Canadian "New Perspective" Gave
special focus to lifestyle/disease prevention
|
|
|
| Biology | Little opportunity to control |
| Environment | Major contributor to improved health during the past century, through public health |
| Health care | Limited contribution to improved health, major cause of increased costs. |
| Lifestyle | Primary opportunity for future improvement in health |
Lalonde, Marc. 1974. A New Perspective on Health of Canadians; A Working Document. Ottawa: Canadian Department of National Health and Welfare.
Also: Fuchs, Victor R. 1974. Who Shall Live? Health, Economics, and Social Choice. New York: Basic Books.
U.S. For further information:
U.S. Healthy People (1990, 2000, 2010)
Morbidity and Mortality Weekly Report
Guide to Clinical Preventive Services
Institute of Medicine (IOM) For
further information:
1988. The Future of
Public Health. Washington, D.C.: National Academy Press.
2002. The Future
of the Public's Health in the 21st Century. D.C.: National
Academy Press.
Health Maintenance Organizations Presumed to shift incentives to encourage disease prevention and health promotion for patients, in order to avoid expenses of health care treatments.
Population Based Medicine Providers and payers working with populations, rather than individuals only, for disease prevention and health promotion.
A Caution: Real concerns about costs, discrimination, risks, etc. For further information: Stone, Deborah A. 1987. The Resistible Rise of Preventive Medicine, in Health Policy in Transition, Lawrence D. Brown (ed.). Durham: Duke University Press. Reprinting of Journal of Health Politics, Policy and Law, Vol. 11, Number 4.