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Canadian Journal of Public Health

, Volume 97, Supplement 3, pp S18–S26 | Cite as

Revenu et santé au Canada

Lacunes sur le plan de la recherche et possibilités futures
  • Dennis RaphaelEmail author
  • Ronald Labonte
  • Ronald Colman
  • Karen Hayward
  • Renee Torgerson
  • Jennifer Macdonald
Article

Résumé

Contexte

Ce projet de recherche avait pour but de cerner, en vue de corriger, les lacunes et les besoins existants sur le plan de la recherche et des politiques publiques en ce qui concerne le lien entre le revenu et la santé au Canada.

Méthodologie

L’étude comportait une analyse du contexte et un examen de 321 projets de recherche empirique du Canada (n = 241), du Royaume-Uni (n = 40) et de la Finlande (n = 40), suivis d’une analyse systématique des lacunes et besoins cernés par les membres de trois comités consultatifs regroupant des chercheurs et des conseillers en politiques. Ces données ont été complétées par des entrevues avec des informateurs clés, notamment des chercheurs du Canada, du Royaume-Uni et de la Finlande. Les lacunes et besoins ont ensuite été examinés et classés par ordre de priorité par les membres des trois comités consultatifs.

Résultats

L’exercice a mis au jour un grand nombre de lacunes et de besoins dans la recherche sur le revenu et la santé au Canada. Ils couvrent cinq grandes catégories: (a) la formation et le renforcement des capacités pour étudier le revenu comme déterminant de la santé; (b) l’élaboration de données et de mesures adéquates; (c) la recherche portant sur certains secteurs de la santé; (d) la recherche portant sur certains secteurs des politiques publiques; (e) l’acquisition d’une meilleure compréhension des voies et mécanismes exerçant un effet sur le lien entre le revenu et la santé. Les membres des comités consultatifs sont parvenus à un large consensus sur les lacunes et les besoins ainsi que sur les façons de les combler.

Conclusions

Les Instituts de recherche en santé du Canada et l’Institut de la santé publique et des populations doivent cibler des initiatives de recherche pour aider à combler les lacunes dans les connaissances. Ils doivent aussi collaborer avec les instituts de politiques publiques à la mise en rapport des résultats sur le revenu, sa répartition et la santé, et participer à la diffusion de ces résultats au public en général et aux décideurs en particulier.

Termes MeSH

revenu santé publique priorités de recherche politiques publiques 

References

  1. 1.
    Restrepo HE. Introduction. Dans: Health Promotion: An Anthology. Washington DC: Pan American Health Organization, 1996: ix–xi.Google Scholar
  2. 2.
    Raphael D, Bryant T. The limitations of population health as a model for a new public health. Health Promotion Int 2002;17:189–99.CrossRefGoogle Scholar
  3. 3.
    Raphael D. Health inequalities in Canada: current discourses and implications for public health action. Critical Public Health 2000;10(2):193–216.CrossRefGoogle Scholar
  4. 4.
    National Council of Welfare. Presentation to the Standing Committee on Finance for the 2003 Pre-Budget Consultations. Ottawa, ON: National Council of Welfare, 2003.Google Scholar
  5. 5.
    National Council of Welfare. Income for Living? Ottawa: National Council of Welfare, 2004.Google Scholar
  6. 6.
    National Council of Welfare. Poverty Profile 2001. Ottawa: National Council of Welfare, 2004.Google Scholar
  7. 7.
    National Council of Welfare. From Poverty To Prosperity, Presentation to the Standing Committee on Finance for the 2005 Pre-Budget Consultations. Ottawa: National Council of Welfare, 2005.Google Scholar
  8. 8.
    Canadian Population Health Initiative. Canadian Population Health Initiative Brief to the Commission on the Future of Health Care in Canada. Disponible en ligne à: <https://doi.org/www.secure.cihi.ca/cihiweb/en/downloads/cphi_policy_romanow-brief_e.pdf>. Accessed February 20, 2004.Google Scholar
  9. 9.
    Raphael D. Barriers to addressing the determinants of health: public health units and poverty in Ontario, Canada. Health Promotion Int 2003;18:397–405.CrossRefGoogle Scholar
  10. 10.
    Raphael D, Macdonald J, Labonte R, Colman R, Hayward K, Torgerson R. Researching income and income distribution as a determinant of health in Canada: gaps between theoretical knowledge, research practice, and policy implementation. Health Policy 2004;72:217–32.CrossRefGoogle Scholar
  11. 11.
    Raphael D, Colman R, Labonte R, MacDonald J, Torgeson R, Hayward K. Income, Health and Disease in Canada: Current State of Knowledge, Information Gaps and Areas of Needed Inquiry. Université York 2001–2002. Disponible en ligne à: <https://doi.org/www.atkinson.yorku.ca/draphael.>.Google Scholar
  12. 12.
    Marmot M, Wilkinson R. Social Determinants of Health, 2nd ed. Oxford, UK: Oxford University Press, 2006.Google Scholar
  13. 13.
    Raphael D (Éd.). Social Determinants of Health: Canadian Perspectives. Toronto: Canadian Scholars Press, 2004.Google Scholar
  14. 14.
    Mackenbach J, Bakker M (Éds.). Reducing Inequalities in Health: A European Perspective. London UK: Routledge, 2002.Google Scholar
  15. 15.
    Raphael D. Canadian policy statements on income and health: sound and fury — signifying nothing. Can Rev Social Policy 2001;48:121–27.Google Scholar
  16. 16.
    Evans RG, Barer ML, Marmor TR. Why Are Some People Healthy and Others Not? The Determinants of Health of Populations. New York, NY: Aldine de Gruyter, 1994.Google Scholar
  17. 17.
    Santé Canada. The Population Health Template: Key Elements and Actions That Define A Population Health Approach. Rapport élaboré pour la Direction générale de la santé de la population et de la santé publique, Santé Canada. Disponible en ligne à: <https://doi.org/www.hc-sc.gc.ca/hppb/phdd/pdf/discussion_paper.pdf>. Accessed June 2002.Google Scholar
  18. 18.
    Canadian Public Health Association. Action Statement for Health Promotion in Canada. Ottawa: CPHA, 1996. Disponible en ligne à: <https://doi.org/www.cpha.ca/english/policy/pstatem/action/pagel>. Accessed July 2002.Google Scholar
  19. 19.
    Frohlich KL, Mykhalovskiy E, Miller F, Daniel M. Advancing the population health agenda: encouraging the integration of social theory into population health research and practice. Can J Public Health 2004;95(5):392–95.PubMedGoogle Scholar
  20. 20.
    Shaw M. Editorial: The accidental epidemiologist. Int J Epidemiol 2002;31:523–26.PubMedCrossRefGoogle Scholar
  21. 21.
    Labonte R, Polanyi M, Muhajarine N, Mcintosh T, Williams A. Beyond the divides: towards critical population health research. Critical Public Health 2005;15(1):5–17.CrossRefGoogle Scholar
  22. 22.
    Ross N. Community belonging and health. Health Rep 2002;13(3):33–42.PubMedGoogle Scholar
  23. 23.
    Ross N. What have we learned studying income inequality and population health? Ottawa: Canadian Population Health Initiative, 2004.Google Scholar
  24. 24.
    Ross N, Nobrega K, Dunn J. Income segregation, income inequality and mortality in North American metropolitan areas. GeoJournal 2001;53(2):117–24.CrossRefGoogle Scholar
  25. 25.
    Dunn JR. Housing and health inequalities: review and prospects for research. Housing Studies 2000;15(3):34l–66.CrossRefGoogle Scholar
  26. 26.
    Dunn JR, Hayes MV, Hulchanski JD, Hwang SW, Potvin L. Housing as a Socio-Economic Determinant of Health: a Needs, Gaps and Opportunities Assessment for Research. Université de Calgary.Google Scholar
  27. 27.
    Dunn J, Hayes M. Identifying social pathways for health inequalities. The role of housing. Ann NY Acad Sci 1999;896:399–402.PubMedCrossRefGoogle Scholar
  28. 28.
    Wolfson MC, Rowe G. On measuring inequalities in health. Bull World Health Organ 2001;79(6):553–60.PubMedPubMedCentralGoogle Scholar
  29. 29.
    Wolfson M. Income inequality and mortality among working-age people in Canada and the U.S. Health Rep 1999;11(3):77–82.Google Scholar
  30. 30.
    Wolfson M, Kaplan G, Lynch J, et al. Relation between income inequality and mortality: empirical demonstration. BMJ 1999;319(7215):953–57.PubMedPubMedCentralCrossRefGoogle Scholar
  31. 31.
    Kasman NM, Badley E. The impact of arthritis on the women of Canada. Dans: DesMeules M, Stewart D (Eds.), Women’s Health Surveillance Report: A Multidimensional Look at the Health of Canadian Women. Ottawa: Canadian Institute for Health Information, 2003.Google Scholar
  32. 32.
    Grace S, Fry R, Cheung A, Stewart D. Cardiovascular disease. Dans: DesMeules M, Stewart D (Eds.), Women’s Health Surveillance Report: A Multidimensional Look at the Health of Canadian Women. Ottawa: Canadian Institute for Health Information, 2003.Google Scholar
  33. 33.
    Shaw M, Dorling D, Davey Smith G. Poverty, social exclusion, and minorities. Dans: Marmot MG, Wilkinson RG (Eds.), Social Determinants of Health. Oxford, UK: Oxford University Press, 1999.Google Scholar
  34. 34.
    Davey Smith G (Ed.). Lnequalities in Health: Life Course Perspectives. Bristol, UK: Policy Press, 2003.Google Scholar
  35. 35.
    Raphael D, Anstice S, Raine K. The social determinants of the incidence and management of Type 2 Diabetes Mellitus: Are we prepared to rethink our questions and redirect our research activities? Leadership in Health Services 2003;16:10–20.CrossRefGoogle Scholar
  36. 36.
    Raphael D, Farrell ES. Addressing cardiovascular disease in North America: Shifting the paradigm. Harvard Health Policy Review 2002;3(2).Google Scholar
  37. 37.
    Romanow RJ. Building on Values: The Future of Health Care in Canada. Saskatoon, SK: Commission on the Future of Health Care in Canada, 2002.Google Scholar
  38. 38.
    Mazankowski D. A Framework for Reform: Report of the Premier’s Advisory Council on Health. Edmonton, AB: Government of Alberta, 2001.Google Scholar
  39. 39.
    Kirby MJ. The Health of Canadians: The Federal Role. Ottawa: Standing Senate Committee on Social Affairs, Science and Technology, 2002.Google Scholar
  40. 40.
    Wilkinson R, Marmot M. Social Determinants of Health: The Solid Facts. World Health Organization, European Office, 2003. Disponible en ligne à: <https://doi.org/www.euro.who.int/document/e81384.pdf>.Google Scholar
  41. 41.
    Bryant T. Politics, public policy and population health. Dans: Raphael D, Bryant T, Rioux M (Éds.), Staying Alive: Critical Perspectives on Health, Illness, and Health Care. Toronto: Canadian Scholars Press, 2006;193–216.Google Scholar
  42. 42.
    Raphael D, Bryant T. Public health concerns in Canada, USA, UK, and Sweden: exploring the gaps between knowledge and action in promoting population health. Dans: Raphael D, Bryant T, Rioux M (Eds.), Staying Alive: Critical Perspectives on Health, Illness, and Health Care. Toronto: Canadian Scholars Press, 2006.Google Scholar
  43. 43.
    Coburn D. Health and health care: a political economy perspective. Dans: Raphael D, Bryant T, Rioux M (Éds.), Staying Alive: Critical Perspectives on Health, Illness, and Health Care. Toronto: Canadian Scholars Press, 2006;59–84.Google Scholar
  44. 44.
    Hofrichter R. The politics of health inequities: contested terrain. Health and Social Justice: A Reader on Ideology, and Inequity in the Distribution of Disease. San Francisco, CA: Jossey Bass, 2003.Google Scholar
  45. 45.
    Raphael D, Bryant T, Rioux M (Éds.). Staying Alive: Critical Perspectives on Health, Illness, and Health Care. Toronto: Canadian Scholars Press, 2006.Google Scholar
  46. 46.
    Raphael D, Curry-Stevens A. Addressing and surmounting the political and social barriers to health. Dans: Raphael D (Ed.). Social Determinants of Health: Canadian Perspectives. Toronto: Canadian Scholars Press, 2004.Google Scholar

Copyright information

© The Canadian Public Health Association 2006

Authors and Affiliations

  • Dennis Raphael
    • 1
    Email author
  • Ronald Labonte
    • 2
  • Ronald Colman
    • 3
  • Karen Hayward
    • 3
  • Renee Torgerson
    • 4
  • Jennifer Macdonald
    • 5
  1. 1.École de gestion et de politiques en santéUniversité YorkTorontoCanada
  2. 2.Institut de recherche sur la santé des populations, département d’épidémiologie et de médecine socialeUniversité d’OttawaCanada
  3. 3.Indice de progrès véritableAtlantiqueCanada
  4. 4.Réseaux canadiens de recherche en politiques publiquesCanada
  5. 5.Ministère de la Santé de la Nouvelle-ÉcosseHalifaxCanada

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