Week 14

Created by Ameera Gani

What is the Canadian health care system?
Publicly funded system providing universal access based on need, not ability to pay

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TermDefinition
What is the Canadian health care system?
Publicly funded system providing universal access based on need, not ability to pay
What principle underlies the Canadian health system?
Equity and fairness
What factors influence the healthcare system?
Population growth, demographics, societal changes, medical advances, public health emergencies
Is Canadian healthcare publicly or privately funded?
Publicly funded (taxation)
What legislation defines roles of government?
Constitution Act (1867)
What level of government delivers most healthcare?
Provincial/territorial governments
What is the federal government responsible for?
Funding, policy, regulation, health protection, research
What services does the federal government directly provide?
Specific groups (Indigenous populations, military, veterans, inmates)
What are provincial government responsibilities?
Deliver healthcare, manage hospitals, fund services, administer insurance
What do provinces cover under insurance?
Hospital and physician services
What services are NOT fully covered?
Drugs, dental, vision, ambulance (often private or supplemental)
What are territorial government roles?
Same as provinces but with additional challenges (remote geography, fewer providers)
What are the 5 principles of the Canada Health Act?
Public administration, comprehensiveness, universality, accessibility, portability
What does “public administration” mean?
Non-profit system run by public authority
What does “comprehensiveness” mean?
Covers all medically necessary services
What does “universality” mean?
All citizens are covered equally
What does “accessibility” mean?
No barriers to care (financial or otherwise)
What does “portability” mean?
Coverage across provinces and when traveling
What are insured health services?
Hospital, physician, and surgical-dental (in hospital)
What is primary care?
First point of contact (family doctor)
What are functions of primary care?
Diagnosis, treatment, prevention, referrals, coordination
What is a key feature of primary care?
Gatekeeper to specialized services
What is patient rostering?
Patients register with a provider for continuity of care
What is secondary care?
Specialized services via referral (e.g., specialists)
Where is secondary care delivered?
Hospitals or outpatient clinics
What is tertiary care?
Highly specialized services (e.g., cancer treatment, cardiac surgery)
What is quaternary care?
Highly advanced care and clinical research
What is emergency care?
Immediate care for life-threatening or urgent conditions
What is palliative care?
Care focused on comfort and support for chronic/life-limiting illness
What is the structure of Alberta’s system (recent change)?
Shift from AHS single authority to multiple agencies
What are the 4 Alberta health agencies?
Primary Care Alberta, Acute Care Alberta, Assisted Living Alberta, Recovery Alberta
What is Primary Care Alberta?
Provides first-contact care through PCNs
What are PCNs?
Groups of healthcare professionals providing team-based care
What is Acute Care Alberta?
Provides hospital-based acute services
What is Covenant Health?
Partner organization providing healthcare services
What is Assisted Living Alberta?
Provides housing and support for seniors/disabilities
What is Recovery Alberta?
Provides mental health and addiction services
What does AHCIP cover?
Basic medical services for residents
What does AHCIP NOT cover?
Drugs, dental, vision, ambulance
What is a major trend in healthcare delivery?
Shift to outpatient and community care
What are major system challenges?
Aging population, costs, technology, COVID-19
What are the 4 main pressing issues in healthcare?
Equity, access, quality/safety, accountability/cost
What is health equity?
Fair distribution of health and access
What causes health inequities?
Social determinants (income, education, location)
What populations experience inequities?
Indigenous, rural, low-income populations
What is a major access issue?
Lack of family doctors
What contributes to long wait times?
Overuse of ER, limited providers, aging population, COVID-19
Why do wait times matter?
They violate accessibility principle
What is a consequence of poor access?
Increased ER use and delays in care
What are solutions to reduce wait times?
More primary care, extended hours, better system efficiency
What is quality of care?
Providing appropriate, safe, effective treatment
What are examples of quality issues?
Infections, medication errors, inappropriate care
Why do errors persist in healthcare?
Fear of reporting and accountability issues
What is accountability in healthcare?
Responsibility for outcomes and use of public funds
What is a challenge with accountability?
Blame shifting and lack of ownership
What is a risk of cost control?
Cutting corners and reducing patient safety
What is a key takeaway about the healthcare system?
It is complex, evolving, and influenced by multiple factors