HSCI 305 – midterm Exam Updated Actual
Questions and CORRECT Answers
Gatekeeper - CORRECT ANSWER The role of primary care physicians or GPs in
authorizing access to specialty care, hospital care, and diagnostic tests
Rostering - CORRECT ANSWER The process by which patients register with a family
practice, physician, or team - facilitates accountability by defining the population for which
the organization/provider is responsible for ---- Not in BC
Cultural Awareness - CORRECT ANSWER Acknowledgement of difference
Cultural Sesitivity - CORRECT ANSWER Respecting Difference
Cultural Competency - CORRECT ANSWER Focuses on the skills, knowledge, and
attitudes of practicioners
Cultural Safety - CORRECT ANSWER - Analyzes power imbalances & institutional
discrimination within healthcare
- Requires self reflection - we are all bearers of culture & our own culture impacts out
behavior, including health care practitioners
- Patients define was cultural safety means to them
Institutionalized Racism - CORRECT ANSWER The structure of society and the
codified institutions of practice, law, and governmental inaction in the face of need
Personally Medicated Racism - CORRECT ANSWER The prejudice and
discrimination that can manifest itself as a lack of respect, suspicion, devaluation,
scapegoating, and de-humanization
, Internalized Racism - CORRECT ANSWER When those who are stigmatized believe
it. This leads to resignation, helplessness, and lack of hope
Interests (3-I Framework) - CORRECT ANSWER Agendas of societal groups, elected
officials, civil servants, researchers, and policy entrepreneurs
- Who wins and who loses, by how much? Have groups mobilized around specific interests?
Ideas (3-I Framework) - CORRECT ANSWER Knowledge or beliefs about what is,
views about what ought to be, or combinations of the two
- What sources of evidence might be used? By Whom? How could you describe this evidence
(strong, weak, complex, consensual, uncertain, controversial)
- What values and ideologies may come into play?
Institutions (3-I Framework) - CORRECT ANSWER The formal and informal rules,
norms, precedents, and organizational factors that structure political behaviour
- How might government structures, policy networks or policy legacies shape, reinforce, or
constrain policy developments and choices.
Path Dependence - CORRECT ANSWER The range of options available is limited by
choices made in the past, even when the circumstances giving rise to those circumstances are
no longer relevant.
Distinction between Public Delivery and Financing - CORRECT ANSWER In Canada,
services may be privately delivered but are
financed through public insurance. Private providers
can include for-profit and not-for-profit institutions that
offer hospital, long-term care, and community services
funded by provinces. Physicians contract with provincial
insurance providers for established rates, but are not
employed by the government.
Questions and CORRECT Answers
Gatekeeper - CORRECT ANSWER The role of primary care physicians or GPs in
authorizing access to specialty care, hospital care, and diagnostic tests
Rostering - CORRECT ANSWER The process by which patients register with a family
practice, physician, or team - facilitates accountability by defining the population for which
the organization/provider is responsible for ---- Not in BC
Cultural Awareness - CORRECT ANSWER Acknowledgement of difference
Cultural Sesitivity - CORRECT ANSWER Respecting Difference
Cultural Competency - CORRECT ANSWER Focuses on the skills, knowledge, and
attitudes of practicioners
Cultural Safety - CORRECT ANSWER - Analyzes power imbalances & institutional
discrimination within healthcare
- Requires self reflection - we are all bearers of culture & our own culture impacts out
behavior, including health care practitioners
- Patients define was cultural safety means to them
Institutionalized Racism - CORRECT ANSWER The structure of society and the
codified institutions of practice, law, and governmental inaction in the face of need
Personally Medicated Racism - CORRECT ANSWER The prejudice and
discrimination that can manifest itself as a lack of respect, suspicion, devaluation,
scapegoating, and de-humanization
, Internalized Racism - CORRECT ANSWER When those who are stigmatized believe
it. This leads to resignation, helplessness, and lack of hope
Interests (3-I Framework) - CORRECT ANSWER Agendas of societal groups, elected
officials, civil servants, researchers, and policy entrepreneurs
- Who wins and who loses, by how much? Have groups mobilized around specific interests?
Ideas (3-I Framework) - CORRECT ANSWER Knowledge or beliefs about what is,
views about what ought to be, or combinations of the two
- What sources of evidence might be used? By Whom? How could you describe this evidence
(strong, weak, complex, consensual, uncertain, controversial)
- What values and ideologies may come into play?
Institutions (3-I Framework) - CORRECT ANSWER The formal and informal rules,
norms, precedents, and organizational factors that structure political behaviour
- How might government structures, policy networks or policy legacies shape, reinforce, or
constrain policy developments and choices.
Path Dependence - CORRECT ANSWER The range of options available is limited by
choices made in the past, even when the circumstances giving rise to those circumstances are
no longer relevant.
Distinction between Public Delivery and Financing - CORRECT ANSWER In Canada,
services may be privately delivered but are
financed through public insurance. Private providers
can include for-profit and not-for-profit institutions that
offer hospital, long-term care, and community services
funded by provinces. Physicians contract with provincial
insurance providers for established rates, but are not
employed by the government.
