Betancourt M T, Roberts K C, Bennett T-L, Driscoll E R, Jayaraman G, Pelletier L
Chronic Disease Surveillance Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Chronic Dis Inj Can. 2014 Spring;34 Suppl 1:1-30.
The Public Health Agency of Canada developed the Chronic Disease Indicator Framework (the Framework) with the goal of systematizing and enhancing chronic disease surveillance in Canada by providing the basis for consistent and reliable information on chronic diseases and their determinants.
Available national and international health indicators, frameworks and national health databases were reviewed to identify potential indicators. To make sure that a comprehensive and balanced set of indicators relevant to chronic disease prevention was included, a conceptual model with "core domains" for grouping eligible indicators was developed. Specific selection criteria were applied to identify key measures. Extensive consultations with a broad range of government partners, non-governmental organizations and public health practitioners were conducted to reach consensus and refine and validate the Framework.
The Framework contains 41 indicators organized in a model comprised of 6 core domains: social and environmental determinants, early life / childhood risk and protective factors, behavioural risk and protective factors, risk conditions, disease prevention practices, and health outcomes/status. Also planned is an annual release of updated data on the proposed set of indicators, including national estimates, breakdowns by demographic and socioeconomic variables, and time trends.
Understanding the evidence related to chronic diseases and theirdeterminants is key to interpreting trends and crucial to the development of public health interventions. The Framework and its related products have the potential of becoming an indispensable tool for evidence-informed decision making in Canada.
加拿大公共卫生署制定了慢性病指标框架（以下简称“框架”），旨在通过提供关于慢性病及其决定因素的一致且可靠的信息，使加拿大的慢性病监测系统化并得到加强。
对现有的国家和国际卫生指标、框架及国家卫生数据库进行了审查，以确定潜在指标。为确保纳入一套全面且平衡的与慢性病预防相关的指标，开发了一个用于对合格指标进行分组的具有“核心领域”的概念模型。应用了特定的选择标准来确定关键指标。与广泛的政府合作伙伴、非政府组织和公共卫生从业者进行了广泛磋商，以达成共识并完善和验证该框架。
该框架包含41项指标，这些指标被组织在一个由6个核心领域组成的模型中：社会和环境决定因素、生命早期/儿童期风险和保护因素、行为风险和保护因素、风险状况、疾病预防实践以及健康结果/状况。还计划每年发布有关这套拟议指标的最新数据，包括全国估计数、按人口和社会经济变量细分的数据以及时间趋势。
了解与慢性病及其决定因素相关的证据是解读趋势的关键，也是制定公共卫生干预措施的关键。该框架及其相关产品有可能成为加拿大基于证据的决策中不可或缺的工具。
