Miro Alice, Kishchuk Natalie A, Perrotta Kim, Swinkels Helena M
Heart and Stroke Foundation of Canada.
Can J Public Health. 2014 Sep 12;106(1 Suppl 1):eS50-63. doi: 10.17269/cjph.106.4555.
The Healthy Canada by Design (HCBD) CLASP (Coalitions Linking Action and Science for Prevention) Initiative promotes the building of communities that support health by 1) facilitating the integration of health evidence into built environment decision-making; 2) developing new, cross-sector collaboration models and tools; and 3) fostering a national community of practice.
A coalition of public health professionals, researchers, professional planners and non-governmental organization (NGO) staff from across Canada developed, implemented and participated in the Initiative.
In the first phase, HCBD interventions took place for the most part in large urban and suburban settings in Quebec, Ontario and British Columbia. National knowledge transfer and exchange (KTE) activities were delivered both locally and nationally.
Project participants developed tools or processes for collaboration between the health and the community planning sectors. These were designed to increase the capacity of the health sector to influence decisions about land use and transportation planning. Tool or process development was accompanied by pilot testing, evaluation, and dissemination of findings and lessons learned. On a parallel track, NGOs involved with HCBD led national KTE interventions.
The first phase of HCBD demonstrated the potential for public health organizations to influence the built environment determinants of cancer and chronic diseases. Public health authorities forged relationships with several organizations with a stake in built environment decisions, including municipal and regional planning departments, provincial governments, federal government agencies, researchers, community groups and NGOs. The Initiative accomplished the following: 1) created new relationships across sectors and across health authorities; 2) improved the knowledge and skills for influencing land use planning processes among public health professionals; 3) increased awareness of health evidence and intent to change practice among built environment decision-makers; and 4) facilitated inclusion of health considerations in local plans, policies and decisions.
The first phase of HCBD engaged built environment stakeholders, including public health professionals, planners, researchers, community groups and NGOs, in ways that would be expected to influence health risk factors and population health outcomes in the long term.
“加拿大健康设计（HCBD）”的CLASP（预防行动与科学联盟）倡议促进建设支持健康的社区，其方式包括：1）推动将健康证据纳入建筑环境决策；2）开发新的跨部门合作模式和工具；3）培育全国性的实践社区。
来自加拿大各地的公共卫生专业人员、研究人员、专业规划师和非政府组织（NGO）工作人员组成的联盟制定、实施并参与了该倡议。
在第一阶段，HCBD干预大多在魁北克省、安大略省和不列颠哥伦比亚省的大型城市和郊区进行。全国性的知识转移与交流（KTE）活动在当地和全国范围内开展。
项目参与者开发了卫生部门与社区规划部门之间的合作工具或流程。这些工具或流程旨在增强卫生部门影响土地使用和交通规划决策的能力。工具或流程开发伴随着试点测试、评估以及研究结果和经验教训的传播。与此同时，参与HCBD的非政府组织主导了全国性的KTE干预。
HCBD的第一阶段表明，公共卫生组织有潜力影响癌症和慢性病的建筑环境决定因素。公共卫生当局与多个在建筑环境决策中有利害关系的组织建立了关系，包括市和区域规划部门、省政府、联邦政府机构、研究人员、社区团体和非政府组织。该倡议取得了以下成果：1）在各部门和各卫生当局之间建立了新关系；2）提高了公共卫生专业人员影响土地使用规划流程的知识和技能；3）增强了建筑环境决策者对健康证据的认识以及改变做法的意愿；4）促进了在地方规划、政策和决策中纳入对健康的考虑。
HCBD的第一阶段让包括公共卫生专业人员、规划师、研究人员、社区团体和非政府组织在内的建筑环境利益相关者参与进来，有望从长远角度影响健康风险因素和人群健康结果。
