Negotiating barriers, navigating the maze: First Nation peoples' experience of medical relocation
Abstract This study documents the policy framework that shapes First Nations' experience of relocating to access medical care. We analyzed policy documents and government websites, interviewed individuals who have experienced relocation, family members, healthcare providers, health administrato...
Published in: | Canadian Public Administration |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | French |
Published: |
Wiley
2015
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1111/capa.12111 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fcapa.12111 https://onlinelibrary.wiley.com/doi/pdf/10.1111/capa.12111 |
Summary: | Abstract This study documents the policy framework that shapes First Nations' experience of relocating to access medical care. We analyzed policy documents and government websites, interviewed individuals who have experienced relocation, family members, healthcare providers, health administrators, and conducted two focus groups with government representatives. Federal and provincial program managers interpret policies, make decisions on eligibility, to extend or deny coverage. Decisions are shaped by shrinking budgets, fragmented program coverage, and jurisdictional confusion. Provider advocacy can help, but also perpetuate perceptions of arbitrariness and distrust. National policy renewal is required to redress this issue. |
---|