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Canada's Health Care System (FEDERAL (setting and administering…
Canada's Health Care System
FEDERAL
setting and administering national principles of Canada Health Act
financial support for province/territories
delivery of primary and supplementary services
funding
provides cash and tax transfers
health protection & regulation, consumer safety and disease surveillance & prevention
MOST LIKELY TO BE PRACTICING CULTURALLY SAFE CARE
CANADA HEALTH ACT
public administration
comprehensiveness
universality
accessibility
portability
PROVINCIAL & TERRITORIAL
deliver most of Canada's health care services
health insurance plans: cover hospital and doctor services without direct charges for the service
administer health insurance plans
planning of funding and care in hospitals
services provided by doctors
plan and implement health promotion and public health initiatives
negotiate fee schedules with health providers
CULTURALLY SAFE PRACTICE IS NEEDED
HEALTH INSURANCE PLANS NOT THE SAME FOR ALL POPULATIONS, ESPECIALLY INDIGENOUS
NOT PROVIDING THESE COMMUNITIES WITH PROPER HEALTHCARE
DOCTORS SHOULD BE REACHING OUT TO THESE COMMUNITIES
PRIMARY: first point of contact with health care system
(1) provides direct provision of first-contact health care services
(2) coordinates patients health care services
SECONDARY: referral for specialized care in hospitals, long-term care facilities etc.
may be provided at home or community or in institutions
SUPPLEMENTARY: providing coverage to certain people for health services that are not generally covered under the public health system
prescription drugs outside hospital, dental care, vision care, medical equipment and appliances
those who do not qualify pay out of pocket
CITIZEN PARTICIPATION & FEEDBACK
SURVEYS, ONLINE POLLS
PROVIDING INCENTIVES FOR PARTICIPATION
HEALTH ISSUE: Cancer
addressed through provincial and territorial government
deals with primary and secondary services
secondary services towards end of life with long term care or palliative care
funding for home appliances (stair lift) when there is limited mobility
paying for full time at-home care from government agencies
main actors: family, doctors, in home nurses, government agencies
ACTORS
MANY PROFESSIONAL ORGANIZATIONS GOVERN HEALTHCARE - THESE AGENCIES SHOULD HAVE SERVICES AVAILABLE TO ALL CULTURAL BACKGROUNDS
THE POSSIBILITY OF ADDING MORE AGENCIES THAT DEAL SOLELY WITH INDIGENOUS YOUTH/ADULTS
CONSIDERING THE VARIOUS VALUES OF DIFFERENT CULTURES, AS WELL AS THE UNIQUE ISSUES ASSOCIATED WITH THE COMMUNITY
INCLUDING MORE INDIGENOUS INDIVIDUALS IN THE HEALTHCARE WORKFORCE TO PROVIDE MORE INSIGHT AND DIVERSITY
ANY HEALTHCARE PROVIDERS CAN CREATE A MORE CULTURALLY SAFE ENVIRONMENT BY MAKING INDIVIDUALS OF ALL CULTURES FEEL SAFE, ACCEPTED, AND UNDERSTOOD, WHILE RECEIVING HIGH QUALITY CARE - THIS BEGINS WITH EDUCATION OF MINORITY GROUPS