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DH 603 Advocacy > History of Health Care > Flashcards

History of Health Care Flashcards

1
Q

What established the dominion of Canada?

A

The British North America Act

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2
Q

What did the dominion of Canada consist of?

A
  • Ontario
  • Quebec
  • New Brunswick
  • Nova Scotia
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3
Q

What is the British North America Act now known as? And what do it contain?

A
  • Constitution Act

- Canadian Charter of Rights and Freedoms and other provisions

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4
Q

What was the federal government responsible for in the BNA?

A
  • establishment and maintenance of marine hospitals
  • care of aboriginal populations
  • management of quarantine
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5
Q

What was the provincial government responsible for in the BNA?

A

Establishing and maintaining:

  • hospitals
  • asylums
  • charities
  • charitable institutions
  • all other health-care-related responsibilities by default
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6
Q

What did the Hospital Insurance and Diagnostic Services Act do?

A

provided federal dollars to provinces and territories willing to implement a comprehensive hospital insurance plan.

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7
Q

What is the equalization payment system?

A
  • richer provinces would share revenue with poorer provinces to provide care for all
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8
Q

What was the result of the Hospital Insurance and Diagnostic Services Act?

A
  • spending for hospital services increased dramatically because there was no out of pocket fee for hospital services
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9
Q

What were the significant events leading up to the Canada Health Act?

A
  • The Hall Report
  • The Medical Care Act
  • The Established Programs Financing (EPF) Act
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10
Q

What were the recommendations of The Hall Report?

A
  1. supported a national medicare program
  2. suggested construction of new medical schools and hospitals
  3. recommended that the number of physicians be doubled by 1990 to meet the needs of a growing and aging population
  4. recommended private health insurance companies by replaced by provincial public health
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11
Q

What did Hall’s recommendations become the foundation of?

A

The Medical Care Act

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12
Q

What did the provincial and territorial health plans have to meet the criteria of in order to receive funds under the medical care act.

A
  1. Universality
  2. Portability
  3. Comprehensive coverage
  4. Public administration
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13
Q

What realization did the medical care act cause?

A

Community-based case was needed

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14
Q

What did the Established Programs Financing Act allow for?

A

Funding of community-based services

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15
Q

Which acts did the canada health act replace?

A

Hospital insurance and diagnostic services act

Medical care act

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16
Q

What is the Canada health acts primary goal

A
  1. equal
  2. prepaid
  3. accessible health care to eligible Canadians
    ELIGIBLE CANADIANS: are those who are lawful residents of a province or territory
17
Q

What are the criteria of the canada health act? (5)

A
  1. public administration
  2. comprehensive coverage
  3. universality
  4. portability
  5. accessibility
18
Q

What are the conditions of the canada health act? (2)

A
  1. information

2. recognition

19
Q

What does the Canada health act state?

A

“Only those procedures and services that are judged medically necessary are covered by provincial and territorial insurance”

20
Q

Medical Model Goals:

A
  • physician based
  • illness focus
  • hospital based care
  • curative (able to cure disease)
  • problems are isolated
  • health care provider dominated
21
Q

Primary Health Care Reform Goals:

A
  • team-oriented care
  • emphasis on health
  • community based care
  • focus on health promotion and disease prevention
  • care is comprehensive (holistic)
  • collaborative care - patient and family involved
22
Q

What were the outcomes of the Mazankowski Report?

A

Alberta became the first province to implement electronic health records in 2003

23
Q

What did the Kirby report argue?

A
  • develop strategies to reduce wait times
  • cover the costs of medications under certain circumstances
  • invest 2 billion for information technology
  • invest 2.5 billion in advanced medical equipment
  • provide incentive to encourage health care professionals to return to canada
  • provide funds to recruit, train, and retain doctors and nurses.
24
Q

What did the Romanow report provide?

A

47 recommendations for both health care reform and renewal of the canada health act
- several recommendations were implemented including health promotion campaigns, limits on wait times, and primary health care reforms.

DH 603 Advocacy (5 decks)

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