Crafting health promotion: from Ottawa to beyond Shanghai
Notice bibliographique
Résumé
This year there are celebrations, around the world, of the 30th anniversary of the Ottawa Charter. We have seen similar celebrations five years (e.g., De Leeuw 2011, REFIPS 2012) and ten years ago (e.g., Baum 2007, Ridde, Guichard & Houeto 2007). The Charter remains visionary and inspirational, with a lasting legacy. But it has not delivered on its vision comprehensively. Two of its action areas stand out as having failed to show real evidence of success: the call to build healthy public policy, and the need to reorient health services for health promotion.\n\n‘Healthy Public Policy’ has now been replaced by ‘Health in All Policies’ (De Leeuw, Ståhl & Tang (2014). ‘Reorientation of Health Services’ still struggles. Both of these, in our assessment (de Leeuw 2017), suffer from the relative marginalisation of health promotion advocacy on the fringe of the mainstream medical-industrial complex. Clinical care and the pharma and biomedical technology sector continue to grow, while public health and health promotion remain on the resource and policy periphery. A partial solution to this challenge is for the global health promotion community to embrace a health political science (Bernier & Clavier 2011, Clavier & de Leeuw 2013). This would explain the political process for making choices in the public domain, and explicitly recognise issues of power, perception and trade-offs. \n\nThe world of 2016 is very different from the world of 1986. Socialist states and Marxism-Leninism have all but disappeared from the face of the earth. Globalisation and its neoliberal market dictatorship is now the dominant and virtually unchallenged ideology (Labonté 2016). Progress has been made but it has not been shared by all. Humanity as a whole is doing better, but differences between populations and groups persist and grow, in terms of health, well-being, wealth and life opportunities. Knowledge, information and entertainment are available everywhere and anytime, at mind-numbing speeds, qualities and quantities. The gap in the ozone layer may have closed, and acid rain disappeared, but they have been replaced by the seemingly unstoppable advent of the slow disaster of climate change. Rampant population growth and (often disaster-driven) mobility have led to an urban planet with hundreds of millions living in camps, slums and on the fringe. The ecosystem services that buffer hardships for these people – fresh air, clean water, food, fuel, building materials, and protection from flooding – are collapsing. \n\nAgainst this backdrop, the government of the People’s Republic of China with the World Health Organization is organising the Ninth Global Conference on Health Promotion in Shanghai in November 2016.\n\nIn this world - is the Ottawa Charter still relevant? Is the Shanghai Declaration on Health Promotion going to have the visionary and lasting impact the Charter had?
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; les deux têtes enseignantes s’accordent sur ce qui est montré ici.
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