Week 2 Flashcards

1
Q

federal government

A

set and administer
provide financial support to delivery
support delivery
posses little legal power of health care provided in P/T jurisdictions

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2
Q

P/T

A

management
organization
delivery

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3
Q

13 P/T health insurance plans

A

the system is predominately publicly financed (70%)

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4
Q

Ministry of health federal

A

responsible for overseeing health-focused government agencies

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5
Q

Minister of health

A

Patty Hajdu
schooling in anthropology and public administration
worker in public health
was minister of status of women prior

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6
Q

duties of the minister of health

A
  1. oversee health Canada
  2. supervising the collection and analysis of information under statistics Canada
  3. work collaboratively with P/T governments
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7
Q

deputy minister of health

A

Stephen lucas

supports the minister

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8
Q

health portfolio (federal health institutions)

A
  1. health Canada
  2. Canadian food inspection agency
  3. Canadian institutes of health research
  4. patented medicine prices review board
  5. public health agency of Canada
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9
Q

health Canada

A

responsible for helping Canadians maintain and improve their health
major role in funding
care of First Nations, refugees, armed forces, veterans, residents of remote areas, federal inmates
conduct studies of health care system
report on the progress of health care
develop legislation and guidelines
authorize health agreements

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10
Q

branches of health Canada

A

internal functions act as service providers for others groups under federal jurisdiction
external functions

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11
Q

internal functions

A
  1. departmental secretariat
  2. audit and accountability bureau
  3. chief financial officer
  4. corporate services branch
  5. legal services
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12
Q

external branches

A
  1. First Nations and Inuit health branch
  2. strategic policy branch
  3. health products and food branch (benefits of food/drugs)
  4. healthy environments and consumer safety branch
  5. regions and programs branch
  6. pest management regulatory branch
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13
Q

Canadians food inspection agency

A

enforces the food and drugs act which oversees the sale, production, import and export of food, drugs, cosmetics and devices
today lots of our food does not originate in Canada

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14
Q

changes Canadian food inspection agency has made to combat globalization

A

increased licensing of food production
preventive controls to monitor food production
traceability through production system

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15
Q

canadian institutes of health research

A

an independent agency accountable to parliament though the minister of health
supports the creation of new knowledge that can translate to improving health
12 institutes, 1 billion budget
greatest spending goes into the area of biomedical research/institutes

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16
Q

Patented medicine prices review board

A

quasi-judicial body
ensure that manufacturers prices of patented medicines are not excessive
national prescription drug utilization information system

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17
Q

two main roles of patented medicine prices review board

A

regulatory (similar to other countries, similar drugs)

reporting (on trends)

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18
Q

mylan and epipen

A

raised the price dramatically after purchasing

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19
Q

first nations and Inuit health branch

A

oversees medical services that are not covered by P/T

manages the non-insure health benefits

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20
Q

public health agency of Canada

A

helps to prevent chronic disease, injuries, responds to public health emergencies
created in 2004 after SARS
headed by the chief public health officer
microbiology lab in Winnipeg

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21
Q

Intergovernmental organization

A
  1. Canadian agency for drugs and technologies in health
  2. Canadian institute for health information
  3. Canadian health infowar
  4. health council of Canada
  5. Canadian blood services
  6. Canadian medical association
  7. Canadian nurses association
22
Q

canadian agency for drugs and technologies in health

A

evaluates new medical technologies and pharmaceutical therapies for use
conducts the Common drug review
up to P/T to implement recommendations

23
Q

Canadian institute for health information

A

nationally coordinated approach to gathering and analyzing financial and administrative health data

24
Q

Canada health infoway

A

renewal to develop electronic health record using compatible standards

25
health council of Canada
based on recommendations made in the Romanow report all P/T except Quebec monitors and reports on the implementation of commitments made in health accords
26
Canadian blood services
non-profit | created in wake of tainted blood controversy (HIV)
27
canadian medical association
umbrella organization for physicians lobbies on behalf o its members and invest in a policy research agenda negotiates physicians remuneration and working conditions with P/T Ontario medical association
28
canadian nurses association
nurses are also represented by unions which negotiate pay
29
P/T health institutions
13 separate insurance plans | within each is a ministry or department of health assigned to managing health care
30
responsibilities of ministry of health
implementing the provincial insurance plan which covers hospital and medically necessary services use funds from various sources include Canada health transfer headed by minister of health
31
minister of health and long-term care
Marrilee fullerton family physician for over 30 years conservative MPP
32
main roles of provincial governments
hospitals (1/3 of spending; historically global budgets) providers (negotiating fees, fee schedules) long-term care prescription drug coverage
33
regional health authorities
may be both a purchaser and a provider (LHINs only purchase) long-term care and public and mental health and addiction not responsible for drug coverage
34
logic of decentralization
shift in the level of administrative decision-making from larger populations to smaller populations RHA could better integrate and coordinate services and contain costs stronger connection with local community improve efficiency and effectiveness ontario was the last to regionalize
35
initiative across Canada
BC - five RHA and two additions Alberta - one with five zones Manitoba - 11 Quebec - 95 local service networks
36
Ontarios healthcare system
coverage for doctors visits, hospitals, clinics, and medical tests ministry of health and long term care is responsible for health care and the provincial health plans (OHIP), primary care, ambulatory services and drug plans
37
OHIP
ontario health insurance plan | funded through taxes and premiums
38
covered by OHIP
``` dental (in hospital) optometry podiatry ambulance abortions (in hospital) ```
39
local health integration networks (RHA of ontario)
12 LHINs grouped into five regions have authority over half of provincial spending Waterloo wellington
40
levels of care
primary, secondary, tertiary
41
primary care
first contact physicians, nurses diagnosis and treatment, prevention and promotion
42
secondary care
referral required specialists diagnosis and treat
43
tertiary care
referral | highly specialized care and unusually included admission into a hospital
44
gatekeepers
to higher level health services | primary care physicians when a referral is required
45
Canada health transfer
the money the federal government sends to P/T to help pay for health care and to enforce the minimum standards in the Canada health act on a pure per capita basis grows at a rate of 3% annual 22% of budgets
46
pandemic alters
inter-pandemic phase alert phase pandemic phase transition phase
47
private health insurance
60% have private insurance | plays a significant role in offsetting the costs of services not covered by provincial and territorial health services
48
eligibility for P/T health insurance
1. canadian citizen or permanent resident status 2. resident of P/T in which they are seeing health coverage 3. physically in the jurisdiction for at least six months of the year
49
intended health services to which P/T set standards
``` long term care home care adult day programs hospice care assistive devices and medical products ```
50
formulary list
list of prescription drugs selected for coverage by a public or private health insurance plan generally cheaper, generic drugs
51
thalidomide scandal
anti-nausea medicine more then 10,000 children born with lost limbs globally not removed in Canada until 1962 francés oldham kelsey tried to delay approval of drug