HLSC 3P50 Lecture Notes - Lecture 2: Small Government, Neoliberalism, Marc Lalonde
Document Summary
Additional health defined in ottawa charter (who, 1986) Health is a resource for everyday life, not the object of living. It is a positive concept emphasizing social and personal resources as well as physical capabilities. Development of health promotion in public health history. Early-mid 20th century: state involvement in health care (individualization) 1974-early 1980: lifestyle/behavioural model of health promotion. 1986-1994: socio-environmental model of health promotion (beginning of new public health era) 1994-2004/2007: decline period for health promotion (population health era) 2007-present: revival of health promotion (health in all policies era) Industrial revolution (from the 18th century) urbanization: high mortality & morbidity (working class) Main actors: sanitary inspectors supported by legislation. Focus: (protection, surveillance: housing & sanitation standards, provision of safe water & food supplies. History of public health phase 2 (early to mid 20th century) Causes: vaccination & immunization, emergence of health care, decline of infectious diseases. Main actors: hospital-based health care workers, patients (only who pay fees for services)