This study explores how First Nations-run health systems mitigate poor inter-jurisdictional coordination and health service fragmentation, particularly during patient hand-offs or movement. This study used a combination of case studies, qualitative interviews and literature review (especially project evaluations). This research leads to the following recommended policy options for improving First Nations health care fragmentation: improved information and client registries; standardizing referral, intake and discharge procedures; and, patient navigators.
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