HS 3400 Midterm Test Latest Update
Why study health policy? - Answer You realize something is wrong with the healthcare
system and want to change it
Health policy examples - Answer Legalization of recreational cannabis, pharmacare,
mandatory vaccination, aboriginal health
Policy Processes and Policy-Making examples - Answer How are laws introduced and
passed? How do policies change? How is health governed?
Policy - Answer Broad statement of goals, objectives and means that create the
framework for activity. Often takes the form of explicit written documents, but may also
be implicit or unwritten; decisions taken by those with responsibility for a given policy
area
Public Policy - Answer Courses of action or inaction chosen by public authorities to
address a given problem; anything a government chooses to do or not to do
Health Policy - Answer Courses of action (and inaction) that affect the set of institutions,
organizations, services and funding arrangements of the health and health care system;
policies that have to do with health, created by health agencies organizations; can be
both public and private
Healthy Public Policy - Answer Public policies (i.e., policies outside of the health sector)
characterized by an explicit concern for health and equity in all areas of policy and by an
accountability for health impact
Program - Answer Activity that organizes or delivers a service or goods to achieve a
policy's objectives
Politics - Answer The art or science concerned with guiding or influencing governmental
policy
Laws - Answer Enact public policy
Constitutional Act, 1867 - Answer - Law passed by the British parliament that created
Canada, founded on Indigenous lands
- Specifies the responsibilities of the national (federal) government and the provinces
and territories
Federalism - Answer Divides authority among levels of government, and intentionally
restricts the powers of the central government
Ontario Health Insurance Plan (OHIP) - Answer Government-run health insurance plan
for Ontario
Canada Health Act (1984) - Answer In order for provinces and territories to receive full
, cash and tax transfers from the federal government to fund health care, they must
comply with the terms of the Canada Health Act
Five conditions of Canada Health Act - Answer Comprehensiveness
Universality
Accessibility
Portability
Public Administration
Comprehensiveness - Answer Provincial insurance plans must insure (i.e., cover) all
"insured health services" provided by physicians or within hospitals
Universality - Answer Provincial insurance plans must cover 100% of insured health
services for all insured persons under uniform terms and conditions
Portability - Answer Requires certain coverage for insured residents when temporarily
out of province, and specifies the waiting period before a resident moving to a new
province/territory is eligible for insured health services (can't exceed 3 months)
Public Administration - Answer Provincial insurance plans must be administered and
operated on a non-profit basis by a public authority (e.g., OHIP - Ontario Health
Insurance Plan)
Medicare - Answer All the conditions in the Canada Health Act taken together =
Universal health coverage/care
Key features of Canada Health Act - Answer - Free at the point of care
- Provision of health care based on need, not ability to pay
Health Policy Implications - Answer - Variation in coverage between
provinces/territories
- If non-physician care shifts from hospitals to clinics or the community, then these
services are no longer required to be insured even if they are considered medically
necessary (e.g., outpatient pharmaceuticals, rehab, home care, optometry, etc.)
- These uncovered services are paid for via private insurance (e.g., through an
employer) or out of pocket
Health Care Financing - Answer - Public (e.g., through taxes)
- Private insurance (e.g., through your work or school)
- Out-of-pocket
How much of Ontario's health expenditures are paid from public sources? - Answer
Why study health policy? - Answer You realize something is wrong with the healthcare
system and want to change it
Health policy examples - Answer Legalization of recreational cannabis, pharmacare,
mandatory vaccination, aboriginal health
Policy Processes and Policy-Making examples - Answer How are laws introduced and
passed? How do policies change? How is health governed?
Policy - Answer Broad statement of goals, objectives and means that create the
framework for activity. Often takes the form of explicit written documents, but may also
be implicit or unwritten; decisions taken by those with responsibility for a given policy
area
Public Policy - Answer Courses of action or inaction chosen by public authorities to
address a given problem; anything a government chooses to do or not to do
Health Policy - Answer Courses of action (and inaction) that affect the set of institutions,
organizations, services and funding arrangements of the health and health care system;
policies that have to do with health, created by health agencies organizations; can be
both public and private
Healthy Public Policy - Answer Public policies (i.e., policies outside of the health sector)
characterized by an explicit concern for health and equity in all areas of policy and by an
accountability for health impact
Program - Answer Activity that organizes or delivers a service or goods to achieve a
policy's objectives
Politics - Answer The art or science concerned with guiding or influencing governmental
policy
Laws - Answer Enact public policy
Constitutional Act, 1867 - Answer - Law passed by the British parliament that created
Canada, founded on Indigenous lands
- Specifies the responsibilities of the national (federal) government and the provinces
and territories
Federalism - Answer Divides authority among levels of government, and intentionally
restricts the powers of the central government
Ontario Health Insurance Plan (OHIP) - Answer Government-run health insurance plan
for Ontario
Canada Health Act (1984) - Answer In order for provinces and territories to receive full
, cash and tax transfers from the federal government to fund health care, they must
comply with the terms of the Canada Health Act
Five conditions of Canada Health Act - Answer Comprehensiveness
Universality
Accessibility
Portability
Public Administration
Comprehensiveness - Answer Provincial insurance plans must insure (i.e., cover) all
"insured health services" provided by physicians or within hospitals
Universality - Answer Provincial insurance plans must cover 100% of insured health
services for all insured persons under uniform terms and conditions
Portability - Answer Requires certain coverage for insured residents when temporarily
out of province, and specifies the waiting period before a resident moving to a new
province/territory is eligible for insured health services (can't exceed 3 months)
Public Administration - Answer Provincial insurance plans must be administered and
operated on a non-profit basis by a public authority (e.g., OHIP - Ontario Health
Insurance Plan)
Medicare - Answer All the conditions in the Canada Health Act taken together =
Universal health coverage/care
Key features of Canada Health Act - Answer - Free at the point of care
- Provision of health care based on need, not ability to pay
Health Policy Implications - Answer - Variation in coverage between
provinces/territories
- If non-physician care shifts from hospitals to clinics or the community, then these
services are no longer required to be insured even if they are considered medically
necessary (e.g., outpatient pharmaceuticals, rehab, home care, optometry, etc.)
- These uncovered services are paid for via private insurance (e.g., through an
employer) or out of pocket
Health Care Financing - Answer - Public (e.g., through taxes)
- Private insurance (e.g., through your work or school)
- Out-of-pocket
How much of Ontario's health expenditures are paid from public sources? - Answer
