CORRECT ANSWERS - - CORRECT ANSWERS - What are the important dates ...

NURS3001 actual Midterm EXAM 130 QUESTIONS AND

CORRECT ANSWERS -

What are the important dates in the evolution of healthcare in Canada - CORRECT ANSWER-1. 1867 BNA - each province formed their own government, showed a large enough population to warrant attention to health services

• 1919 Department of health was created to assume healthcare related responsibilities (STIs, health

of children)

• 1928 Department of Pensions and National Health
• 1948 Department of National Health and Welfare (food, drug control, public health control)
• 1993 Health Canada (food, consumer products, pharmaceuticals...)

What was the division of federal and provincial healthcare responsibilities following the BNA - CORRECT ANSWER-Federal government was responsible for marine hospitals, indigenous people and quarantines

Provincial government was responsible for hospitals, asylums and charitable institutions

What are some of the responsibilities of Health Canada today - CORRECT ANSWER-1. Indigenous people on reserves

• Some RCMP
• Serving members of the Canadian forces
• Eligible veterans
• Inmates in federal penitentiaries
• Refugee claimants

What was the effect of colonization on Indigenous health practices - CORRECT ANSWER-- Most indigenous healers (medicine man, shamans) are rooted in holistic and spiritual beliefs

- Practices included: sweat lodges, healing circles and smudging ceremonies

• Prior to contact with Europeans, Indigenous people were very healthy
• Europeans discredited traditional healing ceremonies

Describe early medical care in Canada - CORRECT ANSWER-- In the 1700-1800s only the wealthy got care from doctors

• The poor got care from charitable institutions such as churches 1 / 3

• The first med school was established in 1825
• The first nursing school was established in 1873
• It wasn't until the 1880s that hospitals were deemed a pace to get well

Describe how the concept of public health was established - CORRECT ANSWER-- In 1834, Dr. Kelly found link between sanitation and disease

• In 1830s a board of health was established in upper and lower Canada to look after quarantine,

sanitation, restricting immigration, stop the sale of spoiled food)

• In the 1900s formal organizations were established to manage public health matters (TB,

pasteurizing milk, STIs, maternal/child matters)

When was the first hospital established - CORRECT ANSWER-In 1639 Hotel Dieu in QC

-Early 1800s the weathy avoided hospitals as they were mainly paces for the poor

-1880s due to introduction of aseptic technique and improved surgical procedures they were now seen as places to get well

How was hospital insurance establieshed - CORRECT ANSWER-1914 - Rural Municipality Act in Sask

1930s Great Depression, increased pressure for a national program

1945 Post WW2 - expanded middle class required appropriate care

1957 - Hospital Insurance and Diagnostic Services Act (provinces received funding to develop insurance plan)

What was the role of Tommy Douglas in the development of health insurance - CORRECT ANSWER- 1944-1961 Tommy Douglas passed a series of legislations that gave people a comprehensive and publicly funded medical system (hospital insurance act)

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Became the medical care insurance act to appease the doctors strike (allowed them to practice outside of Medicare)

What was The Hall Report? - CORRECT ANSWER-Commission in 1960 supporting national medicare program and recommending that number of physicians be doubled by 1990 due to growth of aging population.

Supported national standards of medical care act

What was the medical care act - CORRECT ANSWER-Implemented in 1966 stating that in order to meet funding requirements, health services in provinces and territories had to meet certain criteria (public administration, comprehensiveness, universality, portability, accessibility)

What was the established programs financing act - CORRECT ANSWER-In 1977 the EPF replaced the 50/50 formula with a block transfer (tax pts and cash)

• Delisted hospital cuts and services
• Extra billing (this act greatly reduced public control)
• This resulted in provincial and territorial overspending

What is the Canada Health Act - CORRECT ANSWER-Established in 1984, the goal is to provide equal, prepaid healthcare to reasonable Canadians

"Protect, promote and restore physical and mental wellbeing of Canadians"

What are the 5 principles of the Canada Health Act - CORRECT ANSWER-1. Public Administration

• Comprehensiveness
• Universality
• Portability
• Accessibility

What is meant by public administration in the CHA - CORRECT ANSWER-Each health insurance plan should be managed by a public authority on a nonprofit basis

• Subject to auditing, can be contracted out and allows private facilities to offer insured services
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