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Health and health care delivery in Canada  Cover Image Book Book

Health and health care delivery in Canada / Valerie D. Thompson, RN, PHC, NP, Former Professor, School of Health & Life Sciences and Community Services, Conestoga Institute of Technology and Advanced Learning.

Summary:

No health care professional in Canada should be without a clear understanding of the Canadian health care system! This explores the nation's basic approach to health, wellness, and illness. Set entirely within a Canadian context, this text includes coverage of individual and population health, the role of federal agencies and provincial governments, health care funding, and current issues and future trends in health care.

Record details

  • ISBN: 9781927406311
  • ISBN: 1927406315
  • Physical Description: xix, 418 pages : illustrations ; 24 cm
  • Edition: Second edition.
  • Publisher: Toronto, ON : Elsevier, [2016]

Content descriptions

Bibliography, etc. Note:
Includes bibliographical references and index.
Formatted Contents Note:
The history of health care in Canada -- Health and the individual -- Population health : introduction and principles -- The law and health care -- Ethics and health care -- The role of Health Canada and other federal and international health agencies -- The role of provincial and territorial governments in health care -- The dollars and "sense" of health care funding -- Practitioners and practice settings -- Current issues and future trends in health care in Canada.
Subject: Medical care > Canada.
Public health > Canada.
Medicine, Preventive > Canada.
Delivery of Health Care.
National Health Programs.

Available copies

  • 1 of 1 copy available at College of the Rockies.

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  • 0 current holds with 1 total copy.
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Location Call Number / Copy Notes Barcode Shelving Location Circulation Modifier Holdable? Status Due Date Courses
Cranbrook Campus RA 449 .T46 2016 (Text) 31111000152684 CRANBROOK Volume hold Available -

Preface vi
Special Features xviii
Chapter 1 The History of Health Care in Canada 1(38)
Learning Outcomes
1(1)
Key Terms
2(1)
Evolution of Health Care: An Overview
3(8)
Division of Responsibilities for Health
3(1)
The Origins of Medical Care in Canada
4(1)
Aboriginal Medicine and the Shaman
4(1)
The Concept of Public Health Is Introduced
5(1)
The Role of Volunteer Organizations in Early Health Care
6(3)
The Role of Nursing in Early Health Care
9(1)
The Development of Hospitals in Canada
9(2)
The Introduction of Health Insurance
11(4)
First Attempts to Introduce National Health Insurance
11(1)
Post—World War II: The Political Landscape
12(1)
Progress Toward Prepaid Hospital Care
12(1)
Progress Toward Prepaid Medical Care
13(2)
Significant Events Leading Up to the Canada Health Act
15(3)
Events Following the Introduction of the EPF Act
17(1)
The Canada Health Act (1984)
18(8)
Criteria and Conditions of the Canada Health Act
19(5)
Interpreting the Canada Health Act
24(1)
Additional Components of the Act
25(1)
After the Canada Health Act Commissioned Reports and Accords
26(10)
Social Union
28(1)
Commissioned Reports
29(4)
Accords
33(3)
Summary
36(1)
Review Questions
37(1)
References
38(1)
Chapter 2 Health and the Individual 39(30)
Learning Outcomes
39(1)
Key Terms
40(1)
Health, Wellness, and Illness: Key Concepts
41(7)
Health
41(1)
Wellness
41(5)
Illness
46(1)
Disease
46(1)
Disability
47(1)
Health Models
48(2)
Medical Model
49(1)
Holistic Model
49(1)
Wellness Model
49(1)
International Classification of Functioning Disability and Health
50(1)
Changing Perceptions of Health
50(2)
The Psychology of Health Behaviour
52(3)
Transtheoretical Model
52(1)
Social-Ecological Model
53(1)
Protection Motivation Theory
53(1)
Health Belief Model
53(2)
The Health-illness Continuum
55(7)
Sick Role Behaviour
57(3)
Stages of Illness: Influence on Patient Behaviour
60(1)
Self-Imposed Risk Behaviours
61(1)
The Health of Canadians Today
62(4)
Leading Causes of Death in Canada
63(3)
Summary
66(1)
Review Questions
67(1)
References
68(1)
Chapter 3 Population Health: Introduction and Principles 69(32)
Learning Outcomes
69(1)
Key Terms
70(1)
Population Health Approach
70(1)
Key Determinants of Health
71(9)
1 Income and Social Status
72(2)
2 Social Support Networks
74(1)
3 Education and Literacy
75(1)
4 Employment and Working Conditions
75(1)
5 Social Environment
76(1)
6 Physical Environment
77(1)
7 Personal Health Practices and Coping Skills
77(1)
8 Healthy Child Development
78(1)
9 Biology and Genetic Endowment
78(1)
10 Health Services
79(1)
11 Gender
79(1)
12 Culture
80(1)
Introduction of Population Health to Canada
80(6)
The Lalonde Report, 1974
81(1)
Alma-Ata Conference, 1978
81(2)
Ottawa Charter for Health Promotion, 1986
83(1)
The Epp Report, 1986
83(1)
The Public Health Program Initiative
83(1)
Toward a Healthy Future: The First Report on the Health of Canadians, 1996
84(1)
National Forum on Health, 1994-1997
85(1)
Partners in Population Health Action
86(4)
Health Canada
87(1)
Public Health Agency of Canada
87(1)
The Canadian Institutes of Health Research
87(1)
Canadian Institute for Advanced Research
88(1)
Canadian Policy Research Networks
89(1)
Statistics Canada
89(1)
The Canadian Institute for Health Information
89(1)
The Public Health Agency of Canada Template
90(6)
Measure the Population Health Status
90(3)
Analyze the Determinants of Health
93(1)
Use Evidence-Informed Decision Making
93(1)
Employ Upstream Investments
94(1)
Use Multiple Strategies
94(1)
Engage the Public
95(1)
Think Intersectoral Collaboration
95(1)
Demonstrate Accountability for Health Outcomes
96(1)
Population Health Promotion Model
96(1)
Population Health in Canada and Abroad
97(1)
Summary
98(1)
Review Questions
99(1)
References
99(2)
Chapter 4 The Law and Health Care 101(48)
Learning Outcomes
101(1)
Key Terms
102(1)
Laws Used in Health Care Legislation
103(8)
Constitutional Law
103(1)
Statutory Law
104(1)
Regulatory Law
104(1)
Common (Case) Law and Civil Law in Canada
105(1)
Classifications of Law: Public and Private Law
105(6)
Federal and Provincial Jurisdictional Framework
111(9)
Workplace Safety
111(1)
Drugs and the Law
112(6)
Health Canada's Emergency Powers
118(2)
Health Care as a Right
120(4)
Medically Necessary: What Does It Mean?
120(1)
The Canadian Charter of Rights and Freedoms
121(2)
The Law, the Constitution, and End-of-Life Issues
123(1)
The Legality of Private Services in Canada
124(3)
Physicians' Opting Out of the Public Plan
125(1)
Independent Health Care Facilities
125(2)
Informed Consent to Treatment
127(5)
Types of Consent
129(2)
Who Can Give Consent
131(1)
The Health Record
132(8)
The Importance of Accurate Recording
133(1)
Ownership of Health Information
133(1)
Storage and Disposal of Health Information
134(1)
Federal Legislation and Privacy Laws
135(1)
Confidentiality
136(2)
Security
138(1)
Electronic Health Information Requirements
138(2)
Health Care Professions and the Law
140(2)
Regulated Health Care Providers
140(2)
Nonregulated Health Care Providers
142(1)
Other Legal Issues in Health Care
142(3)
The Use of Restraints
142(1)
Patient Self-Discharge From a Hospital
143(1)
Good Samaritan Laws
143(1)
Whistleblowing
144(1)
Summary
145(1)
Review Questions
146(1)
References
146(3)
Chapter 5 Ethics and Health Care 149(42)
Learning Outcomes
149(1)
Key Terms
150(1)
What Is Ethics?
151(4)
Morality and Morals
151(2)
Values
153(2)
Sense of Duty
155(1)
Ethical Theories: The Basics
155(3)
Teleological Theory
156(1)
Deontological Theory
156(1)
Virtue Ethics
156(1)
Divine Command
157(1)
Ethical Principles and the Health Care Profession
158(3)
Beneficence and Nonmaleficence
158(1)
Respect
158(1)
Autonomy
159(1)
Truthfulness
159(1)
Fidelity
160(1)
Justice
160(1)
Patients' Rights in Health Care
161(8)
Duties and Rights
164(1)
Autonomy and the Patient
165(1)
Truthfulness
166(1)
Parental Rights, Ethics, and the Law
167(2)
Rights and Mental Competence
169(1)
Ethics at Work
169(5)
The Code of Ethics
170(4)
End-of-Life Issues
174(5)
Euthanasia
174(2)
The Right to Die
176(2)
Palliative Care
178(1)
Allocation of Resources
179(3)
Organ Transplantation
179(1)
Finances and Resources
180(2)
Northern Access to Health Care
182(1)
Other Ethical Issues in Health Care
182(5)
Abortion
182(2)
Genetic Testing
184(1)
Patenting Genes
185(2)
Summary
187(1)
Review Questions
188(1)
References
188(3)
Chapter 6 The Role of Health Canada and Other Federal and International Health Agencies 191(30)
Learning Outcomes
191(1)
Key Terms
192(1)
Health Canada: Objectives and Responsibilities
193(2)
Health Canada Organization: Ministry Level
195(2)
Branches of Health Canada
197(11)
Internal Services
197(2)
External Services
199(9)
Agencies of Health Canada
208(3)
Canadian Institutes of Health Research
208(1)
Hazardous Materials Information Review Commission
209(1)
Patented Medicine Prices Review Board
209(1)
Public Health Agency of Canada
210(1)
Assisted Human Reproduction Canada
211(1)
International Health Agencies Working With Health Canada
211(7)
World Health Organization
211(7)
Pan-American Health Organization
218(1)
Organisation for Economic Co-operation and Development
218(1)
Summary
218(2)
Review Questions
220(1)
References
220(1)
Chapter 7 The Role of Provincial and Territorial Governments in Health Care 221(34)
Learning Outcomes
221(1)
Key Terms
222(1)
Provincial and Territorial Health Care Plans
223(3)
Division of Powers
223(1)
Structure of the Health Plans: An Overview
224(2)
Regionalization Initiatives Across Canada
226(8)
British Columbia
227(1)
Alberta
227(1)
Saskatchewan
228(1)
Manitoba
228(1)
Ontario
228(1)
Quebec
229(1)
New Brunswick
229(1)
Nova Scotia
230(1)
Prince Edward Island
230(1)
Newfoundland and Labrador
231(1)
Northern Regions
231(3)
Health Care: Who Pays for It?
234(3)
Health Care Premiums
234(1)
Payroll Tax
235(1)
Other Sources of Funds
236(1)
Distribution of Funds
236(1)
Health Insurance
237(12)
Provincial Insurance Plans
237(4)
Insured and Uninsured Services
241(8)
Drug Plans
249(2)
Summary
251(1)
Review Questions
252(1)
References
252(3)
Chapter 8 The Dollars and "Sense" of Health Care Funding 255(34)
Learning Outcomes
255(1)
Key Terms
256(1)
Funding Versus the Delivery of Health Care
257(1)
Levels of Health Care Funding
257(6)
Federal Health Transfer Payments
258(2)
Negotiating Funds: Health Accords
260(1)
Federal Government Costs for Direct Health Care
260(1)
Provincial and Territorial Costs for Direct Health Care
261(1)
Indirect Costs of Poor Health
262(1)
Expenditures for Hospitals
263(11)
Hospital Funding Mechanisms
264(5)
Cost-Reduction Strategies
269(5)
Long-Term Care Accommodation
274(3)
The Rising Cost of Drugs
277(2)
Major Cost Drivers for Drug Expenditures
277(1)
Drug Insurance
277(1)
Brand-Name and Generic Drugs
278(1)
Controlling the Cost of Patented Drugs
279(1)
Human Health Resources
279(4)
How Physicians Are Paid: Billing Options
280(3)
Other Health Care Cost Drivers
283(2)
Technology
283(1)
Outsourcing
284(1)
Electronic Health Records
284(1)
Conclusion
285(1)
Summary
286(1)
Review Questions
287(1)
References
287(2)
Chapter 9 Practitioners and Practice Settings 289(44)
Learning Outcomes
289(1)
Key Terms
290(1)
Categories of Health Care Providers
291(5)
Conventional Medicine
293(1)
Complementary and Alternative Medicine (CAM)
293(3)
Regulation of Health Care Professions
296(10)
Title Protection
300(1)
Controlled Acts
301(1)
Delegated Acts
302(2)
Complaint Process
304(1)
Educational Standards
304(1)
Licence to Practise
304(1)
Nonregulated Professions and Occupations
304(2)
Conventional Health Care Providers
306(15)
Physicians
306(4)
Nurses
310(2)
Physician Assistants
312(1)
Pharmacists
313(1)
Midwives
313(1)
Optometrists and Opticians
314(1)
Osteopathic Physicians
314(1)
Podiatrists (Chiropodists)
315(1)
Personal Support Workers
315(1)
Psychologists
316(1)
Speech-Language Pathologists and Audiologists
316(1)
Respiratory Therapists
317(1)
Physiotherapists
318(1)
Occupational Therapists
318(1)
Administrative Roles
319(2)
Laboratory and Diagnostic Services
321(1)
Volunteer Caregivers
321(1)
Practice Settings
321(3)
Clinics
322(2)
Primary Health Care Reform
324(6)
Primary Health Care Groups
325(2)
Telephone Helplines
327(2)
Community Health Centres
329(1)
Health Service Organizations
329(1)
Summary
330(1)
Review Questions
331(1)
References
331(2)
Chapter 10 Current Issues and Future Trends in Health Care in Canada 333(46)
Learning Outcomes
333(1)
Key Terms
334(1)
Mental Health
335(6)
Structure and Implementation of Services
335(1)
The Stigma of Mental Illness
336(1)
Common Mental Health Disorders
337(1)
Challenges
338(2)
The Future of Mental Health Care
340(1)
Health Care Costs and an Aging Population
341(3)
Associated Concerns
341(2)
Predictions for the Future
343(1)
Human Health Resources
344(4)
Availability of Regulated Nurses
344(1)
Strategies to Attract and Retain Nurses
345(1)
Shortage of Doctors
346(2)
Home and Continuing Care
348(3)
The Problem
348(1)
Recipients of Home Care
349(1)
Accessing Home Care Services
349(1)
The Impact of Home Care
349(1)
Funding
349(1)
The Future
350(1)
Drug Coverage
351(1)
Funding
351(1)
The Future
351(1)
Wait Times and Access to Medical Care
352(3)
Improving Wait Times
352(2)
Improving Emergency Department Wait Times
354(1)
Aboriginal Health Care
355(12)
Status Versus Non-Status Indians
356(1)
The Challenges
357(6)
Systems of Health Care Delivery for Aboriginals
363(3)
Strategies for Improvement
366(1)
Information Technology and Electronic Health Records
367(5)
Security and EHRs
370(1)
Advantages of Electronic Charts
370(1)
Challenges for EHR Sustainability
371(1)
The Future of Primary Health Care
372(2)
The Financial Sustainability of Health Care in Canada
373(1)
Summary
374(1)
Review Questions
375(1)
References
375(4)
Glossary 379(18)
Appendix: Declaration of Alma-Ata 397(4)
Index 401


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