Ideas at the margin or marginalized ideas? Nonmedical determinants of health in Canada

Health Affairs

Volumn 21, Issue 2, 2002, Pages 107-112

  Lavis, John N ^a,b  

^a MCMASTER UNIVERSITY   (Canada)

^b CANADIAN INSTITUTE FOR ADVANCED RESEARCH   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CANADA; EPIDEMIOLOGY; HEALTH CARE POLICY; HEALTH PROMOTION; HEALTH SERVICES RESEARCH; HEALTH SURVEY; HUMAN; LIFE EXPECTANCY; MANAGEMENT; MORTALITY; PUBLIC HEALTH SERVICE; SOCIAL WELFARE; SOCIOECONOMICS;

CANADA; CAUSALITY; HEALTH POLICY; HEALTH PROMOTION; HEALTH SERVICES RESEARCH; HEALTH STATUS INDICATORS; HUMANS; LIFE EXPECTANCY; MORTALITY; POLICY MAKING; PUBLIC HEALTH ADMINISTRATION; SOCIAL WELFARE; SOCIOECONOMIC FACTORS;

EID: 0036517526     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.21.2.107     Document Type: Article

References (17)

1. M. Lalonde, A New Perspective on the Health of Canadians (Ottawa: Minister of Supply and Services Canada, 1974). I use the term ideas, as opposed to research, to reflect that policy advisers are more likely to encounter research in the form of ideas than in the form of specific studies. See, for example, C.H. Weiss, "Policy Research: Data, Ideas, or Arguments?" in Social Sciences and Modern States: National Experiences and Theoretical Crossroads, ed. P. Wagner et al. (Cambridge: Cambridge University Press, 1991), 307-332
2. M. Lalonde, A New Perspective on the Health of Canadians (Ottawa: Minister of Supply and Services Canada, 1974). I use the term ideas, as opposed to research, to reflect that policy advisers are more likely to encounter research in the form of ideas than in the form of specific studies. See, for example, C.H. Weiss, "Policy Research: Data, Ideas, or Arguments?" in Social Sciences and Modern States: National Experiences and Theoretical Crossroads, ed. P. Wagner et al. (Cambridge: Cambridge University Press, 1991), 307-332
3. . 2. I focus here on the social determinants of health rather than the physical determinants or public health prevention efforts. See M. Benzeval and K. Judge, "Income and Health: The Time Dimension," Social Science and Medicine 52 (2001): 1371-1390; J.N. Lavis et al., "Work-Related Population Health Indicators," Canadian Journal of Public Health 92, no. 1 (2001): 72-78; and L.F. Berkman, "The Role of Social Relations in Health Promotion," Psychosomatic Medicine 57 (1995): 245-254. A helpful next step would be to study the factors that may explain patterns of action and inaction in addressing the social determinants of health, the physical determinants of health, and more traditional causes of morbidity and mortality such as motor vehicle accidents and smoking.
4. . 2. I focus here on the social determinants of health rather than the physical determinants or public health prevention efforts. See M. Benzeval and K. Judge, "Income and Health: The Time Dimension," Social Science and Medicine 52 (2001): 1371-1390; J.N. Lavis et al., "Work-Related Population Health Indicators," Canadian Journal of Public Health 92, no. 1 (2001): 72-78; and L.F. Berkman, "The Role of Social Relations in Health Promotion," Psychosomatic Medicine 57 (1995): 245-254. A helpful next step would be to study the factors that may explain patterns of action and inaction in addressing the social determinants of health, the physical determinants of health, and more traditional causes of morbidity and mortality such as motor vehicle accidents and smoking.
5. . 2. I focus here on the social determinants of health rather than the physical determinants or public health prevention efforts. See M. Benzeval and K. Judge, "Income and Health: The Time Dimension," Social Science and Medicine 52 (2001): 1371-1390; J.N. Lavis et al., "Work-Related Population Health Indicators," Canadian Journal of Public Health 92, no. 1 (2001): 72-78; and L.F. Berkman, "The Role of Social Relations in Health Promotion," Psychosomatic Medicine 57 (1995): 245-254. A helpful next step would be to study the factors that may explain patterns of action and inaction in addressing the social determinants of health, the physical determinants of health, and more traditional causes of morbidity and mortality such as motor vehicle accidents and smoking.
6. Lalonde, A New Perspective on the Health of Canadians; World Health Organization, Ottawa Charter for Health Promotion (Geneva: WHO, 1986); J. Epp, Achieving Health for All: A Framework for Health Promotion (Ottawa: Minister of Supply and Services Canada, 1986);
7. Lalonde, A New Perspective on the Health of Canadians; World Health Organization, Ottawa Charter for Health Promotion (Geneva: WHO, 1986); J. Epp, Achieving Health for All: A Framework for Health Promotion (Ottawa: Minister of Supply and Services Canada, 1986);
8. Federal, Provincial, and Territorial Advisory Committee on Population Health, Strategies for Population Health: Investing in the Health of Canadians (Ottawa: Minister of Supply and Services Canada, 1994);
9. and R. Gerstein et al., Nurturing Health: A Framework on the Determinants of Health (Toronto: Premier's Council on Health Strategy, 1991).
10. D. Black et al., Inequalities in Health: The Black Report and the Health Divide (New York: Penguin Books, 1990); and N.E. Adler et al., "Socioeconomic Status and Health: The Challenge of the Gradient," American Psychologist 49, no. 1 (1994): 15-24. Language matters, however, and some of the changes in the language invoked in Canada have masked substantive differences in intent and meaning. See A. Robertson, "Shifting Discourses on Health in Canada: From Health Promotion to Population Health," Health Promotion International 13, no. 2 (1998): 155-166.
11. D. Black et al., Inequalities in Health: The Black Report and the Health Divide (New York: Penguin Books, 1990); and N.E. Adler et al., "Socioeconomic Status and Health: The Challenge of the Gradient," American Psychologist 49, no. 1 (1994): 15-24. Language matters, however, and some of the changes in the language invoked in Canada have masked substantive differences in intent and meaning. See A. Robertson, "Shifting Discourses on Health in Canada: From Health Promotion to Population Health," Health Promotion International 13, no. 2 (1998): 155-166.
12. D. Black et al., Inequalities in Health: The Black Report and the Health Divide (New York: Penguin Books, 1990); and N.E. Adler et al., "Socioeconomic Status and Health: The Challenge of the Gradient," American Psychologist 49, no. 1 (1994): 15-24. Language matters, however, and some of the changes in the language invoked in Canada have masked substantive differences in intent and meaning. See A. Robertson, "Shifting Discourses on Health in Canada: From Health Promotion to Population Health," Health Promotion International 13, no. 2 (1998): 155-166.
13. Federal, Provincial, and Territorial Advisory Committee on Population Health, Toward a Healthy Future: Second Report on the Health of Canadians (Ottawa: Minister of Public Works and Government Services Canada, 1999).
14. J.N. Lavis et al., "Do Canadian Policy Advisers Care about Health?" (Paper presented at the International Conference on the Scientific Basis of Health Services, Sydney, Australia, 23 September 2001).
15. Some hypotheses about why policy advisers in labor and social services arc more aware of and disposed toward ideas about nonmedical determinants of health include the synergies between economic and health outcomes in their sectors, their general focus on the well-being of work-forces and clients as opposed to the well-being of the economy, and that knowledge-transfer efforts have been more effectively targeted at them.
16. P.A. Hall, ed., The Political Power of Economic Ideas: Keynesianism across Nations (Princeton, N.J.: Princeton University Press, 1989).
17. Lavis et al., "Do Canadian Policy Advisers Care about Health?"