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Marc Lalonde, the Health Field Concept and Health Promotion

2018· book-chapter· en· W2803098944 on OpenAlexaboutno aff
Theodore H. Tulchinsky

Bibliographic record

VenueElsevier eBooks · 2018
Typebook-chapter
Languageen
FieldHealth Professions
TopicPublic Health Policies and Education
Canadian institutionsnot available
Fundersnot available
KeywordsPublic healthHealth promotionMedicineCharterHealth careHealth policyDiseaseInternational healthPopulationPolitical scienceEnvironmental healthEconomic growthNursingPathologyLaw

Abstract

fetched live from OpenAlex

During the 20(th) century, public health evolved with increasing capacity for disease prevention as scientific breakthroughs occurred in microbiology, immunology, nutrition, and other sciences. Disease-control advanced and new epidemiologic evidence identified risk factors for the growing burden of noncommunicable diseases such as the cardiovascular diseases, cancer, and others. Medical care also improved and became more accessible through health insurance systems both in the private and governmental sector. Health systems became more combined public–private endeavors, with health insurance for medical- and hospital-care taking center stage. Epidemiology blossomed as a science following World War II, producing vital insights and evidence of contributory factors to noncommunicable diseases. In the 1960s the cumulative evidence of smoking as a direct cause of lung cancer and heart disease was identified as a major public health challenge. These relationships became clear and increasingly accepted after the US Surgeon General’s Report in 1964. In 1974, Hon. Marc Lalonde, Canada’s Minister of National Health and Welfare issued the book A New Perspective on the Health of Canadians, which identified genetic, environmental, personal lifestyle, and medical care as equally important issues in personal and population health. New Perspectives led to the “Ottawa Charter” in 1986 which defined health promotion and has become a vital issue in public health. The health promotion movement immediately found a crucial role in smoking reduction and diet change to deal with the pandemics of lung cancer and heart disease. In the 1980s health promotion found itself at the frontline dealing with the HIV pandemic when there were no biomedical means to stem the pandemic of death from AIDS. Public health had to find new and effective instruments for disease control. A renewed emphasis on social inequalities in health in the 21(st) century exemplified in the Millennium Development Goals (MDGs) addressed vulnerable populations with linked targets of reducing poverty, promoting education and gender equality, safer environment, and biomedical disease-control measures as global health policy. This more holistic approach to population health has become a leading element in modern public health largely based on the intellectual contribution of Marc Lalonde.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.684
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0020.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.095
GPT teacher head0.437
Teacher spread0.342 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations33
Published2018
Admission routes1
Has abstractyes

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