intro to HC Flashcards
WDYM by there is no canadian health care system
there are 10 provincial system working parallelly
6 characteristic of health care in 1987
- heavy emphasis on curative medicine (after disease meds not prevention)
- growth of specialization at expense of primary care
- rigid division of labour discouraging reallocation
- new profits for corporates
- intrusion of medical industry into range of problems
6.fiscal crisis
what are the 3 policy periods
benign neglect (up to 1945)
shared cost agreement (1945-76)
establish program areas acts (1977)
federal withdrawal (1990-?)
benign neglect
up to 1945
provincial responsibility
public health gov concern (water food)
private health private
when was there a rise of physician dominance
benign neglect
19th to 20th century
1912 medical act
turning point in positions of allopathic practitioners
become liscensed except (chriocpractors)
1920 flexner report
shaped curriculum of medical school
success of vax for polio ect
private insurance (only middle class easterns can afford)
dirty 30a-rise of labour movement, pressure for better conditions
the shared cost arrangements raised physician incomes
t or f
t
what di demmet hall comission recommend
introduce universal HC
criteria to be guided by 4 principles
4 criteria of UHC
public administration
comprehensiveness
universal coverage
portability
accessibility (1984)
what happened with the medical care act of 1966
implemented between 1968-72 set stage for UHC
Canadian Health Act
federal health insurance
provinces responsible for delivery of health care service, where hospital are located, budgets, criteria and conditions to insure health care service
what standard do all provinces and territories have to meet to get full federal cash transfer
Canada Health and Social Transfer
what percent of funding is covered by public sector funding? how much is private or out-of-pocket?
72% 28%
