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加拿大努纳武特地区医疗与牙科护理的政治经济史。

A political economic history of medical and dental care in Nunavut, Canada.

作者信息

Quiñonez Carlos R

机构信息

Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, Ontario, Canada.

出版信息

Int J Circumpolar Health. 2006 Apr;65(2):101-16. doi: 10.3402/ijch.v65i2.18093.

DOI:10.3402/ijch.v65i2.18093
PMID:16711463
Abstract

OBJECTIVES

To describe the historical development of medical and dental care in the territory of Nunavut, Canada.

STUDY DESIGN

Ethnographic case study using political economy as a mode of explanation.

METHODS

Participant observations, document reviews and stakeholder interviews, conducted over a four-year period.

RESULTS

There is a clear and now long-term movement from state and professionally controlled health care delivery to Indigenous control over care.

CONCLUSIONS

Indigenous groups increasingly hold control over health care delivery through a complex form of management that straddles both public and private organisational spheres.

摘要

目的

描述加拿大努纳武特地区医疗和牙科护理的历史发展。

研究设计

以政治经济学为解释模式的人种志案例研究。

方法

在四年时间里进行参与观察、文献回顾和利益相关者访谈。

结果

从国家和专业控制的医疗服务提供到原住民对医疗的控制,存在着明显且长期的转变。

结论

原住民群体通过一种跨越公共和私人组织领域的复杂管理形式,越来越多地掌控着医疗服务的提供。

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