[EQ] A Healthy, Productive Canada: A Determinant of Health Approach

A HEALTHY, PRODUCTIVE CANADA: A DETERMINANT OF HEALTH APPROACH

 

The Standing Senate Committee on Social Affairs, Science and Technology
Final Report of The Subcommittee on Population Health, June 2009

 

Available online as PDF file [59p.] at:

http://www.parl.gc.ca/40/2/parlbus/commbus/senate/com-e/popu-e/rep-e/rephealth1jun09-e.pdf

 

“…….This report is the culmination of a two-year study by the Subcommittee. This final report, which is the result of this consultation process, completes the Subcommittee’s journey. It contains recommendations that can be grouped into four categories:

 

A new style of governance: leadership from the top to develop and implement a population health policy at the federal, provincial, territorial and local levels with clear goals and targets and a health perspective to all new policies and programs.

 

The foundation: a sound population health data infrastructure coordinated by the Canadian Institute of Health Information and based on the Newfoundland and Labrador model of Community Accounts with appropriate linkages to the Electronic Health Records. Statistics Canada and relevant stakeholders will develop standards to ensure the protection, privacy and security of personal information. This database infrastructure will be combined with strong population health intervention research to inform public policy.

 

Building healthy communities: because the determinants of health play out at the local level, governments must draw upon and further reinforce the expertise and capacity of citizens to build the strong and inclusive communities that are required for a healthy and productive population. The Cuban polyclinics represent a promising model of intersectoral collaboration at the local level that could be adapted in some Canadian communities.

 

A priority focus on First Nations, Inuit and Métis peoples in the development and implementation of a pan-Canadian population health policy and the reduction of health disparities, working with existing leadership to meet current needs, celebrate unique cultures and create new opportunities for the future.

 

 

TABLE OF CONTENTS

FOREWORD

INTRODUCTION

PART I: POPULATION HEALTH AND HEALTH DISPARITIES

1. POPULATION HEALTH

2. FROM HEALTH CARE TO THE DETERMINANTS OF HEALTH

3. THE EXTENT OF HEALTH DISPARITIES

4. THE CASE FOR ACTION, THE COST OF INACTION

PART II: HEALTH PAYS OFF – ACT NOW

1. WHOLE-OF-GOVERNMENT APPROACH

1.1 A Question of Governance

1.2 The Need for a Vision

1.3 Interdepartmental Spending Review

1.4 A Health Lens in all Policies

2. DATABASE INFRASTRUCTURE

2.1 A Pan-Canadian System of Community Accounts

2.2 Population Health Intervention Research

3. ENGAGING COMMUNITIES

3.1 Improving Reporting Requirements

3.2 Longer-Term Funding

3.3 Community Data and Research

3.4 Coordinating or Integrating Services: Community Models that Work

4. ABORIGINAL POPULATION HEALTH

CONCLUSION

 

 

APPENDIX A

APPENDIX B

APPENDIX C .

 *      *     *

This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMS Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------
PAHO/WHO Website

Follow us on Twitter: http://twitter.com/eqpaho

Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html