MHA 708 EXAMS SCRIPT ALL QUESTIONS AND
ANSWERS SURE A+
✔✔How would you summarize the roles of key stakeholders in the policy process for
Canada? - ✔✔•Federal government --- provides strategy, care minimum standards and
$$$
•Health Canada --- multiple private insurers supplying the "standard plan" + those
offering supplemental plans
•Provincial governments --- administer the plan, negotiate prices w/providers
•Physicians' and nurses' associations and the Canadian Medical Association --- FFS
w/limited negotiating power
•Industry and trade groups --- limited negotiating power but direct supplemental
insurance "policy"
•Canadian public --- reasonably satisfied
✔✔Describe some of the major health policy issues facing Canada. - ✔✔•Report on the
Health of Canadians
---Reflects the Canadian government's overall focus on preventive health until the next
report issued
•Overall budget - rising costs
•Physician and other personnel shortages
•Access, particularly for elderly and remote areas
---Long wait times
•Coordination of care - referrals to specialists and hospital discharge planning
•Health disparities rising - particularly among indigenous population
✔✔Basic statistics regarding Sweden versus the US - ✔✔Sweden ---------------------US
Population 10.2M -----------333 M
% GDP on HC 10.9% --------18.3%
HC Per capita $6,302 ------$11,700
, Area (sq miles) 0.74 M-------3.53 M
✔✔What is the structure of the Sweden's government? - ✔✔•Constitutional monarchy
and parliamentary democracy
•Riksdag: legislative assembly
--Members are elected by citizens every four years
•Government
---Formed by the political party whose members win the most seats
•Prime minister leads the government
•Cabinet
---21 ministers selected by prime minister
•Swedish head of state
---Reigning monarch
---No political powers
✔✔Who funds Sweden Medicare? - ✔✔•Central government regulates HC
•Country Councils (States) - deliver majority of HC
✔✔Who administers it? - ✔✔290 Municipal governments - provide care for elderly &
disabled
✔✔What does it cover? - ✔✔•Patients are charged a small fee-for-service ("copays")
•Country council pays the remaining costs
✔✔How are their reimbursements determined? - ✔✔•Annual out-of-pocket ceiling for
individuals set by the national government - currently 16% of all HC costs
•About 10% of the population has private insurance - quicker access and slightly
broader coverage
✔✔How do private insurance companies interact with Sweden's Medicare? -
✔✔•Primary healthcare centers
---Provide basic medical and public health services
---General practitioners are the first contact for residents and refer patients to a
specialized care provider as needed (most are salaried employees)
✔✔How would you summarize the roles of key stakeholders in the policy process for
Sweden? - ✔✔•County and district hospitals - specialized care (Ex: dermatology and
ophthalmology
•70 Regional hospitals - higher level specialty care (joint replacement, cancer surgery,
heart surgery, etc.)
Centers of teaching and research - 7 university hospit
✔✔Describe some of the major health policy issues facing Sweden - ✔✔•National
Board of Health and Welfare's health reports (Good living conditions)
•To↓ Tobacco use
ANSWERS SURE A+
✔✔How would you summarize the roles of key stakeholders in the policy process for
Canada? - ✔✔•Federal government --- provides strategy, care minimum standards and
$$$
•Health Canada --- multiple private insurers supplying the "standard plan" + those
offering supplemental plans
•Provincial governments --- administer the plan, negotiate prices w/providers
•Physicians' and nurses' associations and the Canadian Medical Association --- FFS
w/limited negotiating power
•Industry and trade groups --- limited negotiating power but direct supplemental
insurance "policy"
•Canadian public --- reasonably satisfied
✔✔Describe some of the major health policy issues facing Canada. - ✔✔•Report on the
Health of Canadians
---Reflects the Canadian government's overall focus on preventive health until the next
report issued
•Overall budget - rising costs
•Physician and other personnel shortages
•Access, particularly for elderly and remote areas
---Long wait times
•Coordination of care - referrals to specialists and hospital discharge planning
•Health disparities rising - particularly among indigenous population
✔✔Basic statistics regarding Sweden versus the US - ✔✔Sweden ---------------------US
Population 10.2M -----------333 M
% GDP on HC 10.9% --------18.3%
HC Per capita $6,302 ------$11,700
, Area (sq miles) 0.74 M-------3.53 M
✔✔What is the structure of the Sweden's government? - ✔✔•Constitutional monarchy
and parliamentary democracy
•Riksdag: legislative assembly
--Members are elected by citizens every four years
•Government
---Formed by the political party whose members win the most seats
•Prime minister leads the government
•Cabinet
---21 ministers selected by prime minister
•Swedish head of state
---Reigning monarch
---No political powers
✔✔Who funds Sweden Medicare? - ✔✔•Central government regulates HC
•Country Councils (States) - deliver majority of HC
✔✔Who administers it? - ✔✔290 Municipal governments - provide care for elderly &
disabled
✔✔What does it cover? - ✔✔•Patients are charged a small fee-for-service ("copays")
•Country council pays the remaining costs
✔✔How are their reimbursements determined? - ✔✔•Annual out-of-pocket ceiling for
individuals set by the national government - currently 16% of all HC costs
•About 10% of the population has private insurance - quicker access and slightly
broader coverage
✔✔How do private insurance companies interact with Sweden's Medicare? -
✔✔•Primary healthcare centers
---Provide basic medical and public health services
---General practitioners are the first contact for residents and refer patients to a
specialized care provider as needed (most are salaried employees)
✔✔How would you summarize the roles of key stakeholders in the policy process for
Sweden? - ✔✔•County and district hospitals - specialized care (Ex: dermatology and
ophthalmology
•70 Regional hospitals - higher level specialty care (joint replacement, cancer surgery,
heart surgery, etc.)
Centers of teaching and research - 7 university hospit
✔✔Describe some of the major health policy issues facing Sweden - ✔✔•National
Board of Health and Welfare's health reports (Good living conditions)
•To↓ Tobacco use
