Propel Center for Population Health Impact, University of Waterloo, Waterloo, Ontario, Canada.
Cancer. 2011 May 15;117(10 Suppl):2281-8. doi: 10.1002/cncr.26046.
Population-level intervention is required to prevent cancer and other chronic diseases. It also promotes health for those living with established risk factors and illness. In this article, the authors describe a vision and approach for continuously improving population-level programs and policies within and beyond the health sector. The vision and approach are anchored in contemporary thinking about what is required to link evidence and action in the field of population and public health. The authors believe that, as a cancer prevention and control community, organizations and practitioners must be able to use the best available evidence to inform action and continually generate evidence that improves prevention policies and programs on an ongoing basis. These imperatives require leaders in policy, practice, and research fields to work together to jointly plan, conduct, and act on relevant evidence. The Propel Center and colleagues are implementing this approach in Youth Excel-a pan-Canadian initiative that brings together national and provincial organizations from health and education sectors and capitalizes on a history of collaboration. The objective of Youth Excel is to build sustainable capacity for knowledge development and exchange that can guide and redirect prevention efforts in a rapidly evolving social environment. This goal is to contribute to creating health-promoting environments and to accelerate progress in preventing cancer and other diseases among youth and young adults and in the wider population. Although prevention is the aim, health-promoting environments also can support health gains for individuals of all ages and with established illness. In addition, the approach Youth Excel is taking to link evidence and action may be applicable to early intervention and treatment components of cancer control.
需要进行人群层面的干预，以预防癌症和其他慢性病。这也有助于改善存在既定风险因素和疾病的人群的健康状况。本文作者描述了一种愿景和方法，用于持续改进卫生部门内外的人群层面的项目和政策。这一愿景和方法基于在人口和公共卫生领域将证据与行动联系起来所需的现代思维。作者认为，作为一个癌症预防和控制社区，组织和从业人员必须能够利用最佳现有证据为行动提供信息，并不断生成改善预防政策和项目的证据，以持续进行。这些当务之急要求政策、实践和研究领域的领导者共同努力，共同规划、开展和实施相关证据。推进中心及其同事正在 Youth Excel 中实施这一方法，这是一项全加的倡议，汇集了来自卫生和教育部门的全国性和省级组织，并利用了以往合作的历史。Youth Excel 的目标是建立可持续的知识开发和交流能力，为快速变化的社会环境中的预防工作提供指导和重新定位。这一目标有助于创造促进健康的环境，并加速预防青年和青年以及更广泛人群中癌症和其他疾病的进展。虽然预防是目标，但促进健康的环境也可以支持所有年龄段和患有既定疾病的个人的健康收益。此外，Youth Excel 用于将证据与行动联系起来的方法可能适用于癌症控制的早期干预和治疗部分。
