Self-determination in health: a road to community wellness? A critical look at Island Lake's evolving model of health service delivery
The disproportionate burden of disease in the Aboriginal population in Canada has become so great that it is now being referred to as a health ‘crisis’. Evidence suggests that the answer to these ills lies not in the western biomedical model of heath care, but within the Aboriginal traditions of sel...
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ftcanadathes:oai:collectionscanada.gc.ca:MWU.1993/280 2023-05-15T16:15:17+02:00 Self-determination in health: a road to community wellness? A critical look at Island Lake's evolving model of health service delivery Grimes, Deborah L. Wuttunee, Wanda (Native Studies) Kulchyski, Peter (Native Studies) Poffenroth, Linda (Community Health Sciences) 2006-09-14T13:34:11Z http://hdl.handle.net/1993/280 en_US eng http://hdl.handle.net/1993/280 First Nations health service delivery models self-determination Electronic Thesis or Dissertation 2006 ftcanadathes 2014-03-30T00:48:43Z The disproportionate burden of disease in the Aboriginal population in Canada has become so great that it is now being referred to as a health ‘crisis’. Evidence suggests that the answer to these ills lies not in the western biomedical model of heath care, but within the Aboriginal traditions of self-determination and holism (RCAP, 1996; O’Neil, Lemckuk-Favel, Allard & Postl, 1999; Romanow, 2002; CIHI, 2004; Maar, 2004; First Nations & Inuit Regional Health Survey, 2004). To this end, First Nations communities have been negotiating with the federal government and transferring responsibility for their community-based health services since 1986, despite the limitations of the federal Health Transfer Policy (Gregory, Russell, Hurd, Tyance & Sloan, 1992; Lavoie, et al, 2005; RCAP, Vol 3, Chp 3, 1996; Speck, 1989). These self-determination initiatives in health attempt to improve the health status of community members. Thus, determining an approach to health service delivery that contributes to positive health outcomes is of particular significance. Examining Island Lake’s evolving model of health service delivery indicates the success of the intergovernmental, interdepartmental, and intersectoral partnership approach they have taken; as evidenced by the Regional Renal Health Program, with dialysis treatment services, that has been established, perhaps for the first time in the country, in a remote First Nations community without existing hospital services. There remains work to be done in creating a holistic system of health service delivery that reflects their unique worldview within a context of health promotion and self-determination; however, their accomplishments to date, established processes, willingness to put their dreams into action and build what has not been built before demonstrate a potential to improve community health and well-being. Thesis First Nations inuit Theses Canada/Thèses Canada (Library and Archives Canada) Canada Hurd ENVELOPE(-60.366,-60.366,-62.682,-62.682) |
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Open Polar |
collection |
Theses Canada/Thèses Canada (Library and Archives Canada) |
op_collection_id |
ftcanadathes |
language |
English |
topic |
First Nations health service delivery models self-determination |
spellingShingle |
First Nations health service delivery models self-determination Grimes, Deborah L. Self-determination in health: a road to community wellness? A critical look at Island Lake's evolving model of health service delivery |
topic_facet |
First Nations health service delivery models self-determination |
description |
The disproportionate burden of disease in the Aboriginal population in Canada has become so great that it is now being referred to as a health ‘crisis’. Evidence suggests that the answer to these ills lies not in the western biomedical model of heath care, but within the Aboriginal traditions of self-determination and holism (RCAP, 1996; O’Neil, Lemckuk-Favel, Allard & Postl, 1999; Romanow, 2002; CIHI, 2004; Maar, 2004; First Nations & Inuit Regional Health Survey, 2004). To this end, First Nations communities have been negotiating with the federal government and transferring responsibility for their community-based health services since 1986, despite the limitations of the federal Health Transfer Policy (Gregory, Russell, Hurd, Tyance & Sloan, 1992; Lavoie, et al, 2005; RCAP, Vol 3, Chp 3, 1996; Speck, 1989). These self-determination initiatives in health attempt to improve the health status of community members. Thus, determining an approach to health service delivery that contributes to positive health outcomes is of particular significance. Examining Island Lake’s evolving model of health service delivery indicates the success of the intergovernmental, interdepartmental, and intersectoral partnership approach they have taken; as evidenced by the Regional Renal Health Program, with dialysis treatment services, that has been established, perhaps for the first time in the country, in a remote First Nations community without existing hospital services. There remains work to be done in creating a holistic system of health service delivery that reflects their unique worldview within a context of health promotion and self-determination; however, their accomplishments to date, established processes, willingness to put their dreams into action and build what has not been built before demonstrate a potential to improve community health and well-being. |
author2 |
Wuttunee, Wanda (Native Studies) Kulchyski, Peter (Native Studies) Poffenroth, Linda (Community Health Sciences) |
format |
Thesis |
author |
Grimes, Deborah L. |
author_facet |
Grimes, Deborah L. |
author_sort |
Grimes, Deborah L. |
title |
Self-determination in health: a road to community wellness? A critical look at Island Lake's evolving model of health service delivery |
title_short |
Self-determination in health: a road to community wellness? A critical look at Island Lake's evolving model of health service delivery |
title_full |
Self-determination in health: a road to community wellness? A critical look at Island Lake's evolving model of health service delivery |
title_fullStr |
Self-determination in health: a road to community wellness? A critical look at Island Lake's evolving model of health service delivery |
title_full_unstemmed |
Self-determination in health: a road to community wellness? A critical look at Island Lake's evolving model of health service delivery |
title_sort |
self-determination in health: a road to community wellness? a critical look at island lake's evolving model of health service delivery |
publishDate |
2006 |
url |
http://hdl.handle.net/1993/280 |
long_lat |
ENVELOPE(-60.366,-60.366,-62.682,-62.682) |
geographic |
Canada Hurd |
geographic_facet |
Canada Hurd |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_relation |
http://hdl.handle.net/1993/280 |
_version_ |
1766001005958266880 |