NURS414 Week 4.1 (CHCS)
Exam Study Guide
What is the British North America Act (Canadian Constitution Act) of 1867? - Answer
Denoted responsibility for who dealt with which hospitals
Who did the federal government deal with? - Answer Quarantine and Marine hospitals
Who did the provincial government deal with? - Answer Hospitals, Asylums, Charities,
Nonprofit
What did the Indigenous peoples deal with? - Answer Transferred obligations related to
Indigenous peoples and their land from British responsibility to Canadian federal
responsibility
What is the Hospital Insurance and Diagnostic Services Act of 1957? - Answer A formal,
50/50 cost sharing agreement between federal/province for hospital care with concepts
of universality, accessibility, comprehensiveness, portability
Who and when was responsible for initiating Medical Care Insurance Act in 1962? -
Answer Tommy Douglas in Saskatchewan started insuring physician services who
worked in hospitals
-followed by Doctors strike
What did Justine Emmett Hall suggest in 1964? - Answer Recommended a nationwide
adoption of Saskatchewan's model of public health insurance
What happened in 1971? - Answer Comprehensive Medical Insurance Plans: all
provinces have plans that meet federal criteria for funding
What did the Lalonde Report in 1974 highlight? - Answer Emphasized that we look
beyond the biomedical healthcare model or traditional "sick" care model
through health promotion, disease prevention
What was the issue with this? - Answer Physicians were unhappy they had to submit
requests for funding
They wanted to charge whatever they wanted
Physicians started to charge user fees so that they could make more money
What were the highlights of the CHA in 1984 revamping? - Answer Protect, Promote, and
Restore physical and mental well-being of Canadian residents
Facilitate reasonable access to health services without financial or other barriers
, What did this ban? - Answer 2 provisions added to ban extra-billing and user fees for
publicly-insured services
What were the five criteria for funding in the CHA? - Answer 1. public administration
2. comprehensiveness
3. universality
4. portability
5. accessibility
What are some problems with the criteria? - Answer - accessibility in rural areas
- doesn't support equity (only covers x/y/z procedures)
-consider private insurance
-consider SDoH
What is the main takeaway from this? - Answer CHA IS IN NEED OF MODERNIZATION -
the 2015 advisory panel on healthcare innovation found this
Who are the 3 common Indigenous groups? - Answer First Nations, Inuit and Métis - with
own unique culture, practices, beliefs, and heritages
What is the Indian definition? - Answer legal term describing Indigenous people who are
not Inuit Includes groups living in Canada before European arrivals (pre contact before
1600) and Metis (post contact, before colonization)
What is a status Indian? - the old definition - Answer Male person of Indian blood
reported to belong to a particular band; including his children and wife
Only First Nations; not Metis and Inuit; divided those who did and didn't live on reserve
or did or didn't have "status"
What is a treaty Indian? - Answer a Status Indian, belonging to a First Nation that has
signed a treaty with the Crown
What did the Indian Act of 1876 do? - Answer Established terms under which the federal
government interacts with First Nations peoples; defined who was a status Indian -
those eligible for government programs/services by federal and provincial agencies
What was the idea behind Indian Hospitals? - Answer For first Nations and Inuit peoples
Originated from federally-funded Christian missionary efforts to provide rudimentary
hospital care on some reserves - linked to residential schools
What did these hospitals NOT provide? - Answer Did not provide Indigenous medicines,
midwives, or holistic notions of illness and treatment
Exam Study Guide
What is the British North America Act (Canadian Constitution Act) of 1867? - Answer
Denoted responsibility for who dealt with which hospitals
Who did the federal government deal with? - Answer Quarantine and Marine hospitals
Who did the provincial government deal with? - Answer Hospitals, Asylums, Charities,
Nonprofit
What did the Indigenous peoples deal with? - Answer Transferred obligations related to
Indigenous peoples and their land from British responsibility to Canadian federal
responsibility
What is the Hospital Insurance and Diagnostic Services Act of 1957? - Answer A formal,
50/50 cost sharing agreement between federal/province for hospital care with concepts
of universality, accessibility, comprehensiveness, portability
Who and when was responsible for initiating Medical Care Insurance Act in 1962? -
Answer Tommy Douglas in Saskatchewan started insuring physician services who
worked in hospitals
-followed by Doctors strike
What did Justine Emmett Hall suggest in 1964? - Answer Recommended a nationwide
adoption of Saskatchewan's model of public health insurance
What happened in 1971? - Answer Comprehensive Medical Insurance Plans: all
provinces have plans that meet federal criteria for funding
What did the Lalonde Report in 1974 highlight? - Answer Emphasized that we look
beyond the biomedical healthcare model or traditional "sick" care model
through health promotion, disease prevention
What was the issue with this? - Answer Physicians were unhappy they had to submit
requests for funding
They wanted to charge whatever they wanted
Physicians started to charge user fees so that they could make more money
What were the highlights of the CHA in 1984 revamping? - Answer Protect, Promote, and
Restore physical and mental well-being of Canadian residents
Facilitate reasonable access to health services without financial or other barriers
, What did this ban? - Answer 2 provisions added to ban extra-billing and user fees for
publicly-insured services
What were the five criteria for funding in the CHA? - Answer 1. public administration
2. comprehensiveness
3. universality
4. portability
5. accessibility
What are some problems with the criteria? - Answer - accessibility in rural areas
- doesn't support equity (only covers x/y/z procedures)
-consider private insurance
-consider SDoH
What is the main takeaway from this? - Answer CHA IS IN NEED OF MODERNIZATION -
the 2015 advisory panel on healthcare innovation found this
Who are the 3 common Indigenous groups? - Answer First Nations, Inuit and Métis - with
own unique culture, practices, beliefs, and heritages
What is the Indian definition? - Answer legal term describing Indigenous people who are
not Inuit Includes groups living in Canada before European arrivals (pre contact before
1600) and Metis (post contact, before colonization)
What is a status Indian? - the old definition - Answer Male person of Indian blood
reported to belong to a particular band; including his children and wife
Only First Nations; not Metis and Inuit; divided those who did and didn't live on reserve
or did or didn't have "status"
What is a treaty Indian? - Answer a Status Indian, belonging to a First Nation that has
signed a treaty with the Crown
What did the Indian Act of 1876 do? - Answer Established terms under which the federal
government interacts with First Nations peoples; defined who was a status Indian -
those eligible for government programs/services by federal and provincial agencies
What was the idea behind Indian Hospitals? - Answer For first Nations and Inuit peoples
Originated from federally-funded Christian missionary efforts to provide rudimentary
hospital care on some reserves - linked to residential schools
What did these hospitals NOT provide? - Answer Did not provide Indigenous medicines,
midwives, or holistic notions of illness and treatment
