Schabas R
Public Health Branch, Ontario Ministry of Health, North York.
Can J Public Health. 1996 Nov-Dec;87 Suppl 2:S54-6.
Prevention of ischaemic heart disease is a priority for public health. Revised Mandatory Guidelines have resulted in substantial investment in individual healthy lifestyles programs and local health units have been encouraged to develop comprehensive heart health promotion programs. Initiatives to support this direction include the Heart Health Action Program, the Canadian Heart Health Initiative, the Ontario Heart Health Network, the Report of the Chief Medical Officer of Health and the Teaching Health Unit program. In spite of this, local health units have been slow to adopt comprehensive heart health approaches. The Canadian Heart Health Initiative-Ontario Project (CHHIOP) is studying the dissemination of community heart health programming, particularly factors influencing adoption by local public health departments. CHHIOP's observational component uses province-wide health unit and community "scans" and in-depth studies using qualitative methodology. CHHIOP's interventional component is developing a provincial linkage system.
预防缺血性心脏病是公共卫生的首要任务。修订后的《强制指南》已促使大量资金投入到个人健康生活方式项目中,并且鼓励地方卫生单位制定全面的心脏健康促进项目。支持这一方向的举措包括心脏健康行动计划、加拿大心脏健康倡议、安大略心脏健康网络、卫生首席医疗官报告以及教学卫生单位项目。尽管如此,地方卫生单位在采用全面的心脏健康方法方面进展缓慢。加拿大心脏健康倡议 - 安大略项目(CHHIOP)正在研究社区心脏健康项目的推广情况,特别是影响地方公共卫生部门采用这些项目的因素。CHHIOP的观察部分利用全省范围的卫生单位和社区“扫描”以及采用定性方法的深入研究。CHHIOP的干预部分正在开发一个省级联系系统。