Financing a First Nations and Inuit Integrated Health System
- A Discussion
Laurel Lemchuk-Favel
FAV COM
February 22, 1999
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 (193 KB)
Table of contents
Overview
Scope
of the Paper
The
Provincial Environment
First
Nations and Inuit Integrated Health Funding
Why
is it needed?
- Limitations
of Health Transfer
- Focus
of the Western Health System
- Lack
of Culturally Sensitive or Traditional Programming
- Cost
Shifting Concerns
- Limitations
to Achieving Efficiencies with the Present System
- Resources
Currently Provider Driven
- Current
Government Directions
- Opportunity
for Greater Accountability
Aboriginal/Indigenous
Health Systems
The
United States Experience
Factors
For Consideration in an Integrated Health Funding Approach
Equity
in Health Care
- Mortality
rates
- Demographic
structure
- Socio-economic
Risk
- Geographic
Location and Community Size
- Capacity
Requirements
First
Nations and Inuit Population Projections
Implications
of Demography
Long
Term Impact of Bill C-31 Status Inheritance Rules
The
Scope of Integrated Health Funding
Provincial
Overview
- MSB
- DIAND
- Province
of Ontario
- Per
Capita Calculations
Community
Expenditures
- MSB
- Province
of Ontario
- DIAND
Combined
Expenditure Scenarios
Community
Structures and Requirements
Economies
of Scale and Purchasing
Governing
Body
Capacity
Requirements
and Principles
Legislative
Environment
Pilots
Observations
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