WEEK 2 Flashcards
What is the Canada health act?
- Sets guidelines for provinces to meet to receive funding
- The most important landmark legislation because it mandated universal health care coverage for all Canadians
What are the 5 pillars of health care?
1) Public administration: each province’s administers health insurance of non-profit by an authority
2) Comprehensiveness: the health care insurance must cover all insured services provided by hospitals, doctors or dentists
3) Universality: all people are entitled to health care insurance by their province
4) Portability: residents moving from one province to other continue to be covered for insured services by their home province until they can get the current provinces insurance
5) Accessibility: all people are protected from extra charges and guaranteed reasonable access
Describe the provincial and territorial plans
There are 13 separate health care insurance programs across Canada
- Each province and territory is responsible for managing and providing primary, secondary and tertiary health care for its citizens
What are the 4 levels of point of care?
1) Primary: doctors, nurses
2) Secondary: physician specialist such as cardiologists, oncologists
3) Tertiary: support and resources to consultative care. Based on referral sfrom primary or secondary: acute care hospitals, psychologists, social workers
4) Quaternary: distinguished by the difference in type and availability of specialized care provided
What is Canada’s stance on prescription drugs?
Canada lacks a national pharma care program.
What are the 3 approaches to health care?
1) Medical approach
- Focus on curing diseases rather than prevention and health promotion
2) Behavioural approach
- Introduction to the Lalonde reports which included individual health responsibility and focus on promotion and prevention
- Epp report introduction which included disadvantageous groups
- Ottawa charter for health promotion strategies: public health for all
3) Socioenvironmental approach
- Social contexts include family and community
- Environmental context = air, food water quality
What were the 4 aspects of Lalonde framework?
With health interrelated with all these
1) Lifestyle
2) Environment
3) Human biology
4) Health care organization
Describe the 2 forms of health care reform
1) Primary care reform: changed include intrapersonal to interpersonal/teams as well as telehealth and up to date technology
2) Secondary care reform: providing the best care in the most client-appropriate environment while managing health care more effectively.
What are the emphasis of health interventions?
1) Reducing host susceptibility
2) Reducing risk
What are the 2 things the medical model assumes?
Host/agent interaction
Define macro, meso and micro level
Macro: characteristics of the society which we were born in
Meso: characteristics of household which we are a member of
Micro: individual risk factors
Define risk factor model
Individual level model of health and disease
Who was john snow?
He discovered cause of cholera, focused on environment (neighborhood and drinking water), people living with conditions as source of disease
Who was Fredrich Engels?
Showed the death rates of poor people in urban areas were higher than the ones from rural areas. He basically demonstrated that social and economic change can affect health - Also published the condition of the working class in England
Who was considered the father of pathology?
Rudolf Virchow