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Accessing HealthcareResponding to diversity$
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Judith Healy and Martin McKee

Print publication date: 2004

Print ISBN-13: 9780198516187

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198516187.001.0001

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The value and Challenges of Separate Services

The value and Challenges of Separate Services

First Nation in Canada

Chapter:
(p.325) Chapter 17 The value and Challenges of Separate Services
Source:
Accessing Healthcare
Author(s):

Judith Healy

Martin McKee

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198516187.003.0017

The Canadian ‘health transfer policy’ announced in 1986 offered First Nations the opportunity to take over the administration and delivery of health services on reserves. In 2001, Health Canada reported that 70% of eligible communities were managing their own health services while another 12% were engaged in pre-transfer discussions. Primary health care had been funded by the federal government and other health services were provided by provincial governments. Transfer arrangements, however, must navigate an administrative maze with regards to resource allocation, jurisdictional divides, staffing, and governance.

Keywords:   First Nations, Canada, devolution, health services, Health Canada, resource allocation, jurisdictional divides, staffing, governance

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