Gallagher Joe, Mendez Joseph Kiet, Kehoe Trevor
First Nations Health Authority, Vancouver, British Columbia, Canada.
Healthc Manage Forum. 2015 Nov;28(6):255-61. doi: 10.1177/0840470415600131. Epub 2015 Sep 28.
More than 10 years of negotiation and a series of political agreements led to the formation of a new First Nations health governance structure in British Columbia and the beginning of new relationships in health between First Nations, federal, and provincial governments. The First Nations Health Authority is the service delivery arm of this structure and the first-of-its-kind for Canada. Equitable and innovative health service and governance partnerships can bring decision-making closer to home and into the hands of First Nations communities and allows using the best of western medicine combined with holistic and traditional practices. Decolonizing old relationships and building new partnerships are leading to greater alignment of culturally safe and effective health services through coordination, integration, and shared decision-making in British Columbia.
经过十多年的谈判和一系列政治协议，不列颠哥伦比亚省形成了新的原住民健康治理结构，原住民、联邦和省政府之间开启了健康领域的新关系。原住民卫生局是这一结构的服务提供部门，在加拿大尚属首例。公平且创新的健康服务与治理伙伴关系能够让决策更贴近原住民社区，并由他们掌握，还能将西医的精华与整体及传统医疗实践相结合。摒弃旧有关系并建立新伙伴关系，正通过不列颠哥伦比亚省的协调、整合及共同决策，推动在文化上安全且有效的健康服务实现更大程度的协调一致。
