First Nations cancer control in Canada baseline report / : Rapport de référence sur la lutte contre le cancer chez les Premières Nations au Canada

Providing seamless collaborative efforts care is a significant challenge, given the diversity of support the unique in place by the required priorities and interests amongst the multiple levels of needs of First Nations time and the government involved in the delivery of health services to communities and appointment is often First Nations. [...] The agreement removes the transfers was not able to adapt to rapidly growing and federal government from the direct service arena, and changing First Nations communities and did not take into establishes and recognizes the central role of First Nations account off-reserve and non-status users.72 in the design and delivery of health services. [...] This transfer of The British Columbia (BC) authority has the potential to streamline the administration Tripartite First Nations and integration of those services with the provincial system Health Plan73,74 is an to close gaps in First Nations health care.76 example of efforts being made to develop multi- Tripartite Agreements have the potential to cut across the jurisdictional governance cancer c [...] The BC First Nations Health Plan Government negotiated the Transformative Change Accord includes specific actions to coordinate efforts in chronic to achieve the goals of closing the social and economic gap disease management, including cancer care, and provide between First Nations and other British Columbians, and equitable access to health services that meet the needs of 77 establishing new rel [...] Without reliable health data specific to First Nations, it is The Tripartite First Nations Health Plan was signed by the difficult to measure the impact of cancer; design programs First Nations Leadership Council, and the federal and BC to address gaps in cancer control; and coordinate these governments in 2007.