Quiz 2 Flashcards
1
Q
5 Principles of the Canada Health Act + the Recent 6th
CHA (1984)
A
- Public Administration: Provincial & territorial operate on nonprofit basis through public authority
- Comprehensiveness: Covers medically necessary treatments
- Universality: available to everyone regardless of beliefs, race, religion, etc
- Portability: access to healthcare no matter where you are in Canada
- Accessibility: Provide reasonable access
- Sustainability
SAPCUP
2
Q
4 Pillars of Primary Health Care
A
- Teams
- Access
- Information
- Healthy Living
HAIT
3
Q
Medicare
A
- Funded by general taxation
- Interlocking set of 10 provincial and 3 territorial insurance schemes
- Prepaid access to medically necessary hospital and physician services for all citizens and permanent citizens
4
Q
Romanow Report
A
- Universal health care
- Defining principle of Canada
- Modernization of Canadian Health Care Act
- New diagnostic service fund
- Improve access in rural areas
- Improve IT
- Ensure quality
- Strengthen & Expand home care
5
Q
Kirby Report
A
- More private sector involvement, reduce Medicare
- Increasing medical costs harms gov’t budget
- Shift hospital funding to service-based
- More responsibilities on health authorities
- Consumer model
- Reform public health care
6
Q
Role of Canada Health Act in making health care a right
A
- got rid of HIDSA and Medical Care Act
- Banned extra billing & user fees
- Essentially became a private health care system
EXCLUDES:
-RCMP - Veterans
- Armed forces
- Federal inmates
7
Q
Federal Jurisdiction Responsibilities
A
- Set & Administer Cana Health Act principles
- Assist in financing provincial and territorial health care services through transfer payments in alignment with CHA principles
- Deliver/co-deliver health services for targeted groups
- Provide national policy to promote health & prevent disease
8
Q
Provincial & Territorial Responsibilities
A
- Develop & administer own health care insurance plan
- Manage, finance, and plan insurable health care services and delivery, in compliance with CHA principles
- Determine location of facilities
- Reimburse physician and hospital expenses and provide co-payment with users for rehabilitation and long-term care expenses
9
Q
Professional Jurisdiction
A
- Lots are self-regulating (nursing)
- Profession responsible for determining the standards, procedures, registration process, ethics, etc.
10
Q
Regional Health Authorities
A
- Appointed to elected representatives
- Provincially legislated
- Improve public participation
- Focus on prevention and health promotion
- Services tailored to local needs
- Streamline services
11
Q
BC Health Authorities (name the 5)
A
- Fraser Health
- Vancouver Coastal Health
- Vancouver Island Health
- Interior Health
- Northern Health
12
Q
Public Health
A
- Screening, assessment, developing, monitoring, public policy
- Focuses on populations
- Multidisciplinary approach
- Public Health Nurse Settings
13
Q
Primary Care
A
- Typically in physician offices
- Focus on treating specific diseases/illness
- Focus on individuals
14
Q
Community Health Care and Clinics
A
- Plan, manage, and deliver comprehensive services
- Designated geographic locations/ specific populations
- Focus on:
- Primary health
- Social, rehab, non-institutional
- Prevention
- Health promotion
- Community development/partnerships
15
Q
Assisted Living
A
- Community based residential facilities
- Help clients live independently w/ assistance
- Meal prep, hygiene, mobility, socialization
16
Q
5 Levels of Health Care
A
- Health promotion
- Disease & injury prevention
- Diagnosis & treatment
- Rehabilitation
- Supportive Care
17
Q
Primary, Secondary and Tertiary
A
Primary: Patient’s 1st contact w/ healthcare system
- occurs in physician offices
- can refer patient to further levels if necessary
- Function: early detection, routine care, education, basic emergency services, medical coordination/referrals, primary mental health care, palliative/end-of-life care, health promotion, healthy child development, primary maternity care, rehabilitation services
Secondary: Hospital, LTC or home
- Specialized medical services upon referral from a PCP
- Function: definitive diagnosis or clients requiring further diagnostic review
Tertiary: Regional, teaching, university, or specialized hospitals
- Sophisticated diagnostic equipment & capacity to perform complex procedures
- Diagnosing or treating complicated or unusual health problems
18
Q
CNA’s 5 Essential Principles of PHC
A
- Accessibility
- Active Public Participation
- Health promotion & CDM and prevention
- Use of appropriate technology and innovation
- Intersectoral cooperation and collaboration
19
Q
According to the CNA, 4 reasons why Canada should adopt PHC
A
- Current global recession
- Consistent recommendations from a myriad of national commissions calling for
health-system reform - Slipping performance relative to international comparisons on health and systems
indicators - The aging of our population.
20
Q
Lalonde Report
A
- Defined health determinants as lifestyle, environment, human biology, and organization of health care
- Turning point in broadening Canadians’ attitudes about factors that contribute to health, along with the role of government in promoting health
- Lifestyle received the most attention as a determinant b/c they contribute to chronic disease & injuries (biggest cause of morbidity & mortality in CAD)
- Other reports followed such as:
• The Ottawa Charter for Health Promotion (1986)
• Achieving Health for All: A Framework for Health
Promotion – the “Epp report” (1986)
• Jakarta Declaration on Health Promotion into the
21st Century (1997)
• Bangkok Charter for Health Promotion in a
Globalized World (2005)
• Toronto Charter on the Social Determinants of
Health (2009)
