Week 6

Question 1

Current issues in health care

Answer 1

-growing costs
-decreased federal contributions
-tension between federal government and provinces
-lack of focus on prevention and social determinants of health
-drugs, mental health, dental care not covered

Question 2

Mazankowski report

Answer 2

-increase role of private sector
-require more direct payments from citizens
-less taxation

Question 3

Mazankowski user fees

Answer 3

-encourages people to be healthier and deter unnecessary service seeking

Question 4

Kirby report

Answer 4

-reduce dependency on government
-sustainability by providing greater funding

Question 5

Kirby user fees

Answer 5

-does not agree
-decreases access to care and increase inequities in medical savings

Question 6

Romanow report

Answer 6

-ensure long term sustainability of universally accessible
-recommit to principle of need over income
-health care is a right, not a commodity

Question 7

Romanow user fees

Answer 7

-does not agree
-will decrease access to care and increase inequalities

Question 8

Medical savings accounts

Answer 8

-makes people consider what health care they actually need
-initial downpayment required
-not 100% covered

Question 9

Regionalization

Answer 9

-administration devolved to municipal or regional governments

Question 10

Regionalization theory

Answer 10

-local control
-better targeted services
-citizen involvement
-compatible with public health

Question 11

Regionalization reality

Answer 11

-seen as a way to reduce funding
-could increase costs

Question 12

Examples of public private partnerships

Answer 12

-brampton civic hospital
-407 toll highway

Question 13

Public private partnerships

Answer 13

-privitization by stealth
-lack of accountability
-violation of health act principles

Question 14

Health care guarantees

Answer 14

-wait times for specialist care perceived as an issue
-there are now pre-determined wait-time deadlines for various procedures
-after deadline, service provided by other private or public provider

Question 15

Who’s idea was primary health reform

Answer 15

-kirby

Question 16

Primary health reform goal

Answer 16

-make service provision more streamlined to control costs

Question 17

Primary health reform suggestions

Answer 17

-create multidisciplinary health care teams
-alternatives to fee-for-service like capacitation or blended approaches
-incorporate health promotion and disease prevention into primary care

Question 18

Mazankowski specific suggestions

Answer 18

-yes to medical savings accounts
-yes to encourage specialization and revenue generation
-yes to public private services
-yes to health care guarantee

Question 19

Kirby specific suggestions

Answer 19

-yes to medical savings accounts
-yes to regional health authorities
-yes to health care guarantees
-yes to primary care reform

Question 20

Romanow specific suggestions

Answer 20

-no to medical savings accounts
-no to public private partnerships
-caution to health care guarantee
-expand medicare to include home care and palliative care