Thursday, August 6, 2009

[EQ] A New Perspective on the Health of Canadians - Public Health Classic

A New Perspective on the Health of Canadians

 

Marc Lalonde

The Public Health Agency of Canada, 1974

 

A New Perspective on the Health of Canadians  is one of the founding documents in health promotion. Since its release in 1974, the document has challenged traditional views about health and has received, and continues to receive, national and international acclaim and recognition for its contribution to the health field.

It has been a cornerstone of Canada's international reputation and a proud historical achievement in the health field.

 

The document outlined a conceptual framework for health (called the "Health Field Concept") comprising four main elements:
- human biology,
- environment,
- lifestyle and
- health care organization.

 

This innovative framework gave impetus to national and international initiatives in knowledge development, health promotion, health protection and health care which not only have contributed to the health of Canadians, but also to global health initiatives.

 

Available online PDF [77p.] at: http://www.phac-aspc.gc.ca/ph-sp/pdf/perspect-eng.pdf

 

Snippets:

 

“…..Good health is the bedrock on which social progress is built. A nation of healthy people can do those things that make life worthwhile, and as the level of health increases so does the potential for happiness….”

 

“…..Complete well-being for all may be beyond our grasp, given the human condition, but much more can be done to increase freedom from disease and disability, as well as to promote a state of well-being sufficient to perform at adequate levels of physical, mental and social activity, taking age into account….”

“…..One of the purposes of this Working Paper, nevertheless, is to show the links between different kinds of mortality and illness on the one hand and their underlying causes on the other. Only when these links are known will it be possible to make judgments on whether certain risks are worth taking or certain sacrifices are worth making.

 

These judgments must be made by individuals in respect of their own living habits, by society in respect of the values it holds, and by governments in respect of both the funds they allocate to the preservation of health and the restrictions they impose on the population for whose well-being they are responsible. Ultimately, it is to help in making those judgments that this Working Paper has been written…………”

 

Table of Contents


PREFACE

INTRODUCTION

1. THE TRADITIONAL VIEW OF THE HEALTH FIELD.

2. THE LIMITATIONS OF THE TRADITIONAL VIEW

3. MAJOR PROBLEM AREAS IN THE HEALTH FIELD

HEALTH STATUS OF THE POPULATION

PROBLEMS IN THE ORGANIZATION AND DELIVERY OF HEALTH CARE

4. THE HEALTH FIELD CONCEPT  

5. ISSUES ARISING FROM THE USE OF THE HEALTH FIELD CONCEPT

6. POPULATIONS AT RISK.

7. CONSTITUTIONAL POWERS AND THE PRESENT FEDERAL ROLE.

8. RESEARCH AND THE HEALTH FIELD CONCEPT

9. SCIENCE VERSUS HEALTH PROMOTION

10. CARE VERSUS CURE.

11. MENTAL HEALTH

12. THE HEALTH FIELD CONCEPT AND STRATEGIES FORTHE FUTURE

CONCLUSION

REFERENCES

ANNEX A

 

 

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