Week 5 - The Canadian Health Care System Flashcards
1
Q
History Saskatchewan - 1947
A
- Tommy Douglas establishes a universal hospital care program
2
Q
History Saskatchewan - 1961
A
- Law establishing universal health care coverage passed
3
Q
History Saskatchewan - 1962
A
- Doctors strike and Saskatoon agreement
4
Q
What was the Saskatoon agreement
A
- Put in place in order to stop doctors strike
- Allowed doctors to charge more on top of what government was paying
5
Q
History Canada - 1957
A
- Hospital insurance and diagnostic services act created
6
Q
History Canada - 1965
A
- Hall commission 1 report created
7
Q
History Canada - 1966
A
- Medical care act created
8
Q
History Canada - 1979
A
- Hall commission 2 report created
9
Q
History Canada - 1984
A
- Canada Health act
10
Q
How does federalism affect health care
A
- Hugely consequential
- Requires cooperation for funding, regulating, and reforming
- Source of tension
11
Q
What does single payer mean
A
- One group paying for all health care
12
Q
How are fees for health care services determined
A
- Fees negotiated between provinces and provincial medical associations
13
Q
2 types of ways that Canadians access care
A
- Primary health care
- Secondary services
14
Q
Primary health care
A
- Direct provision of care
- Coordinates patients access to health care system for specialized care
15
Q
Secondary services
A
- Delivered at hospital, long term, care facility, or other clinic
- Provinces pay for certain home care services
- Federal government provides home care services to first nations on reserve and some Inuit communities
16
Q
5 principles of medicare
A
- Universality of coverage
- Portability of coverage
- Reasonable accessibility to services
- Comprehensiveness of services
- Public administration
17
Q
Universality of coverage
A
- All people have access to quality health services they need, when and where they need them, without financial hardship
18
Q
Portability of coverage
A
- Allows one to continue coverage under the same group policy by paying premiums directly to the insurance company
19
Q
Reasonable accessibility to services
A
- The provinces are to ensure that services are “reasonably accessible” and that financial charges or other barriers do not impede access
20
Q
Comprehensiveness of services
A
- ‘The provision, either directly or indirectly, of a full range of services to meet most patients’ healthcare needs’
21
Q
Public administration
A
- Payments have to be controlled and run by the provinces
22
Q
What has shifted in federal funding over time
A
- Cost sharing to block funding
- The percentage of funding paid by the federal government decreased
- Whether funds are put together with other social costs
23
Q
How did health care used to be funded
A
- Established Programs Financing (EPF)
- Canada Assistance Plan (CAP)
- Canada Health and Social Transfer (CHST)
24
Q
How is health care funded now
A
- Canada Health Transfer (CHT)
- Canada Social Transfer (CST)
25
Q
Current issues in health care
A
- Growing costs
- Decreased federal contributions
- Tension between federal gov and provinces
- Privatization and user fees
26
Q
Health care reforms
A
- Not simply providing more money
- Deploying existing resources more efficiently
27
Q
US health outcomes
A
- Spends the most per capita
