week 5- the Canadian health care system Flashcards
key points about Canadian health care system
- history of public health care in canda
- federalism and health care
- structure of health care system
- history of federal funding
- current issues
- health care reform
- wait times
- the Canadian health scene in international perspective
history Saskatchewan: 1947
tommy douglas establishes universal hospital care program
history Saskatchewan: 1961
law establishing universal health care coverage passed
- included services of dcotrs 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
history Canada: 1965
hall commission 1 report
history Canada: 1966
medical care act
history Canada: 1979
hall comission 2 report
history Canada: 1984
canada health 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)
about the federal and regional governments with health care
have consitiuinal authority to enact laws and collect revenues
what does federalism and health care require
cooperation for funding, regulating and reforming
tension between the 2 governments
sets out the power and responsibilities at each level
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
how do canadians access care
- primary health care
- secondary services
primary health care
- 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
what are the 5 principles of Medicare
- Universality of coverage
- portability of coverage
- reasonable accessibility to services
- comprehensiveness of services
- public administration
history of federal funding
- laws governing funding
- section 91 and 92 of constitution
- medical care act (1966)
- established programs financing (EPF) act (1977): healthcare & hospital sum + funding for postsecondary education
- Canada health and social transfer (CHST; 1995) (healthcare, hospital and school)
- Canada health transfer ( CHT;2004) & Canada social transfer
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
health care 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
who pays for health care in canada
provinences and ferderal government, private paying
