Accounting for almost two-thirds of the country’s land mass, northern Canada is a vast region, host to rich natural resources and a diverse cultural heritage shared across Indigenous and non-Indigenous residents. In this book, the authors analyse health and health care in northern Canada from a perspective that acknowledges the unique strengths, resilience, and innovation of northerners, while also addressing the challenges aggravated by contemporary manifestations of colonialism. Old and new forms of colonial programs and policies continue to create health and health care disparities in the North. Written by individuals who live in and study the region, Health and Health Care in Northern Canada utilizes case studies, interviews, photographs, and more, to highlight the lived experiences of northerners and the primary health issues that they face. In order to maintain resilience, improve the positive outcomes of health determinants, and diminish negative stereotypes, we must ensure that northerners – and their cultures, values, strengths, and leadership – are at the centre of the ongoing work to achieve social justice and health equity.

Accounting for almost two thirds of the country's land-mass, Northern Canada is a vast region, host to rich natural resources and a diverse cultural heritage shared across Indigenous and non-indigenous residents. In this book, Rebecca Schiff and Helle M ller analyse health and healthcare in Northern Canada from a perspective that acknowledges the unique strengths, resilience, and innovation of northerners, while also addressing the challenges aggravated by contemporary manifestations of colonialism. Old and new forms of colonial programs and policies continue to create health and healthcare disparities in the North, which has had a profound impact on northerners. Divided into three sections, Health and Healthcare in Northern Canada paints a broad picture of primary issues that northern peoples face. Several chapters are written by northerners and utilize case studies, quotes, photographs, and other materials to highlight voices and perspectives of people living in northern Canada. In order to maintain resilience, improve the positive outcomes of health determinants, and diminish negative stereotypes, we must ensure that northerners - and their cultures, values, strengths and leadership - are at the centre of the ongoing work to achieve social justice and health equity.

This book provides insight into how the Canadian health care system is financed and organized, how it has evolved over time, and how well it performs relative to peer countries.

Canada has been among the world leaders in recognizing the multiple factors that impact health. Focusing on Canada’s health care system, Raisa B. Deber provides brief descriptions of some key facts and concepts necessary to understand health care policy in Canada and place it in an international context. An accessible guide, Treating Health Care unpacks key concepts to provide informed discussions that help us understand and diagnose Canada’s health care system and to clarify which proposed changes are likely to improve it - and which are not. This book provides background information to clarify such concepts as: determinants of health; how health systems are organized and financed (including international comparisons); health economics; health ethics; and roles and responsibilities of different stakeholders, including government, providers, and patients. It then addresses some key issues, including equity, efficiency, access and wait times, quality improvement and patient safety, and coverage and payment models. Using analysis rather than advocacy, Deber provides a toolkit to help understand health care and health policy.

Launched by healthcare providers in January 2018, the #aHand2Hold campaign confronted the Quebec government's practice of separating children from their families during medical evacuation airlifts, which disproportionately affected remote and northern Indigenous communities. Pediatric emergency physician Samir Shaheen-Hussain's captivating narrative of this successful campaign, which garnered unprecedented public attention and media coverage, seeks to answer lingering questions about why such a cruel practice remained in place for so long. In doing so it serves as an indispensable case study of contemporary medical colonialism in Quebec. Fighting for a Hand to Hold exposes the medical establishment's role in the displacement, colonization, and genocide of Indigenous peoples in Canada. Through meticulously gathered government documentation, historical scholarship, media reports, public inquiries, and personal testimonies, Shaheen-Hussain connects the draconian medevac practice with often-disregarded crimes and medical violence inflicted specifically on Indigenous children. This devastating history and ongoing medical colonialism prevent Indigenous communities from attaining internationally recognized measures of health and social well-being because of the pervasive, systemic anti-Indigenous racism that persists in the Canadian public health care system - and in settler society at large. Shaheen-Hussain's unique perspective combines his experience as a frontline pediatrician with his long-standing involvement in anti-authoritarian social justice movements. Sparked by the indifference and callousness of those in power, this book draws on the innovative work of Indigenous scholars and activists to conclude that a broader decolonization struggle calling for reparations, land reclamation, and self-determination for Indigenous peoples is critical to achieve reconciliation in Canada.

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Now in its second edition, Determinants of Indigenous Peoples’ Health adds current issues in environmental politics to the groundbreaking materials from the first edition. The text is a vibrant compilation of scholarly papers by research experts in the field, reflective essays by Indigenous leaders, and poetry that functions as a creative outlet for healing. This timely edited collection addresses the knowledge gap of the health inequalities unique to Indigenous peoples as a result of geography, colonialism, economy, and biology. In this revised edition, new pieces explore the relationship between Indigenous bodies and the land on which they reside, the impact of resource extraction on landscapes and livelihoods, and death and the complexities of intergenerational family relationships. This volume also offers an updated structure and a foreword by Dr. Evan Adams, Chief Medical Officer of the First Nations Health Authority. This is a vital resource for students in the disciplines of health studies, Indigenous studies, public and population health, community health sciences, medicine, nursing, and social work who want to broaden their understanding of the social determinants of health. Ultimately, this is a hopeful text that aspires to a future in which Indigenous peoples no longer embody health inequality.