Module 3 Flashcards
What was the Canada Health Act Founded
1984
What is Medicare
Canada’s universal health care system
Medically necessary services are provided at no cost to residents
What are the 6 Canada Health Act Principles
Comprehensiveness Universality Public Administration Portability Accessibility Sustainability
Romanow Report
supports medicare –> defining principle of Canada
needs to be improved
devise a national healthcare council
Kirby Report
does not support medicare –> more private sector involvement
believes that universal health care takes away from other social resources
hospital funding –> service-based model
4 Pillars of Primary Health Care
Healthy Living
Access
Information
Teams
BC Quality of Matrix Standards
Accessibility Respect Safety Efficiency Effectiveness Equity Appropriateness
Levels of Healthcare in Canada
Primary
Secondary
Tertiary
Primary Care
service delivery model –> treatment of the individual > populations
entry into heathcare system
provided by physicians, nurse practitioners –> physician offices
basic diagnosis, treatment, referrals
Secondary Care
Specialists medical services upon referral by a primary care physician
occurs in hospitals, long-term care, home care
Tertiary Care
complex or unusual healthcare issues
occurs in university or specialized hospitals
Primary Health Care
distinct from primary
goes beyond the biomedical model to incorporate SDOF and other vectors that impact
income
housing
food
environment
includes four pillars of PHC
Levels of Responsibility of healthcare
Federal
Provincial/Territorial
Professional
Regional
Regional Health Authorities
appointed or elected
streamline services –> tailor to local need
improve public participation
prevention
Professional Jurisdiction
healthcare = self-regulating industry
determine the registration, professional standards and regulation of healthcare professionals
BCCNM
Federal Responsibility
healthcare funding –> Canada Health Transfer Act
provides healthcare to specific groups (indigenous, inuit, army)
public policy
enforcement of CHA
Provincial/Territorial Resonsibility
devise + implement regional healthcare insurance plans
organization and placement of healthcare facilities
reimburse hospital/physician expenses
rehab/long-term services
BC Regional Health Authorities
Northern Health
Fraser Health
Vancouver Coastal
Interior Health
Settings of healthcare delivery
Hospitals
Long-term care facilities
Psychiatric Institutions
Rehabilitation Centres
Public health
focused on the distribution of disease in a population and the associated determinants of health.
assesses health of aggregations by looking at health status indicators, epidemiological info, etc.
aims to promote population health and mitigate inequities between populations
When was the Ottawa Charter for Health Promotion developed
1986
international agreement to improve public health
What are the 5 strategies listed by the Ottawa Charter
Healthy public policies Create supportive communities Strengthen community action Develop personal skills Reorient healthcare services
5 Levels of Healthcare
Health Promotion (Promotive) Disease & Injury Prevention (Preventive) Diagnosis & Treatment (Curative) Rehabilitation (Rehabilitative) Supportive Care (Supportive/Palliative)
Lalonde Report
1974
promulgated the idea of social determinants of health
Canada Health Transfer
federal government provides funding to eligible provinces/territories (must comply with the principles of the CHA)
payments made on an equal per capita basis (each person gets the same amount of healthcare money)
4 Safety Areas of CPSI
Medication Safety
Surgical Care
Home Care
Infection Control