Academic Journal
Expanding Surgical Access in Canada Through Self-Governing First Nations.
| Τίτλος: | Expanding Surgical Access in Canada Through Self-Governing First Nations. |
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| Συγγραφείς: | Crump T; Department of Surgery, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC., Hegazy M; Department of Surgery, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC. |
| Πηγή: | Healthcare policy = Politiques de sante [Healthc Policy] 2026 May; Vol. 21 (3), pp. 74-85. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Longwoods Pub Country of Publication: Canada NLM ID: 101280107 Publication Model: Print Cited Medium: Internet ISSN: 1715-6580 (Electronic) Linking ISSN: 17156572 NLM ISO Abbreviation: Healthc Policy Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Toronto, Ont. : Longwoods Pub., 2005- |
| Ιατρικοί όροι (MeSH): | Health Services Accessibility*/legislation & jurisprudence , Health Services Accessibility*/organization & administration , Health Services, Indigenous*/legislation & jurisprudence, Humans ; Canada ; Waiting Lists ; Indigenous Canadians |
| Περίληψη: | Prolonged surgical wait times in Canada have prompted models exploiting Canada Health Act (1985) loopholes, often compromising care continuity. This review assesses the feasibility of private surgical facilities on First Nations lands. We reviewed modern treaties and self-government agreements of First Nations within 200 km of urban centres, analyzing provisions on legal status and health jurisdiction. Five First Nations met the inclusion criteria. Their agreements confer self-governing status with varying authority over health services, though federal or provincial paramountcy may apply. First Nations under modern treaties may have legal basis to establish private surgical facilities, addressing wait times. Legal ambiguities require further study. (Copyright © 2026 Longwoods Publishing.) |
| Entry Date(s): | Date Created: 20260526 Date Completed: 20260717 Latest Revision: 20260728 |
| Update Code: | 20260728 |
| PubMed Central ID: | PMC13227527 |
| DOI: | 10.12927/hcpol.2026.27832 |
| PMID: | 42186835 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1715-6580 |
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| DOI: | 10.12927/hcpol.2026.27832 |