Have investments in on-reserve health services and initiatives promoting community control improved First Nations’ health in Manitoba?

摘要: The objective of this study was to document the relationship between First Nation's community characteristics and rates hospitalization for Ambulatory Care Sensitive Conditions (ACSC) in province Manitoba, Canada. A population-based time trend analysis selected ACSC conducted using de-identified administrative data housed at Manitoba Centre Health Policy, including vital statistics health information. population included all residents eligible under universal Services Insurance Plan living on Nation reserves 1984/85 2004/05. Twenty-nine defined 3, 4 5 digit ICD-9-CM ICD-10-CM codes permitted cross-sectional longitudinal comparison rates. used Generalized Estimated Equation (GEE) modeling. Two variables were significant our model: level access primary care on-reserve; local autonomy. Communities with a broader complement services showed lower rate ACSC. We also examined whether there over following signature an agreement increasing autonomy resource allocation. found decreased each year such agreement. This article demonstrates that communities better consistently show Secondly, longer have been control, its rate.