Term
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Definition
idea of a federal organization of more or less self-governing units (ie Canadian system)
- the independent authority of the constituent units, emphasized in each of these defitions, distinguishes federalism from systems of government in which subsidiary governments derive power from the national or central government
- it is also usually understood to refer to a system that goes beyond confederation of equal provinces to include a central authority as well |
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Term
| federal role in health care |
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Definition
- set and administer national principles for HCS through Canadian Health Act
- assist in financing of HCS through fiscal transfers
- deliver health care service to specific groups (first nations, inuits, and veterans)
- provide other health related functions such as public health and health protection programs and health research |
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Term
| Five principles in Canada Health Act 1984 |
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Definition
| universality, comprehensiveness, accessibility, portability, and publicly administered |
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Term
| Health Canada has how many branches? and regional offices? |
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Definition
7
chief financial officer branch
corporate services branch
first nations and inuit health branch
healthy environments and consumer safety branch
health products and food branch
public affairs, consultation&communication branch
regions and programs branch
strategic policy branch
and 6 |
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Term
| Health Canada has how many regional offices |
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Definition
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Term
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Definition
| by federal minister of health |
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Term
| Therapeutic products and directorate (TPD) |
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Definition
responsible for regulation of pharmaceutical drugs, medical devices, and other therapeutic products available to canadians
- applies under Food and Drug REGULATIONS and Medical Devices Regulations under FDA to sure safety and efficacy |
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Term
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Definition
Stressed the Third Revolution, which is the Second Stage of Medicare by Tommy Douglas (more than curative, more palliative care)
stress for more money and more government accountability for HCS
- also stressed the importance of IPE for patient centred care
- needs to develop new models of care to reflect the different ways of delivering health care service - CHC community health care |
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Term
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Definition
Supreme Court decision to remove restrictions on paying directly for hospital services and purchasing private health insurance for public system health services
- a businessman and a doctor challenged the court on Quebec Health Insurance Act and Quebec Hospital Insurance Act in which they prohibit private medical insurance in face of long wait time.
- they claim it violates their rights under Quebec Charter of Human Rights and Freedom.
- the ruling would have a direct effect on most provinces that currently have laws that are designed to discourage the private sector, ie (Ontario, Manitoba, BC, Alberta, PEI)
- privatization of HC may lead to doctors abandoning the public sector. To prevent this, we could have the doctors performing a mandatory minimum quota in public sector before allowing to work in private |
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Term
| Dr. R. Ouellet - New head of CMA |
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Definition
| support privatization of HC as it "greatly expand private delivery of care needed" |
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Term
| Federal Government in Pharmaceuticals (5 responsibilities) |
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Definition
Regulations directed at protecting Canadian by ensuring safety and fair prices
- does not purchase drug for public
- jurisdiction over patent (intellectual property rights)
- approval and labelling of drugs
- overall competitiveness of market
- purchase for several people (Aboriginals and military)
- quality standard and price of patented meds |
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Term
| Provincial Government in Pharmaceuticals (2?) |
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Definition
- purchase meds for drug plans
- set prices on formulary?
- select what drug to put on formulary
thus great variance in drug availability between provinces |
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Term
| Divisions of Powers (for pharmaceuticals) |
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Definition
- federal government promote the national drug legislation (napra) while provincial required to implement and enforce them
- provincial governments have to address issue of rising drug costs and limited health budgets |
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Term
| Drug coverage in canada covers only _______ |
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Definition
| MEDICALLY NECESSARY HOSPITAL AND MEDICAL SERVICES |
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Term
| what did the 2008 study in CMAJ found? |
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Definition
| publicly funded rx drug plans vary widely across canada -- need for a national pharmaceutical plan |
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Term
| which province has the highest cost to patient in terms of drug plans |
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Definition
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Term
| Solution to the drug expenditure problem? |
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Definition
| Patented Medicines Prices Review Board (1987) PMPRB |
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Term
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Definition
Political creation by federal government to:
keep price in canada reasonable by compare international prices - manufacturers have to report annually on price trends, and on ratio of R&D expenditures to sales |
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Term
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Definition
1. promote voluntary compliance with guidelines established by board
2. review prices and take remedial action when necessary
3. analyse and report to Canadian on price trend and R&D by patentees
4. consult with interested parties on guidelines and other matters on policy
5. increase awareness in PMPRB and it's functions through communication/public education etc |
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Term
| Responsibilities of PMPRB (2 really) |
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Definition
- regulate max price manufacturer may charge for patented drug (Rx and non-rx)
- maintain a price index which measures average year over year change in ex-factory prices (patented medicine prices index)--this is applied for post launch increment in price |
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Term
| How does PMPRB set its price? |
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Definition
For innovative products:
median price from 7 other countries(US, sweden, italy, UK, france, Germany and switzerland)
For minor/no therapeutic advancement drug:
- same as those already in market
**post launch prices cannot exceeds the growth of general consumer price index) |
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