Nokea
Despite the lack of planning for change at the system level, which following principle driving health care reform has had some positive effects on the provision of health care?
- A. A move toward the provision of more community-based services
- B. An increase on the number of acute care hospital beds
- C. A greater emphasis on the medical care model
- D. A retention of the physician-centred and hospital-based health care model
Correct Answer: A
Rationale: Principles driving health care reform that have had positive effects include more community-based services, attempts to provide care to people on either an outpatient or home-case basis, and the placement of greater emphasis on health promotion at all levels of care.
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Which province has the right to health care embedded in its legislative framework?
- A. Newfoundland and
- B. British Columbia
- C. Quebec
- D. Ontario
Correct Answer: C
Rationale: Quebec has the right to health care embedded in its legislative framework.
The aging baby boomer population has resulted in continued demands on the provision of nursing care for older persons. Which of the following statements is true?
- A. There are adequate numbers of regulated nurses to care for older persons
- B. The demand for continuing care is decreasing
- C. Chronic care for older persons is being managed growing category of care
- D. The world's population over 65 years of age is slowly shrinking
Correct Answer: C
Rationale: The aging baby boomer population is expected to significantly burden the health care system in terms of chronic and age-related diseases. The demand for nursing care for older persons is increasing.
The roles of different levels of government are affirmed in the Constitution. Which of the following statements are true regarding provincial-territorial jurisdiction responsibilities? (Select all that apply)
- A. Establish a national pharmaceutical program
- B. Manage acute care hospital services
- C. Arrange payments for physician services
- D. Develop a health care insurance plan
- E. Develop transfer payment arrangements
- F. Enforce relevant Acts such as the Canada Health Act
- G. Finance diagnostic services in acute care
Correct Answer: B,C,D,G
Rationale: Provincial-territorial jurisdiction responsibilities affirmed under the Constitution include financing and managing acute health care hospital services; arranging for payments and copayments for physician, diagnostic, and nursing services; and developing and enforcing relevant Acts such as the Canada Health Act.
The Canada Health Act (1984) is rooted in five guiding principles. Which of the following statements reflect the principle of universality?
- A. Residents are not charged 'out of pocket' costs for health services.
- B. Residents can receive the same service in every province or territory.
- C. Residents have reasonable access to health services.
- D. Residents receive the same health service benefits.
Correct Answer: D
Rationale: University refers to the principle that all insured residents of Canada regardless of age, gender, ethnicity, or income will receive the same health care benefits.
Although a number of provinces have conducted experiments in privatization of health care services, these experiments violate which of the following principles of health care legislation in Canada?
- A. Accessibility
- B. Unavailability
- C. Portability
- D. Public administration
Correct Answer: D
Rationale: Many organizations, health analysts, and individuals have opposed privatization because it violates one of the five basic principles on which health legislation in Canada was founded, that is public administration.