Term
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Definition
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• UNIVERSALITY
• PORTABILITY OF COVERAGE
• REASONABLE ACCESS TO SERVICE
• COMPREHENSIVENESS OF SERVICE
• PUBLIC ADMINISTRATION
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Term
Principles of Medicare
Universality
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Definition
Must cover 100%
cost of citizens health care
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Term
5 Principles of Medicare
PORTABILITY OF COVERAGE
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Definition
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• 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
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Term
5 Principles of Medicare
REASONALE ACCESS TO SERVICE
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Definition
| • you must be able to get to a hospital |
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Term
5 Principles of Medicare
COMPREHENSIVENESS OF SERVICE
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Definition
Cover cost of medically necessary service within the hospital
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Term
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Definition
· Province health administer health insurance themselves to affiliate of the local government
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Term
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Definition
Increased diabetes
Higher infection
Life expectancy is low b/c low access to care
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Term
HEALTH CANADA SERVICES TO ABORIGINALS
*OFF* RESERVE
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Definition
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OFF RESERVE
· Higher probability of poor health (r/t SES)
Fedral system of health care delivery
for first nations resembles... |
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Term
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HEALTH CANADA SERVICES TO ABORIGINALS
*ON* RESERVE
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Definition
800 nurses on reserves
Use E-health
Addiction centres
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Term
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Definition
_____ - something NOT equal
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Term
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Definition
| social concept (one person supports 1 kid, or 5 kids… so same income but inequity on demands |
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Term
HOW DO YOU MOVE THE LATTER UP OR DOWN?
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Definition
| The “bottom three steps” are submerged in H20 (so, in poverty) |
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Term
Constitution says Health is a provincial responsibility, so limits Federal influence
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Definition
- Federal health minister's exceptions:
- Aboriginal health ON reserve only
- Federal prisoner
- military
- public health crisis (H1N1)
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Term
ISN’T HEALTH CARE EATING UP
PROVINCIAL BUDGETS? |
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Definition
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• Canada is spending less on other public expenditures: education, employ, insurance, welfare, roads, water, subsidized housing)
• No national subsidized housing program (only in world)
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Term
HOW TO ENSURE SUSTAINABILITY
Wait Time Initiative
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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
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Term
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HOW TO ENSURE SUSTAINABILITY
Interprofessional Care
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Definition
• More nurse practitioner
• More emphasis on team
• Right provider, right place, right time
(more efficient care)
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Term
HOW TO ENSURE SUSTAINABILITY
· Chronic Disease management
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Definition
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Self-care pathways
More Home care
More community-based care
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Term
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LOCAL HEALTH
INTEGRATION NETWORK
(LHIN)
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Definition
• Plan healthcare services
• controls funding
• integrates plans within the community
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Term
What are exceptions when Federal can Influence health care?
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Definition
aboriginal health ON reserve only
federal prisoners
military
public health crisis |
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Term
| What are we spending less on? |
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Definition
education (Uni from 0.5% GDP to 0.18%)
Employment Insurance (80% eligible to 40%)
Social Support
Urban infrastructure & subsidized housing |
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Term
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Definition
Wait time initiatives - centralization of lists
Interprofess'n Care (rite provider, place, time)
Chronic disease mgnt - home care
electronic health records |
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Term
| Implications of "not sustainable" |
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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 |
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Term
Federal Social Transfers
Canadian Health & Social Transfer (CHST) |
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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 |
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