Week 6 Flashcards
What are the milestones in health promotion in Canada (6)
1867 British North America act
1947 Medicare in Saskatchewan
1957 hospital insurance and diagnostic services act
1974 Lalonde report
1978 alma ata declaration
1983 Canada health act
What is the Canada health act and the 5 principles
Ensured federal funding would be in place for health care as long as the provinces met the 5 criteria:
Publicly administered
Comprehensive
Universal
Portable
Accessible
Ensured access to health care regardless of their ability to pay or where they live, biomedical approach, Federal, provincial, municipal, and regional responsibilities for the delivery of healthcare in Canada.
What is the Alma ATA declaration?
Governments were urged to protect and promote health of all people
What is the Lalonde report?
Identified key factors that affect health, including lifestyle, environment, and health services. It proposed integrating health care and health promotion in policy development
What is the hospital insurances and diagnostic services act?
Offered to reimburse, or cost share, one-half of provincial and territorial costs for specified hospital and diagnostic services.
What is the British North America act?
Specified the federal government was only responsible for taxes, law, quarantine, and the establishment of marine hospitals.
What is meant by “the reorientation of health services in Canada?
Moving from the biomedical approach to a capacity building and socioenvironmental approach that places less stress on the medical system, focuses on the upstream approach, as well as health public policy and its role in health.
Who is responsible for the healthcare of veterans, First Nations groups, Canadian forces, prisoners, and some refugees?
Federal gov
Who is responsible for negotiations with provincial and territorial medical associations and health professional unions?
Provincial and territorial ministers of health
Who is responsible for healthcare delivery to the majority of the population for layer 1 and 2 coverage
Regional health authorities
What is layer 1 coverage?
Public services like hospitals, physicians, and diagnostic. Funded by taxes.
What is layer 2 coverage?
Mixed services (public and private): services like prescription drugs, home care, long-term care, mental health care. Funded by taxes, out of pocket, and private insurance.
What is layer 3 coverage?
Private services: Dental care, vision care, complementary medicine, outpatient physio. Funded primarily through private insurance, out of pocket, some public taxation
What is healthy public policy?
Concern for health and equity in all areas of policy
What is the socioecological model for health promotion?
Individual, interpersonal, organizational, community, and public policy
What were the key ideas discussed in the palliative care outreach video?
Social determinants of health and how that impacts health. Homelessness kills. Ex. Terry had tongue cancer, isolated himself cause he was embarrassed, went all over looking for pain relief, was denied medicine, no supports, overdosed and died. 35,000 homeless in Canada. Homelessness cuts life expectancy by 20-30 years. PEACH (palliative education and care for the homeless). Storytelling is important to raise awareness.
The Canada health act was most focused on:
A: health promotion
B: equity
C: hospital services
D: the environment
B?
What is nurses role in health public policy?
Lobbying the government, providing a collective voice from the CNA, creating a vision for change.
A family travels to Alberta from BC and the dad has an MI. He able to have his care covered even though he is in a different province. What principle of the Canada health act does this demonstrate?
Portable
