Wolbeck Minke Sharlene, Smith Cynthia, Plotnikoff Ronald C, Khalema Ernest, Raine Kim
Alberta Heart Health Project, University of Alberta, Edmonton, Canada.
Prev Chronic Dis. 2006 Jul;3(3):A102. Epub 2006 Jun 15.
Recognition of the common risk factors for leading chronic diseases in Canada has contributed to the development of integrated chronic disease prevention and health promotion approaches. The Alberta Heart Health Project studied the capacity of health organizations in Alberta, Canada, to engage in heart health promotion. This article describes how the Alberta Heart Health Project acted on emerging research findings describing the preliminary stages of integrated chronic disease prevention in Alberta to provide leadership to encourage provincial chronic disease prevention efforts.
Political support for integrated chronic disease prevention was evident at the provincial and federal levels in Canada. As a result of organizational restructuring, loss of key health promotion champions, and decreased funding allocations, Alberta's regional health authorities sought increased efficiency in their chronic disease prevention efforts.
Descriptive data were derived from a brief questionnaire on regional health authorities' chronic disease prevention priorities and activities, an inventory of regional health authority health promotion programs and services, content analysis of key regional health authority documents, and focus groups with regional health authority staff, management, and policymakers.
In 2002, the Alberta Heart Health Project data revealed that many regional health authorities were beginning to engage in integrated chronic disease prevention. However, little collaboration occurred across the health organizations; provincial leadership to facilitate collaboration and networking for integrated chronic disease prevention was needed.
Results supported the growing momentum for provincial leadership to enhance collaboration for integrated chronic disease prevention, which contributed to the development of the Alberta Healthy Living Network. The government's assistance is also needed to support the intersectoral collaborations essential for integrated chronic disease prevention.
对加拿大主要慢性病常见风险因素的认识推动了综合慢性病预防和健康促进方法的发展。艾伯塔省心脏健康项目研究了加拿大艾伯塔省卫生组织开展心脏健康促进工作的能力。本文描述了艾伯塔省心脏健康项目如何根据有关艾伯塔省综合慢性病预防初步阶段的新研究结果采取行动，以发挥领导作用，鼓励全省开展慢性病预防工作。
加拿大省级和联邦层面都明显表现出对综合慢性病预防的政治支持。由于机构重组、关键健康促进倡导者的流失以及资金分配减少，艾伯塔省的地区卫生当局寻求提高慢性病预防工作的效率。
描述性数据来自一份关于地区卫生当局慢性病预防重点和活动的简短问卷、地区卫生当局健康促进项目和服务清单、对地区卫生当局关键文件的内容分析，以及与地区卫生当局工作人员、管理人员和政策制定者进行的焦点小组讨论。
2002年，艾伯塔省心脏健康项目的数据显示，许多地区卫生当局已开始开展综合慢性病预防工作。然而，各卫生组织之间几乎没有合作；需要省级层面发挥领导作用，以促进综合慢性病预防的合作与网络建设。
结果支持了省级层面发挥领导作用以加强综合慢性病预防合作的发展势头，这推动了艾伯塔省健康生活网络的建立。还需要政府的援助来支持综合慢性病预防所必需的跨部门合作。
