Chapter 13 Flashcards
(20 cards)
Universality
Coverage for health services available to all
Comprehensiveness
All necessary medical services to be covered
Public administration
Plan administered on a non-profit basis
Portability
Benefits are portable across provinces & guided by accessibility
Accessibility
Provide access on uniform terms
Mid 90s
Cuts in provincial transfers & systems cutbacks, as well as dominant influence of neoliberal ideology (individuals) on health policies
- Despite recognition of publicly funded model
- Created gaps between the principles & the reality of Medicare
Privatization
Belief that health care can be better provided by private markets & that those who can pay should receive better services
- Alberta fist to allow private, for profit hospitals
Problems with the public system
- conflicts between health care providers & government
- Closure of hospitals/ consolidation of services into a few locations
- Long wait times for surgeries
- Reduced funding for services & issues related to sustainability
- Encroachment by the private sector
Challenges within the current system
- Shift to managerialist approach
2. McDonalidization of Nursing & Health care
Managerialist Approach
Shift to care that involves the rationalization of health care tasks into discrete, quantifiable measurements
McDonalidization of Nursing/Health Care
The growing emphasis on efficiency, quantification of tasks, calculability, predictability & control
- Increase patient load for drs. with limited time for each
- Cuts to nurses
- Cost and control are emphasized
Canada vs. US
Public vs. private system
Improving health outcomes (Individual level)
Focus on biomedical & behaviour models of health centred around genetics, exposure to risk etc.
- Causes the treatment of ill health only after it occurs
Social determinants of health
Examines the context in which people live & social political economic & cultural structures
Improving health outcomes
- Increased focus on social-environmental factors instead of the individual level
- Focus on population level & social determinants of health can be preventative
- Adopting a population health approach requires political action & social reform
Unalienable Human Right
A right considered to inhere in a person as a human being and that cannot be relinquished by government; sometimes referred to as a “natural right”
The Four Criteria of Medical Care Act
- Universality
- Comprehensiveness
- Public Administration
- Portability
Extra-billing
An arrangement that allowed doctors to charge patients over and above the set payment schedule, for which the patient was not reimbursed
Canada Health Act
An act passed by Parliament in 1984, which outlines the five principles of Canada’s universal, government-funded health-care system
Human Development Index
Provides a composite measure of three dimensions of human development: living a long and healthy life, being educated, and having a decent standard of living
