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Bifurcation of Health Policy Regimes: A Study of Sleep Apnea Care and Benefits Coverage in Saskatchewan

BACKGROUND: A complex, poorly understood bifurcated health policy regime exists for Canada's First Nations people for extended health benefits coverage. This research adds to a small body of literature on the regime's impact on access and quality of care and its role in perpetuating health...

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Autores principales: Marchildon, Gregory P., Beck, Caroline A., Katapally, Tarun R., Abonyi, Sylvia, Dosman, James A., Episkenew, Jo-Ann
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Longwoods Publishing 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5473476/
https://www.ncbi.nlm.nih.gov/pubmed/28617239
http://dx.doi.org/10.12927/hcpol.2017.25097
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author Marchildon, Gregory P.
Beck, Caroline A.
Katapally, Tarun R.
Abonyi, Sylvia
Dosman, James A.
Episkenew, Jo-Ann
author_facet Marchildon, Gregory P.
Beck, Caroline A.
Katapally, Tarun R.
Abonyi, Sylvia
Dosman, James A.
Episkenew, Jo-Ann
author_sort Marchildon, Gregory P.
collection PubMed
description BACKGROUND: A complex, poorly understood bifurcated health policy regime exists for Canada's First Nations people for extended health benefits coverage. This research adds to a small body of literature on the regime's impact on access and quality of care and its role in perpetuating health inequities in First Nations populations. METHODS: Using a case study of sleep apnea care in Saskatchewan, we identified issues of health service access and coverage through a literature review of extended benefits programs, legislation and policies and through 10 key informant interviews with federal and provincial extended benefit program administrators and sleep medicine physicians. RESULTS: Important access and coverage differences were found for First Nations populations, many of which were recognized by federal and provincial policy makers. Despite these, government respondents recommended few policy ameliorations, perhaps due to system complexities, constitutional constraints or political sensitivities. CONCLUSIONS: We suggest three policy options to ameliorate current hardships wrought by this policy bifurcation.
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spelling pubmed-54734762017-06-21 Bifurcation of Health Policy Regimes: A Study of Sleep Apnea Care and Benefits Coverage in Saskatchewan Marchildon, Gregory P. Beck, Caroline A. Katapally, Tarun R. Abonyi, Sylvia Dosman, James A. Episkenew, Jo-Ann Healthc Policy Research Paper BACKGROUND: A complex, poorly understood bifurcated health policy regime exists for Canada's First Nations people for extended health benefits coverage. This research adds to a small body of literature on the regime's impact on access and quality of care and its role in perpetuating health inequities in First Nations populations. METHODS: Using a case study of sleep apnea care in Saskatchewan, we identified issues of health service access and coverage through a literature review of extended benefits programs, legislation and policies and through 10 key informant interviews with federal and provincial extended benefit program administrators and sleep medicine physicians. RESULTS: Important access and coverage differences were found for First Nations populations, many of which were recognized by federal and provincial policy makers. Despite these, government respondents recommended few policy ameliorations, perhaps due to system complexities, constitutional constraints or political sensitivities. CONCLUSIONS: We suggest three policy options to ameliorate current hardships wrought by this policy bifurcation. Longwoods Publishing 2017-05 /pmc/articles/PMC5473476/ /pubmed/28617239 http://dx.doi.org/10.12927/hcpol.2017.25097 Text en Copyright © 2017 Longwoods Publishing http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 License, which permits rights to copy and redistribute the work for non-commercial purposes only, provided the original work is given proper attribution.
spellingShingle Research Paper
Marchildon, Gregory P.
Beck, Caroline A.
Katapally, Tarun R.
Abonyi, Sylvia
Dosman, James A.
Episkenew, Jo-Ann
Bifurcation of Health Policy Regimes: A Study of Sleep Apnea Care and Benefits Coverage in Saskatchewan
title Bifurcation of Health Policy Regimes: A Study of Sleep Apnea Care and Benefits Coverage in Saskatchewan
title_full Bifurcation of Health Policy Regimes: A Study of Sleep Apnea Care and Benefits Coverage in Saskatchewan
title_fullStr Bifurcation of Health Policy Regimes: A Study of Sleep Apnea Care and Benefits Coverage in Saskatchewan
title_full_unstemmed Bifurcation of Health Policy Regimes: A Study of Sleep Apnea Care and Benefits Coverage in Saskatchewan
title_short Bifurcation of Health Policy Regimes: A Study of Sleep Apnea Care and Benefits Coverage in Saskatchewan
title_sort bifurcation of health policy regimes: a study of sleep apnea care and benefits coverage in saskatchewan
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5473476/
https://www.ncbi.nlm.nih.gov/pubmed/28617239
http://dx.doi.org/10.12927/hcpol.2017.25097
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