Health Care System Midterm Review
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Questions and Answers

What type of thinking does the CHC system represent?

  • Analytical thinking
  • Systems thinking (correct)
  • Linear thinking
  • Reductionist thinking

What major challenge does the aging population present to the CHC system?

  • Decreased prevalence of chronic diseases
  • Higher demand for mental health services
  • Increased number of health care providers
  • Shortage of gerontologists (correct)

According to the British North America Act (1867), what powers were granted to provinces?

  • Representation in government (correct)
  • Control over federal taxation
  • Establishment of military hospitals
  • Management of marine hospitals

Who was responsible for providing health services to the aboriginal populations?

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

Which health services were provinces responsible for according to the BNAA?

<p>Establishing and managing hospitals (A)</p> Signup and view all the answers

Where is the last surviving marine hospital located?

<p>Miramichi, NB (C)</p> Signup and view all the answers

What year was the Canadian Department of Health created?

<p>1919 (A)</p> Signup and view all the answers

Which Act banned most indigenous spiritual practices until the 1950s?

<p>Indian Act 1876 (C)</p> Signup and view all the answers

In which province was Medicare first introduced?

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

Who is recognized as the father of Medicare in Canada?

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

What year did the Canada Health Act come into effect?

<p>1984 (B)</p> Signup and view all the answers

What is the primary objective of the Canada Health Act?

<p>To ensure equitable healthcare access (D)</p> Signup and view all the answers

Which of the following is NOT one of the criteria of the Canada Health Act?

<p>Quality assurance (B)</p> Signup and view all the answers

What were the three major reports commissioned on the status of healthcare in Canada in the early 2000s?

<p>Kirby Report, Romanow Report, Mazankowski Report (A)</p> Signup and view all the answers

What role does Health Canada primarily serve?

<p>Helping Canadians maintain and improve their health (B)</p> Signup and view all the answers

What is the responsibility of the ministry or department of health in each province or territory?

<p>To oversee healthcare services and collaborate with community partners (C)</p> Signup and view all the answers

What criteria must be met for a person to be eligible for provincial or territorial health insurance in Canada?

<p>Must be a Canadian citizen or permanent resident (C)</p> Signup and view all the answers

What percentage of Canadians carry private health insurance?

<p>60% (C)</p> Signup and view all the answers

Which country ranked first in health care spending as a percentage of GDP?

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

In which two areas did Canada rank last for access to medical services?

<p>Access to specialists within 4 weeks and surgical care within 4 months (C)</p> Signup and view all the answers

What is the primary function of federal to provincial equalization payments?

<p>To address fiscal inequalities among provinces (C)</p> Signup and view all the answers

What is the name of the health care system implemented in Germany?

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

Can provinces and territories use revenues from lotteries to help fund health care?

<p>Yes, it is possible through provincial or territorial lottery corporations (A)</p> Signup and view all the answers

What is the fastest-growing expenditure within the Canadian Health Care System?

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

What common element to regulatory bodies relates to a practitioner's capabilities?

<p>Practitioners scope of practice (C)</p> Signup and view all the answers

Which ethical principle emphasizes the importance of acting in the best interests of patients?

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

What is the purpose of a Code of Ethics in healthcare?

<p>To provide a framework for ethical behavior (A)</p> Signup and view all the answers

Why is patient paternalism considered unacceptable in contemporary healthcare?

<p>Patients have a right to decide on their care (A)</p> Signup and view all the answers

What responsibility do healthcare professionals have according to the concept of professional accountability?

<p>To collaborate with healthcare team members (A)</p> Signup and view all the answers

What aspect of regulatory bodies serves to protect the professional title of practitioners?

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

Which of the following is NOT one of the ethical principles foundational to healthcare ethics?

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

In terms of boundaries and relationships, why is maintaining professional boundaries crucial in healthcare?

<p>It builds trust and balances power. (C)</p> Signup and view all the answers

What are the two main categories of health care providers?

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

What is the primary responsibility of health care professionals?

<p>To ensure the viability of the health care system and patient well-being (B)</p> Signup and view all the answers

What role does interprofessional collaboration play in health care?

<p>Enables patients to receive care from multiple providers based on individual needs (C)</p> Signup and view all the answers

Which of the following best describes patient-centered care?

<p>An approach where patients actively engage in their health care decisions (B)</p> Signup and view all the answers

What is the overriding mandate of professional regulatory bodies?

<p>Public protection through setting education standards and scopes of practice (D)</p> Signup and view all the answers

In Canada, what type of funding does the health care system primarily utilize?

<p>A mix of private and public funding, with hospitals often being not-for-profit (D)</p> Signup and view all the answers

What is one characteristic of complementary health care providers?

<p>They often include practitioners like dietitians and social workers (B)</p> Signup and view all the answers

How can professional bodies gain their authority?

<p>Via legislation that grants them regulatory powers (A)</p> Signup and view all the answers

Flashcards

Systems thinking in healthcare

A way of thinking that focuses on understanding the interconnectedness and interactions of elements within a healthcare system.

Aging population challenge for CHC

The CHC system faces challenges due to the growing number of retirees requiring more healthcare services, leading to an aging population and a shortage of healthcare professionals.

Provincial powers in healthcare (BNA Act)

Established in 1867, the BNA Act granted provinces autonomy in areas like healthcare, giving them authority to manage their own healthcare systems and institutions.

Federal healthcare responsibilities (BNA Act)

Under the BNA Act, the federal government was responsible for providing healthcare services to specific groups, including mariners, Indigenous populations, and those under quarantine.

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Provincial healthcare responsibilities (BNA Act)

The BNA Act assigned provinces responsibility for establishing and managing hospitals, asylums, charities, and other healthcare-related institutions.

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Indian Act (1876)

The Indian Act of 1876 prohibited most Indigenous cultural practices and ceremonies, including their traditional healing methods, until the 1950s.

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Canadian Department of Health establishment

The Canadian Department of Health was established in 1919, marking a significant step towards centralized healthcare administration in Canada.

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First Canadian medical school

The first medical school in Canada was established in Montreal, now known as McGill University.

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Eligibility for public health insurance in Canada

Canadian citizens or permanent residents who reside in the province or territory for at least 5 months of the year are eligible for provincial or territorial health insurance.

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Role of private health insurance in Canada

Private health insurance helps cover costs for services not covered by provincial and territorial health services, such as vision, dental care, assistive devices, and enhanced medical services.

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What is the name of the healthcare system in Germany?

The Bismark model is a social health insurance system used in Germany where healthcare is funded through mandatory contributions from employers and employees.

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Canada's health care spending compared to other countries

Canada ranked 2nd out of 28 universal healthcare countries in health care spending as a percentage of GDP.

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Highest health care spending country

Switzerland ranked 1st in both health care spending as a percentage of GDP and per capita.

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Canada's ranking in access to medical services

Canada ranked last in access to specialists within 4 weeks and surgical care within 4 months.

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Basis of equalization payments

Federal to provincial equalization payments are based on the difference between a province's fiscal capacity and the 10-province standard.

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Lottery revenue and healthcare funding

Provinces and territories can use revenue from lotteries to help fund healthcare.

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Medicare

A publicly funded healthcare system designed to provide equal access and coverage to all eligible Canadians, regardless of their ability to pay.

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Saskatchewan

The Canadian province where Medicare was first introduced in 1962.

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Tommy Douglas

A prominent Canadian politician and former Premier of Saskatchewan who is credited with leading the initiative to establish Medicare in Canada.

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1984

The year when the Canada Health Act, outlining key principles and guidelines for the Canadian healthcare system, became law.

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Equal, prepaid and accessible healthcare

The primary goal of the Canada Health Act is to guarantee equal access to healthcare for every Canadian, regardless of their financial status or ability to pay.

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Canada Health Act criteria

The Canada Health Act sets out five key principles and two conditions that must be met for a province or territory to receive federal funding for its healthcare system.

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Mazankowski, Kirby, and Romanow Reports

These reports investigated and evaluated the state of healthcare in Canada in the early 2000s, highlighting challenges and recommending improvements.

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Health Canada Objectives

Health Canada plays a central role in supporting Canadians' health by ensuring accessible high-quality healthcare, reducing health risks, and managing funding for provincial and territorial healthcare systems.

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Public Funding of Medical Services

Public funding covers essential medical services like hospitals, medications, and human resource support.

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For-profit and Not-for-profit Funding in Healthcare

The Canadian healthcare system includes both for-profit and not-for-profit funding models. For example, doctors can receive payment through fee-for-service or salaries, representing private and public models respectively.

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Categories of Healthcare Professionals

Healthcare professionals are broadly categorized into two main groups: mainstream/conventional (e.g., nurses, doctors) and complementary/alternative (e.g., dietitians, naturopaths).

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Responsibility and Practice Settings of HCPs

The primary responsibility of healthcare professionals (HCPs) is to ensure the sustainability of the healthcare system and the well-being of patients. They operate in various settings like hospitals, clinics, homes, and community organizations.

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Interprofessional Collaboration in Healthcare

Interprofessional collaboration involves different healthcare professions working together, sharing knowledge and expertise, to improve patient care. It ensures best practices and benefits patients by considering various perspectives.

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Patient-Centered Care

Patient-centered care focuses on the individual needs of patients. It involves a collaborative approach between healthcare providers and patients, where patients actively participate in their care plans and have the right to refuse treatment.

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Mandate of Professional Regulatory Bodies

The overriding mandate for professional regulatory bodies is to protect the public by setting standards for education, determining the scope of practice, and enforcing ethical conduct.

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Authority of Professional Bodies

Professional bodies derive their authority from government legislation that grants them the power to regulate the practice of specific professions, ensuring public safety and upholding ethical standards.

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Code of Ethics

Formal guidelines outlining expectations for professional behavior, ethical decision-making, and best practices. Violations can result in serious consequences like license revocation or legal action.

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Professional Accountability

Health care professionals (HCPs) are held to a high standard of conduct because of the personal and sensitive nature of their work. They must uphold professional and ethical behavior, collaborate with colleagues, and advocate for patients.

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Common Elements of Regulatory Bodies

Standards set by regulatory bodies to ensure competency and quality in health care practice. These standards cover education, examinations, scope of practice, and complaint resolution.

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Beneficence & Non-maleficence

The principle that a professional should always act in the best interest of the patient, prioritizing their well-being and safety. This principle is paramount in healthcare decision-making.

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Autonomy

Recognizing and upholding the patient's right to make their own decisions about their health care, even if those decisions differ from the professional's opinion.

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Veracity (Truthfulness)

Maintaining honesty and transparency with patients, colleagues, and other stakeholders. This includes disclosing all relevant information and avoiding deception.

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Respect

Respecting the patient's unique values, beliefs, and needs. This includes fostering a respectful and dignified environment for all.

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Confidentiality

Maintaining confidentiality of patient information and protecting their privacy. This is a fundamental ethical responsibility of health care professionals.

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Study Notes

Midterm Review - CHC System

  • The CHC system is complex, not a single thing, but a system of interconnected elements.
  • Aging population is a challenge for the system due to increased government spending on pensions, lower tax base, and worker shortages in all sectors, especially health care.
  • Issues include: physician time commitments, lack of gerontologists, acute care bed shortages, and higher numbers of older patients with multiple health problems.

British North America Act (1867)

  • Each province has representation in government, a lawmaking body, and a lieutenant governor.

Federal Responsibilities

  • The federal government is responsible for establishing and maintaining marine hospitals, caring for Aboriginal populations, and managing quarantine.

Provincial Responsibilities

  • Provinces are responsible for establishing and managing hospitals, asylums, charities, and other health care institutions.

Marine Hospital Location

  • The last remaining marine hospital is located in Douglastown, NB, Miramichi.

Federal Minister of Health

  • The federal minister of health is Mark Holland.

Canadian Department of Health Creation

  • The Canadian Department of Health was created in 1919.

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Description

This quiz covers the complexities of the CHC system, including the challenges posed by an aging population and the responsibilities of federal and provincial governments in healthcare. It also touches on historical aspects such as the British North America Act of 1867. Prepare thoroughly for your midterm exam with this comprehensive review.

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