Class 3: Health Care Within Cdas Health Care System Flashcards
What are the 4 areas of federal jurisdiction for health in cda?
Providing national policies to promote health & prevent disease
Assisting financially prov&territorial health care services through transfer payments
Delivery of Hcs for target groups
Setting & administrating national standards of Hcs through Cda health act
What’s the hisotry of cdn health care system?
1) 1867 British North America act (got only stepped in it epidemic situation occurred)
2) 1914-1939 the world wars (brought up Q we need a safety net?)
3) 1947 tommy Douglas introduced the 1st initial public health insurance plan; acted as a safety net
4) 1984 Cda health act (effectively bans user fees for health care; regulates drugs; sets out national standards for insured health care)
Who are the target groups for federal govt?
Federal inmates, members of RCMP, military veterans, aboriginals ( First Nations & Inuit), or areas that are not served by their province or territory
What is the role of the provincial & territorial govt in organization & delivery of health care?
- develop & administer their own health care insurance plans
- manage, finance, & plan insurance health care see I da & delivery
- determine organizational & location of hospitals & health care facilities & amount of $ deducted to health care services
Of the 5 principle of Cda health act, what’s the first principle?
1) public administration: examining fraser health & insuring they’re operating a non-profit organization; making sure they are willing to be openly examined by public authority (public can see their #s and where $ is going)
Of the 5 principle of Cda health act, what’s the second principle?
2) comprehensiveness: refers to the to the coverage of ALL insured health services provided by hospitals & specific health professionals (equality)
Of the 5 principle of Cda health act, what’s the 3rd principle?
Universality: 100% of insured persons of the province are entitled to whatever health care services are provided
Of the 5 principle of Cda health act, what’s the 4th principle?
Portability: HCS are provided to insured residents (3 months) who are temporarily out of their home, province, or territory.
Of the 5 principle of Cda health act, what’s the 5th principle?
Accessibility: ensure all residents of a province/territory have reasonable access to health care services ( hospital, surgical, medical services) regardless of discrimination
What are the major levels of cdn health care system?
1) primary care: health promotion & disease prevention (ex. Emergency room care, Immunizations, prenatal/well-baby clinics)
2) secondary care: diagnosis & treatment (ex: care from specialist following referral)
3) tertiary: focus on rehabilitation (ex: acute care, care of the diseases in hospital)
4) quaternary: centres of highly specialized care (ex. Transplantation peri operative & post surgical nursing, end of life care )
Identify trends facing cdn health care systems?
-advancements of tec ( cancer treatment), Internet self-diagnosing, evidence-informed practice, tourism health, woman/men ratio (HC pros), nurses in high demand/schools not enough seats ($), demographics (increase of baby boomers), cultural densities, CAM (complementary alternative methods)
Identify challenges & issues facing cdn health care systems?
-wait lists for surgeries, lack of physicians in rural setting, daily limits for walk in clinics, inconstant coverage for specific drugs (cancer patients), high client/patient to health care provider (nurse/doc) ratio, transferring coverage for patients going from childhood to adulthood (19yrs)
What are the factors influencing the development of the Cdn health care system?
Leadership (by elect & appointed persons (LPNS/RN) who advocate for beneficial reforms, homeless, womans health, population aging, climate change, fee for service transactions, uneven distribution of services, access to health care, evidence informed nursing practice
