Block II: Money and Medicine

Question 1

First publicly funded university hospital

Answer 1

Saskatchewan

Question 2

Founder of medicare in Canada

Answer 2

Tommy Douglas

Question 3

1966 Federal Medical Care Act

Answer 3

federal govt paid ~50% of approved expenditures for hospitals and physician services

Question 4

Basic principles of the Canadian Health Act

Answer 4

Public Administration
Comprehensiveness
Universality
Portability
Accessibility

Question 5

Last principle of the Canadian Health Act to be adopted

Answer 5

Access, 1984
penalized provinces for allowing physicians to do extra billing and charge out-of-pocket fees for services covered under the Act

Question 6

Provinces that charge a registration/annual fee for health care insurance

Answer 6

Ontario
BC
Quebec

Question 7

Federal govt responsibilities wrt health care policies

Answer 7

Direct delivery of care to certain groups of people (aboriginals, armed forces, etc)
health protection
funding health research

Question 8

Health expenditure of funds (2008)

Answer 8

Drugs - 16.3%
Hospitals - 28.7
Physicians - 13.3
Public health - 6.3

Question 9

Innovation/system-wide improvements funded in the last decade by the federal govt

Answer 9

Patient wait times guarantee trust
Canadian partnership against cancer
Canadian patient safety institute
Mental health commission of Canada

Question 10

Governing bodies negotiating rate/range of remuneration for sessional and service contracts

Answer 10

BCMA

Ministry of Health

Question 11

Advantages of time-based payment systems vs. FFS

Answer 11

simpler to bill
predictable income
supports complex care