The value and Challenges of Separate Services
The value and Challenges of Separate Services
First Nation in Canada
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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