Class 9: Health care in Canada Flashcards Preview

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Flashcards in Class 9: Health care in Canada Deck (11)
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background of health care in canada

-british North America act 1867: confederation
-health, education, and social services a provincial responsibility
-high rates of immigration, birth and industrialization= crowded living situations, poverty, and high mortality and morbidity rates
-churches and charities provided hospital care
-WWI & II results required a social safety net


history of canada health act: premier Tommy Douglas

-1947: Saskatchewan established public, universal hospital insurance
-1957: federal government passed legislation to share cost of provincial hospital insurance plans
-1961: all 10 provinces and 2 of 3 territories had public insurance plans for in-hospital care
-1971: federal legislation for a national healthcare program


objective of medicare

-to protect, promote and restore the physical, and mental wellbeing of Canadians and to facilitate reasonable access to health care services without financial or other barriers
-provinces are responsible for the administration and delivery of the services


canada health act criteria

1. public administration: (operated by public authority)
2. Comprehensiveness: (provinces ensure all HC access)
3. Universality: (universal coverage for 3 months after moving to another province, then the coverage changes to that of the province you're in)
4. Portability: (access to services follow you)
5. Accessibility: (reasonable access to health care. reasonable compensation to doctors, dentists, and hospitals)


consumer rights to health care

-right to be informed
-right to be respected as having major responsibility for own health care
-right to participate in decision making affecting their health
-right to equal access to health care


health care delivery

primary, secondary, teritary, quaternary, home and community


primary care

begging of medical process, first primary contact with health care. "consultant from doctor"


secondary care

use of specialists, (e.g. cardiologist, acute care, CAM therapies)


tertiary care

specialized. (cancer management, treatment of burns, surgery)


quaternary care

clinical trials. experimental medicine, uncommon diagnosis


home and community care

how to live with this diagnosis. Community programs, street nurses, rehab, home care