week 5 Flashcards
history Saskatchewan: 1947
tommy douglas establishes universal hospital care program
history Saskatchewan: 1961
law establishing universal health care coverage passed
- included services of docotrs and other health professionals
history Saskatchewan: 1962
doctor strike and saskatoon agreement
- ended with an agreement doctors can charge fees on top of what they get paid
history Canada: 1957
hospital insurance and diagnostic services act
federalism and health care: consequential
hugely consequential
-Limits and supports new ideas and chances for change.
what is political authority divided into with federalism and health care
divided between federal and regional/subnational government (provinces and territories)
structure of canada health care system
-13 single payer provincial/territorial health insurance plan
-private fee-for-service
-fees negotiated between provinces and provincial medical associations
-primary care is gatekeeper to specialized care
-hospital funds provides by provincal government but public funded as well
primary healthcare
-direct provision care
-coordinates patients access to health care system for specialized care
secondary services
-delivered at hospital, long-term care facility or other clinic
-provinces pay for certain home care services
veterans affairs Canada provides home care services to veterans
-federal government provides home care services to first nations on reserve and some Inuit communities
5 principals of medicare
- Universality of coverage
-portability of coverage
-reasonable accessibility to services
-comprehensiveness of services
-public administration
features that have changed in federal funding
- cost-sharing to block funding
- each pay for 50% of the healthcare cost (federal and provinces) did not work so when to block - % of health care cost paid by the federal government
- whether federal health care funds are lumped in with funds for other social services
current issues with the Canada health care system
-growing costs
-decreased federal contributions : tension between federal government and provinces
-wait times for specialist care
-calls to privatize and charge user fees
-lack of focus on prevention and social determinants of health
-drugs, mental health, dental care not covered
healthcare reforms
-not simply providing more money
-deploying existing resources more efficiently
-free up emergency departments to handle medical emergencies
deploying existing resources more efficiently what would this look like?
-centralized intake of patients
-interdisciplinary teams
-doctors working in groups
-more after-hours primary care clinics to relieve burden on emergency departments
