Introduction to Canadian Healthcare
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Questions and Answers

What is one significant challenge Canada faces in maintaining adequate health care services?

  • Decreasing population size
  • Complex medical problems (correct)
  • Oversupply of medical professionals
  • Lack of public interest in health care

What role do electronic medical records play in the future of Canadian health care?

  • They will reduce the need for nurses
  • They are expected to be implemented at a national level (correct)
  • They will eliminate all paper records immediately
  • They will be localized to individual clinics only

Which of the following factors is contributing to the rising costs of health care in Canada?

  • Advancing and costly technology (correct)
  • Increase in government funding
  • Affordable medical technology
  • Lower population health needs

What type of resources are available to students alongside the content?

<p>Evolve® online resources (D)</p> Signup and view all the answers

What is the primary focus of the text mentioned?

<p>A comprehensive overview of health care delivery in Canada (C)</p> Signup and view all the answers

What unique features are included in the chapters to engage students?

<p>General interest and case example boxes (B)</p> Signup and view all the answers

Which component is NOT explicitly mentioned in the book's content?

<p>Impact of technology on health care delivery (B)</p> Signup and view all the answers

Who is the responsible individual for the content according to the credits provided?

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

What is one method mentioned for addressing the future challenges in health care?

<p>Salvaging publicly funded health care (A)</p> Signup and view all the answers

Who contributed knowledge and expertise particularly related to the misuse of opioids?

<p>Dr. James McArthur (A)</p> Signup and view all the answers

What does the last chapter of the book focus on?

<p>Future trends and current issues in health care (C)</p> Signup and view all the answers

Why is the content of the book rearranged in this edition?

<p>To improve the flow and understanding of material (D)</p> Signup and view all the answers

What was a primary recommendation from the second Hall Report regarding Canadian health care?

<p>To establish an independent National Health Council (D)</p> Signup and view all the answers

What is one potential consequence of the discussed inadequate funding for health care?

<p>Increased complexity of medical issues (C)</p> Signup and view all the answers

What aspect of health does the book emphasize throughout its chapters?

<p>Determinants of health, specifically social aspects (B)</p> Signup and view all the answers

Which legislative act did the Canada Health Act replace?

<p>Hospital Insurance and Diagnostic Services Act (A)</p> Signup and view all the answers

What must a person fulfill to be eligible for health care under the Canada Health Act?

<p>Be a lawful resident of a province or territory (A)</p> Signup and view all the answers

Which individual is NOT mentioned in the publishing team?

<p>Roberta D. Thompson (C)</p> Signup and view all the answers

What is stated about the book's coverage of health care concepts?

<p>It provides a foundational understanding of Canadian health care. (C)</p> Signup and view all the answers

When was the Canada Health Act enacted?

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

Which of the following is NOT a criterion outlined for Canadian health care under the Canada Health Act?

<p>Profit-driven healthcare (C)</p> Signup and view all the answers

What was a key focus of the Parliamentary Task Force on Federal–Provincial Arrangements?

<p>Examining funding arrangements under the EPF Act (A)</p> Signup and view all the answers

Which aspect of the Canadian Health Care system is primarily governed by the Canada Health Act?

<p>Accessibility of health care services (D)</p> Signup and view all the answers

What was a primary purpose of the Cottage Hospital and Medical Care Plan established in Newfoundland in 1934?

<p>To fund a network of small hospitals in rural communities (D)</p> Signup and view all the answers

What type of services can doctors bill under the outlined payment process?

<p>All medical services provided to patients (D)</p> Signup and view all the answers

Which of the following was a characteristic of the Cottage Hospital system?

<p>An annual fee provided healthcare to families (A)</p> Signup and view all the answers

What challenges did Indigenous hospitals face after the Second World War?

<p>They were often underfunded and inadequately staffed (A)</p> Signup and view all the answers

Which of these services was commonly offered by the Cottage Hospital system?

<p>Immunizations and prenatal care (B)</p> Signup and view all the answers

What was one notable feature of some of the hospitals in Newfoundland's Cottage Hospital system?

<p>One hospital was constructed on a boat (C)</p> Signup and view all the answers

How did charitable and religious organizations contribute to healthcare at this time?

<p>They assisted those unable to afford care (D)</p> Signup and view all the answers

What was a key outcome of the Cottage Hospital system that influenced future healthcare models?

<p>Emphasis on small clinics for rural communities (B)</p> Signup and view all the answers

What types of facilities were primarily used as Indigenous hospitals post-World War II?

<p>Converted military barracks and annexes (B)</p> Signup and view all the answers

What was a primary recommendation of the Hall Report regarding private health insurance in Canada?

<p>Replace them with ten provincial public health insurance plans (B)</p> Signup and view all the answers

What major health care legislation did the Hall Report influence?

<p>The Medical Care Act (D)</p> Signup and view all the answers

What was a significant change made by the Established Programs Financing Act in 1977?

<p>Allowed provinces to spend as they saw fit (A)</p> Signup and view all the answers

Which aspect was NOT included in the coverage of the Medical Care Act implemented in 1968?

<p>Community-based care (C)</p> Signup and view all the answers

By what year had all provinces and territories accepted the Medical Care Act?

<p>1972 (B)</p> Signup and view all the answers

What was one identified impact of implementing the Medical Care Act in Canada?

<p>Perception of health care as being free (C)</p> Signup and view all the answers

What ratio was replaced by the funding formula in the Established Programs Financing Act?

<p>50/50 cost-sharing formula (D)</p> Signup and view all the answers

What was one of the suggested enhancements by the Hall Report for medical education in Canada?

<p>Increase the number of physicians to double by 1990 (B)</p> Signup and view all the answers

What was one of the main reasons Indigenous people were segregated and sent to hospitals for tuberculosis treatment?

<p>High incidence of tuberculosis among the Indigenous population (B)</p> Signup and view all the answers

How were Indigenous patients with tuberculosis often transported to hospitals?

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

What significant change occurred with the introduction of Medicare in 1968 regarding Indian hospitals?

<p>Many were closed and merged with general hospitals (A)</p> Signup and view all the answers

Which of the following best describes the conditions of Indigenous patients in hospitals historically?

<p>They faced mistreatment and experimentation (A)</p> Signup and view all the answers

What was one of the traditional practices disregarded in the transition of Indian hospitals to general hospitals?

<p>Traditional healing practices (D)</p> Signup and view all the answers

What role did volunteer organizations play in early Canadian healthcare?

<p>They raised funds and met health care needs (D)</p> Signup and view all the answers

In the context of hospitals, what was the purpose of the amendment to the Indian Act regarding Indigenous people?

<p>To permit involuntary hospitalizations for treatment (D)</p> Signup and view all the answers

Which hospitals were specifically mentioned as being separate in Sioux Lookout, Ontario?

<p>The Zone and Sioux Lookout General Hospital (D)</p> Signup and view all the answers

Flashcards

What is 'Health and Health Care Delivery in Canada' about?

The book provides a comprehensive overview of the Canadian healthcare system, focusing on its components, delivery mechanisms, and significant challenges.

Who is this book written for?

It aims to equip individuals working in any healthcare field with a foundational understanding of health and wellness in Canada.

What is the historical significance of the Canadian healthcare system?

The book delves into the historical evolution of the Canadian healthcare system, providing context for its present-day structure and challenges.

How is healthcare funded and managed in Canada?

The book explores the responsibilities of various government levels in delivering healthcare services and addresses the financial aspects of healthcare provision.

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What is the current state of healthcare workforce in Canada?

The book examines the current state of healthcare personnel, including their availability and distribution, which are factors influencing healthcare delivery.

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How do population health initiatives influence health outcomes?

It explores the impact of population health initiatives on the determinants of health, highlighting factors influencing the health of the population.

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What are the legal and ethical considerations in healthcare?

The book examines the legal and ethical dimensions of healthcare, highlighting the rights and responsibilities involved in healthcare provision.

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What are the key issues and future trends in Canadian healthcare?

The book discusses ongoing issues and future trends in healthcare, providing insights into potential developments and challenges.

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Electronic Health Records (EHRs)

The use of electronic systems to store, manage, and share patient health information.

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Electronic Health Information Security

The potential risks and benefits associated with the use of electronic health information, including privacy and security concerns.

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Social Media and Health Care

The impact of social media platforms like Facebook and Twitter on health care, including patient engagement and information sharing.

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Challenges Facing Canadian Healthcare

The challenges of maintaining high-quality health care in Canada, considering factors like rising drug costs, advancing technology, and limited funding.

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National Electronic Health Records

A system where health records are shared electronically across different healthcare providers within a region or country.

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Implementing National EHRs

The complex process of implementing a national system for electronic health records, including technical, political, and social considerations.

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Obstacles to Public Healthcare

The obstacles and challenges that need to be addressed to ensure the long-term sustainability of Canada's publicly funded healthcare system.

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Salvaging Public Healthcare

The need for proactive planning and solutions to overcome the challenges facing Canada's healthcare system.

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Cottage Hospital System

A system of small hospitals in Newfoundland, established in the 1930s, to provide healthcare to remote communities along the coastline.

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Charitable Healthcare

The practice of providing healthcare to people who are unable to afford it, often through charitable or religious organizations.

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Socialized Medicine

A healthcare system where the government funds and manages healthcare services for all citizens.

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Indian Hospitals

Hospitals designed specifically for Indigenous people in Canada, often run by churches or the federal government.

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Underfunded Healthcare

The lack of sufficient funding, equipment, and staff in certain hospitals.

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Outpatient Care

The act of providing medical care to a patient for a specific condition. Often includes diagnosis, treatment, and follow-up.

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Inpatient Care

Services provided in a hospital to patients who are staying overnight.

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Transfer to Base Hospital

The process of taking a patient to a higher-level hospital for specialized care.

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Indian Act Amendment

An amendment to the Indian Act that allowed medical professionals to involuntarily hospitalize Indigenous individuals for the treatment of infectious diseases.

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Mistreatment in Indian Hospitals

Instances of mistreatment within Indian Hospitals, including forced medical experimentation on Indigenous patients.

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Transition to General Hospitals

The process of transitioning Indian Hospitals into general hospitals, while preserving segregation of Indigenous and non-Indigenous populations.

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Medicare and Indian Hospitals

The introduction of Medicare led to the gradual closure of Indian Hospitals, integrating Indigenous and non-Indigenous healthcare services.

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Role of Volunteer Organizations

Volunteer organizations significantly contributed to healthcare in Canada during the 18th and 19th centuries.

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Fundraising by Volunteer Organizations

Volunteer organizations played a crucial role in fundraising for healthcare, as government funding was limited.

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Early Healthcare and Volunteer Organizations

The provision of healthcare was primarily handled by volunteer organizations in the absence of government healthcare systems.

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What was the challenge with the Medical Care Act?

The Medical Care Act outlined funding and delivery of medical services in Canada, but lacked a clear definition of resident status and universal coverage.

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What did the Hall Report recommend?

The Hall Report, completed in 1975, recommended national standards for healthcare in Canada, focusing on accessibility and equity.

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Why was the Parliamentary Task Force on Federal–Provincial Arrangements established?

This task force aimed to review the funding arrangements for healthcare and determine a fair distribution of resources.

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What significant legislation emerged after the Hall Report and the Parliamentary Task Force?

The Canada Health Act, a landmark legislation, unified the principles of healthcare provision, establishing a national framework.

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What is the purpose of the Canada Health Act?

The Canada Health Act, enacted in 1984, has significantly shaped the Canadian healthcare landscape, ensuring universal and accessible healthcare.

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How does the Canada Health Act define a resident?

The Canada Health Act defines a resident as someone legally entitled to be or remain in Canada and who makes their home and is ordinarily present in the province. This excludes tourists, transients, and visitors.

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What are the five principles of the Canada Health Act?

The Canada Health Act outlines the core principles of Canadian health care: Universality, Portability, Accessibility, Comprehensiveness, and Public Administration.

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What are the objectives of Canadian healthcare policy?

The Canada Health Act outlines the fundamental objectives of Canadian healthcare: Equal access, prepaid healthcare, and accessibility for all Canadians.

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Hall Report (1960)

The Hall Report, published in 1960, was a crucial document that investigated the state of healthcare in Canada. It played a pivotal role in the passage of the Medical Care Act in 1966, which laid the foundation for Canada's universal healthcare system.

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Medical Care Act (1966)

The Medical Care Act, passed in 1966, was a significant step towards establishing a national healthcare system in Canada. It mandated federal government participation in funding healthcare plans implemented by provinces, ensuring some degree of national standardization.

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Tommy Douglas' Role in Medical Care Act Funding

Tommy Douglas, a prominent Canadian politician, is credited with playing a key role in the development of the funding formula for the Medical Care Act. This formula ensured that provinces were financially supported in their efforts to provide healthcare to their residents.

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Implementation of the Medical Care Act (1968)

The Medical Care Act, which came into effect on July 1, 1968, was adopted by all provinces and territories by 1972. This marked the successful implementation of a nationwide health care system in Canada.

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Established Programs Financing Act (1977)

The Established Programs Financing Act (1977) was introduced to revise the healthcare funding formula. It replaced the previous 50/50 cost-sharing model with a block transfer system, offering provinces more flexibility in how they spent healthcare funds.

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Consumer-generated Healthcare

With the introduction of the Medical Care Act, concerns arose regarding the rising cost of healthcare in Canada. The claim that healthcare is 'consumer-generated' emerged, suggesting that the perception of 'free' healthcare encouraged people to seek care indiscriminately, potentially contributing to higher costs.

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Universality in Healthcare

The term 'universality' in the context of healthcare means that everyone in a jurisdiction has equal access to essential healthcare services, regardless of their income, employment, or other factors. This principle is a cornerstone of Canada's healthcare system.

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Portability in Healthcare

Portability refers to the principle that healthcare coverage remains valid when individuals move between provinces or territories in Canada. This ensures that Canadians maintain access to healthcare services regardless of their location within the country.

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Study Notes

Introduction to Canadian Healthcare

  • Elsevier, authors, editors, and contributors disclaim liability for any injuries or damages relating to the use of the material.
  • ISBN: 978-1-77172-169-1
  • Publication details including VP, Content Strategist, Director, Content Development, Content Development Specialist, Publishing Services Manager, and Project Manager are listed.
  • Print number details are also included.

Dedication

  • Dedicated to the memory of the author's son, Spencer, and family members.

Preface

  • This unique text provides crucial information about health and wellness in Canada and their delivery.
  • It's designed as a foundation for understanding healthcare delivery in Canada.
  • The book discusses various components of health and healthcare delivery.
  • Chapters have been updated and reorganized starting with the history of healthcare.
  • Subsequent chapters discuss government responsibilities, costs of health/illness, the state of healthcare human resources, and the impact of population health initiatives, examining determinants of health, legal/ethical aspects of healthcare, and current issues/future trends.
  • Emphasis on connecting chapters and highlighting key concepts, such as determinants of health, throughout the text for students to understand easily.
  • Book also includes electronic health information safety/security and social media impact on health care.
  • The challenges to Canadian healthcare are discussed—rising medical costs, expensive drugs & technology, and reduced funding.

Learning Features

  • Each chapter includes learning outcomes, key terms, chapter summaries, review questions, "Thinking It Through," "Did You Know?," and "Case Example" boxes.
  • These features guide students to analyze and discuss facts, perspectives, and real-world situations to improve understanding and explore personal views.
  • Online resources are available at https://evolve.elsevier.com/Canada/Thompson/health

Acknowledgements

  • The author acknowledges collaboration with the Canadian Institute for Health Information and Health Canada.
  • Appreciation expressed for knowledge sharing by Judith Surridge, BScN, Woman's College Hospital, and Dr. James McArthur.
  • Gratitude to Lynda Cranston (substantive editor) for meticulous review and editing and to Ellen Hawman for research and citations.
  • Gratitude to Lyle Grant for legal review.
  • Special thanks to the Elsevier team and Sandy Matos (development editor) for support.

Historical Healthcare in Canada

  • Prior to government involvement, healthcare needs were largely met by volunteer organizations, which also funded healthcare (early 18th/19th century).
  • The author mentions some details about segregated hospitals for Indigenous peoples and their hardships.

Innovation in Newfoundland's Cottage Hospital System:

  • Newfoundland's government responded to isolated communities by creating the Cottage Hospital System in 1934.
  • A network of small hospitals was established along the coast, including a hospital built on a boat.
  • The hospitals provided outpatient care with immunizations, prenatal/infant care, and home follow-up.
  • Outpatient services mostly staffed by physicians/nurses were equipped with operating rooms, diagnostic facilities, and emergency departments.
  • Annual fees provided families with comprehensive care.

Segregated Hospitals for Indigenous Peoples:

  • Initially operated by churches in the late 1800s.
  • After the Second World War, a federal program created separate hospitals for Indigenous people.
  • These facilities were often underfunded, inadequately equipped, and poorly maintained.
  • Originally established to segregate Indigenous people with tuberculosis — and were often operated with disregard for traditional healing practices or Indigenous culture.
  • Examples given include the Sioux Lookout Zone and General Hospitals ultimately merged into the Sioux Lookout MenoYaWin Health Centre.
  • Various forms of mistreatment, including experimentation, occurred in these hospitals.

The Hall Report (1960)

  • Investigated Canadian health care, contributing to the Medical Care Act (1966).
  • Supported a national medicare system, costing-sharing between the federal and provincial governments.
  • Proposed improved medical schools/hospitals; increase the number of physicians; replacing private insurance with public plans; and federal government control over funding while giving provinces the implementation responsibility.

Implementation of the Medical Care Act (1968)

  • Implemented on July 1, 1968, and accepted by all jurisdictions by 1972.
  • Allowed provinces to administer the plan by adhering to universality, portability, comprehensive coverage, and public administration (Canada Health Act) principles.
  • Only covered in-hospital care and physicians' services.
  • Highlighted the rising need for better community-based care and a reformulated funding model to address increasing costs.

The Established Programs Financing Act (1977)

  • Introduced a new funding model covering healthcare and post-secondary education.
  • Replaced the previous 50/50 cost-sharing.
  • Reduced restrictions on how jurisdictions spent money, allowing community-based services to be funded more effectively.
  • Provided more transfer money for an extended healthcare program, enabling expanded intermediate care, ambulatory health care, residential care, and aspects of home care.

Canada Health Act (1984)

  • Became law in 1984 under Pierre Trudeau's Liberal government.
  • Established equal, prepaid, and accessible healthcare for eligible Canadians.
  • Retains importance in Canadian healthcare policy/delivery system today.

Eligibility for Health Care under the Canada Health Act

  • Individuals who are lawful residents and considered to be domiciled, not transient or part-time residents, are eligible.
  • Each province/territory has its own minimum residence requirements.

The Primary Objective of Canadian Health Care Policy

  • This section is not included in the details.

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