MidTerm essentials Flashcards
Values of PHC
- Health for all
- Social justice: Fair distribution of society’s benefits/responsibilities. Eliminating root causes
- Equity: Fair distribution of resources for health
PHC Principles
(PAPIT) health Promotion Accessibility Public participation Intersectoral cooperation appropriate skill and Technology
PHC components
- Primary care
- Disease prevention
- Health promotion
- Population health
- Community development
First nurse in Ca?
1641 Jeanne-Mance
Note on Nursing by Flo.
1859
Provinces responsibilities of health
1867 British N-A Act
First school of nursing?
1874 in St-Catharines
Medical Care Act
1966
Alma-Ata declaration
1978, came from lalonde. First WHO on PHC
Lalonde report
1974: Highlighted the importance of SDOH and initiated the shift toward health promotion
Ottawa Charter
1986
Romanow Report
2002, recommended shift toward primary health care
Public Health Agency of Canada
2005, goal promote and protect health of canadians
Epp Report
1986
1947?
Tommy Douglas Medicare in Saskatchewan
Canada Health Act
1984, MOnique Begin and p.E.t.Publicly health care funded insurance.
Medicare vs Canada Health Act
- Expended on Tommy Douglas idea
2. Most recent bill
Canada Health Act (CHA) 5 criterias for provinces to receive funding?
P-CUPA
- Publicly Administered
- Comprehensive
- Universal
- Portable (Doesn’t include specific choices of the province eg. dental)
- Accessible
Federal responsabilities vs pro.
fed: specific groups: First nations, inuits, amry, vetereans, inmate in fed prisons, refugees
pro: all necess
Levels of care delivery
Primary: Community, GMF
Secondary: Referals to specialists, ER
Tertiary: ICU, surgery
Quaternary: Innovative treatments
Qc stats:
1. Pt seen in primary care with 5+ comorbidity
- 50%
RUIS
Reseau Universitaire Integre de Sante (2003) - 4 one for each Uni with med school
Where Ca does 1.well compare to OECD
does bad2.
- Stroke Mortality
Perceived Health status, Avoidable athsma admission - Obesity, pt safty, acces to care
Qc Pt safty priorities?
Reduction in meds. errors and reduction in falls
Goal of PHC (WHO, close to CHA)
Prevent illness and promote health foor C/F, comm. and pop.
8 elements from Alma-Ata
- Education on health problem and prevention methods
- Promoting food supply
- Safe water and sanitation
- Maternal/child health
- Immunization
- Prevention/control of local endemic
- Treatments of common disease/injuries.
- Essential drugs