PHAR 2610; Topic 10 - Emerging Issues in the Canadian Health Care system

Current System Challenges; an increasing and evolving _____________ for healthcare.

demand

Current System Challenges; slow changing ___________ that lags behind ___________.

supply, demand

Current System Challenges; current healthcare system is _______________ unsustainable.

financially

Three man drivers of increased healthcare demand;

aging population, sedentary lifestyles, technology advances

There is also increasing demands for newer types of healthcare, such as (2);

tele-medicine, community/homecare

Which province's population is aging the fastest?

NL

As the average age of a Provinces population increases, health __________________________ also increases.

expenditure per capita

In 1985 ___% of Canadian adults were obese, today that rate is ___%.

6.1, 24

The average healthcare spending on one obese adult is about ______$ higher than healthcare spending on the average (normal weight) adult.

395

As much as the advancement of medical technology is a good thing, introducing new technology will increase...

healthcare spending

Telemedicine demands are increased because of higher ________________ for services, and a shortage of _________ offering traditional in-person care.

wait times, GP's

True or false; 2/3rds of healthcare consumers prefer seeing a doctor virtually.

true

Homecare services aren't just for geriatric services, but other services such as (3)...

hospice, therapy services, homemaking

Increased demand for homecare will in turn increase demand for...

homecare workers

Access to primary and specialist care is significantly ____________ in Canada.

delayed

Physician ________________ can decrease physician supply.

burnout

"Code gridlock" refers to when a patient is...

ready to move on from hospital to an alternative care location, but no care location is available.

"Code Gridlock" leads to unnecessary...

use of hospital beds

For those who get access to home care, they still don't get enough _______ with homecare workers.

time

>____% of physicians report burnout.

50

_________ career doctors report more burnout.

early

Who experiences more burnout; female or male doctors?

female

Which medical specialty experiences the highest burnout rates?

Family Care

Causes of physician burnout (5)...

heavy workload, staffing shortages, administrative burdens, system pressures, resource gaps

Consequences of physician burnout on the healthcare system (3);

medical errors, high turnover, reduced access

Canada is particularly bad at the ________________ of care.

coordination

Canada's health spending is best described as...

rising

Canada's economic growth is ___________, and government revenues are ___________.

slowing, dropping

It is suggested that increased risk factors for chronic conditions could be reduced with ______________ incentives to that promote...

Economic, healthy behaviors

To address physician burnout we need to reduce ___________________ and improve ________________ for physicians

administrative burden, work-life balance

Lack of integrated (Coordinated) care could be improved with a shift from a fee-for-service system to...

bundled payment system

What are the three main reasons people don't engage in healthy behaviours?

poor self control, procrastination, budget constraints

There are two methods of economic incentive for engaging in healthy behaviour...

rewards (carrots), penalties (Stick)

Some versions of economic health-incentives we currently see...

taxes on sugary drinks, tobacco, alcohol

Some reforms that need to be made to primary care (4);

team-based, after hours , adoption of EMR, tight rostering

Some reforms that need to be made to homecare;

train more staff, extend employment insurance, subsidize services, GST exemptions

________________; a new position in healthcare that takes on some of the administrative burden (paperwork) for doctors.

medical scribe

A proposed program to manage rising drug costs...

National Pharmacare program

Which bears more financial burden on the healthcare system; smoking or obesity?

obesity

_____________; drugs developed to treat a rare condition.

Orphan drugs

Orphan drugs target small populations, making them _______________ to produce without...

uneconomical, high government incentives

There is an increase in the rate of growth of spending on expensive drugs classes like...

oncology, autoimmune, orphan drugs, biologics

In Canada, the average wait time from GP -> Specialist -> treatment is __________ weeks.

27.4

Your Grandfather has been stuck in hospital for a month, waiting for a bed to open up in a nursing home. What term best describes this scenario?

Code Gridlock

You downloaded a new app on your phone. Everyday you hit 10000 steps, your name gets entered in a lottery for a 100$ cash prize. This is an ___________-based _____________ incentive to get yourself to engage in more...

rewards, economic, healthy behaviours