Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
Medicare |
key component of canadian social safety net funded by taxes founded by tommy douglas |
|
|
Canada's Health Act(1984) |
Combined HIDSA and Medical Care Act and effectively banned extra billing and user fees |
|
|
Principles of Canada Health Act |
Public Administration- public authority administers and operates the plan on a nonprofit basis Comprehensivness- covers all medically necessary hospital and physician services, as the province/territory permits, services of other health care practicioners Universality- insured residents entitled to health care services Portability- can access health care services in another province/territory Accessibility- reasonable access to health care facilities and providers, additional charges for insured services are not permitted, essential health care services must be available to all Canadians on the basis of need |
|
|
Federal Governement |
Sets and administers national principles Assists in financing health care services through transfer payments Delivers health services for First Nations and Inuit people, veterans, federal inmates, RCMP Provides national policy and programming to promote health and prevent disease
|
|
|
Provincial and Territorial Governments |
-Develop and administer their own health care insurance plans -Manage , finance plan insurable health care services and delivery, in alighment with CHA principles -Determine organization and location of hospitals or long-term care facilities, mix of health providers, and amount of money dedicated to health care services -Reimburse physician and hospital costs, some rehab and long-term care services, usally on the basis of co-payments with individual users -Each province/territory varies in what is covered and the amount covered |
|
|
Romanow Commision(2002) |
Medicare is sustainable and must be preserved Wanted to modernize the Canadian Health Act by: -creating a new diagnostic service fund -Building info technology infrastructure -improving access -Ensuring and measuring quality -improving and expanding primary health care -strenghtening and expanding home care -offering catastrophic drug coverage -creating a national health council responsible for indicators and performance measures |
|
|
The Kirby Report(2002) |
Medicare not sustainable. Need for strong private sector involvement Recommended: Shifting funding for hospitals to a service-based model -granting more responsibility to regional health authorities -reforming primary health care -offering a health care guarantee to Canadians- would reduce wait times |
|
|
Pillars of Primary Health Care |
-Teams - improves access and coordination, reduces waiting time, enhances comprehensivness of care -Access- better access to services, maximizing scopes of practice, reducing demands for care by keeping clients health -Information- using tech to improve efficiency and quality is a critical part of health care renewal ex. telephone triage -Healthy living- strategies of prevention, management, self care |
|
|
Institutional Sector |
hospitals longterm care facilities psychiatric facilities rehab centres |
|
|
Community Sector |
public health physician offices community health centres and clinic assisted living home care adult day support programs commnity and voluntary agencies occupational health hospice and palliative care parish nursing |
|
|
LIHN |
-nonprofit community based on organization -work with minister of health -planning, intergrating, performance, and funding of the health care system |
|
|
Levels of Health Care |
1) health promotion 2)disease and injury prevention 3)diagnosis and treatment 4)rehabilitation 5)supportive care |
|
|
1)Health promotion |
wellness services antismoking education promotion of self-esteem in children and adolescents advocacy for health public policy |
|
|
2) Disease and Injury Prevention |
-Clinical(screening, immunizing) Behavioural (lifestlye change, support groups) Environmental (societal pressure for a healthy environment) |
|
|
3)Diagnosis and Treatment |
Primary care: early detection, routine care, education to prevent recurrences Secondary care: usually occurs in hospital or home settings Tertiary care: diagnosing and treating complicated or unusual health problems |
|
|
Level 4 : Rehab |
Required after physical/mental illness, injury, or addiction ex. physiotherapy, speech therapy, social services |
|
|
Level 5: Supportive Care |
-Clients with chronic illness, progressive illness, or disability -Long-term care and assisted-living facilities, adult day care centres, home care -respite care, palliative care |
|
|
Challenges to the Health Care System |
Cost Accelerators, Equality and quality, |
|
|
Cost Accelerators |
technologies demographics consumer involvment |
|
|
Equality and quality |
income status cultural competence evidence-informed practice quality and client safety quality workplaces privatization of services health care human resources |
