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Canadian Health > Week 2 > Flashcards

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
Q

health council of Canada

A

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
Q

Canadian blood services

A

non-profit

created in wake of tainted blood controversy (HIV)

27
Q

canadian medical association

A

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
Q

canadian nurses association

A

nurses are also represented by unions which negotiate pay

29
Q

P/T health institutions

A

13 separate insurance plans

within each is a ministry or department of health assigned to managing health care

30
Q

responsibilities of ministry of health

A

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
Q

minister of health and long-term care

A

Marrilee fullerton
family physician for over 30 years
conservative MPP

32
Q

main roles of provincial governments

A

hospitals (1/3 of spending; historically global budgets)
providers (negotiating fees, fee schedules)
long-term care
prescription drug coverage

33
Q

regional health authorities

A

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
Q

logic of decentralization

A

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
Q

initiative across Canada

A

BC - five RHA and two additions
Alberta - one with five zones
Manitoba - 11
Quebec - 95 local service networks

36
Q

Ontarios healthcare system

A

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
Q

OHIP

A

ontario health insurance plan

funded through taxes and premiums

38
Q

covered by OHIP

A 
dental (in hospital)
optometry
podiatry
ambulance
abortions (in hospital)
39
Q

local health integration networks (RHA of ontario)

A

12 LHINs grouped into five regions
have authority over half of provincial spending
Waterloo wellington

40
Q

levels of care

A

primary, secondary, tertiary

41
Q

primary care

A

first contact
physicians, nurses
diagnosis and treatment, prevention and promotion

42
Q

secondary care

A

referral required
specialists
diagnosis and treat

43
Q

tertiary care

A

referral

highly specialized care and unusually included admission into a hospital

44
Q

gatekeepers

A

to higher level health services

primary care physicians when a referral is required

45
Q

Canada health transfer

A

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
Q

pandemic alters

A

inter-pandemic phase
alert phase
pandemic phase
transition phase

47
Q

private health insurance

A

60% have private insurance

plays a significant role in offsetting the costs of services not covered by provincial and territorial health services

48
Q

eligibility for P/T health insurance

A
  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
Q

intended health services to which P/T set standards

A 
long term care
home care
adult day programs 
hospice care
assistive devices and medical products
50
Q

formulary list

A

list of prescription drugs selected for coverage by a public or private health insurance plan
generally cheaper, generic drugs

51
Q

thalidomide scandal

A

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

Canadian Health (9 decks)

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