Academic Journal
Expanding Surgical Access in Canada Through Self-Governing First Nations.
| Τίτλος: | Expanding Surgical Access in Canada Through Self-Governing First Nations. |
|---|---|
| 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 |
| FullText | Text: Availability: 0 |
|---|---|
| Header | DbId: cmedm DbLabel: MEDLINE An: 42186835 AccessLevel: 3 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Expanding Surgical Access in Canada Through Self-Governing First Nations. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AU" term="%22Crump+T%22">Crump T</searchLink>; Department of Surgery, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC.<br /><searchLink fieldCode="AU" term="%22Hegazy+M%22">Hegazy M</searchLink>; Department of Surgery, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC. – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22101280107%22">Healthcare policy = Politiques de sante</searchLink> [Healthc Policy] 2026 May; Vol. 21 (3), pp. 74-85. – Name: TypePub Label: Publication Type Group: TypPub Data: Journal Article; Review – Name: Language Label: Language Group: Lang Data: English – Name: TitleSource Label: Journal Info Group: Src Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Longwoods+Pub%22">Longwoods Pub </searchLink><i>Country of Publication: </i>Canada <i>NLM ID: </i>101280107 <i>Publication Model: </i>Print <i>Cited Medium: </i>Internet <i>ISSN: </i>1715-6580 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2217156572%22">17156572 </searchLink><i>NLM ISO Abbreviation: </i>Healthc Policy <i>Subsets: </i>MEDLINE – Name: PublisherInfo Label: Imprint Name(s) Group: PubInfo Data: <i>Original Publication</i>: Toronto, Ont. : Longwoods Pub., 2005- – Name: SubjectMESH Label: MeSH Terms Group: Su Data: <searchLink fieldCode="MM" term="%22Health+Services+Accessibility%22">Health Services Accessibility*</searchLink>/<searchLink fieldCode="MM" term="%22Health+Services+Accessibility+legislation+%26+jurisprudence%22">legislation & jurisprudence</searchLink> <br /><searchLink fieldCode="MM" term="%22Health+Services+Accessibility%22">Health Services Accessibility*</searchLink>/<searchLink fieldCode="MM" term="%22Health+Services+Accessibility+organization+%26+administration%22">organization & administration</searchLink> <br /><searchLink fieldCode="MM" term="%22Health+Services%2C+Indigenous%22">Health Services, Indigenous*</searchLink>/<searchLink fieldCode="MM" term="%22Health+Services%2C+Indigenous+legislation+%26+jurisprudence%22">legislation & jurisprudence</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Canada%22">Canada</searchLink> ; <searchLink fieldCode="MH" term="%22Waiting+Lists%22">Waiting Lists</searchLink> ; <searchLink fieldCode="MH" term="%22Indigenous+Canadians%22">Indigenous Canadians</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: 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.<br /> (Copyright © 2026 Longwoods Publishing.) – Name: DateEntry Label: Entry Date(s) Group: Date Data: <i>Date Created: </i>20260526 <i>Date Completed: </i>20260717 <i>Latest Revision: </i>20260728 – Name: DateUpdate Label: Update Code Group: Date Data: 20260728 – Name: PubmedCentralID Label: PubMed Central ID Group: ID Data: PMC13227527 – Name: DOI Label: DOI Group: ID Data: 10.12927/hcpol.2026.27832 – Name: AN Label: PMID Group: ID Data: 42186835 |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42186835 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.12927/hcpol.2026.27832 Languages: – Code: eng Text: English PhysicalDescription: Pagination: StartPage: 74 Subjects: – SubjectFull: Humans Type: general – SubjectFull: Canada Type: general – SubjectFull: Waiting Lists Type: general – SubjectFull: Indigenous Canadians Type: general – SubjectFull: Health Services Accessibility legislation & jurisprudence Type: general – SubjectFull: Health Services Accessibility organization & administration Type: general – SubjectFull: Health Services, Indigenous legislation & jurisprudence Type: general Titles: – TitleFull: Expanding Surgical Access in Canada Through Self-Governing First Nations. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Crump T – PersonEntity: Name: NameFull: Hegazy M IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: 2026 May Type: published Y: 2026 Identifiers: – Type: issn-electronic Value: 1715-6580 Numbering: – Type: volume Value: 21 – Type: issue Value: 3 Titles: – TitleFull: Healthcare policy = Politiques de sante Type: main |
| ResultId | 1 |