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加拿大的社会处方:拉隆德报告 50 年后的健康促进行动

Social prescribing in Canada: health promotion in action, 50 years after the Lalonde report.

机构信息

Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Faculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada.

出版信息

Health Promot Chronic Dis Prev Can. 2024 Jun;44(6):241-243. doi: 10.24095/hpcdp.44.6.01.

Abstract

The Lalonde report, published in 1974 by the Canadian Minister of National Health and Welfare, broke ground for public health in Canada by acknowledging that the determinants of health are much broader than health care services. Fifty years later, this special issue of Health Promotion and Chronic Disease Prevention in Canada charts a clear path towards addressing upstream determinants of health through an emerging intervention called "social prescribing." Social prescribing connects patients with community resources tailored to their individual priorities, fostering a paradigm shift from a deficitbased to a strengths-based approach in health promotion. Part 1 of this issue covers the rapid growth and diverse applications of social prescribing across Canada, with targeted initiatives for various populations and interventions ranging from nature and arts to physical activity and social connectivity. Contributions from a wide range of partners, including researchers, health professionals and community members, explore the adaptability of social prescribing for different groups, underscore the role of community and lived experiences in research, and call for more studies on social prescribing's effectiveness and outcomes. Highlighted case studies demonstrate tangible benefits in health equity and access to social services. This issue not only reflects the current scope and impact of social prescribing in Canada but also sets the stage for its future development and integration into broader health practices.

摘要

1974 年,加拿大国家卫生福利部长 Lalonde 发布的报告突破了加拿大公共卫生领域的界限,承认健康的决定因素远远超出了医疗保健服务的范畴。50 年后,本期刊物《加拿大促进健康和预防慢性病》通过一种名为“社会处方”的新兴干预措施,为解决健康的上游决定因素指明了明确的道路。社会处方将患者与根据其个人优先事项量身定制的社区资源联系起来,促进了从基于缺陷的健康促进方法向基于优势的方法的范式转变。本期刊物的第一部分涵盖了社会处方在加拿大的快速发展和多样化应用,针对不同人群和干预措施制定了有针对性的计划,从自然和艺术到体育活动和社交联系等不一而足。来自广泛合作伙伴的贡献,包括研究人员、卫生专业人员和社区成员,探讨了社会处方对不同群体的适应性,强调了社区和生活经验在研究中的作用,并呼吁开展更多关于社会处方效果和结果的研究。突出的案例研究展示了在健康公平和获得社会服务方面的切实收益。本期刊物不仅反映了当前加拿大社会处方的范围和影响,也为其未来的发展和融入更广泛的健康实践奠定了基础。

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