GTP-GROUP5

Michael Huang, Zohair Kamran, Stella Choe, Eason Hou and Jasman Mangat

Oakville

Access

-Everyone has access to doctors and hospitals (such as checkups or other medical related clinics).

-Everyone receives equal amount of health care (only applies to insured people)

-Kids have access to almost everything….

• tetanus injections, vaccines and immunizations which are always free

• free checkups etc...

• for elders they need some specific medical treatment but the costs are not high so they are able to afford and sometimes, they are able to receive discounts

Availability

-Hospitals, doctors and clinics are available everyday

-sometimes the hospital/clinic are overcrowded so it takes a little more time to receive health care but this does not happen often.

-However there are many clinics and hospitals in Oakville, where everybody can get checkups and medicines.

-In emergencies, sometimes people don’t need to pay

-able to receive health care faster in worse conditions

Location

-In Oakville there are many walk-in clinics, where you can receive free checkups

• dental care or medical health care are available

• the emergency rooms are open day and night twentyfour hours service

Specialization of services

-In Canada, or most western countries, most doctors only know how to cure one kind of disease, because specializing in one kind is a lot better than knowing a little bit of many diseases. For example, a cardiologist only knows how to cure heart diseases, but he is pro at curing it.

-The OHIP(Onatrio health insurance Plan) number is important for receiving medical treatment without paying the cost

• the only way to get it is becoming a permanent residence of Canada.

Costs

-In Oakville, the costs for certain health cares are expensive but affordable (only for certain things)

-free for most of the health care

-only if you have a medical health care card or you are insured, who has an O.H.I.P number(Ontario health insurance plan) you are then specifically free of cost

• because the ministry of health is paying all of your funds and treatments costs that you are getting

• however, unnecessary health care such as cosmetic surgery is not free

Insurance

-some medicines are free only if you have insurance

Benefits

-Ministry of Ontario Health Care provides health care only if you own….

• medical health care card

• coverage

• insurance covered by a company or by the government.

Ontario

Access:-can learn about vaccination for kids, infants & toddlers (babies), and teens-can learn about myth and facts of certain diseases, etc through videos or text on Ontario Health

Care website (http://www.health.gov.on.ca/en/)-most of the vaccines are free-parents are updated through e-mail, school (school forms) and family doctor (or just a doctor)-some of the shots can be received from schools (usually high schools)

• Hepatitis B Immunization Program

• grade 7

• for both gender

• 1st dose is offered at school in September and October

• 2nd dose in offered in April and May

• total 4 times

• Ministry of Health and Long-Term Care provides this vaccine (students don’t need to pay)

• HPV vaccination program (Gardasil)

• for grade 8

• only for girls

• free until grade 12 if you missed it in grade 8 (catch-up shot)

• 1st dose start of in the school year

• 2nd dose is offered 2 months after the 1st dose

• 3rd dose is offered 6 months after the 1st dose (so 4 months after the 2nd dose)-most of the shots are free-usually there’s 1 community hospital in a city (depends on a size of a city)-Mental Health

• good place to begin is your family doctor

• can talk to specialist (child psychiatrist or psychologist)

• treatments are allowed

• can attend to a mental health association club such as Orange County

2.Availability of certain services

-for mental health, you can easily attend to a mental health association club (such as Orange County)

-able to go to a walk-in clinic which is a small clinic near houses (about 5 walk-in clinics are in Oakville)

-as you can see above, Ontario is pretty much available for every health care

-uninsured people will have limitation for health care

3. Location

-clinics such as walk-in clinic is near houses (usually 1 walk-in clinic for each road)

-will not take more than 30 minutes to go to a community hospital because there’s at least one community hospital in one community (depends on where you live, it might take longer)

-easy to reach health care because there are close to where people live

4. Specialization of services

*OHIP = Ontario Health Insurance Plan*

-uninsured people have to pay for all the health care (people who don’t have OHIP)

-Ontario Ministry of Health and Long-Term care covers everything except unnecessary medical such as cosmetic surgery

5.Costs

-for uninsured people, they have to pay for their health care because the Ontario Ministry of Health and Long-Term doesn’t cover it for them (if you have OHIP, they cover for you)

-most of the health care is covered by Ontario Ministry of Health and Long-Term except unnecessary medical such as cosmetic surgery (shots, vaccines are usually free)

6. Benefits/coverage/ insurance-for people who have OHIP (or insurance), they are provided free health care all covered by the

Ontario Ministry of Health and Long-Term-unnecessary medical such as cosmetic surgery is not covered-uninsured people aren’t covered (they have to pay)-pregnancy and parental benefit (PP LBP)*adults can attend it but teen moms can also attend it*

• pregnancy guide program is 8 weeks and maximum $1000 per week

• parental guide program is 9 weeks and maximum $1000 per week

• learn how to breastfeeding-parent’s receive benefits as a family from their workplace (free eye check up, free glasses, free

massage, etc)

• people who work for government usually receive those benefits-life insurance pays for the dead person’s family when a person dies (only if you own life insurance)

Canada

1) Availability and Information:-Canada’s healthcare system is a group of socialized health insurance plans that provides

coverages to all Canadian citizen

-The children of Canada under the care of health have access to varieties of medical services such as hospital and dental clinics

-In Canada, all insured residents (under the care of their guardian have an equal amount of health care no matter of his/her age, but the plans and cost of the healthcare insurances varies by province to province

• Because of this the children of Canada receives a lot of medical attention and has additional standard healthcare, this can include prescription medicine, surgeries, vaccines and dental check ups.

(Source:The Canadian health organization)

1) Availability and Information (Part 2):

-The federal government has ten provinces and three territories’ health insurance plans also know as the “medicare” plays a key role in the Canadian healthcare system each province including the territories is mandate to help Canadians maintain and improve their health

-In addition Canada is responsible for health care that includes setting and administering national principles in the system that sets out the primary objective of Canadian health care policy through the “Canadian Health Act” CHA for short and delivering healthcare to “protect, promote and restore the physical and mental health to specific groups like the First Nations and the Inuits without financial or other barriers to access reasonable health services.

(Source: Health Canada/hc-sc.gc.ca)

Access:- Health cards are used in Canada for access in healthcare (teens that are the age of 16 and up have to get a picture on their

health card and kids/teens that aged 16 and lower they have to have their parents signature on their health card by law)

- Every health card has a OHIP number which health care providers have access through for your medical information

- New Immigrants have a 3 month waiting period for a health card

- There are no forms to be filled out or individual service fees

- clinics (sometimes take money for not bringing health card)

- hospitals

- vaccins ( some vaccines you have to pay for)

- dental surgery ( only covers a certain amount depends on your insurance)

Insurance/ Coverage:

- many services are not covered (eg. optometrists, dental, and prescription medications)

- Canadians also purchase private insurance (eg. life insurance,disability insurance)

- For those Canadians that don’t purchase private health care have such medical expenses

Cost:

- The cost for health care really depends on your insurance

- Health care cost is covered by the government

- can pay for some insurances if want insurance

Examples:-Life Insurance-Disability Insurance-Critical Illness Insurance

Location:

- Clinics (mostly in a walking distance, mostly depending where your family doctor clinic is)

-Hospitals(depending where you live it can be a walking distance or if people live far away from the hospital you can call 911 and an ambulance will reach at your house)

Interview

How are the health care facilities organized?Do hospitals use modern facilities?

-depends on the kinds of facilities-needles, tonicat, forceps scissors,etc (everything that is disposable such as non-machine and handy facilities) are disposable

• I personally think disposable facilities are better and safer than the re-used facilities because disinfection isn’t always 100% clean and accurate

-don’t change the facilities to the newest model whenever the newer model comes out Yes, Canadian hospitals have the most up to date facilities ranging from electronic medical records to high class treatment

resources for example:1-injections/needles2-medicines3-surgeries instruments 4-operation instruments

-Physiotherapy-Occupational therapy

Benefits:

- Children get benefits from insurance companies like..

- Life Insurance-> If a child's both parents die and they are covered by life insurance, the child gets paid for losing his/her parents. The child benefits from life insurance because the child might not have anyone to take care of him/her or to buy food for him/herself so with that money the child can provide care for him/herself.

What happens to uninsured people who are ill?Do uninsured people have limitation for health care and do they have limitation even when they receive health care?

-because they have to pay a lot so they usually just decides to not receive health care unless they have a lot of money or desperately need health care

-some people go back to their home country to receive health care (if they are uninsured immigrants)-people who are extremely ill, they receive health care (if they are willing to) and slowly pay back -it’s not like they get poorer health care (only if they pay) because if they are treated poorer even after they pay, it

becomes discrimination-Hospitals by law are required to treat all the people regardless of insurance and don’t have any limitations -The only limitations are on medicines because they cost a lot-There are no limitations in providing healthcare to uninsured people especially if they are actually ill. -A typical

Canadian family of 2 adults 2 children spend anywhere from 5-8 thousand dollars yearly in insurance.

-If they don’t have a OHIP number, they have to pay everything out of their pocket money which is expensive

How much of someone’s income (in a typical family) is spent on medical costs?What type of health care/medical care does the money most spent on and how much do they spend?-cancer would be the most to be spent on (this only apply to the cancer patients)-medicine would be one of them (this applies to everyone)-dental care

• however if they have benefit, they receive free dental health care

• adults and the kids

• dental care isn’t included in a regular check up list

• for people who has low income will receive free dental care(only for kids)-eye check up for kids are free (however, glasses aren’t free unless they have benefit)-eye check up for adults are not free (about $80/person each time)*dental and eye check up does not count in insurance for adults**for kids eye check up goes in to insurance*Most money is spent on preventive care, pregnancies and elderly care for example:1. Operations2. Surgeries3. Heart problems and most of all the money that is spent yearly is about approximately 10-12 thousand dollars.

- Cancer- Infections

What could be improved to make healthcare better/more accessible for children?What would be most needed to be improved on and why?-waiting time in emergency room or walk-in clinic should be shorter-can let the children get check up first-can make separate walk-in clinic for children (the more the better)-because older people can tolerate better than little kids (tolerating time, tolerating pain,etc-also for the kids who aren’t willing to miss school (well also for most of the parents)(only apply to those who aren’t so sick)

-Getting more providers and hospitals will help access for children-Opening more hospitals, recruiting more doctors and decreasing wait time in emergencies are

some aspects which need attention.-Nurses should get payed more so they can stay longer with patients and they can give better care

to patients-waiting time period-More Nurses

What should be done to enable the change?Is it difficult to do something to enable the change?-they can let the children get check up first-they can make separate walk-in clinic for children near houses (the more the better)-there are some kids only clinic, but they are rare so more of them should be built-it will be difficult because…

• they have to receive agreement from the Government of Ontario Health Care (perhaps government of Canada too)

• have to build it (time problem)

• it has to be advertised since not many people know about the kids only clinic

-No, it is not difficult to enable changes and Canadian government is already working on these aspects.

-For the nurses it is because the government doesn’t give enough support so,the nurses have less time to spend time with patients

Interview Questions

1.Details about the “Benefit”-only able to receive benefit only in big company and working full- time (such as hospitals, Samsung, Apple,etc..)-benefit is a benefit from workplace (from the children’s parents’ workplace)-the benefit covers….

• vacation

• health insurance (dental, drug, ocular, massage, medical device, physiotherapy, etc)

• life insurance

2.Any benefits for uninsured people?-probably not.. My mom isn’t sure and she never heard of it-bonus: uninsured means no permanent residency and it is extremely hard to get a job too

3.Any special health related programs that children can learn?-in some swimming camp, or swimming program, teens can learn how to save unconscious people by using artificial

respiration-it can be used in any incident (not just unconscious people from drowning) (such as people who became unconscious

because of allergy reaction)

Interview Questions

1.How are the emergencies over there?(Do patients get immediate treatment, do patients have to pay for their treatment, do they have to like wait because they don’t have that much of emergency so they are kept waited until the other patients who are in need of more treatment although they came after the patients who don’t need that much of a treatment so they get immediate treatment?)

-Emergencies are excellently equipped although there is wait time depending on the day and season. There are two sides of ER, acute and non-acute and understandingly acute cases are handled before non -acute cases which sometimes can mean attending to unstable person before a stable patient even one arrived later.

2. How are the hospital services?-Hospital services sometimes called acute care is most important part of health care system. The Canada Health Act

establishes the criteria that hospitals must meet to provide care which includes standard patient wards, nursing, diagnostics, medicines and use of operating rooms.

3. Are there any sort of discounts on people who can’t afford that much?-For uninsured people, there are financial aid programs, they can also access subsidized health insurance or go to discount

providers or non- profit hospitals. Although most of health care to Canadians is free with only 20-30 percent services given through private sector such as prescription drugs, dentistry and optometry.

Interview QuestionsWhat is the cost for patients in hospitals that are uninsured?-The cost is really expensive for the people that are uninsuredMedical/surgical Bed -> $2,101New Born-> $388ICU Bed -> $2,101Emergency -> $270Specialist Clinic -> $270Ultrasound -> $270Laboratory/referred in lab -> $135Mammogram -> $135X-Ray -> $135CT Scan ->$675Day Surgery -> $1,150Chemotherapy -> $1,266

Are their programs/services available for children?- yes their are programs that are available for childrenexample: Ambulatory Care Programs ->Ambulatory care is a personal health care consultation, treatment, or intervention using advanced

medical technology or procedures delivered on an outpatient

Websites we used..http://www.health.gov.on.ca/en/public/programs/ohip/http://www.health.gov.on.ca/en/http://www.health.gov.on.ca/en/ms/hpv/immunize.aspxhttp://www.health.gov.on.ca/en/ms/hpv/immunize.aspxhttp://www.health.gov.on.ca/en/public/programs/ohip/https://www.google.ca/maps/previewhttp://www.mhaoc.org/spv-4.aspxhttps://www.halton.ca/cms/one.aspx?portalId=8310&pageId=12297http://www.health.gov.on.ca/en/pro/programs/parentalleave/-asked my mom-Knowledge on health care oakvillehealthcare.ontario.cahaltonhealthcare.on.ca\zohairs general knowledgehttp://www.canadian-healthcare.org/