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HINF 265 TEST #1 - QUESTIONS AND ANSWERS | WITH COMPLETE SOLUTIONS

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Struggling with HINF 265 or your Canadian Healthcare Systems final? This comprehensive study guide transforms complex health policy and organizational theory into an easy-to-memorize Question & Answer format. Designed for health information science students, this resource covers every major topic tested on the HINF 265 final exam. What's Inside (Organized by Exam Blueprint): Canada Health Act (CHA) - 1984: The 5 principles: Public Administration, Comprehensiveness, Universality, Portability, Accessibility (definitions and examples) Primary objective: protect, promote, and restore physical/mental well-being Private healthcare limitations under CHA Healthcare Funding & Spending: 70% of total healthcare spending → Public Sector Funding Three main sources of increased spending (provider compensation, increased service use, evolution of services) Supplemental costs (prescriptions, dentistry, home care, long-term care) Healthcare spending rises but growth rate slows Government Roles & Structure: Federal government roles (First Nations, RCMP, Canadian Forces, Veterans, federal penitentiaries) Provincial/Territorial roles (administer and deliver health services, hospitals, legislation, licensing) BC's 5 health authorities (Fraser, Interior, Northern, Vancouver Coastal, Vancouver Island) Provincial Health Services Authority (provincial programs and specialized services) Levels of Care & Service Types: Primary, Secondary, Tertiary, Quaternary care definitions Emergency care vs. Urgent care vs. Acute care (with patient scenarios) Ambulatory care settings (freestanding medical centers, organized independent settings) Patient Medical Home (PMH) definition Healthcare Challenges & Accords: Two big challenges: ALC beds and ED misuse First Ministers' Accord on Health Care Renewal 10-Year Plan to Strengthen Health Care Three themes: Quality, Accessibility, Sustainability Population Health & Surveillance: CCDSS (Canadian Chronic Disease Surveillance System) Chronic diseases tracked (cardiovascular, respiratory, mental illness, diabetes, musculoskeletal, neurological) Factors affecting population health (socioeconomic status, geography, support systems, diet, activity, gender, biology) CIHI's 4 key focus areas for wait times Morbidity vs. Mortality definitions Organizational Theory (Mintzberg): 3 Dimensions of organizations (key part, coordinating mechanism, decentralization type) 5 Parts of an organization (Strategic Apex, Middle Line, Operating Core, Technostructure, Support Staff) 5 Prime Coordinating Mechanisms (Direct Supervision, Standardization of work processes, skills, output, Mutual Adjustment) Differentiation vs. Integration Matrix structure (strengths and weaknesses) Divisionalized form (strengths and weaknesses) Organizations as open systems (not closed) Organizational Culture & Power: 3 Levels of culture (Artifacts, Espoused beliefs/values, Basic underlying assumptions) 2 Critical functions (Internal Integration, External Adaptations) Tuckman's stages (Forming, Storming, Norming, Performing) Common sources of power (Positional, Interpersonal, Knowledge, Derived, Referent) Expertise and Information as knowledge-based power Canadian Healthcare Performance: Biggest concern for Canadians: Timely Access to Care Canada performs BELOW international average for timely access Canadians visit ED more often and wait LONGER than other countries Physician Supply & Care Transitions: Physician supply vs. distribution (increased medical school enrollment, more physicians than ever) Essential factors for successful PITs (Rapport, Team mentality, Clear expectations, Punctuality, Plan follow up, Suitability criteria) PITs impact (reduced psychiatry wait times, more students seen with fewer resources) Why This Guide Works: The Q&A format forces active recall—the #1 evidence-based study technique. Review the question, test yourself, verify with the answer, and walk into your HINF 265 final with confidence. Perfect for: HINF 265 (Health Information Science) Canadian Healthcare Systems courses Health Administration programs Nursing programs (Canadian healthcare context) Health Policy exams

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HINF 265 TEST #1 - QUESTIONS AND ANSWERS
| WITH COMPLETE SOLUTIONS




What are examples of external coalition of power influences? - ANS.... --
Consumers
- Owners/Stakeholders
- Public and Social Media
- Professional Associations


What are examples of internal coalition of power influences? - ANS.... --
Operating staff
- Support staff
- Analysts
- Line Managers


What are some examples of supplemental costs? - ANS.... -Prescription
medications, dentistry, home care, and long term care


What are two big challenges with care transitions and integration? - ANS....
-ALC beds (hospital beds for non-acute patients) and people using the ED
who should be using home or community care


True or False? Healthcare spending lowers but growth rate increases -
ANS.... -False. Healthcare spending rises but growth rate slows

, Where does 70% of total health care spending go towards? - ANS.... -
Public Sector Funding


What are the three main sources of increased spending? - ANS.... -1.
Provider compensation
2. Increased use of services
3. Evolution of services available and used


How many health authorities does BC have and what are they called? -
ANS.... -There are 5 health authorities:
- Fraser Health
- Interior Health
- Northern Health
- Vancouver Costal Health
- Vancouver Island Health


What do provincial health services authority oversee? - ANS.... -The co-
ordination and delivery of provincial programs and highly specialized
health-care services


True or False? The CHA allows private health care only for limited services
at mutually agreed upon rates - ANS.... -True


What are some reasons there is a rise in Canadian health care
expenditures? - ANS.... -- Population growth
- Population aging
- Income growth and inflation

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