Healthcare Systems in Canada

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Questions and Answers

What is a key barrier to the provision of primary health care in Canada?

  • Limited access to healthcare resources (correct)
  • Increased healthcare funding
  • High investment in technology
  • Oversupply of healthcare professionals

Which of the following accurately represents one of the five levels of health care in Canada?

  • Global health strategies
  • Emergency medical transport
  • Community health services (correct)
  • Pharmaceutical regulations

What conceptualization does integrative medicine focus on?

  • Exclusively traditional medical practices
  • Solely pharmaceutical interventions
  • A combination of conventional and alternative treatments (correct)
  • Strictly alternative therapies

Which issue is contributing to the increasing pressures on the Canadian healthcare system?

<p>A growing aging population (C)</p>
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What is one of the principles associated with primary health care in Canada?

<p>Patient-centered care (C)</p>
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Which of the following is a clinical application of meditation?

<p>Improving breathing patterns in patients with asthma (A)</p>
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Imagery techniques are used for which purpose?

<p>To control or relieve pain or stress (B)</p>
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Which approach is categorized under integrative medicine and requires professional education?

<p>Biofeedback (C)</p>
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What is the role of nursing in the context of interprofessional collaboration with complementary and alternative medicine (CAM)?

<p>Determining patient’s viewpoints and use of therapies (A)</p>
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Which of the following is NOT listed as an integrative medicine approach?

<p>Antibiotic therapy (B)</p>
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What is a primary feature of Canada's Medicare system?

<p>It is funded by general taxation. (C)</p>
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Which principle of the Canada Health Act focuses on ensuring that health services are available to all residents without discrimination?

<p>Universality (A)</p>
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How do provincial and territorial governments function within the Canadian healthcare system?

<p>They manage, finance, and plan health care services. (C)</p>
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What is one of the key roles of the federal government in the Canadian health care system?

<p>Setting and administering national health principles. (B)</p>
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Which of the following best describes the principle of Accessibility in the Canada Health Act?

<p>Access to health services must be reasonable regardless of ability to pay. (A)</p>
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Which of the following is NOT a responsibility of provincial and territorial governments in health care?

<p>Overseeing the self-regulation of health professions. (B)</p>
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What does the concept of Portability in the Canada Health Act ensure?

<p>Coverage remains valid when individuals relocate within Canada. (C)</p>
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What funding method primarily supports Canada's Medicare?

<p>General taxation. (C)</p>
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Which category of integrative health care includes acupuncture and herbal remedies?

<p>Natural products (A)</p>
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What is a primary focus of holistic nursing?

<p>Viewing health as a complex interplay of factors (D)</p>
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Which of the following is NOT considered a nursing-accessible approach?

<p>Surgery (A)</p>
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What therapeutic technique is designed to lower physiological stress responses?

<p>Relaxation therapy (B)</p>
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Which integrative health approach emphasizes the interconnectedness of body, mind, and spirit?

<p>Mind–body–spirit interventions (C)</p>
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What role does the Canadian Holistic Nurses Association play in holistic nursing?

<p>Develops standards for holistic nursing practices (D)</p>
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Which of the following is an example of an energy therapy?

<p>Reiki (C)</p>
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Which type of intervention would be classified as a mind–body–spirit intervention?

<p>Meditation and breathing techniques (C)</p>
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What is a primary goal for nursing's future in the emerging health care system?

<p>Evolving and diversifying nursing roles (D)</p>
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Which of the following is NOT a characteristic of integrative health care?

<p>Exclusively using conventional medicine (C)</p>
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How do complementary approaches fit into the health care system?

<p>They align with and enhance conventional medical treatments. (A)</p>
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What is a key aspect of nursing's role in health policy development?

<p>Engaging in health policy reformulation (C)</p>
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Which of the following statements about aging and health care is true?

<p>The increase in elderly demographics increases health care challenges. (A)</p>
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What role does 'relational-centred care' play in integrative health?

<p>It underscores the importance of relationships in patient care. (D)</p>
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What is the primary focus of alternative approaches in health care?

<p>Replacing conventional medical treatment entirely (A)</p>
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What is one of the primary challenges that nursing roles are evolving to address?

<p>Addressing diverse health care needs of Canadians (A)</p>
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What is the primary emphasis of primary health care?

<p>Health promotion and disease prevention (C)</p>
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Which level of health care includes immunization as a prevention strategy?

<p>Level 2: Disease and injury prevention (A)</p>
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Which of the following is NOT included in the community sector for health care delivery?

<p>Psychiatric facilities (B)</p>
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What is the purpose of level 4: Rehabilitation in health care?

<p>To improve health and quality of life post-illness or injury (C)</p>
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Which of the following is a barrier at the interprofessional primary care team level?

<p>Lack of communication among team members (A)</p>
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Which report aimed to provide recommendations for improving Canada's health care system?

<p>Kirby Report (C)</p>
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What does the term 'recentralization' refer to in the context of Canada's health care system?

<p>Reducing the number of regional health authorities (A)</p>
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Which of the following best describes the Canada Health Act?

<p>A law regulating public funding for health services (A)</p>
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Which organization primarily handles the codes of ethics and standards for healthcare members in Canada?

<p>Government regulatory bodies (C)</p>
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Which level of care is focused on health promotion and wellness services?

<p>Level 1: Health promotion (D)</p>
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What is the primary focus of primary care within the primary health care model?

<p>Personal health services (D)</p>
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Which of these strategies is part of Level 2: Disease and injury prevention?

<p>Immunization programs (B)</p>
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What does supportive care primarily focus on?

<p>Managing chronic or progressive illnesses (D)</p>
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Which of the following is a component of the Four Pillars of Primary Health Care?

<p>Access (D)</p>
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Flashcards

Canadian Healthcare Pillars

The core principles guiding the Canadian healthcare system, ensuring universal access, public administration, comprehensiveness, portability, and accessibility.

Primary Healthcare

The first point of contact for healthcare needs, focusing on prevention, health promotion, and community-based services.

Integrative Medicine

A holistic approach combining conventional medicine with complementary therapies, like acupuncture, massage, or meditation.

Barriers to Healthcare

Challenges faced by the Canadian healthcare system, such as funding constraints, workforce shortages, and inequitable access.

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Trends and Reforms

Ongoing changes and innovations within the Canadian healthcare system, aimed at improving efficiency, accessibility, and quality of care.

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Medicare

Canada's public health insurance program, providing hospital and medical coverage, funded by taxes.

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Canada Health Act

The law outlining national principles for Canada's healthcare system, ensuring universality, comprehensiveness, accessibility, portability, and public administration.

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Public Administration

Healthcare services are managed and delivered by public organizations, not private businesses.

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Comprehensiveness

Coverage includes all medically necessary services, regardless of specific health conditions.

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Universality

Everyone in Canada has access to healthcare, regardless of income, background, or location.

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Portability

Canadians moving between provinces retain healthcare coverage.

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Accessibility

Everyone has reasonable access to healthcare, regardless of their ability to pay.

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Federal role

Sets national healthcare principles, finances provinces, and provides health services for specific groups like Indigenous people and veterans.

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Integrative Health Care

A healthcare approach combining conventional medicine with complementary and alternative practices, focusing on the whole person and underlying causes of illness.

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Complementary Approaches

Practices used alongside conventional medical treatment, like acupuncture for pain relief during chemotherapy.

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Alternative Approaches

Practices used instead of conventional medical treatment, like choosing herbal remedies over prescription drugs.

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Holistic Health

Viewing health as a whole, encompassing physical, mental, emotional, and spiritual well-being.

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Allopathic Medicine

The traditional, Western-style medicine based on scientific evidence, using drugs, surgery, and other interventions.

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Broad Cultural Shifts

Wide-scale changes in societal beliefs and values, often influenced by factors like technology, globalization, and increased access to information.

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Paradigm Changes

Fundamental shifts in thinking and understanding, changing the way we approach a particular field or topic.

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Relational-Centred Care

A patient-focused approach emphasizing the relationship between healthcare provider and patient, fostering trust and communication.

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What are Professional Associations?

Organizations that set standards, competencies, codes of ethics, and handle disciplinary actions for their members. They often have regulations from governments or other bodies.

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What is the Kirby Report (2002)?

A Canadian report that reviewed the country's health care system and made recommendations for improvements, focusing on issues such as access, quality, and efficiency.

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Romanow Commission (2002)

Another significant Canadian report that examined the state of the health care system and proposed solutions for its sustainability and future.

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What is Regionalization in healthcare?

The process of organizing health services around geographic regions, often involving the creation of regional health authorities to manage resources and coordinate care locally.

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What is Recentralization in healthcare?

The process of reducing the number of regional health authorities, often leading to a more centralized control of health services.

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Emerging medical technologies

New and developing medical technologies that are constantly transforming the healthcare landscape, offering new treatments and diagnostic tools.

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10-Year Plan to Strengthen Health Care

A Canadian government plan aimed at improving the country's health care system over a decade, addressing challenges and setting priorities.

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What is the Canada Health Act?

A foundational piece of Canadian legislation that defines the principles of the country's universal health care system. It guarantees access to medically necessary care, regardless of a person's financial situation.

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Canada Health Transfer

Financial payments from the federal government to provinces and territories to support their delivery of health care services.

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What is Primary Health Care?

The foundation of Canada's healthcare system. It provides ongoing care, emphasizes health promotion and disease prevention, and supports essential healthcare services.

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What is Primary Care?

A subset of Primary Health Care. It focuses specifically on personal health services, including diagnosis, treatment, and management of health conditions.

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What are the Four Pillars of Primary Health Care?

The four key components of Primary Health Care: Teams, Access, Information, and Healthy Living.

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What are Interprofessional Primary Care (IPC) Team Barriers?

Challenges faced by IPC teams, categorized into individual-level, practice-level, and system-level barriers.

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Holistic Nursing

A nursing practice that recognizes the interconnectedness of mind, body, and spirit in health and illness, advocating for a person-centered approach to care.

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Mind-Body-Spirit Interventions

Therapeutic methods that address the interconnectedness of mental, physical, and spiritual aspects of health, such as meditation, yoga, or aromatherapy.

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Nursing-Accessible Approaches

Integrative healthcare strategies that nurses can readily implement in their practice, promoting holistic wellness for patients.

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Relaxation Therapy

Techniques that help reduce stress and promote relaxation, using methods like deep breathing exercises, meditation, or progressive muscle relaxation.

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Meditation and Breathing

Mindfulness practices that involve focusing attention on the present moment through techniques like deep breathing or guided imagery.

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Imagery (visualization techniques)

Mental exercises that involve creating vivid mental images to promote relaxation, reduce anxiety, or improve health outcomes.

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Stress Response

The body's physiological reaction to stressful situations, involving hormonal and physical changes that can impact health.

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Meditation benefits?

Lowering heart rate and blood pressure, reducing muscle tension, and improving overall well-being.

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Imagery for what?

Controlling or relieving pain and stress, achieving calmness and serenity, and visualizing cancer cells being destroyed.

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Biofeedback

A technique that uses technology to monitor physiological responses, like heart rate or muscle tension, to help gain control over them.

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Nursing role in CAM

Nurses play a crucial role in collaborating with CAM practitioners, providing patient education, assessing patient viewpoints, and ensuring safe and effective use of therapies.

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Integrative Medicine Approach

Combining conventional medicine with complementary therapies like acupuncture, massage, and meditation to promote holistic wellness.

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Study Notes

Canadian Healthcare System

  • Medicare is a key part of Canada's social safety net, providing hospital and medical insurance.
  • It's funded by general taxation.
  • The Canada Health Act (1984) dictates principles for the system: public administration, comprehensiveness, universality, portability, and accessibility.
  • Public administration means the system operates on a non-profit basis through public authority.
  • Comprehensiveness means covering medically necessary services.
  • Universality means free of discrimination and coverage across Canada for insured residents.
  • Portability ensures coverage for insured residents moving across the country.
  • Accessibility means reasonable access regardless of financial ability.
  • The federal government sets and administers national principles (Canada Health Act principles), assists in financing health care services through transfer payments to provinces and territories, delivers services for specific groups (Indigenous, veterans, federal inmates, RCMP), and provides national policy and programming to promote health and prevent disease.
  • Provincial and territorial governments develop and administer their own healthcare insurance plans, manage, finance, and plan insurable health care services, determine organization and location of healthcare facilities, employ providers and allocate funding to services. They also reimburse physician and hospital costs, as well as some rehabilitation and long-term care services based on co-payments.
  • Health professions are mostly self-regulated, managing standards, competencies, codes of ethics, and disciplinary actions for their members. Some are regulated by governments or other regulatory bodies.
  • Kirby Report (2002) and Romanow Commission (2002) influenced reform discussions.
  • Regionalization, encompassing regional health authorities, has seen reduced numbers in many provinces and territories.
  • Recentralization trends are also evident.
  • Emerging medical technologies and a 10-Year Plan to Strengthen Health Care are impacting healthcare delivery.
  • Canada Health Act payments and Canada Health Transfer payments are key financing elements.

Primary Health Care

  • Primary health care is fundamental to Canada's healthcare system.
  • It provides continuity of care and improves health through essential services, promoting health and preventing disease.
  • It's a model focused on the health experience of a person, community, and population.
  • This model contains multiple components, such as primary care, chronic disease management, long-term care, health promotion, disease prevention, and public health.

Primary Health Care Levels

  • Five levels of health care exist (1) health promotion, (2) disease and injury prevention, (3) diagnosis and treatment, (4) rehabilitation, and (5) supportive care.
  • Level 1: Health promotion involves enabling individuals to control and improve their health, alongside wellness services provision and health education.
  • Level 2: Disease and injury prevention entails reducing risks for illnesses and injury, including strategies, clinical procedures such as immunizing individuals, and environmental factors, such as climate control activism.
  • Level 3: Diagnosis and treatment involves recognizing and managing health problems. Primary, secondary, and tertiary care comprise the three levels of care, in which individuals encounter healthcare services.
  • Level 4: Rehabilitation focuses on enhancing the quality of life for people experiencing life-altering health conditions with therapy services (physiotherapy, occupational therapy, respiratory therapy), and social services.
  • Level 5: Supportive care involves providing health, personal, and social services to patients experiencing chronic illness, progressive illness, or disability over time. Includes long-term care, assisted living, adult day care, home care, palliative care, and respite care.

Challenges to the Healthcare System

  • Current challenges include sustainability, political economy of health, climate change, primary healthcare spending versus care, responsive healthcare planning/delivery, human healthcare resources, aging Canadian population, and Truth and Reconciliation Commission Calls to Action.

Nursing's Future

  • Nursing roles need to evolve and diversify in the emerging healthcare system, serving as leaders to initiate change, leveraging unique understanding of Canadian health needs, developing innovative solutions, expanding and forging new roles, and engaging in health policy development and reformation.

Integrative Care

  • Integrative care combines conventional treatments with complementary and alternative therapies (CAM).
  • It's an approach that promotes a holistic view of a person's health (physical, emotional, spiritual).
  • Integrative care encompasses various categories and examples, such as natural products, and mind-body-spirit interventions, manipulative and body-based methods, and energy therapies, among others.

Nursing Approaches and Role

  • Nurses use various accessible approaches, such as presence, imagery, meditation, and support groups, adaptable to different people. Techniques include yoga, massage, relaxation therapy.
  • Integrative approaches and education are helpful for nurses, requiring specific education. Key educational areas include Biofeedback, Therapeutic Touch, Chiropractic, Traditional Chinese Medicine, Naturopathic Medicine, Acupuncture, Cupping, and Massage Therapy.

Nursing Role in Interprofessional Collaboration

  • The integrative medicine approach aligns well with the holistic nursing perspective, and is consistent with existing provincial and territorial legislation regarding complementary therapies. Collaboration involves patient advice/education, viewpoint/therapy identification, and ongoing support.

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