加拿大卫生法和土著人民的医疗保险服务
1Professor, Schulich School of Law, Dalhousie University, Halifax, NS.
HealthcarePapers
|March 21, 2025
概括
加拿大卫生法 (CHA) 在土著医疗保健中存在差距,原因是不清楚的包容性和未被承认的独特需求. 建议对CHA进行现代化或使用联邦法规,以确保原住民获得公平的健康服务.
科学领域:
- 公共卫生 公共卫生
- 土著健康政策土著健康政策
- 卫生法 法律 卫生法
背景情况:
- 1985年的"加拿大卫生法" (CHA) 旨在实现公平获得医疗保健.
- 目前的CHA框架不足以满足土著社区独特的医疗保健需求.
- 多个政府层面 (省,地区,联邦,土著) 作为初级保健提供者,使服务提供复杂化.
研究的目的:
- 分析来自加拿大卫生法案的土著医疗保健服务缺口.
- 为改善加拿大土著人民获得公平医疗保健的解决方案提出建议.
主要方法:
- 加拿大卫生法 (1985) 的政策分析.
- 检查涉及联邦,省/地区和土著政府的医疗保健治理结构.
- 审查有关土著健康差异和政策差距的现有文献.
主要成果:
- 由于CHA对土著社区的含糊不清的纳入,忽视了他们独特的医疗保健需求.
- 当联邦政府是医疗保健提供者时,加拿大对CHA公平获取原则的应用是不一致的.
- 现有的立法途径,例如基于区别的土著健康立法,可能会面临延迟或可能无法颁布.
结论:
- 加拿大卫生法案的现代化是必要的,以纠正土著医疗保健中的不平等.
- 另外,应该考虑通过法规进行联邦干预,以解决立即的差距.
- 建议采取主动的监管行动,而不是依赖可能未经通过的土著卫生立法.
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