through local health programs.

47
Q

What did the amalgamation of Metropoltian Toronto

A

Turned into one administrative unit reducing number of PHUS from 5 to 1

48
Q

What are the responsibilities of municipaliity

A

Vaccination, communicable disease tracking/tracing/treatment vector borne disease surveillance sexual health

49
Q

What are some additional stakeholders

A

There is not many TB specialists
Drug resistance
Symptoms vs screening
Medical school curriculum
Quality of care uneven and potentially dangerous
Social psychological and pharmacological

50
Q

What does the media have to do

A

Timing
Relevance
Fame
Human intrest
What was the focusing event and how did the media frame this issue

51
Q

What is apart of the implementation framework

A

Cost
Acceptiability
Fesaibility

52
Q

What is in the effects framework

A

Effectiveness
Unintended effects
equity

53
Q

Is screening testing

A

NO screeing is looking for diease in the wider population that does not have risk factors testing confirms diagnosis or aid in monitoring or treatment

54
Q

What are the most important issues

A

Canada Health Act
Immigration
Constitution Act- Funding who is responsible
Screening then follwing up
Lack of education in medicine for TB awarness
Wrong treatment
Active tb you get quarantines
Media and fear mongering

55
Q

What did the Toronto public healht do

A

Instead of wiating 60 days for immigrants to be present they were identified at the border and sent to immigration officals

56
Q

What did Ontario Ministry of Health

A

TB diagnosis and treatment services for uninsured persons

57
Q

What did Federal government do

A

2012 Canclled health insurance service for refugees but TB care would have been exempt as it is a risk to public health
2014 Federal said it was unconstitutional
2015 IFHP
2016 program fully reinstated

58
Q

What is Canadian Charter of Rights and Freedoms

A

tHe supreme law in the land which guarantees fundamental freedoms for all individuals residing in Canada including citizend landed immigrants and even refugees

Health Policy (9 decks)

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