Chapter 14: Health Care Delivery Systems

Question 1

Canada Health Act (PADAPUC)

Answer 1

Public Administration: must be administered on non-profit base
Accessibility: provided when and where available
Portability: if resident moves, old province must cover
Universality: residents are entitled to any insured health service provided
Comprehensiveness: Health-care plan must cover all insured services

Question 2

Health Act does not cover:

Answer 2

• cosmetic surgery
• Dental services
• Eye examinations, glasses
• Prescription drugs
• Alternative medicine (chiro, pT)

Question 3

Positives of Canadian Health Care System

Answer 3

• High quality of professionals, places, and equipment
• Relatively equal access
• High quality of care
• Resources
• Low IMR and good longevity statistics (life expectancy)

Question 4

Negatives of Canadian Health Care Systems

Answer 4

• Rising costs
• Long wait times
• Accessibility in some regions
• Need more doctors
• Etc.

Question 5

What model is Canadian medical care system?

Answer 5

welfare-state model, so government is responsible for the welfare of its citizens. Treated like education and roads - government provides them to all citizens

Question 6

Canada vs. USA

Answer 6

1. In Canada plan is paid for with public funds
2. In USA, it is a patchwork of mostly private with some public support for specific groups. Private funding is usually paid by employer and is a tax free benefit
3. Per capita spending is higher in USA compared to other developed countries with publically funded program

Question 7

Medical Rights:

Answer 7

1. Access their records and to have those records kept private
2. Receive treatment that provides reasonable degree of care
3. know about potential dangers/benefits of any treatment
4. Receieve competent diagnosis and treatment
5. Designate a person to make your decisions if you cannot

Question 8

America’s System?

Answer 8

Two tier system

-Private
Fast, access to state of the art medicine, requires insurance or will be very expensive
-Public
Supported by taxes, medicaid, medicare

Question 9

Extra Billing?

Answer 9

when a health care practitioner requires the patient to pay a fee in addition to the fee the practitioner receives from the provincial health insurance plan.

Question 10

Co-Payment?

Answer 10

a payment made by a beneficiary (especially for health services) in addition to that made by an insurer.

Question 11

Demographics of Canadian Physicians?

Answer 11

1. 2007- 64,000 physicians in Canada
2. 192/100,000 people
3. 51% family physicians
4. Pay license fee to provincial college of physicians and surgeons

Question 12

Demographics of Canadian Nurses?

Answer 12

1. 2009-350,000 regulated nurses in Canada
2. Registered nurses: 76%
3. Licensed practical nurses (LPN): 22%
   - High turnover rate