Nokea
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.
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The first mandatory universal hospital insurance plan in North America was introduced by which Canadian Premier?
- A. Tommy Douglas
- B. Joey Smallwood
- C. Justin Trudeau
- D. John A. MacDonald
Correct Answer: A
Rationale: Premier Tommy Douglas of Saskatchewan in 1947.
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.
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.
In 1867, the British North America Act (BNA Act) clarified that provincial responsibilities for health care included which of the following?
- A. Public policy
- B. Public policy
- C. Pharmaceutical safety
- D. Health research
Correct Answer: A
Rationale: The BNA Act clearly stated that the provinces were responsible for public health, including hospital care, whereas the federal government was responsible for the public policy aspects of health, such as pharmaceutical safety.
One of the key features of the Canadian medicine approach that differentiates it from other national health programs is which of the following?
- A. Fee of services
- B. Privatization
- C. Decentralization
- D. Flexibility
Correct Answer: C
Rationale: Medicare is highly decentralized, with each province or territory retaining control over the provision and allocation of select health services.