Shared Flashcard Set

Details

2RR3 MTerm - U3
PPT & Keyterms
27
Health Care
Undergraduate 2
10/28/2010

Additional Health Care Flashcards

 


 

Cards

Term
5 Principles of Medicare
Definition

• UNIVERSALITY

• PORTABILITY OF COVERAGE

• REASONABLE ACCESS TO SERVICE

• COMPREHENSIVENESS OF SERVICE

• PUBLIC ADMINISTRATION

 

Term

Principles of Medicare

Universality

Definition

Must cover 100%

cost of citizens health care

Term

5 Principles of Medicare

PORTABILITY OF COVERAGE

 

Definition

• If travalling to another province

- home province pays for it

• If outside Canada

- their province will pay only what it costs here, not where you got sick/hurt

 

Term

5 Principles of Medicare

REASONALE ACCESS TO SERVICE

Definition
• you must be able to get to a hospital
Term

5 Principles of Medicare

COMPREHENSIVENESS OF SERVICE

Definition

Cover cost of medically necessary service within the hospital

Term

5 Principles of Medicare

PUBLIC ADMINISTRATION

Definition

·      Province health administer health insurance themselves to affiliate of the local government

Term

Aboriginals

Definition

Increased diabetes

Higher infection

Life expectancy is low b/c low access to care

Term

HEALTH CANADA SERVICES TO ABORIGINALS

*OFF* RESERVE


Definition

OFF RESERVE

·      Higher probability of poor health (r/t SES)

 

Fedral system of health care delivery

for first nations resembles...

Term

HEALTH CANADA SERVICES TO ABORIGINALS

*ON* RESERVE

 

Definition

800 nurses on reserves

Use E-health

Addiction centres

Term
Inequality
Definition

_____ - something NOT equal

Term

INEQUITY

 

Definition
social concept (one person supports 1 kid, or 5 kids… so same income but inequity on demands
Term

HOW DO YOU MOVE THE LATTER UP OR DOWN?

 

Definition
The “bottom three steps” are submerged in H20 (so, in poverty)
Term

Constitution says Health is a provincial responsibility, so limits Federal influence


Definition

 

 

  • Federal health minister's exceptions:
    • Aboriginal health ON reserve only
    • Federal prisoner
    • military
    • public health crisis (H1N1)

 

 

Term

ISN’T HEALTH CARE EATING UP

PROVINCIAL BUDGETS?

Definition

• Canada is spending less on other public expenditures: education, employ, insurance, welfare, roads, water, subsidized housing)

• No national subsidized housing program (only in world)

 

Term

HOW TO ENSURE SUSTAINABILITY

Wait Time Initiative

Definition

• Cut wait times (spend more money)

• Centralization of list

• Integration of care (in spec'zd Sx facilities)

- Can public fund, NOT for-profit admin

Term

HOW TO ENSURE SUSTAINABILITY 

Interprofessional Care

Definition

• More nurse practitioner

• More emphasis on team

• Right provider, right place, right time

(more efficient care)

Term

HOW TO ENSURE SUSTAINABILITY 

·      Chronic Disease management

 

 

Definition

Self-care pathways

More Home care

More community-based care

 

Term

LOCAL HEALTH

INTEGRATION NETWORK

(LHIN)

 

Definition

• Plan healthcare services

• controls funding

• integrates plans within the community

Term

What are exceptions when Federal can Influence health care?

 

Definition

aboriginal health ON reserve only

federal prisoners

military

public health crisis

Term
What are we spending less on?
Definition

education (Uni from 0.5% GDP to 0.18%)

Employment Insurance (80% eligible to 40%)

Social Support

Urban infrastructure & subsidized housing

Term
Ensuring Sustainability
Definition

Wait time initiatives - centralization of lists

Interprofess'n Care (rite provider, place, time)

Chronic disease mgnt - home care

electronic health records

Term
Implications of "not sustainable"
Definition
we will spend scarce resources on those who can pay, but not spend those same resources on improving care for those who cannot afford
Term

Federal Social Transfers

Canadian Health & Social Transfer (CHST)

Definition

• province to assist all residence in need

• single block transfer: fed limit fund 2 provinc

end of cost-share programs

end of national standards

Supporting users have an ad free experience!