Health and Health Care Delivery in Canada 3rd Edition Thompson Test Bank

, Chapter 1: The History of Health Care in Canada
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MULTIPLE CHOICE P




1. When and where was Canada’s first medical school established?
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a. Saskatoon, in 1868 P P


b. Ottawa, in 1867 P P


c. Montreal, in 1825 P P


d. Kingston, in 1855 P P




ANS: C P




Feedback
A The first medical school was not established in Saskatoon in 1868.
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B The first medical school was not established in Ottawa in 1867.
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C The first medical school in Canada was established in 1825 in Montreal.
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D The first medical school was not established in Kingston in 1855.
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DIF: Cognitive Level: Knowledge P P REF: p. 4 PP P




2. In 1834, William Kelly deduced which public health principle?
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a. Vaccination can successfully eradicate smallpox. P P P P


b. Education is directly related to health. P P P P P


c. Quarantine effectively contains infections. P P P


d. Sanitation and disease are related. P P P P




ANS: D P




Feedback
A William Kelly did not deduce that smallpox could be eliminated with a vaccine.
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B William Kelly did not deduce that education level was related to health.
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C William Kelly did not introduce quarantine to contain disease.
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D William Kelly suspected a relationship between sanitation and disease and deduced
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that water might be a source of contamination.
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DIF: Cognitive Level: Knowledge P P REF: p. 5 PP P




3. Which of the following volunteer organizations was involved in the evolution of health care in C
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anada?
a. The Order of St. John P P P P


b. The Veterans’ Society P P


c. The St. Andrew’s Society
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d. The Canadian Nurses Association
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ANS: A P




Feedback
A The Order of St. John was introduced in Canada in 1883; the members had knowled
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ge of first aid, disaster relief, and home nursing.
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, B The Veterans’ Society did not play a part in the evolution of health care in Canada.
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C The St. Andrew’s Society did not play a part in the evolution of health care in Canad
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a.
D The Canadian Nurses Association did not play a part in the early evolution of health
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care in Canada. P P




DIF: Cognitive Level: Knowledge P P REF: p. 6 PP P




4. What did the Hospital Insurance and Diagnostic Services Act (1957) propose?
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a. Provinces without a health insurance plan must pay additional federal tax.
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b. Provinces and territories with a health insurance plan would receive substantial f
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unding from the federal government.
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c. Certain services would no longer be funded by the federal government.
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d. Physicians would be allowed to charge a fee for service to the client.
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ANS: B P




Feedback
A The Hospital Insurance and Diagnostic Services Act did not propose an increase i
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n tax for provinces without a plan.
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B Under the Hospital Insurance and Diagnostic Services Act (1957), provinces and t
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erritories with a health insurance plan would have funding matched by the federal
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government by 50 cents for every dollar. P P P P P P

C The Hospital Insurance and Diagnostic Services Act did not propose the removal
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of insured medical services.
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D The Hospital Insurance and Diagnostic Services Act did not allow physicians to ch
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arge a fee for service.
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DIF: Cognitive Level: Knowledge P P REF: p. 13 PP P




5. What major change in political thinking occurred in post–
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World War II Canada in relation to health care?
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a. Universities should educate more nurses. P P P P


b. The government should not be required to provide access to primary health care.
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c. Individual families should be responsible for absorbing the cost of health care.
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d. Governments should be responsible for providing basic services like health care.
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ANS: D P




Feedback
A The need to educate more nurses was not part of post–
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World War II thinking in Canada.
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B The lack of responsibility of the government to provide health care was not part of
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post–World War II thinking in Canada. P P P P P

C The belief that families should bear the cost of health care was not part of the politic
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al thinking in post–World War II Canada.
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D In post–
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World War II Canada, and in the aftermath of a depression, the thinking shifted to
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the idea that governments had an obligation to provide Canadians with a better sta
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ndard of living, including access to quality health care.
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, DIF: Cognitive Level: Analysis P P REF: p. 12 PP P




6. What important act was passed by the government of Tommy Douglas in Saskatchewan in 1
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947?
a. The Hospital Insurance Act
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b. The Medical Care Act
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c. The Hospital Insurance and Diagnostic Services Act
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d. The Canada Health Act
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ANS: A P




Feedback
A The Hospital Insurance Act was passed by the government of Saskatchewan, led b
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y Tommy Douglas, in 1947. It guaranteed Saskatchewan residents hospital care in
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exchange for a modest insurance premium payment.
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B The Medical Care Act was not passed in Saskatchewan in 1947.
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C The Hospital Insurance and Diagnostic Services Act was not passed in Saskatchew
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an in 1947.
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D The Canada Health Act was not passed in Saskatchewan in 1947.
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DIF: Cognitive Level: Knowledge P P REF: p. 14 PP P




7. What important recommendation was embodied in the Hall Report?
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a. Individuals should take responsibility for some of their health care costs.
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b. Preventive health measures would be a wise investment.
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c. Extra billing should not be part of Canada’s health care system.
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d. Provinces should retain full control as well as financial responsibility for health c
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are.
ANS: C P




Feedback
A The Hall Report did not propose that individuals pay for some of their health care
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costs.
B The Hall Report did not propose that preventive health measures would be a wise
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investment.
C The Hall Report recommended an end to extra billing and suggested that, instead,
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doctors be allowed to operate entirely outside of the Medical Care Act.
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D The Hall Report did not propose that provinces should retain all financial responsibi
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lity for health care.
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DIF: Cognitive Level: Analysis P P REF: p. 17 PP P




8. Why did the Established Programs Financing (EPF) mechanism of funding become i
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nadequate for health care? P P P


a. The government imposed many corporate tax cuts.
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b. Health care spending increased dramatically, causing provincial and territorial o
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verspending.
c. The cost of education took up more dollars than had been anticipated.
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