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o Response to growing interest in a “new public health o Believed to be a way to contain the spiraling costs of health care o Primarily concerned with inequality; advances a policy framework to achieve equity; aligned with welfare state |
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opposite of neo-liberalism, state providing health promotion, prevent disease, taxes for redistribution of wealth to pay for universal health promotion |
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o A resource for everyday living, not merely the objective of living (a means and an ends) o A positive concept emphasizing social and personal resources, as well as physical capabilities |
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determinants of health (ottawa charter) |
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peace, shelter, education, food, income, a stable eco-system, sustainable resources, social justice, equity |
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3 core values of ottawa charter |
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advocate, enable and mediate |
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Good health is a major resource for social, economic and personal development and an important dimension of quality of life. Political, economic, social, cultural, environmental, behavioural and biological factors can all favour health or be harmful. Health promotion action aims at marketing these conditions favourable through support for health |
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Health promotion action aims at reducing differences in current health status and ensuring equal opportunities and resources to enable all people to achieve their fullest health potential • This includes a secure foundation in a supportive environment, access to information, life skills and opportunities for making healthy choices People cannot achieve their fullest health potential unless they are able to take control of those things which determine their health |
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health promotion demands coordinated action by all concerned: by governments, by health and other social and economic sectors, by non-governments and voluntary organization, by local authorities, by industries, and by media People in all walks of life are involved as individuals, families and communities Professional and social groups and health personnel have a major responsibility to mediate between differing interests in society for the pursuit of health |
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5 healthy promotion action areas |
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build healthy public policy create supportive environments strengthen community actions develop personal skills reorient health services |
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build healthy public policy |
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Beyond health care system coordinated action • includes legislation, fiscal measures, taxation, organizational change |
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create supportive environmnets |
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Acknowledges the complex and interrelated nature of society and health Work and leisure should be sources of health (not sources of stress/illness) Must generate living and working conditions that are safe, stimulating, satisfying and enjoyable |
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strengthen community actions |
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Community development as key • empowering communities to action in setting priorities, making decisions, planning, and implementing strategies |
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Support personal and social development by providing information, education for health, and enhancing life skills • Making it easier to make healthy choices |
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Responsibility shared among individuals, community groups, health professionals, health service institutions, and government • More health promotion research |
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Proposed is an approach to help Canadians meet emerging health challenges • Represents an expansion of the traditional “health promotion” that completes and strengthens the existing health care system |
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health promotion framework |
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• A vision of health as a dimension of the quality of life; • An understanding of health promotion as a process enabling people to increase control over their health; |
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3 mechanisms of health promotion framework |
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Definition
1. Self-care: o The decisions and actions individuals take in the interest of their own health 2. Mutual aid: o The actions people take to help each other cope 3. Healthy environments: o The creation of conditions and surroundings conductive to health |
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3 major challenges of health promotion framework |
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reducing inequalities, increasing the prevention effort, enhancing people's capacity to cope |
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strategies of health promotion framework |
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fostering public participation strengthening community health services coordinating healthy public policy |
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