Unit 2: Healthcare Delivery Flashcards
What are the 5 guiding principles of the Canada Health Act?
Public administration, comprehensiveness, universality, portability, and accessibility.
Describe public administration in the Canada Health Act.
Public, non-profit health insurance administration.
What does comprehensiveness mean in the Canada Health Act?
Providing the full package of healthcare: hospitals, physicians, and surgical dentists insured.
What is universality in the context of the Canada Health Act?
Every insured person is provided with the same standard of care.
What does portability refer to in the Canada Health Act?
Insurance from the old province covers moving residence before the new province does.
What is accessibility in the Canada Health Act?
All insured people have the same level of access to services.
What are the challenges of the 5 guiding principles?
Lacking physicians, services, and access in rural and Indigenous areas.
Explain how the Canadian healthcare system operates outlining the roles of the federal and provincial government, BCMA and the BCMSC.
Federal government: sets standards through the Canada Health Act
Provincial government: manages and delivers healthcare services
BCMA: A voluntary organization of physicians in BC, negotiating fees and working conditions
BCMSC: Manages payments of physicians, ensures licensing requirements, and guarantees access to healthcare services for every BC resident
How does the Canadian health delivery model contrast with Cuba?
Canada has a ‘welfare state’ model with self-employed physicians, while Cuba has a ‘socialist’ model with government-run clinics and hospitals.
How does the Canadian health delivery model contrast with the US?
Canada has a ‘welfare state’ model, while the US has a ‘free-enterprise’ model with no universal healthcare and for-profit insurance companies.
What are the weaknesses of the Canadian health system?
Longest wait times in the developed world, fewer physicians per capita, limited services in rural areas, and a greater focus needed on prevention.
What are the strengths of the Canadian health system?
Good longevity and infant mortality rate statistics, and relatively good access to quality services.
What issues exist regarding physician and nurse supply in Canada?
Some regions in Northern Canada have no physicians, and many areas lack specialists.
What are the trends in expenditures on healthcare in Canada?
The percentage in the amount of money spend on Canadian healthcare cost will continue to rise and in 2031 the Canadian healthcare cost will count for about 9.3% of the country’s gross domestic product
What is ‘extra billing’?
Under the Medicare Protection Act, patients cannot be charged for consumables like exam gowns or rental fees for equipment.
What is CAM?
What does it focus on?
Complementary & Alternative Medicine
focusing on the body, mind, and spirit based on healing traditions.
What are the steps of the diagnostic process?
Medical and social history, physical exam, and possible medical tests.
What is health literacy?
The capacity of an individual to access equitable health care to achieve optimal health outcomes.
What are the 5 domains of CAM practices?
Alternative medical systems, mind-body interventions, biologically based therapies, manipulative and body-based methods, and energy therapies.
What are the 2 primary treatment methods in TCM?
Herbal remedies and acupuncture.
How do Canadian physicians earn a license?
Complete a 4-year M.D. program after a 4-year undergrad degree, followed by 2 to 5 years of specialization through internship and residencies. Then obtain a medical license
What is MSP?
Medical Services Plan of BC, health insurance for residents.
What changed within MSP in 2020?
What were they replaced by?
MSP fees were eliminated.
Employer Health Tax
How does MSP pay physicians?
If physicians want to up-out of MSP how does the process of billing the patient occur?
By a ‘fee-for-service’ model.
Physicians can bill the patient directly, who will then be reimbursed by MSP
What are residents required to do in relation to MSP?
State the law that requires this.
Enroll in it by the Medicare Protection Act.
What does MSP not cover?
Cosmetic surgery, regular dental services, eye exams and glasses, prescription drugs, massage, chiropractic, and physiotherapy.
What is Conventional medicine based on?
Science and experimental and clinical evidence gathered in randomized control trials
