Week 4 Flashcards
Where was Canada’s first universal health insurance program implemented?
A: Manitoba in 1957
B: Canada in 1867
C: PEI in 1867
D: Saskatchewan in 1947
D
What was the purpose of the Canada Health Act?
A: provide the provinces with more legal authority
B: Ban extra billing and user fees
C: Establish a national drug plan
D: increase access to care based on ability to pay
B
What act has as its cornerstones publicly administered, comprehensive, universal, portable, and accessible?
A: Hospital insurances and Diagnostic services act
B: Constitution ac
C: Canada health act
D: American Medicare act
C
What is one of the primary objectives of Canadian health care policy according to the Canada health act?
A: facilitate reasonable access to hospital care
B: Protect the health care systems from privatization
C: Restore stable health care funding to the provinces
D: protect, promote, and restore the physical and mental well-being of the residents of Canada
D
What are the 4 determinants of health outlined in the Lalonde report?
A: socio-environmental, biomedical, disease prevention, and health promotion
B: Gender, culture, working conditions, and education
C: Biological, emotional, spiritual, and psychological
D: Environment, lifestyle, human biology, and healthcare system
D
What provided the basis for the Ottawa Charter?
A: Epp report
B: Alma ata declaration
C: Canada Health Act
D: British North America Act
A
What is involved in a system that focuses on primary care?
A: people accessing health care services at the first point of contact
B: Health education, proper nutrition, and disease prevention
C: Health protection, health promotion, and disease prevention
D: Accessible, affordable, and acceptable health care
A
Who funds public health in Canada?
A: provinces and municipalities
B: Municipalities
C: Federal Government
D: Provincial and Federal government
A
What are the social determinants of health, and list some
Conditions in which people live, grow, are born, work, and age
Disability, early childhood development, education, employment and working conditions, food insecurity, gender, geography, globalization, health services, housing, immigration, income and income distribution, indigenous ancestry, race, social exclusion, social safety net, unemployment and jobsecurity
What is the difference between upstream and downstream approaches
Upstream involves finding the source of the problem and fixing it, while downstream is treating the symptoms of the problem, but not addressing the root cause.
What is primary health care and what are the 5 principles
Essential health care based on practical, scientifically sound and socially acceptable methods and tech made universally accessible to individuals and families at a price the country can afford
Accessibility, public participation, health promotion, appropriate tech, intersectoral collaboration
What is the difference between primary care and primary health care
Primary care is the first point of contact people have with health services, part of the overarching primary health care approach
What is the biomedical approach
Doctor fixes everything
What is the behavioural approach
If you just walk and smoke less, you wont be unhealthy (better)
What is the problem with biomedical and behavioural approaches
They don’t take into account societies and governments role in health promotion/prevention
What is the socioeconomic approach?
Looking at all of the factors contributing to health and addressing them. Do you have enough money for food or a gym pass? Do post-partum moms have enough resources to avoid depression? Do you live in an area that has a lot of pollution?
What are the 5 milestones in the development of health promotion in Canada?
1974 Lolonde report
1978 declaration of Alma ata
1986 Epp report “achieving health for all”
1986 Ottawa Charter
International conferences on health promotion
What are the 5 action areas for health in the Ottawa charter?
Build healthy public policy
Create supportive environments
Strengthen community action
Develop personal skills
Reorient health services
What would be the most effective example of developing personal skills from the Ottawa Charter?
A: healthy cooking class for young adults
B: lobbying for the government to put more money into healthy food in schools
C: having a community roundtable on access to healthy food in the community
D: creating a support group for low income parents and families struggling with affording food.
A
A bunch of kids are showing up to school exhausted and fall asleep in class everyday. What is an upstream and a downstream approach to solving this problem.
Downstream: give them a nap at school
Upstream: check in at home, find out why they aren’t sleeping, and find a way to address this problem
What would be an example of the appropriate technology principle of primary health care?
Buying equipment for a hospital that is scientifically reliable and valid, adapted to local needs, acceptable to the community people, and accessible and affordable by the local resources.
