Test Bank for PN LEVEL 1 HEALTH CARE
CONSUMER - CANADIAN HEALTH CARE
DELIVERY SYSTEM 4th Edition by Valerie
D. Thompson
Important historical events that contributed to development & evolution of Canadian health care
system:
- Influx of Europeans settle in 17th century - poor sanitation &disease outbreaks
- Families, communities & churches were self-reliant in handling social and medical problems
- First hospitals founded by catholic missionaries and religious lay prderes in the 17th century
- Augustinian nuns founded north Americas first hospital - Hotel-Dieu de Quebec (God's Hotel of
Quebec) in 1639
- Hotel Dieu Montreal was built in 1645
Constitution Act 1867
The legislation setting out the division of responsibilities between the federal and provincial or
territorial governments
Four Original Provinces: Ontario, Quebec, New Brunswick & Nova Scotia.
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, Provincial Responsibilities
health, education, social services (provincial think OHIP & school, social services)
Federal Responsibilities
aboriginal health, military personnel & veterans, policy development (federal think policy,
military/veterans, aboriginals)
Upstream thinking
focus on interventions that promote health or prevent illness
thinking of ways/using resources to prevent the problem & promote health promotion
Downstream thinking
short-term individual based interventions - fixing problem once it has occurred i.e illness
Urbanization
urbanized and industrialized. There were crowded living conditions, inadequate sanitation led to
disease, boards of health, social programs, volunteers and unions assisted with making health
improvements and helping the population pay for services.
1947 - Tommy Douglas Father of Medicare
Public insurance plan
1957 Hospital Insurance and Diagnostic Act (HIDSA)
1/2 of hospital and diagnostic service costs paid by federal government
1961
All provinces & territories on board
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