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Health Policy > Lecture 3 > Flashcards

Lecture 3 Flashcards

1
Q

What is Public health

A

Looks at health of populations and prevention and promotion

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2
Q

What is the concept of the TB cases in toronto

A

Tibetan refugees and were sent to a shelter in Toronto awaiting processing because 5 were found to have active MDR TB and the media hyped it

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3
Q

What is the direct communicable disease

A

Person to person

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4
Q

What is inderict in relation to a vehicle

A

You get it from something else that is not the person for example water

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5
Q

What is indirect vector

A

Briding species some stop when they reach a human others don’t

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6
Q

What is airbone

A

Droplets are suspended

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7
Q

What is latent TB

A

not infectious action needs to be taken for at risk people

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8
Q

What is active tb

A

Infectious and deadly if not treated adherence is important prompt treatment necessary

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9
Q

What is MDR-TB

A

Multi drug resistant TB it is extremely expensive to treat

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10
Q

What makes up framing

A

Mental structures that people use to provide categories and structure to their thoughts looking at biases
How a potential hazard is processed percived and evaluated
Demonstrate how the same set of facts can be used to present different messages
How to best influence an outcome
What stakeholders can particpate

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11
Q

What are different ways that the TB can frame this issue

A

Immigration problem
Infectious disease treatment and natural progression
Public healht and risk
Cost opportunity diease
Old disease so you just ignore the problem

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12
Q

What goes into risk identification and perception

A

Decesion and not doing anything involve risk how well risk is understood how well that risk is understood
extent to it evokes dread
How many people are exposed
less acceptable if classified as involuntary dread or catastrophic
Risks with identifiable victims are more severe than statistical

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13
Q

What is the difference between hazard and risk

A

Hazard is something that could maybe cause harm but risk is hazar plus exposure

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14
Q

What alters the perceived risk

A

Media attention

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15
Q

What makes risk less acceptable

A

Involuntary dread or catastrophic vs common

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16
Q

What makes risk more severe

A

Identifiable victims thatn statistics

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17
Q

what is prevalence

A

how often a disease or condition occurs in a population at particular point in time

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18
Q

What is incidence

A

measures the rate of occurrence of new cases of a disease or condition in relationship to the population which is initially disease-free

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19
Q

Who had the majority of cases of TB

A

Foreign born and indigenous people

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20
Q

One of the lowest rate in the world

A

Canada

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21
Q

Almost all TB is treated with first line TB drugs True or Flase

A

True

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22
Q

Where is tubericolous concentrated in

A

Urban areas with ethnic and homeless populations

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23
Q

What should we do about risks

A

What you want is not always possible immigration is not under our jursidiction some policy doesn’t let us do what we want

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24
Q

What are the different types of screening

A

Mass
Selective
Multiphasic
Surevillance
Case finding population surveys

25
What is mass screening
Examples are like dental newborn and the cost's dosen't outweigh doing something
26
What is selective screening
One group you just screen the population at risk
27
What is multiphasic screening
We do it now and then we do it 2 months from now
28
What is surveillance
Look at data in the environment we go looking
29
What is surveillance
Look at the data in the envinroment we go looking
30
What is case finding
Public health goes looking for people
31
What are some thing you need to consider
Ethical principles moral decision making risk, intervention effectiveness, economic costs, individual burden, fairness of policy
32
Is there an obligation to protect/act even if there is not sufficient evidence
Ice in front of your resturant
33
What are institutional arrangements
Polices systems and processes that organizations use to legislate plan and manage their activities efficiently and to effectively coordiante with others to fulfill their mandate
34
What was the British North America Act
It is the foundation for distribution of power
35
What does the Federal Government cover
Peace Order and good government of Canada and quarantine and the establishment/maintenance of marine hospitals
36
What are the provinces responsible for
Most health care services establishment, maintenance and amanagement of hospitals, asylums, charities eleemosynary instiutions other than marine hospitals
37
Who provides finanical support for health care
The fedral goverment
38
When did the constitution act be in stated
1982
39
What are some details about the constitution act
Has 7 parts, parts 1-4 is the charter of rights and freedoms recognizes the right of aboriginal peoples and equalization payments process parts 6 and 7 amended the BNA act to include provincial jurisdiction over natural resources
40
What is the Canada Health Act
1984 it is to protect promote and restore the physical and mental well being of residents of canada and acess to health services without financial barriers it sets out criteria and conditions that provincial and territoral health insurance plans have to meet in order to receive full cash UPPAC
41
What is UPPAC
Universaility Public Admin Portability Acessebility Comphrensiveness
42
What are the three constitutional powers
Spending the power Power to pass laws for peace Order and good government and criminal law power
43
Who falls under the fedral goverment
First nations Inuit Veterans and active military prisoners in federal peanitentiaries
44
Where do refugees fall under
Protected persons including resettled refugees refugee claimants and certain other groups you use to have to wait three months but you don't anymore IFHP
45
What is the role of provinicial government
Public Hospitals and Clinics Drug benefit plants Training and regulations of physicians and other health professionals Long term care
46
What is the HPPA
Provides leagal framework for public health services enabling municipalities to promote and protect the health of residents through local health programs.
47
What did the amalgamation of Metropoltian Toronto
Turned into one administrative unit reducing number of PHUS from 5 to 1
48
What are the responsibilities of municipaliity
Vaccination, communicable disease tracking/tracing/treatment vector borne disease surveillance sexual health
49
What are some additional stakeholders
There is not many TB specialists Drug resistance Symptoms vs screening Medical school curriculum Quality of care uneven and potentially dangerous Social psychological and pharmacological
50
What does the media have to do
Timing Relevance Fame Human intrest What was the focusing event and how did the media frame this issue
51
What is apart of the implementation framework
Cost Acceptiability Fesaibility
52
What is in the effects framework
Effectiveness Unintended effects equity
53
Is screening testing
NO screeing is looking for diease in the wider population that does not have risk factors testing confirms diagnosis or aid in monitoring or treatment
54
What are the most important issues
Canada Health Act Immigration Constitution Act- Funding who is responsible Screening then follwing up Lack of education in medicine for TB awarness Wrong treatment Active tb you get quarantines Media and fear mongering
55
What did the Toronto public healht do
Instead of wiating 60 days for immigrants to be present they were identified at the border and sent to immigration officals
56
What did Ontario Ministry of Health
TB diagnosis and treatment services for uninsured persons
57
What did Federal government do
2012 Canclled health insurance service for refugees but TB care would have been exempt as it is a risk to public health 2014 Federal said it was unconstitutional 2015 IFHP 2016 program fully reinstated
58
What is Canadian Charter of Rights and Freedoms
tHe supreme law in the land which guarantees fundamental freedoms for all individuals residing in Canada including citizend landed immigrants and even refugees

Health Policy (9 decks)

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