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 N




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


b. Ottawa, in 1867 N N


c. Montreal, in 1825 N N


d. Kingston, in 1855 N N




ANS: C N




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 N N REF: p. 4 NN N




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


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


c. Quarantine effectively contains infections. N N N


d. Sanitation and disease are related. N N N N




ANS: D N




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 deduce
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d that water might be a source of contamination.
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DIF: Cognitive Level: Knowledge N N REF: p. 5 NN N




3. Which of the following volunteer organizations was involved in the evolution of health care in
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Canada?
a.The Order of St. John
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b.The Veterans’ Society
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c.The St. Andrew’s Society
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d.The Canadian Nurses Association
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ANS: A N




Feedback
A The Order of St. John was introduced in Canada in 1883; the members had knowle
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dge 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 Canad
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a.
C The St. Andrew’s Society did not play a part in the evolution of health care in Can
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ada.
D The Canadian Nurses Association did not play a part in the early evolution of healt
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h care in Canada.
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DIF: Cognitive Level: Knowledge N N REF: p. 6 NN N




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
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funding from the federal government.N N N N


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 N




Feedback
A The Hospital Insurance and Diagnostic Services Act did not propose an increase
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in tax for provinces without a plan.
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B Under the Hospital Insurance and Diagnostic Services Act (1957), provinces and
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territories with a health insurance plan would have funding matched by the feder
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al government by 50 cents for every dollar.
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C The Hospital Insurance and Diagnostic Services Act did not propose the remova
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l of insured medical services.
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D The Hospital Insurance and Diagnostic Services Act did not allow physicians to c
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harge a fee for service. N N N N




DIF: Cognitive Level: Knowledge N N REF: p. 13 NN N




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. N N N N


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 N




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
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of post–World War II thinking in Canada.
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C The belief that families should bear the cost of health care was not part of the polit
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ical thinking in post–World War II Canada.
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D In post– N


World War II Canada, and in the aftermath of a depression, the thinking shifted t
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o the idea that governments had an obligation to provide Canadians with a better
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standard of living, including access to quality health care.
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, DIF: Cognitive Level: Analysis N N REF: p. 12 NN N




6. What important act was passed by the government of Tommy Douglas in Saskatchewan in
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1947?
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 N




Feedback
A The Hospital Insurance Act was passed by the government of Saskatchewan, led
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by Tommy Douglas, in 1947. It guaranteed Saskatchewan residents hospital care
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in 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 Saskatche
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wan in 1947. N N

D The Canada Health Act was not passed in Saskatchewan in 1947.
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DIF: Cognitive Level: Knowledge N N REF: p. 14 NN N




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
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care.
ANS: C N




Feedback
A The Hall Report did not propose that individuals pay for some of their health car
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e costs.
N


B The Hall Report did not propose that preventive health measures would be a wis
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e investment.
N

C The Hall Report recommended an end to extra billing and suggested that, instea
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d, 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 responsi
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bility for health care.
N N N




DIF: Cognitive Level: Analysis N N REF: p. 17 NN N




8. Why did the Established Programs Financing (EPF) mechanism of funding become
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inadequate for health care? N N N


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