Week 6 - Health Care Reform in Canada Flashcards
1
Q
Current issues in health care
A
- Growing costs
-decreased federal contributions - Tension between federal government and provinces
- Lack of focus on prevention and social determinants of health
- Drugs, mental health, dental care not covered
2
Q
Mazankowski user fees
A
- Encourages people to be healthier and deter unnecessary service seeking
3
Q
Kirby report
A
- Reduce dependency on government
- Sustainability by providing greater funding
4
Q
Kirby user fees
A
- Does not agree
- Decreases access to care and increase inequities in medical savings
5
Q
Romanow report
A
- Ensure long term sustainability of universally accessible
- Recommit to principle of need over income
- Health care is a right, not a commodity
6
Q
Romanow user fees
A
- Does not agree
- Will decrease access to care and increase inequalities
7
Q
Medical savings accounts
A
- Makes people consider what health care they actually need
- Initial downpayment required
- Not 100% covered
8
Q
Regionalization
A
- Administration devolved to municipal or regional governments
9
Q
Regionalization theory
A
- Local control
- Better targeted services
- Citizen involvement
- Compatible with public health
10
Q
Regionalization reality
A
- Seen as a way to reduce funding
- Could increase costs
11
Q
Examples of public private partnerships
A
- Brampton civic hospital
- 407 toll highway
12
Q
Public private partnerships
A
- Privatization by stealth
- Lack of accountability
- Violation of health act principles
13
Q
Health care guarantees
A
- Wait times for specialist care perceived as an issue
- There are now pre-determined wait-time deadlines for various procedures
- After deadline, service provided by other private or public provider
14
Q
Who’s idea was primary health reform
A
- Kirby
15
Q
Primary health reform goal
A
- Make service provision more streamlined to control costs
