Self Determination In Health Care

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Self-determination in relation to health is often reflected in a community having ownership and control over their health programs. Self-governance structures often play a role in self-determination in health services however not all nations/communities have this advantage as in order to gain self-government, they often give-up funding and other benefits. It is important to recognize that colonial structures have purposely sought to undermine self-determination (Ladner, 2009). Webster (2011) highlights that health outcomes improve when First Nations communities have control over their health care.
Community-control offers the integration of services based on Indigenous models, values and skills (E.g. holistic connections to health, Indigenous
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