HLTH 305 - Final Exam Questions with Correct Answers Latest 2025
What does the Canadian government cover re: long-term and palliative care? - Answers Costs of
care (up to a limit)
What do the residents cover re: long-term and palliative care? - Answers Cost of accomodations
When were home care programs introduced? - Answers 1950s
Characteristics of home care - Answers - Provincial responsibility
- Provincial plans cover home support services and home nursing
- Some offer pysio, OT, speech, respiratory therapy
- Some require physician referral or limit access to age and income groups
- Private system is heavily involved
- Most use sliding scale based on income
Define pharmacare - Answers Drug coverage program
Romanow Recommendations (2002) for Pharmacare - Answers - Catastrophic Drug Transfer -
protects patients in all parts of the country from high costs
- National Drug Agency - process for assessing quality and cost-effectiveness of new drugs
which includes:
- A national formulary for prescription drugs (currently, each province and territory has its own
list of prescription drugs that are covered under its drug insurance plan)
- Patent review - Aspects of Canada's patent laws should be reviewed in order to improve
access to generic drugs and contain costs
Pre-1950 mental health treatments - Answers - Sedation and restrain
- Hydrotherapy
- Heat-boxes
- Malarial fever treatments
- Induced coma
- Surgery (lobotomies or electroconvulsive therapy)
Mental health in 1960s - Answers - 1963: Shift away from asylums into community: based on
"More for Mind" report
, - Psychiatric hospital population rose
Definition: CASE MANAGEMENT - Answers Assisting/advocating for people with disabilities
within the context of community (e.g. education, employment, housing..)
Definition: SYSTEM NAVIGATORS - Answers Coordinating care at various agencies (e.g. social
workers)
Definition: ASSERTIVE COMMUNITY TREATMENT (ACT) - Answers Team treatment care.
Designed for intensive users of health-care system; provides home-based care
Barriers to reform in mental health care - Answers ** Canada is the only developed country
without a national mental health strategy
** Falls under provincial jurisdiction (feds cannot regulate policy)
** CCMH has no legal policymaking jurisdiction
- Federalism leads to fragmentation because housing and employment are provincially
administered
- Psychotherapy remains unregulated
- Principles of NPM do not apply to mental health (evidence, integration, accountability) and
focuses on poor performance indicators
Two negative implications of use of drugs rather than longer hospital stays - Answers - Costs to
patient
- Influence of private sector
When did most provincial governments establish prescription drug programs targeted at
seniors? - Answers 1970s
Why is it difficult to regulate the pharma industry? - Answers - Large size and scope
- Nature of the products (research, testing, sensitive environment)
When were the pushes to establish pharmacare and by who? - Answers 1997 - National Forum
on Health
2002 - Romanow Report
Who pays for drugs in Canada? - Answers Ottawa sets the law and standards, but provinces
responsible for paying for drugs
Barriers to pharmacare - Answers - Cost (10-20 billion/year)
What does the Canadian government cover re: long-term and palliative care? - Answers Costs of
care (up to a limit)
What do the residents cover re: long-term and palliative care? - Answers Cost of accomodations
When were home care programs introduced? - Answers 1950s
Characteristics of home care - Answers - Provincial responsibility
- Provincial plans cover home support services and home nursing
- Some offer pysio, OT, speech, respiratory therapy
- Some require physician referral or limit access to age and income groups
- Private system is heavily involved
- Most use sliding scale based on income
Define pharmacare - Answers Drug coverage program
Romanow Recommendations (2002) for Pharmacare - Answers - Catastrophic Drug Transfer -
protects patients in all parts of the country from high costs
- National Drug Agency - process for assessing quality and cost-effectiveness of new drugs
which includes:
- A national formulary for prescription drugs (currently, each province and territory has its own
list of prescription drugs that are covered under its drug insurance plan)
- Patent review - Aspects of Canada's patent laws should be reviewed in order to improve
access to generic drugs and contain costs
Pre-1950 mental health treatments - Answers - Sedation and restrain
- Hydrotherapy
- Heat-boxes
- Malarial fever treatments
- Induced coma
- Surgery (lobotomies or electroconvulsive therapy)
Mental health in 1960s - Answers - 1963: Shift away from asylums into community: based on
"More for Mind" report
, - Psychiatric hospital population rose
Definition: CASE MANAGEMENT - Answers Assisting/advocating for people with disabilities
within the context of community (e.g. education, employment, housing..)
Definition: SYSTEM NAVIGATORS - Answers Coordinating care at various agencies (e.g. social
workers)
Definition: ASSERTIVE COMMUNITY TREATMENT (ACT) - Answers Team treatment care.
Designed for intensive users of health-care system; provides home-based care
Barriers to reform in mental health care - Answers ** Canada is the only developed country
without a national mental health strategy
** Falls under provincial jurisdiction (feds cannot regulate policy)
** CCMH has no legal policymaking jurisdiction
- Federalism leads to fragmentation because housing and employment are provincially
administered
- Psychotherapy remains unregulated
- Principles of NPM do not apply to mental health (evidence, integration, accountability) and
focuses on poor performance indicators
Two negative implications of use of drugs rather than longer hospital stays - Answers - Costs to
patient
- Influence of private sector
When did most provincial governments establish prescription drug programs targeted at
seniors? - Answers 1970s
Why is it difficult to regulate the pharma industry? - Answers - Large size and scope
- Nature of the products (research, testing, sensitive environment)
When were the pushes to establish pharmacare and by who? - Answers 1997 - National Forum
on Health
2002 - Romanow Report
Who pays for drugs in Canada? - Answers Ottawa sets the law and standards, but provinces
responsible for paying for drugs
Barriers to pharmacare - Answers - Cost (10-20 billion/year)
