Question 1

How are Canada's medically necessary health care services financed?&#10;A) Out-of-pocket payment&#10;B) Public taxation&#10;C) Private insurance&#10;D) Charitable donations

Accepted Answer

Medically necessary health care services are financed by the government through general tax revenues.

Question 2

What is the &#34;redistributive effect&#34; with regard to net federal expenditures in Canada?&#10;A) All provinces share equally in federal expenditure on health care.&#10;B) Provinces receive similar funding amounts from the federal government.&#10;C) Some provinces receive more funding than others from the federal government.&#10;D) Provinces and territories determine the share of federal funding they receive.

Accepted Answer

The redistributive effect describes the distribution of health care funding in Canada. The federal government receives more tax revenues from certain provinces, but gives more funding to provinces where economic conditions are less favourable.

Question 3

One provision included in the Canada Health Act requires that each provincial health insurance plan must deliver which services in hospital and by physicians at a basic level?&#10;A) Urgent care services&#10;B) Health-promoting services&#10;C) Medically necessary services&#10;D) Preventive services

Accepted Answer

According to the Canada Health Act, each provincial health insurance plan must cover all medically necessary health services delivered in hospital and by physicians.

Question 4

According to the Canada Health Act, how must hospital, diagnostic, and physician services be paid for by those needing and receiving care?&#10;A) Out of pocket&#10;B) Reimbursed through insurance&#10;C) Free provisions at point of service&#10;D) Billed according to income

Accepted Answer

Hospital, diagnostic, and physician services are financed through general tax revenues and are provided free at the point of service, as required by the Canada Health Act.

Question 5

What is the main difference between the financing of public versus private sector services?&#10;A) Cost of practitioner services&#10;B) Insurance type&#10;C) Allocation of medical services according to need&#10;D) Government philosophy

Accepted Answer

Public services (Medicare) include medically necessary hospital, diagnostic, and physician services that are financed through general tax revenues and provided free at the point of service, as required by the Canada Health Act, as well as some priority programs. Private sector services are funded through a variety of private insurance or out-of-pocket financing.

Question 6

What options exist in some jurisdictions to provide publicly funded provincial/territorial health care service coverage that is not required under the Canada Health Act?&#10;A) Unique for-profit programs&#10;B) Specific population-based programs&#10;C) Not-for-profit provision pilots&#10;D) Alternative insurance plans

Accepted Answer

Provinces and territories each have a specific range of population-oriented publicly funded programs they can offer that are not part of any national framework.

Question 7

Why is the Canadian health care system more effective than the US system when it comes to controlling overall health care expenditures?&#10;A) Canada has better-educated practitioners.&#10;B) Canada has a single-payer financing system and universal health care coverage.&#10;C) Canada provides lower health care provider remuneration.&#10;D) Facility location and cost is more economical in Canada.

Accepted Answer

Although Canadians are faced with their own set of health system challenges, Canada's single-payer financing system, together with universal coverage for all Canadians, has proven to be more effective than the US market system of health for controlling overall health expenditures (but less effective than the systems of some European countries).

Question 8

How do alternate-level-of-care populations affect health system performance in Canada?&#10;A) They often require improved acute care services.&#10;B) They present family interaction challenges.&#10;C) They experience poor care integration and contribute to high cost of care.&#10;D) They present challenges for health care system analysis.

Accepted Answer

Patients who require an alternate level of care must wait in a bed at a facility for placement in a more appropriate setting, such as home care or residential care. This means that their care level is not consistent with care needs and that the cost for care is excessive.

Question 9

In which way is the health care system expected to demonstrate value in how it allocates financial resources? (Select all that apply.)&#10;A) Success in adhering to policy guidelines&#10;B) Favourable health status outcomes&#10;C) System responsiveness&#10;D) Best equity outcomes&#10;E) Success in maintaining staff remuneration levels

Accepted Answer

The health care system is expected to obtain the best outcomes in health status, health system responsiveness, and equity for the resources applied.

Question 10

What are the key factors that contribute to international variations in health care expenditures? (Select all that apply.)&#10;A) Global pressures&#10;B) Type of health care services provided&#10;C) Health care provider costs&#10;D) Format of government planning&#10;E) Sources of health care funding

Accepted Answer

Factors that contribute to international variations in health care spending include sources of funding (private or public), the format of state (government) planning, the remuneration of health care professionals (particularly physicians), and the nature of health care services provided.

Deck 15: Funding, Expenditures, and Resources