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| refers to the health of a population as measured by health status and indicators and as influenced by social, economic and physical environments, personal health practices, individual capacity and coping skills, human biology, early childhood development, and health services |
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| CIAR Version of Population Health |
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| Health Canada`s adaptation |
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| calls for a critical population health approach |
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| Evidence based decision making |
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| A process for making decisions about a program, practice, or policy that is grounded in the best available research evidence and informed by experimental evidence from the field and relevant contextual evidence |
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| stages for decision making process |
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| gathering evidence, interpreting the evidence, applying waht you learned from the evidence |
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| seek out best available research evidence, collect information on important factors for the decision, draw upon expertise and knowledge of stakeholders, confirm that all information used as evidence is replicable, observable, credible and verifiable |
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| interpreting the evidence |
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| consider strength of research evidence based on dimensions of Continuum, explore the experience, preferences, and values of local stakeholders, asses the fit of strategies in light of the location and population affected by the decision |
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| applying what you learned from the evidence |
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| consider all 3 types of evidence to provide the best opportunity for prevention |
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| decision-making process should be an authentic effort to gather and examine all relevant evidence. It should not be used to justify or promote decisions that have already been made |
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| inclusiveness/participation |
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| those who will implement the strategy, those who will be affect by that implementation, and those making decisions that will affect the strategy’s implementation should be included in the decision-making process |
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| at every level of decision-making, it should be clear how the evidence was collected, what evidence was collected, and how that evidence informed the final decision |
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| skilled leadership and faciliation |
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| during the decision-making process, active guidance from leadership and skilled facilitation are important. Both of these support identifying a shared understanding while allowing for dissenting opinions. They also motivate the group to commit to a conclusion that supports the common good. |
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| clearly defined terms, clear mechanisms, for collecting evidence, timelines, and other tools to document the process should all contribute to transparency, inclusiveness and explicitness |
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| common health status indicators |
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- Mortality Indicators
- Hospitalizations
- Aggregate Indicators (DALY, QALY) |
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- Census
- National Population Health Surveys
- Regional Health Authorities
- Health Systems Performance
- CIHI, CIHR, Other Agencies |
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| a means of assessing the health impacts of policies, plans and projects in diverse economic sectors. |
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- Screening: identifying plans, projects or policies for which HIA would be useful
- Scoping: identifying which health effects to consider
- Assessing Risks and Benefits: identifying which people may be affected and how they may be affected
- Developing Recommendation: suggesting changes to proposals to promote positive health effects or to minimize adverse health effects
- Reporting: presenting the results to decision-makers
- Monitoring and Evaluating: determining the effect of the HIA on the decision |
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