Other than making them distinctive disciplines from each other, why is
the distinction necessary?
>>> Dennis Raphael <[log in to unmask]> 12/16/07 5:25 AM >>>
http://dneuvians.googlepages.com/Health-Promotion.pdf
Reducing social inequalities in health: public health, community health
or
health promotion?
IUHPE ? PROMOTION & EDUCATION VOL. XIV, NO. 2 2007
Valéry Ridde
Abstract: While the Consortium on ?Community Health Promotion? is
suggesting a definition of this new concept to qualify
health practices, this article questions the relevance of introducing
such
a concept since no one has yet succeeded in really differentiating
the three existing processes: public health, community health, and
health
promotion. Based on a literature review
and an analysis of the range of practices, these three concepts can be
distinguished in terms of their processes and their goals.
Public health and community health share a common objective, to improve
the health of the population. In order to achieve this
objective, public health uses a technocratic process whereas community
health uses a participatory one. Health promotion, on
the other hand, aims to reduce social inequalities in health through an
empowerment process. However, this is only a theoretical
definition since, in practice, health promotion professionals tend to
easily forget this objective. Three arguments should
incite health promoters to become the leading voices in the fight
against
social inequalities in health. The first two arguments
are based on the ineffectiveness of the approaches that characterize
public health and community health, which focus on the
health system and health education, to reduce social inequalities in
health. The third argument in favour of health promotion is
more political in nature because there is not sufficient evidence of
its
effectiveness since the work in this area is relatively recent.
Those responsible for health promotion must engage in planning to
reduce
social inequalities in health and must ensure they
have the means to assess the effectiveness of any actions taken.
(Promotion & Education, 2007, (2): pp 63-67)
Key words: social inequalities in health, public health, community
health,
health promotion, definition
-----------------------------------------------------------------------------
Of related interest:
Poverty and Policy in Canada: Implications for Health and Quality of
Life
by Dennis Raphael
Foreword by Jack Layton
http://tinyurl.com/2hg2df
Staying Alive: Critical Perspectives on Health, Illness, and Health
Care,
edited by Dennis Raphael, Toba Bryant, and Marcia Rioux
Foreword by Gary Teeple
http://tinyurl.com/2zqrox
Social Determinants of Health: Canadian Perspectives, edited by Dennis
Raphael
Foreword by Roy Romanow
http://tinyurl.com/yptzae
See a lecture! The Politics of Population Health
http://msl.stream.yorku.ca/mediasite/viewer/?peid=ac604170-9ccc-4268-a1af-9a9e04b28e1d
Also, presentation on Politics and Health at the Centre for Health
Disparities in Cleveland Ohio
http://video.google.com/videoplay?docid=-4129139685624192201&hl=en
Dennis Raphael, PhD
Professor and Undergraduate Program Director
School of Health Policy and Management
York University
4700 Keele Street
Toronto ON M3J 1P3
416-736-2100, ext. 22134
email: [log in to unmask]
http://www.atkinson.yorku.ca/draphael
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