REPORT SUMMARY
INDIGENOUS HEALTH IN FEDERAL, PROVINCIAL, AND TERRITORIAL HEALTH POLICIES AND SYSTEMS This report summary provides an overview of Indigenous health policy across jurisdictions in Canada. It explores how Indigenous health care is approached by federal, provincial, and territorial governments and health care systems, and identifies recent policy improvements, persistent gaps, and areas for further research to inform future and ongoing policy discussions. The information comes from a 2023 report from the National Collaborating Centre for Indigenous Health called: Indigenous health in federal, provincial, and territorial health policies and systems.
Introduction Indigenous health care in Canada is provided through a patchwork of legislation, policies, treaties, and agreements between provincial, territorial, federal, and Indigenous governments. This patchwork provides an opportunity for policy lessons
and comparisons. However, it also creates confusion and inconsistencies about responsibility to fund, deliver, and regulate Indigenous health care. The patchwork stems from both historic colonial policies and the decentralized organization of Canada’s complex health care network, which is made up of 14 systems: one for every province and territory, and one operated by the First Nation and Inuit Health Branch (FNIHB) of Indigenous Services Canada (ISC). Provincial and territorial health care systems are responsible for health care provided to residents of their jurisdiction, while the FNIHB plans, finances, and delivers select primary and preventative health programs for status First Nations and Inuit communities in the provinces and the Yukon. There are also some arrangements between the FNIHB and certain First Nations and Inuit communities.
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