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NUTR 201 > The System in Canada > Flashcards

The System in Canada Flashcards

1
Q

The system in a core component of the ____ _____

A

client experience

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2
Q

What are the six factors that the Canadian Health Care System is dynamic to?

A
  1. Increasing population
  2. Demographic characteristics of population
  3. Societal changes
  4. Evolution of health care practice
  5. Evolution of medical knowledge
  6. Public health emergencies like COVID 19
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3
Q

The Canadian health care system is grounded in the principle that universal coverage for medically necessary health care services provided on the basis of what?

A

Need rather than the ability to pay

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4
Q

What happens if the patient wait time guarantee is exceeded?

A

an alternative care option must be offered

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5
Q

In healthcare, what is the federal level responsible for?

A

Funding, policy making, regulating, educating, and direct care (veterans)

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6
Q

In healthcare, what is the provincial/territorial level responsible for?

A

Health care delivery, and regional management

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7
Q

What is the Canada Health Act?

A

an act that establishes criteria and conditions for health insurance to provinces and territories; discourages extra-billing and user fees

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8
Q

Define insured health services

A

hospital, physician, and surgical-dental services provided to insured persons, but does not include any health services that a person is entitled to and eligible for under any other Act of legislature of a province that relates to workers’ or workmen’s compensation

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9
Q

5 Canada Health Act principles

A
  1. Public administration
  2. Comprehensiveness
  3. Universality
  4. Accessibility
  5. Portability
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10
Q

What does public administration mean?

A

Must be administered and operated on a non profit basis by a public authority accountable to the provincial or territorial government.

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11
Q

What does comprehensiveness mean?

A

Must insure all medically necessary services provided by hospitals, medical practitioners and dentists working within a hospital setting.

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12
Q

What does universality mean?

A

Must entitle all insured persons to health insurance coverage on uniform terms and conditions.

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13
Q

What does accessibility mean?

A

Must provide all insured persons reasonable access to medically necessary hospital and physician services without financial or other barriers.

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14
Q

what does portability mean?

A

Must cover all insured persons when they move to another province or territory within Canada and when they travel abroad.

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15
Q

Primary Health Care Services

A

First point of contact with the health care system, often family doctor

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16
Q

Define Patient Rostering

A

a process by which patients register with a family practice, family physician, or team. Patient rostering facilitates accountability by defining the population for which the primary care organization or provider is responsible and facilitates an ongoing relationship between the patient and provider.

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17
Q

What are secondary services of health care?

A

More specialized services than the one offered in general physician clinics. Outpatient or inpatient.

18
Q

What are tertiary or quaternary services?

A

More complex and requires specialized expertise that is not always available in all hospitals. Often referred to as subspecialty services such as cancer treatment, cardiac surgery or treatment for severe burns. Many are teaching hospitals.

19
Q

What is the difference between tertiary and quaternary services?

A

depends on how specialized a particular service is

20
Q

Define Palliative Care

A

Care offered for those dealing with lifelong illnesses; delivered in various settings, and with the main focus of providing comfort and support to families

21
Q

Define emergency services

A

Deals with situations that are potentially life-threatening; involves “urgent care” which are less severe but cannot wait for primary care. Includes ambulance services

22
Q

What is the orders of care?

A
23
Q

What is the health authority(s) in Alberta?

A

Alberta Health Services (AHS)

24
Q

What is different about the AHS compared to the rest of Canada?

A

It’s Canada’s first and largest province wide, fully-integrated health system

25
Q

What are the four foundational strategies of AHS?

A
  1. Patient First Strategy
  2. Our People Strategies
  3. Clinical Health Research, Innovation, and Analytics Strategy
  4. Information Management/Information Technology Strategy
26
Q

What are primary care networks?

A

Often the first points of contact with the healthcare system, they bring local physicians and other health care professionals together to provide comprehensive patient care to Albertans.

27
Q

What are the impacts of primary care networks?

A
  • Favours continuity of care
  • Reduce acute care use
  • After-hours clinics reduce ER visits
  • Make it easier to find family doctors accepting new patients
28
Q

What is covenant health?

A

a Catholic health care provider that serves the Canadian province of Alberta. It was established following the amalgamation of Alberta’s regional Catholic health care providers under a single administration.

29
Q

Alberta has one integrated health system, with ____ providers

A

many

30
Q

What is AHCIP?

A

Alberta Health Care Insurance Plan; covers permanent and temporary residents

31
Q

What does the AHCIP cover?

A

Covers many medical expenses, but not everything… does not cover eyeglasses, prescription drugs, dental care, the use of ambulances or some other health expenses.

32
Q

What are the 5 pressing issues in the Canadian health care system?

A
  1. Equity
  2. Access to Care (including wait time)
  3. Quality and patient safety
  4. Accountability
  5. Cost Control
33
Q

What is the issue of equity in Canada’s health care?

A

Inequities are mainly based on the social determinants of health (income, education, race, employment status)

34
Q

What is the con of equity in healthcare?

A

If there is no inequity among all individuals in our society and everyone live long life then we will have to work longer to afford our publicly health care system

35
Q

What is the issue of accesibility and wait times in canada’s healthcare?

A

It goes against the accessibility principle of the Canada Health Act

36
Q

Where does the problem of access and wait time lie?

A

The public-funded/private delivery;
Good thing is that you get to chose “in theory” your family doctor, Bad thing is that doctor can refuse new patients or it can take a long time before you can get appointments

37
Q

What is causing the increase in wait times?

A

Aging population, limited budged, overuse of emergency room instead of PCN, COVID19

38
Q

How can wait times be reduced?

A
  • Primary care as a gatekeepers (thus more fam docs)
  • Income/other financial supports
  • Increase general practitioners accessibility time (evenings and weekends)
  • Additional education or work skills training to increase efficacy
  • Vaccination
39
Q

What is the issues related to Dietitians in the north?

A
  • Limited access
  • Growing numbers since the Truth and Reconciliation but not enough
  • No regulatory bodies
  • Limited coverage for services provided by dietitians
40
Q

What is the issue of quality of care in Canada’s health care?

A
  • some patients receive more or not enough treatments than they should
  • adverse events or mistakes occur
  • because providers can be afraid of legal consequences, they won’t say anything/solve the issue timely
41
Q

What is the issue of accountability and cost control in Canada’s health care?

A
  • Good or bad performance and consequence of not meeting the performance targets reduce accountability
  • people fight about over who is responsible (no one wants the duties or related costs)
  • Do more for less money may lead to cut corner and reduce patient safety

NUTR 201 (8 decks)

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