Canadian Healthcare System Flashcards
What was the responsibility of government levels of the British North America Act for healthcare? Who paid?*
Responsibility was on provincial government for healthcare and federal government just oversaw everything
All healthcare was paid out of pocket - doctors came to people’s homes and cared for them there
How did the Great Depression impact healthcare?*
Everyone was still paying out of pocket and they couldn’t afford it anymore, so many people became sick
What government funding/financial responsibilities changed with the medical care insurance act?*
Provinces and territories were to share health care costs equally with the federal government
They negotiated a plan where doctors would be paid by the government rather than the individual
What negative outcome resulted from the medical care insurance act? Which health act did this lead to?*
Due to the provincial governments having to take on more costs, they began adding additional fees
The Canada Health Act banned extra billing or user fees
What is the current federal jurisdiction in regard to funding (4)?*
- Set/administer Canada Health Act principles
- Assist in funding/financing
- Deliver health services for specific groups
- Promote national policy and programming to support/promote health and prevent disease
What is the current provincial jurisdiction in regard to funding (4)?*
- Develop/administer health care insurance plan
- Manage/finance/plan health care services
- Determine organization and location of health care facilities and services
- Reimburse physicians and hospital expenses
What are the 5 principles of the Canada Health Act? And the additional 6th?*
- Public administration
- Comprehensiveness
- Universality
- Portability
- Accessibility
- Sustainability
Define public administration*
Provincial/territorial plans operate on a nonprofit basis through a public authority
Define comprehensiveness*
Covers medically necessary services (hospital and physician services)
Determine which services are considered medically necessary - differs across Canada
Define universality*
Services provided free of discrimination
However, the individual must be a Canadian citizen
Define portability*
Insured residents can receive services in another province/territory without cost or penalty
Provide continuous coverage if resident relocates within Canada for up to 3 months
Define accessibility
Provide access to health care facilities and providers based on medical need regardless of ability to pay
Define sustainability*
Not yet adopted as the 6th principle - desire to make the health care system sustainability
Describe the medical approach and which century it was most popular in*
Focused on maintenance of physiological, functional, and social norms - focused on treatment for disease and sees medical intervention as the way to restore health
Little emphasis given to health promotion or disease prevention
Dominant throughout the 20th century
Which approach was challenged by the Lalonde report?*
Medical approach
What did the Lalonde report promote/advocate?*
Promoted individual responsibility for health
Shifted focus away from seeing health problems solely as physiological risk factors that conveyed disease
Introduced idea of casual influences (determinants of health) that also played a role in health