aa-64 - doi:10.1136/jech.2006.046912 2007;61;955-959 J...

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Unformatted text preview: doi:10.1136/jech.2006.046912 2007;61;955-959 J Epidemiol Community Health Heather MacDougall impact the Health of Canadians and its international Reinventing public health: A New Perspective on http://jech.bmj.com/cgi/content/full/61/11/955 Updated information and services can be found at: These include: References http://jech.bmj.com/cgi/content/full/61/11/955#BIBL This article cites 10 articles, 5 of which can be accessed free at: Rapid responses http://jech.bmj.com/cgi/eletter-submit/61/11/955 You can respond to this article at: service Email alerting the top right corner of the article Receive free email alerts when new articles cite this article - sign up in the box at Notes http://journals.bmj.com/cgi/reprintform To order reprints of this article go to: http://journals.bmj.com/subscriptions/ go to: Journal of Epidemiology and Community Health To subscribe to on 3 January 2009 jech.bmj.com Downloaded from PUBLIC HEALTH PAST AND PRESENT Reinventing public health: A New Perspective on the Health of Canadians and its international impact Heather MacDougall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Correspondence to: Heather MacDougall, Department of History, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada; hmacdoug@ uwaterloo.ca Accepted 4 April 2007 . . . . . . . . . . . . . . . . . . . . . . . . J Epidemiol Community Health 2007; 61 :955959. doi: 10.1136/jech.2006.046912 Study objective: To examine the Canadian origins of the Lalonde Report and its impact on British and American health promotion activities. Design: A brief history of the development of key Canadian documents and their use by politicians and public health activists in the United Kingdom and United States. Setting: This paper focuses on the impact of the Canadian model on Canada, the United Kingdom and United States. Main results: This paper argues that internal political and economic forces are as important as international trends in determining healthcare policy initiatives. Conclusions: In the 1970s all the English-speaking developed nations were facing deficits as curative costs rose. Adopting health promotion policies permitted them to shift responsibility back to local governments and individuals while limiting their expenditures. Health and community activists, however, used this concept to broaden their focus to include the social, economic and political determinants of health and thus reinvented public health discourse and practice for the 21st century....
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aa-64 - doi:10.1136/jech.2006.046912 2007;61;955-959 J...

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