Academic journal article British Journal of Canadian Studies

Nunavut: A Health System Profile

Academic journal article British Journal of Canadian Studies

Nunavut: A Health System Profile

Article excerpt

Gregory P. Marchildon and Renée Torgerson, Nunavut: A Health System Profile (Montreal & Kingston: McGill-Queen's University Press, 2013), 192 pp. 26 tables. 4 diagrams. Cased. $110. ISBN 978-0-7735-4147-4. Paper. $29.95. ISBN 978-0-7735-4148-1.

Nunavut: A Health System Profile - a prototype of a series of studies of health systems in Canada - provides an examination of the unique and complicated character of Nunavut's health system: its different components (funding, workforce, service provision), its status quo, strengths, and challenges are explained in a detailed and understandable manner.

After introductory information on Nunavut's characteristics and context, the first chapter outlines specific health-related issues in Nunavut (e.g. high rates of suicide, teen pregnancy, and respirator y illnesses, rises in cancer rates, young people's high need for healthcare), and challenges in healthcare provision (e.g. comparatively higher health expenditures due to remoteness and the dependency on air transportation, the fact that a small population is distributed over a large territor y, lack and volatility of skilled workers, educational gaps among local Inuit that prevent them from working in healthcare). The sources of health-related concerns in Nunavut, the authors argue, can be found in a harmful lifestyle, unfavourable living conditions, the remoteness of communities, and the lack of education and skills among locals which requires the import of southern experts to Nunavut and the export of patients to southern treatment centres. An overview of the histor y and the organisational structure of the health system and of different federal and territorial responsibilities in Nunavut's health sector is provided in Chapter 2. Chapters 3 to 6 provide more quantitative-analytical information on the funding and costs of Nunavut's health system, its health infrastructure, and workforce and programme provision. …

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