Lecture 5: What is Sustainability/ How much do we spend on the Canadian Health Care System

Question 1

What is the provinces main operating account? (BC chequing account?

Answer 1

Consolidated Revenue Fund (CRF)

Question 2

What account is the one where taxes and other revenue are deposited?

Answer 2

Consolidated Revenue Fund

Question 3

What is the account wehre the money is withdrawn to pay for public services?

Answer 3

Consolidated Revenue Fund

Question 4

How much spending of the CRF does health care represent?

Answer 4

42%

Question 5

What does GDP stand for?

Answer 5

Gross domestic Product

Question 6

What is GDP?

Answer 6

The value of everything (goods and services) produced in a given perion

Question 7

What is the national income?

Answer 7

Measure of wealth of country

Question 8

Ratio for health spending in relation to GDP?

Answer 8

Total spending on health care/ Total spending in the economy (GDP)

Question 9

What is Health System Sustainability?

Answer 9

A health system’s ability to improve population health, by continually delivering the key functions of providing services, generating resources, financing and sterwardship, incorporating principles of financial fairness, equity in access, responsiveness and efficiency of care, and to do so in an environmentally sustainable manner

Question 10

Heath system resilience

Answer 10

A health system’s ability to prepare for, absorb, adapt to, learn, transform, and recover from crises born of short-term shocks and accumulated stresses, in order to minimise their negative impact on population health and disruption caused to health services

Question 11

Goal of Berwick Model?

Answer 11

Want to bring business as usual closer to sustainable (equal to growth in GDP

Question 12

How is money allocated between provinces?

Answer 12

CHT allocation to provinces is per capita

Question 13

Allocation of money within province bc?

Answer 13

Ministry of health to:
- Regional services -> Six Health Authorities

• Medical Services Plan (fee payments)
• Pharmacare
• Other (inc. HealthLinkBc, Vital Stats, benefits)

Question 14

What is PNBF?

Answer 14

Population Needs Based Funding

Question 15

What is the Population Needs based funding?

Answer 15

Method of allocating money among regions based on their population’s relative need for health care

Question 16

The PNBF recognizes that need does not equal?

Answer 16

Number of people

Question 17

What does PNBF account for?

Answer 17

• Population demographics (age, gender, socio-economic status etc)
• Utilization (which varies by demographics and other factors)
• Inter-regional flows (disconnect of area of residence and HA for treatment)
• Regional cost differences (emoteness, cost of providing large, specialist
  services)
• Segmentation of population (division by 13 segments e.g. end of life, cancer, maternity, frail in long term care – better prediction of health care use)