REVIEW QUESTIONS AND ANSWERS
100% CORRECT
What are the 4 parts of the health policy triangle - ANSWER-context, content, process,
actors
Agency - ANSWER-power or capacity of actors to act independently and to make their
own free choices
context - ANSWER-systemic factors which may have an effect on health policy
situational factors - ANSWER-transient (impermanent) conditions which may influence
policy (focusing events)
structural factors - ANSWER-unchanging elements of society (politics, opportunity to
participate in decision-making, economic, demographics)
cultural factors - ANSWER-ability to question higher-ups, linguistic/cultural differences,
difficulties for women's health servcies, religion
international/exogenous factors - ANSWER-greater inter-dependence between states,
some health problems require coopeation
Stages heuristic - ANSWER-problem identification and issue recognition
- how are problems formed
- why on agenda
policy formulation
- who formulated the policy
- who decided and agreed on it
Policy Decision
- what decision was made
- consider doing nothing
- consider alternatives
policy implementation
- how were objectives pursued
- how did they put it into action
Policy evaluation
,- were objectives acheived
- unintended consequences
Mandate letters - ANSWER-to each of ministers envisioning what the prime minister
sees in the foreseeable future
public policy - ANSWER-a course of action or inaction chosen by public authorities to
address a given problem
Legitimacy - ANSWER-what do policy makers see as appropriate for government to act
on
feasibility - ANSWER-the practicality or possibility of implementing a policy
Kingdon... Agenda setting model - ANSWER-Policy Streams / Multiple Streams
Politics are only taken seriously by governments when...
- The problem they are addressing is perceived as being a public matter
- Policy solutions are perceived as feasible
Politicians have motivation and opportunity to enact policy solutions
Coercion - ANSWER-- do x or else y
Are both options bad = yes coercion
** Putting you in a worse situation if you don't comply
Policy Instruments and Examples - ANSWER-- Policy instruments are a set of
techniques by which governmental authorities wield their power in attempting to ensure
support and effect or prevent social change
- The means by which policy objectives are pursued
Ex. - Laws
- Taxation
- Subsidies
- Cash transfers
- Education campaigns
- Vouchers
- Charges (eg. Emissions charges)
- Labelling
- Grants
, healthy public policy - ANSWER-public policies outside of the health sector
"characterised 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 concered with guiding or influencing governmental
policy, with evidence or ideological influences
federalism - ANSWER-divides authorities among levels of governemnt, and intentionally
restricts the powers of the cnetral governemnt
conditions of the canada health act - ANSWER-comprehensiveness, universality,
accessibility, portability, public administration
comprehensiveness - ANSWER-all insured services must be provided by physicians or
within hospitals
universality - ANSWER-provincial plans must cover 100% of insured services for all
insured persons under uniform terms and conditions
accessibility - ANSWER-need to be 'reasonably accessible to all insured persons' - no
user charged/extra billing feels, reasonable compensation to its health professionals
portability - ANSWER-requires certain coverage for insured residents when temporarily
out of province, waiting period of 3 months before eligibility in a new province
public administration - ANSWER-administered and operated at a non-profit basis by a
public authority
ontario health - ANSWER-A 'super agency' established in 2019 whose mandate is "to
implement the health system strategies developed by the Ministry [of Health]" and
"manage health service needs across Ontario..." (among other things)
What is health policy - ANSWER-- Broad statement of goals, objectives and means that
create the framework for activity
- May be explicit written, may be implicit and unwritten (actions speak louder than
words)
Ford + Mandate Letters - ANSWER-- refused to release his mandate letters
- got appealed at supreme court
Plasma Donation History - ANSWER-Plasma Donation
1980- 2000 people infected with HIV from tainted blood supply