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Population health in Canada: A brief critique

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  • Coburn, D.
  • Denny, K.
  • Mykhalovskiy, E.
  • McDonough, P.
  • Robertson, A.
  • Love, R.

Abstract

An internationally influential model of population health was developed in Canada in the 1990s, shifting the research agenda beyond health care to the social and economic determinants of health. While agreeing that health has important social determinants, the authors believe that this model has serious shortcomings; they critique the model by focusing on its hidden assumptions. Assumptions about how knowledge is produced and an implicit interest group perspective exclude the sociopolitical and class contexts that shape interest group power and citizen health. Overly rationalist assumptions about change understate the role of agency. The authors review the policy and practice implications of the Canadian population health model and point to alternative ways of viewing the determinants of health.

Suggested Citation

  • Coburn, D. & Denny, K. & Mykhalovskiy, E. & McDonough, P. & Robertson, A. & Love, R., 2003. "Population health in Canada: A brief critique," American Journal of Public Health, American Public Health Association, vol. 93(3), pages 392-396.
    • Handle: RePEc:aph:ajpbhl:2003:93:3:392-396_3
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    Cited by:

    1. Carey, Gemma & Crammond, Brad, 2015. "Action on the social determinants of health: Views from inside the policy process," Social Science & Medicine, Elsevier, vol. 128(C), pages 134-141.
    2. Scott J. Fitzpatrick & Bronwyn K. Brew & Donna M. Y. Read & Kerry J. Inder & Alan Hayes & David Perkins, 2019. "Rethinking Suicide in Rural Australia: A study Protocol for Examining and Applying Knowledge of the Social Determinants to Improve Prevention in Non-Indigenous Populations," IJERPH, MDPI, vol. 16(16), pages 1-13, August.

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