Week 6 - Health Care Reform in Canada Flashcards

1
Q

Current issues in health care

A
  • Growing costs
    -decreased federal contributions
  • Tension between federal government and provinces
  • Lack of focus on prevention and social determinants of health
  • Drugs, mental health, dental care not covered
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2
Q

Mazankowski user fees

A
  • Encourages people to be healthier and deter unnecessary service seeking
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3
Q

Kirby report

A
  • Reduce dependency on government
  • Sustainability by providing greater funding
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4
Q

Kirby user fees

A
  • Does not agree
  • Decreases access to care and increase inequities in medical savings
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5
Q

Romanow report

A
  • Ensure long term sustainability of universally accessible
  • Recommit to principle of need over income
  • Health care is a right, not a commodity
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6
Q

Romanow user fees

A
  • Does not agree
  • Will decrease access to care and increase inequalities
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7
Q

Medical savings accounts

A
  • Makes people consider what health care they actually need
  • Initial downpayment required
  • Not 100% covered
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8
Q

Regionalization

A
  • Administration devolved to municipal or regional governments
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9
Q

Regionalization theory

A
  • Local control
  • Better targeted services
  • Citizen involvement
  • Compatible with public health
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10
Q

Regionalization reality

A
  • Seen as a way to reduce funding
  • Could increase costs
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11
Q

Examples of public private partnerships

A
  • Brampton civic hospital
  • 407 toll highway
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12
Q

Public private partnerships

A
  • Privatization by stealth
  • Lack of accountability
  • Violation of health act principles
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13
Q

Health care guarantees

A
  • Wait times for specialist care perceived as an issue
  • There are now pre-determined wait-time deadlines for various procedures
  • After deadline, service provided by other private or public provider
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14
Q

Who’s idea was primary health reform

A
  • Kirby
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15
Q

Primary health reform goal

A
  • Make service provision more streamlined to control costs
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16
Q

Primary health reform suggestions

A
  • Create multidisciplinary health care teams
  • Alternatives to fee-for-service like capitation or blended approaches
  • Incorporate health promotion and disease prevention into primary care
17
Q

Mazankowski specific suggestions

A
  • Save money by reducing demand for services
  • Encourage specialization and revenue generation
  • Build hospitals and provide services
  • Provide better services and encourage system reform
18
Q

Kirby specific suggestions

A
  • Make system more efficient and effective
  • Make management more effective because of market like reforms
  • Reform confidence and provide evidence of responsible spending of health care funds
  • Prevent supreme court from privatization
  • Reduce care expenditures and introduce an independent health comission
19
Q

Romanow specific suggestions

A
  • Will decrease access to and quality of care
  • Ensure funds aren’t directed away from safe saving surgery or treatments to meet guarantee’s
  • Expand medicare to include home care