Canadian Healthcare System Overview
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Questions and Answers

What is one of the main barriers to the provision of primary health care in Canada?

  • Public funding for health services
  • Strong support for health reforms
  • High availability of healthcare professionals
  • Geographical disparities in access (correct)

Which of the following best describes a principle of primary health care in Canada?

  • Integration of health services with social services (correct)
  • Emphasis on hospital-based care
  • Devaluation of preventive services
  • Focus on specialty care rather than community health

What is a key trend in the evolution of Canada’s health care system?

  • Decreased funding for public health programs
  • Expansion of telehealth services (correct)
  • Reduction in the number of healthcare facilities
  • Increased privatization of health services

What is a concept underlying integrative medicine?

<p>Holistic approach to health and well-being (C)</p> Signup and view all the answers

Which aspect contributes to the increasing pressures on the Canadian healthcare system?

<p>Rising costs of medical technology (D)</p> Signup and view all the answers

What is the primary funding mechanism for the Medicare system in Canada?

<p>Taxes collected from general public funds (B)</p> Signup and view all the answers

Which principle of the Canada Health Act guarantees coverage without discrimination?

<p>Universality (C)</p> Signup and view all the answers

Which level of government is responsible for administering national principles under the Canada Health Act?

<p>Federal government (A)</p> Signup and view all the answers

What role do provincial and territorial governments have in the Canadian Health Care System?

<p>Administer their own health care insurance plans (B)</p> Signup and view all the answers

Which principle of the Canada Health Act ensures individuals have reasonable access to health services?

<p>Accessibility (A)</p> Signup and view all the answers

What defines the financial responsibilities of provincial governments in the Canadian Health Care System?

<p>Provincial governments finance insurable services according to local needs (D)</p> Signup and view all the answers

Who is primarily responsible for delivering health services to Indigenous people in Canada?

<p>Federal government (B)</p> Signup and view all the answers

Which of the following best describes the regulation of most health professions in Canada?

<p>Self-regulated by the professions themselves (B)</p> Signup and view all the answers

What is a key component of nursing's evolving roles in the health care system?

<p>Engaging in health policy development (B)</p> Signup and view all the answers

What distinguishes complementary approaches from alternative approaches in health care?

<p>Complementary approaches enhance conventional treatments, while alternative approaches replace them. (C)</p> Signup and view all the answers

What is integrative health care primarily focused on?

<p>Addressing the underlying causes of illness (C)</p> Signup and view all the answers

How should nursing roles evolve to meet the challenges in health care?

<p>Forging new roles and innovative solutions (B)</p> Signup and view all the answers

What is the main goal of relational-centred care in integrative health care?

<p>To enhance the relationship between patient and provider (C)</p> Signup and view all the answers

Which of the following describes a characteristic of integrative health care?

<p>It incorporates multiple best practices from various health care approaches. (B)</p> Signup and view all the answers

What demographic change poses a significant challenge for health care planning?

<p>The aging Canadian population (D)</p> Signup and view all the answers

What type of care focuses on holistic health and combines complementary and alternative medicine?

<p>Integrative health care (D)</p> Signup and view all the answers

What is a primary benefit of meditation in clinical practice?

<p>It decreases heart rate and blood pressure. (C)</p> Signup and view all the answers

Which of the following accurately describes the role of imagery in a clinical setting?

<p>It helps to control or relieve pain and achieve calmness. (C)</p> Signup and view all the answers

Which approach is NOT categorized under integrative medicine?

<p>Chemotherapy (C)</p> Signup and view all the answers

What is a key aspect of the nursing role in interprofessional collaboration with CAM?

<p>To educate patients about complementary approaches. (C)</p> Signup and view all the answers

How does meditation benefit patients with asthma specifically?

<p>It improves breathing patterns. (D)</p> Signup and view all the answers

Which of the following are considered categories of integrative health care?

<p>Energy therapies (A), Natural products (C)</p> Signup and view all the answers

What does holistic nursing primarily focus on in terms of health?

<p>Mind, body, spirit, and relational care (C)</p> Signup and view all the answers

Which approach is NOT listed as a nursing-accessible approach?

<p>Biofeedback therapy (C)</p> Signup and view all the answers

What is one of the values emphasized in integrative health care?

<p>Awareness of whole-people and whole-system interconnectedness (D)</p> Signup and view all the answers

Which of these is an example of a whole system of care?

<p>Traditional Chinese Medicine (TCM) (C)</p> Signup and view all the answers

What effect do relaxation techniques have on physiological responses?

<p>Improve perceived well-being (B)</p> Signup and view all the answers

Which of the following approaches helps educate patients on altering their stress response?

<p>Breathing exercises (C)</p> Signup and view all the answers

Which organization developed standards of practice for holistic nursing?

<p>Canadian Holistic Nurses Association (D)</p> Signup and view all the answers

What is the primary focus of primary care in health services?

<p>Health promotion and disease prevention (B)</p> Signup and view all the answers

Which of the following is NOT a level of health care according to the outlined system?

<p>Second opinion services (C)</p> Signup and view all the answers

What type of care is designed to improve the quality of life for patients facing chronic illness or disability?

<p>Supportive care (D)</p> Signup and view all the answers

Which pillar of primary health care emphasizes improving health through accessible services?

<p>Access (D)</p> Signup and view all the answers

Which report is associated with the reform of Canada’s health care system in 2002?

<p>Kirby Report (C)</p> Signup and view all the answers

What is primarily emphasized at Level 1 of health care?

<p>Health promotion (A)</p> Signup and view all the answers

What is considered an emerging trend in Canada’s health care system?

<p>Adoption of emerging medical technologies (B)</p> Signup and view all the answers

What does the Ottawa Charter for Health Promotion advocate for?

<p>Promotion of self-esteem in children (D)</p> Signup and view all the answers

Which category of barriers affects interprofessional primary care teams at the practice level?

<p>Lack of cooperation among team members (C)</p> Signup and view all the answers

Which of the following describes a task included under Level 2: Disease and Injury Prevention?

<p>Clinical actions like immunizing (A)</p> Signup and view all the answers

Which sector primarily includes community health centers?

<p>Community sector (B)</p> Signup and view all the answers

What is one of the key challenges facing the health care system currently?

<p>Political economy of health (D)</p> Signup and view all the answers

What does supportive care primarily include?

<p>Long-term care and assistance (A)</p> Signup and view all the answers

What role do regional health authorities play in Canada’s health care system?

<p>They manage community health initiatives (A)</p> Signup and view all the answers

Flashcards

Pillars of Canadian Healthcare

The principles that guide the Canadian healthcare system, ensuring access to essential healthcare services regardless of income or social status. These principles include universality, portability, comprehensiveness, accessibility, and public administration.

Levels of Healthcare

The different types of healthcare services, ranging from preventative measures to acute care and specialized treatments. These levels include: 1. Primary Health Care (e.g., GP visits, community health services), 2. Secondary Health Care (e.g., hospitalization, specialized medical services), 3. Tertiary Health Care (e.g., highly complex and specialized care), 4. Quaternary Health Care (e.g., highly specialized services in research centers), 5. Palliative Care (e.g., comfort care for those with a life-limiting illness).

Barriers to Healthcare

Factors that hinder access to and the delivery of effective healthcare services. These can include financial constraints, geographic isolation, limited availability of specialists, waiting lists, and systemic issues like discrimination.

Integrative Medicine

An approach to healthcare that combines conventional medical practices with complementary and alternative therapies. It emphasizes holistic wellness by addressing the physical, mental, and emotional aspects of health.

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Nurse's Role in Integrative Care

Nurses play a vital role in facilitating and supporting integrative care by providing holistic assessments, educating patients, promoting self-management strategies, and collaborating with other healthcare providers to create individualized treatment plans.

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Medicare

A publicly funded health insurance system in Canada that provides coverage for hospital and medical services. It is a vital part of the Canadian social safety net.

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Canada Health Act

A federal law that sets out five key principles for Canada's healthcare system: public administration, comprehensiveness, universality, portability, and accessibility.

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Public administration

Healthcare services must be operated on a non-profit basis and managed by public authorities.

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Comprehensiveness

The Canada Health Act mandates coverage for all medically necessary services.

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Universality

Healthcare coverage is available to all Canadians, regardless of their income, status, or background.

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Portability

Canadians have healthcare coverage wherever they reside in Canada, ensuring seamless transitions.

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Accessibility

Healthcare should be accessible to all Canadians, regardless of their ability to pay. This principle aims to eliminate financial barriers.

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Federal government role in healthcare

The federal government sets national healthcare principles (Canada Health Act), provides financial assistance to provinces and territories, and delivers healthcare services to specific groups (e.g., Indigenous people, veterans).

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Integrative Health Care

A healthcare approach that combines conventional medicine with complementary therapies, promoting holistic well-being.

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Holistic Nursing

A nursing practice that focuses on the whole person (mind, body, spirit) and considers their individual needs and experiences.

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Canadian Holistic Nurses Association

An organization dedicated to promoting holistic nursing principles, education, research, and practice.

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Mind-Body-Spirit Interventions

Integrative therapies that focus on the interconnectedness of the mind, body, and spirit, aiming to promote overall well-being.

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Examples of Mind-Body-Spirit Interventions

Techniques such as yoga, meditation, art therapy, music therapy, and dance therapy aim to reduce stress and improve well-being.

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Nursing-Accessible Approaches

Integrative techniques readily practiced by nurses to help patients manage stress and improve well-being, such as imagery, massage, and therapeutic touch.

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Relaxation Therapy

Techniques like deep breathing, meditation, and imagery (visualization) that promote relaxation and reduce stress, lowering heart rate and blood pressure.

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Stress Response

The body's physiological reaction to stress, involving increased heart rate, blood pressure, and muscle tension.

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Complementary Approaches

Healthcare practices that are used alongside conventional medical treatments to enhance their effectiveness or reduce side effects, such as acupuncture or massage therapy.

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Alternative Approaches

Healthcare practices that are used instead of conventional medical treatments, such as herbal remedies or homeopathy.

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Holistic Health

A view of health that considers the interconnectedness of physical, mental, emotional, and spiritual well-being, rather than focusing solely on the physical body.

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Allopathic Medicine

The traditional system of Western medicine, which focuses on treating diseases with pharmaceuticals, surgery, and other medical interventions.

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Relational-Centered Care

A patient-centered approach to healthcare that prioritizes the relationship between the healthcare provider and the patient, emphasizing the importance of empathy, communication, and trust.

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Paradigm Shift in Healthcare

Fundamental changes in the way healthcare is understood and practiced, often driven by new discoveries, evolving societal values, and changing healthcare needs.

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Underlying Causes of Illness

The root causes of disease and imbalance in the body, often beyond just the physical symptoms, such as lifestyle factors, stress, or environmental influences.

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What are the clinical applications of meditation?

Meditation helps lower heart rate and blood pressure, decrease muscle tension, and improve perceived well-being. It also aids in managing stress-related illnesses and improving breathing patterns in patients with asthma.

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How does imagery help with stress relief?

Imagery involves creating visual representations in your mind to control pain, relieve stress, achieve calmness, and visualize the destruction of cancer cells by the immune system.

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What is Biofeedback?

Biofeedback is a technique that helps you learn to control bodily functions like heart rate, muscle tension, and skin temperature. It involves monitoring your physiological response and using that information to make adjustments.

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What is Therapeutic Touch?

Therapeutic touch is a hands-on technique that aims to promote healing and wellbeing by directing energy fields in the body. It doesn't involve actual physical touch but rather a gentle, non-invasive energy manipulation.

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What is the nurse's role in integrating CAM therapies?

Nurses collaborate with other healthcare professionals to determine the patient's views on CAM therapies. They provide education and advice, incorporate patient perspectives, and ensure the therapies align with the holistic nursing approach.

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Health Care System

A network of organizations, institutions, and individuals that provide healthcare services to a population. It encompasses all aspects of health, from prevention and promotion to diagnosis, treatment, and rehabilitation.

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What is the role of professional health organizations?

Professional health organizations regulate their members by setting standards, competencies, codes of ethics, and disciplinary actions. Some are regulated by governments or other regulatory bodies.

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Kirby Report (2002)

A report that aimed to examine and propose solutions to the challenges faced in Canada's healthcare system, focusing on affordability, access, and quality.

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Romanow Commission (2002)

A commission that reviewed Canada's healthcare system, emphasizing the importance of primary care, home care, and mental health services.

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Regionalization

The creation of regional health authorities responsible for delivering healthcare services within a specific geographical area.

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Recentralization

A trend in Canada's healthcare system where the number of regional health authorities is reduced, resulting in a more centralized system.

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Emerging medical technologies

New advancements in medical technologies that have the potential to improve healthcare delivery, diagnosis, and treatment.

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Canada Health Transfer

Financial payments from the federal government to provinces and territories to support their healthcare systems.

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Primary Health Care

The foundation of Canada's healthcare system that focuses on prevention, health promotion, and continuity of care.

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What is the focus of Primary Care?

Primary care focuses on personal health services, including diagnosis, treatment, and management of common illnesses.

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What does Primary Health Care include?

Primary health care encompasses primary care along with health education, nutrition, maternal and child health care, family planning, immunizations, and control of endemic diseases.

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What are the four pillars of primary health care?

The four pillars of primary health care are: Teams (integrated healthcare professionals), Access (ease of access to services), Information (reliable health information), and Healthy living (promoting healthy habits).

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What are the system-level barriers to interprofessional primary care (IPC)?

System-level barriers to IPC include factors related to the overall healthcare system, such as limited funding for interprofessional training and lack of supportive policies for interprofessional collaboration.

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Study Notes

Canadian Health Care System Overview

  • Medicare is a key component of Canada's social safety net.
  • It provides hospital and medical insurance funded by general taxation.

Learning Outcomes

  • Students will identify the evolution, organization, and governance of the Canadian healthcare system.
  • Students will explore the principles of primary health care and the five levels of health care.
  • Students will identify pillars and barriers to primary health care provision in Canada, along with trends and reforms.
  • Students will identify issues contributing to increasing pressures on the Canadian healthcare system and the healthcare needs of Canadians.
  • Students will explain the conceptualization and evolution of integrative health care.
  • Students will describe various treatments associated with integrative medicine and understand the nurse's role in interprofessional collaboration.

Canada Health Act (1984)

  • Public administration: Operates on a non-profit basis through public authority.
  • Comprehensiveness: Covers medically necessary services.
  • Universality: Free of discrimination. Coverage across Canada for insured residents.
  • Portability: Coverage across Canada for insured residents.
  • Accessibility: Reasonable access, regardless of ability to pay.

The Federal Government's Role

  • Sets and administers national principles (Canada Health Act principles).
  • Assists in financing health care services through transfer payments.
  • Delivers services for Indigenous people, veterans, and other specific groups.
  • Provides national policy and programming to promote health and prevent disease.

Provincial and Territorial Governments' Role

  • Develop and administer their own health care insurance plans.
  • Manage, finance, and plan insurable health care services, aligning with CHA principles.
  • Determine organization and location of hospitals and care facilities, employing specific providers.
  • Also determine the amount of funding for healthcare services.
  • Reimburse costs for physician and hospital services and some rehabilitation and long-term care, typically with co-payments from users.

Professional Jurisdiction

  • Most health professions are self-regulated.
  • They manage standards, competencies, codes of ethics, and disciplinary actions.
  • Some are regulated through governments or other regulatory mechanisms.
  • Kirby Report (2002)
  • Romanow Commission (2002)
  • Regionalization and regional health authorities
  • Recentralization, often leading to reduced numbers of regional health authorities
  • Emerging medical technologies
  • 10-Year Plan to Strengthen Health Care
  • Canada Health Act
  • Canada Health Transfer payments

Primary Health Care

  • Foundation of Canada's health care system.
  • Provides continuity of care, improving health through essential services.
  • Emphasizes health promotion and disease prevention.
  • Four pillars are Teams, Access, Information, and Healthy Living.
  • IPC team barriers include Individual, Practice, and System levels.

Levels of Care

  • Level 1: Health promotion (enables people to control health, provides wellness services, promotes self-esteem, advocating for policy changes, includes Ottawa Charter for Health Promotion).
  • Level 2: Disease and injury prevention (reducing risk factors, clinical actions, immunizing, behavioural aspects, support groups, environmental actions, climate control activitism)
  • Level 3: Diagnosis and treatment (recognizing/managing health problems, primary care as first contact, secondary and tertiary care).
  • Level 4: Rehabilitation (improving health/quality of life, required after illness/injury/addiction, help patients return to optimal functionality).
  • Level 5: Supportive care (provision of health/personal/social services over time, in settings such as long-term care or home care).

Challenges to the Healthcare System

  • Sustainability
  • Political Economy of Health
  • Climate Change
  • Primary Health Care vs. Primary Care Spending
  • Responsive Health Care Planning and Delivery
  • Human Health Care Resources
  • Aging Canadian Population
  • Truth & Reconciliation Commission Calls to Action

Nursing's Future in Healthcare

  • Nursing roles need to evolve and diversify.
  • Serve in leadership positions to promote change.
  • Leverage unique understanding of Canadians' needs.
  • Develop innovative solutions to health care challenges.
  • Expand and create new nursing roles.
  • Engage in health policy development and reformation.

Integrative Care

  • Combines conventional and complementary/alternative medicine.
  • Encompasses holistic health.
  • Reflects broader cultural and paradigm shifts.
  • Underscores relational-centred care.

Categories of Integrative Health Care

  • Natural products
  • Mind-body-Interventions
  • Manipulative and body-based methods
  • Energy therapies
  • Whole systems ( Traditional Chinese Medicine, Ayurveda)

Integrative Health Care and Holistic Nursing

  • Highlights whole-person interconnectedness.
  • Practice of holistic nursing involves acknowledging the mind, body, spirit relationship in care.
  • Recognizes the complexity of human health experience.
  • Employs relationship-centered care for optimal healing

Nursing-Accessible Approaches

  • Techniques like presence, imagery, meditation, support groups, music therapy, journaling, massage, and touch are easily learned and practiced independently..
  • These methods are designed to help people manage responses to stress and symptoms, including those related to conditions like cancer.

Integrative Approaches Requiring Education

  • Biofeedback
  • Therapeutic touch and healing touch
  • Chiropractic medicine
  • Traditional Chinese medicine
  • Naturopathic medicine
  • Acupuncture
  • Cupping
  • Massage therapy

Nursing Role in Interprofessional Collaboration

  • The holistic approach to integrative medicine aligns with nursing's holistic approach.
  • Consistent with provincial/territorial legislation regarding complementary approaches.
  • Key role includes patient advice, education, determining patient's viewpoints and use of therapies.

Settings for Health Care Delivery

  • Institutional (hospitals, long-term care facilities, psychiatric facilities, rehabilitation centres)
  • Community (public health, physician offices, community health centers/clinics, assisted living, home care, adult day support, community agencies, occupational health, hospice, palliative care, parish nursing).

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Description

This quiz assesses your understanding of the key principles and challenges of primary health care in Canada. Explore questions related to the Canada Health Act, funding mechanisms, and the roles of different levels of government in the healthcare system. Test your knowledge on the evolution and integration of healthcare services in Canada.

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