Supporting Indigenous self-determination in health: Lessons learned from a review of best practices in health governance in Canada and internationally

Self-determination has been considered a key determinant of health and essential for addressing long-standing gaps in health outcomes between Indigenous and non-Indigenous populations, in Canada and internationally. This paper provides a review of literature on various models of Indigenous health governance implemented across Canada and in the United States, Australia and New Zealand to identify factors that facilitate or inhibit the development of Indigenous health governance models that improve access to primary health services, support self-determination and lead to improved health outcomes.