Week 3 - Canadian Healthcare System

Question 1

Medicare

Answer 1

Group of Socialized health insurance plans that are publicly funded

Question 2

How is the healthcare system changing?

Answer 2

Immigration, aging population

Question 3

Who is and isn’t covered by Medicare

Answer 3

Covered - perm resident, new immigrants, citizens

Not - refugees, temp residents, visitors

Question 4

Indian act (year, description)

Answer 4

1876

Allowed government to control most aspects of aboriginal life (status, land, resources, wills, education, etc)

Question 5

Canada health act (year, description)

Answer 5

1984

Replaced federal hospital and medical insurance acts.

Established criteria on portability, accessibility, universality, comprehensiveness, public administration

Added provisions that prohibited extra billing and user fees for insured services

Question 6

Amended Indian act (year, what happened)

Answer 6

1985

Identified federal government role in providing health care to first nation and Inuit people

Question 7

Indian act acts

Answer 7

Prevent and control spread of infectious diseases on reserves

Provide medical treatment and health services for Indians

Provide hospitalization and treatment for disease Among Indians

Question 8

How many calls to action were made in 2015 by the truth and reconciliation commission

Answer 8

94

Question 9

Example of a call to action

Answer 9

Call upon all governmetns and people to recognize current state of indigenous health as a direct result of previous governments and residential schools etc

Question 10

Organization and governance of health care: federal role

Answer 10

Deliver health services for First Nations, vets, Canadian forces, refugees, and inmates

Question 11

Organization and governance of health care: provincial / territorial govt

Answer 11

Deliver healthcare by the regional authorities (Fraser heatlh, vancouver coastal, etc)
Reimburse physicians and hospital expenses

Question 12

The Canada health act (year, what it is, primary objective, aim)

Answer 12

1984

Canadas federal legislation for publicly funded healthcare insurance

Objective: protect, promote, restore physical and mental wellbeing of residents of Canada

Aim: ensure all eligible residents have reasonable access to insure health services without direct charge at point of service

Question 13

5 principals of the Canadian health act

Answer 13

Public administration
Comprehensiveness
Universality
Portability
Accessibility

Question 14

Public administration

Answer 14

Principal of CHA

All administration of provincial health insurance must be done by a public authority on a non profit basis

Question 15

Comprehensiveness

Answer 15

Principal of CHA

All necessary health services (hospitals, physicians, dentists) must be insured

Question 16

Universality

Answer 16

Principal of CHA

All insured residents are entitled to the same level of care

Question 17

Portability

Answer 17

Principal of CHA

Residents are entitled to coverage from their home province in other provinces

Question 18

Accessibility

Answer 18

Principal of CHA

All insured persons have reasonable access to healthcare facilities

Question 19

Lalonde report general idea

Answer 19

In 1970s, healthcare spending didn’t proportionately improve health of Canadians.

Lalonde report shifted emphasis from medical approach to a more behavioural/holistic approach

Question 20

Influential reports in Canada (2)

Answer 20

Romanow’s commission

The Kirby report

Question 21

Romanows commission (basic points)

Answer 21

Medicare is sustainable and must stay as it represents Canadian values

We should modernize the CHA through funding and changes

Question 22

The Kirby report (general idea)

Answer 22

Medicare is not sustainable and we need to strengthen private sectors

Opposite of romanows commission

Question 23

Upsides and downsides to private health care

Answer 23

Up - more healthcare available

Down - expensive, limited use to those who can afford it

Question 24

Primary health care (PHC) is (3)

Answer 24

Foundation of Canada health care system

It is a philosophy and a model for improving health

Emphasizes the determinants of health

Question 25

5 principals of primary health care (PHC)

Answer 25

Public participation
Accessibility
Intersectional cooperation
Appropriate technology
Health promotion

Question 26

Principals of Canada health act acronym (5)

Answer 26

Peter
Climbs
Under
Patricks
Attic

Question 27

5 principals of primary heatlh care acronym

Answer 27

Paul
Accesses
Immense
Amounts of
Heroin

Question 28

Public participation

Answer 28

One of 5 principals of PHC

PHC cannot be successful unless the public is involved

Question 29

Intersectoral cooperation

Answer 29

1 of 5 principals of PHC

Different sectors (govs, health authorities) must work together

Question 30

Health promotion

Answer 30

1 of 5 principles of PHC

Promote healthy lifestyles

Question 31

4 pillars of primary healthcare

Answer 31

Teams
Access
Information
Healthy living

Question 32

4 pillars of PHC: teams

Answer 32

Team based care to solve

Lots of participation

Question 33

4 pillars of PHC: access

Answer 33

Ensure better access to necessary services

Question 34

4 pillars of PHC: information

Answer 34

Using tech to improve access, efficiency, and quality of health

(Eg, online health records)

Question 35

4 pillars of PHC: healthy living

Answer 35

Includes strategies of prevention, chronic illness management and self care

Question 36

5 levels of health care

Answer 36

Health promotion
Disease and injury prevention
Diagnosis and treatment
Rehab
Supportive care

Question 37

5 levels of heatlh care: health promotion

Answer 37

Empower people to increase control of their own heatlh

Anti smoking
Eduction
Wellness clinics etc

Question 38

5 levels of heatlh care: disease and injury prevention

Answer 38

Illness prevention services to reduce risk of disease nd injury

Screening, immunizations
Support groups

Question 39

5 levels of heatlh care: diagnosis and treatment

Answer 39

Recognizing and managing health conditions on primary, secondary, and tertiary care

Question 40

5 levels of heatlh care: rehabilitation

Answer 40

Restoration of person facing life altering heatlh situations

Therapy

Question 41

5 levels of heatlh care: supportive care

Answer 41

Long term care to people who cannot function on their own

Palliative care, long term care facilities

Question 42

Diagnosis and treatment: 3 levels of care and what they are

Answer 42

Primary
- 1 contact to resolve a problem or potential problem
- GPs, clinics
- focus on early detection, routine care

Secondary
- develop signs and symptoms
- need diagnosis
- referred medical services (GP referral to hospital)

Tertiary
- specialized technical care in diagnosing or treating complex/unusual health problems
- specialized hospitals that have access to special equipment

Question 43

Diagnosis and treatment: 3 levels of care and what they are

Answer 43

Primary
- 1 contact to resolve a problem or potential problem
- GPs, clinics
- focus on early detection, routine care

Secondary
- develop signs and symptoms and need diagnosis
- specialized medical services
- GP referral to hospital

Tertiary
- specialized technical care in diagnosing or treating complex/unusual health problems
- specialized hospitals that have access to special equipment

Question 44

Health care delivery settings (2)

Answer 44

Institutional sectors
- hospitals, long term care, rehab centres

Community sectors
- Dr offices, home care, assisted living, palliative care

Question 45

Achieving health for all framework big idea

Answer 45

All healthcare aspects are interconnected

Achieving health for all consists of:
Health challenges
- reduce inequities
- enhance coping
Health promotion mechanisms
- self care, mutual aid, healthy environments
Implementation strategies
- public participation, healthy public policy