Defined by 0.11%: Policies delimiting access to prescription drugs for First Nations people in British Columbia
The Non-Insured Health Benefits (NIHB) program is a federal program that funds prescription medication, as well as other primary healthcare benefits, for First Nations people registered under the Indian Act and for Inuit. NIHB policies have been developed within the Canadian political realities of a...
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Waakebiness-Bryce Institute for Indigenous Health
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ftunitorontoojs:oai:jps.library.utoronto.ca:article/29051 2023-05-15T16:15:00+02:00 Defined by 0.11%: Policies delimiting access to prescription drugs for First Nations people in British Columbia Wale, Emily Lavoie, Josée G. 2015-12-17 application/pdf https://jps.library.utoronto.ca/index.php/ijih/article/view/29051 eng eng Waakebiness-Bryce Institute for Indigenous Health https://jps.library.utoronto.ca/index.php/ijih/article/view/29051/pdf_27 https://jps.library.utoronto.ca/index.php/ijih/article/view/29051 Copyright (c) 2015 Emily Wale, Josée G. Lavoie http://creativecommons.org/licenses/by-nc-nd/4.0/ CC-BY-NC-ND International Journal of Indigenous Health; Vol. 10 No. 2 (2015); 151-165 2291-9376 2291-9368 10.3138/ijih.v10i2 Indigenous health British Columbia prescription auditor federal pharmaceutical medication policy info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion research-article 2015 ftunitorontoojs https://doi.org/10.3138/ijih.v10i2 2021-10-04T12:40:56Z The Non-Insured Health Benefits (NIHB) program is a federal program that funds prescription medication, as well as other primary healthcare benefits, for First Nations people registered under the Indian Act and for Inuit. NIHB policies have been developed within the Canadian political realities of ambiguity in interpretation of historical legal obligations, patterns of cost shifting onto provincial governments, and a move towards chronic disease management. This study critiques the ambiguities embedded in NIHB and provincial pharmaceutical benefit policies for First Nations people in British Columbia. British Columbia’s Fair PharmaCare and PharmaCare Plan C provincial prescription programs are compared to NIHB. We conducted a review of these policies and completed our understanding by interviewing three pharmacists to better understand decisions surrounding the dispensing process. Four themes surfaced from our analysis: discrepancy between policy and practice in terms of federal versus provincial responsibility; restrictive processes of access to coverage; a system dependent on pharmacists’ goodwill when NIHB denies a claim; and NIHB policies at times being at odds with pharmacists’ clinical judgment and business compensation. Our findings suggest the existence of an ethnically differentiated social contract that perpetuates rather than diminishes barriers to care for First Nations people. Article in Journal/Newspaper First Nations inuit University of Toronto: Journal Publishing Services Indian |
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University of Toronto: Journal Publishing Services |
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ftunitorontoojs |
language |
English |
topic |
Indigenous health British Columbia prescription auditor federal pharmaceutical medication policy |
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Indigenous health British Columbia prescription auditor federal pharmaceutical medication policy Wale, Emily Lavoie, Josée G. Defined by 0.11%: Policies delimiting access to prescription drugs for First Nations people in British Columbia |
topic_facet |
Indigenous health British Columbia prescription auditor federal pharmaceutical medication policy |
description |
The Non-Insured Health Benefits (NIHB) program is a federal program that funds prescription medication, as well as other primary healthcare benefits, for First Nations people registered under the Indian Act and for Inuit. NIHB policies have been developed within the Canadian political realities of ambiguity in interpretation of historical legal obligations, patterns of cost shifting onto provincial governments, and a move towards chronic disease management. This study critiques the ambiguities embedded in NIHB and provincial pharmaceutical benefit policies for First Nations people in British Columbia. British Columbia’s Fair PharmaCare and PharmaCare Plan C provincial prescription programs are compared to NIHB. We conducted a review of these policies and completed our understanding by interviewing three pharmacists to better understand decisions surrounding the dispensing process. Four themes surfaced from our analysis: discrepancy between policy and practice in terms of federal versus provincial responsibility; restrictive processes of access to coverage; a system dependent on pharmacists’ goodwill when NIHB denies a claim; and NIHB policies at times being at odds with pharmacists’ clinical judgment and business compensation. Our findings suggest the existence of an ethnically differentiated social contract that perpetuates rather than diminishes barriers to care for First Nations people. |
format |
Article in Journal/Newspaper |
author |
Wale, Emily Lavoie, Josée G. |
author_facet |
Wale, Emily Lavoie, Josée G. |
author_sort |
Wale, Emily |
title |
Defined by 0.11%: Policies delimiting access to prescription drugs for First Nations people in British Columbia |
title_short |
Defined by 0.11%: Policies delimiting access to prescription drugs for First Nations people in British Columbia |
title_full |
Defined by 0.11%: Policies delimiting access to prescription drugs for First Nations people in British Columbia |
title_fullStr |
Defined by 0.11%: Policies delimiting access to prescription drugs for First Nations people in British Columbia |
title_full_unstemmed |
Defined by 0.11%: Policies delimiting access to prescription drugs for First Nations people in British Columbia |
title_sort |
defined by 0.11%: policies delimiting access to prescription drugs for first nations people in british columbia |
publisher |
Waakebiness-Bryce Institute for Indigenous Health |
publishDate |
2015 |
url |
https://jps.library.utoronto.ca/index.php/ijih/article/view/29051 |
geographic |
Indian |
geographic_facet |
Indian |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
International Journal of Indigenous Health; Vol. 10 No. 2 (2015); 151-165 2291-9376 2291-9368 10.3138/ijih.v10i2 |
op_relation |
https://jps.library.utoronto.ca/index.php/ijih/article/view/29051/pdf_27 https://jps.library.utoronto.ca/index.php/ijih/article/view/29051 |
op_rights |
Copyright (c) 2015 Emily Wale, Josée G. Lavoie http://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_rightsnorm |
CC-BY-NC-ND |
op_doi |
https://doi.org/10.3138/ijih.v10i2 |
_version_ |
1766000737097089024 |