Excellent article! Will add it to the reading list for our BEHAVIOUR,
LIFESTYLE AND SOCIAL DETERMINANTS FOR HEART HEALTH Forum (see attachment) at
York, Feb. 20, 2003.
Joe
--
Dr. Joseph Levy
Professor
School of Health Policy and Management
Atkinson Faculty of Liberal and Professional Studies
and Director, Wellness Centre at York University
274 Vanier College, 4700 Keele Street
Toronto, Ontario M3J 1P3
Phone: 416-736-2100 ext, 33898
email: [log in to unmask] <mailto:[log in to unmask]>
Fax: 416-736-5899
www.yorku.ca/wellness <http://www.yorku.ca/wellness>
Quoting "Stirling, Alison" <[log in to unmask]>:
> Greetings and well-wishes for a happy & healthy new year.
>
> Today's issue of the British Medical Journal contains an interesting and
> provocative editorial on changing the ways that governments look at
> 'effectiveness evidence' of strategies to change socio-economic inequalities
> in health. I have copied in the citation, link to the full text, and
> excerpts from the editorial, into this message below my signature
>
> It would be good to promote and disseminate Canadian research on 'evidence
> of effectiveness' and set some new markers for measures of effective
> practice. Any suggestions?
>
> Alison
>
> ~ * ~ * ~ * ~ * ~ * ~ * ~ * ~ *
> Alison Stirling, health promotion consultant
> Ontario Prevention Clearinghouse (OPC)
> Suite 1900, 180 Dundas St. W. Toronto, ON M5G 1Z8
> Tel. 416-408-2249 Email: [log in to unmask]
> Internet: http://www.opc.on.ca
> ~ * ~ * ~ * ~ * ~ * ~ * ~ * ~ *
>
>
> Evidence based policy making
> Sally Macintyre
> BMJ 2003;326 5-6
> http://bmj.com/cgi/content/full/326/7379/5?etoc
>
> Evidence based policy making
> Impact on health inequalities still needs to be assessed
>
> ... "Several governments have recently proposed strategies to reduce
> socioeconomic inequalities in health. An issue rendering strategy
> development in this field difficult is that, although a lot of information
> is available about the magnitude and causes of socioeconomic inequalities in
> health, rather less information is available about the effectiveness of
> policies in reducing them."
> "..anyone wanting to reduce inequalities in health is faced with a lack of
> information about what actions would be most successful."
>
> ... "If governments are serious about wanting to reduce inequalities in
> health they should not necessarily wait until we have better evidence about
> the relative effectiveness of different strategies. They should encourage
> the systematic collation and dissemination of the best international
> evidence of effectiveness, as has been done in Sweden and the Netherlands,
> and is being done in the United Kingdom through the Health Development
> Agency's "Evidence into Practice" programme. They should encourage research
> studies and routine statistics to be designed so that differential effects
> on, or trends among, different socioeconomic groups can be detected. Most
> importantly, they should design and implement social and public health
> initiatives in ways which facilitate good quality evaluations of
> effectiveness and monitoring of impact on health inequalities."
>
> Sally Macintyre, Director.
> Medical Research Council Social and Public Health Sciences Unit, Glasgow G12
> 8RZ ([log in to unmask])
>
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