The Canadian Health Care Delivery System Exam Questions and Answers

145 Questions and Answers

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A clear understanding of how healthcare is structured, funded, and delivered in Canada is essential for healthcare professionals, students, and anyone preparing for certification exams. This The Canadian Health Care Delivery System Exam Questions and Answers resource provides an in-depth review of the foundational concepts, current policies, and operational frameworks that define healthcare across the country.

This practice exam covers the core components of the Canadian health system, including the principles of the Canada Health Act, federal and provincial responsibilities, public funding models, and the organization of primary, secondary, and tertiary care services. It highlights the differences between provincial systems, while emphasizing the shared commitment to universality, accessibility, and portability.

You’ll encounter scenario-based questions that test your knowledge of the roles of healthcare providers, health authorities, Indigenous health services, and interdisciplinary teams. The exam also addresses current topics such as healthcare equity, wait times, telehealth, mental health services, and the challenges of serving rural and remote communities.

Learners will gain insight into how the Canadian system compares to international models, understand the legal and ethical principles guiding care delivery, and examine the growing impact of policy reform, technology, and demographic shifts on the future of healthcare in Canada.

Each question is designed to reinforce critical thinking and policy awareness, helping you prepare for exams that assess not just memorization, but practical application of health systems knowledge. Whether you’re preparing for a nursing, public health, or healthcare management certification, this tool offers targeted preparation that aligns with current educational and professional standards.

This resource is especially valuable for students in Canadian healthcare programs, internationally educated professionals entering the Canadian workforce, or anyone seeking to improve their understanding of how the Canadian healthcare system functions at both macro and micro levels.

Sample Questions and Answers

Which level of government is primarily responsible for health care delivery in Canada?

a) Federal
b) Provincial/Territorial
c) Municipal
d) International

Answer: b) Provincial/Territorial

What is the primary legislation that governs Canada’s health care system?

a) Canada Health Act
b) Public Health Act
c) Health Protection Act
d) Provincial Health Care Act

Answer: a) Canada Health Act

The Canada Health Act is based on how many key principles?

a) Four
b) Five
c) Six
d) Seven

Answer: b) Five

Which of the following is NOT one of the principles of the Canada Health Act?

a) Public administration
b) Portability
c) Affordability
d) Universality

Answer: c) Affordability

Which province was the first to implement a publicly funded health care system in Canada?

a) Ontario
b) Saskatchewan
c) British Columbia
d) Quebec

Answer: b) Saskatchewan

What does “portability” in the Canada Health Act refer to?

a) Services must be portable within Canada and abroad.
b) Services must be accessible regardless of mobility.
c) Residents moving between provinces must retain health coverage.
d) Health services must be available electronically.

Answer: c) Residents moving between provinces must retain health coverage.

Which of the following is an example of primary health care?

a) Heart surgery
b) Cancer treatment
c) Vaccinations
d) Dialysis

Answer: c) Vaccinations

How is health care funded in Canada?

a) Private insurance
b) Employer contributions
c) Taxation
d) Out-of-pocket payments

Answer: c) Taxation

Which population group is covered by the Non-Insured Health Benefits (NIHB) Program?

a) Veterans
b) Seniors
c) First Nations and Inuit
d) Refugees

Answer: c) First Nations and Inuit

What is the role of Health Canada?

a) Direct health service delivery
b) Federal oversight and policy development
c) Provincial health care funding
d) International health program management

Answer: b) Federal oversight and policy development

Which term describes the coordination of care across various sectors of the health care system?

a) Vertical integration
b) Continuity of care
c) Episodic care
d) Patient-centered care

Answer: b) Continuity of care

Who sets the criteria for insured health services in Canada?

a) Federal government
b) Provincial governments
c) Health Canada
d) Canadian Medical Association

Answer: a) Federal government

What is the primary responsibility of regional health authorities?

a) Policy-making
b) Health service delivery at the local level
c) Funding allocation
d) Research

Answer: b) Health service delivery at the local level

Which province has the highest health care expenditure per capita in Canada?

a) Ontario
b) British Columbia
c) Newfoundland and Labrador
d) Alberta

Answer: c) Newfoundland and Labrador

What percentage of Canadian health care expenditures are publicly funded?

a) 50%
b) 60%
c) 70%
d) 80%

Answer: c) 70%

What does the term “medically necessary services” mean under the Canada Health Act?

a) Services deemed necessary by the patient.
b) Services required to maintain health.
c) Services covered by public insurance plans.
d) Services provided only in emergencies.

Answer: c) Services covered by public insurance plans.

Which of the following groups does NOT have federal health coverage programs specifically tailored for them?

a) Military personnel
b) Refugees
c) Immigrants
d) Indigenous peoples

Answer: c) Immigrants

What is the largest health care expense in Canada?

a) Pharmaceuticals
b) Hospitals
c) Physician services
d) Long-term care

Answer: b) Hospitals

Which Canadian organization is responsible for accreditation of health care institutions?

a) Health Canada
b) Accreditation Canada
c) Canadian Medical Association
d) Canadian Health Council

Answer: b) Accreditation Canada

What is a major challenge facing the Canadian health care system today?

a) Oversupply of health care workers
b) Aging population
c) Decreased demand for services
d) Reduced federal funding

Answer: b) Aging population

Which type of health care professional is most commonly the first point of contact in Canada?

a) Specialist
b) Family physician
c) Nurse practitioner
d) Emergency room physician

Answer: b) Family physician

How often are federal health transfers reviewed?

a) Annually
b) Every 5 years
c) Every 10 years
d) No set schedule

Answer: b) Every 5 years

Which of the following is a public health initiative in Canada?

a) Organ transplantation
b) Tobacco cessation programs
c) Kidney dialysis
d) Cardiac surgery

Answer: b) Tobacco cessation programs

Which province was the last to join the national health insurance program?

a) Alberta
b) Quebec
c) Newfoundland and Labrador
d) Prince Edward Island

Answer: c) Newfoundland and Labrador

What percentage of Canadians have supplementary private health insurance?

a) 30%
b) 50%
c) 65%
d) 80%

Answer: c) 65%

Which level of care focuses on chronic disease management and rehabilitation?

a) Primary
b) Secondary
c) Tertiary
d) Quaternary

Answer: c) Tertiary

What is the primary role of the Public Health Agency of Canada?

a) Funding health care services
b) Conducting public health research
c) Promoting disease prevention and health protection
d) Delivering health care services

Answer: c) Promoting disease prevention and health protection

What does the term “waiting time” in the Canadian health care system refer to?

a) Time to access a specialist or procedure
b) Time to receive a health card
c) Time to get lab test results
d) Time for federal funding transfers

Answer: a) Time to access a specialist or procedure

Which organization provides health care advice and information to Canadians online and by phone?

a) Telehealth Canada
b) HealthLink
c) Health Canada
d) Public Health Agency of Canada

Answer: b) HealthLink

What is the approximate percentage of GDP spent on health care in Canada?

a) 5%
b) 10%
c) 15%
d) 20%

Answer: b) 10%

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