HLSC 3P50 Lecture Notes - Lecture 2: Marc Lalonde, Ottawa Charter For Health Promotion, Health Promotion

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History of hp in public health: evolution of ho approaches. Golden era of hp: 1974-1994: beginning of health promotion strategies. Early mid 20c-state involvement in health care (individualization) Socio-environmental model of hp (beginning of new public. 1994- 2004/07-decline period for hp (population health era) Industrial revolution: many ppl moved to the city (urban areas) Causes: high mortality and morbidity (working class) Main actors: sanitary inspectors supported by legislation. Focus (protection surveillance: housing and sanitation standards, provision of safe water and food supplies. When ppl started using health care for the first time: hp started because more chronic diseases popped up as opposed to infectious diseases. Individual health: emergence of health care, decline of infectious diseases. Main actors: hospital-based health care workers, patients (only who pay fees for services) Focus (protection, surveillance: state involvement (hospital and vaccination) Focus: health edu(cid:272)atio(cid:374), i(cid:374)(cid:272)ludi(cid:374)g patie(cid:374)t"s psy(cid:272)ho-socio contexts. Main actors: hospital-(cid:271)ased do(cid:272)tors a(cid:374)d patie(cid:374)ts: universal hc system (tommy douglas)

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