Shared Vision: An Integrated system of chronic disease prevention
Canadians will be supported by a comprehensive, sufficiently resourced, sustainable, and integrated system of research, surveillance, policies, and programs that promote health and prevent chronic disease.
The system will:
- Link together and build upon existing initiatives in a co-ordinated and synergistic way
- Involve more than the health sector, it would include among others, transportation, planning, education, social services, and recreation
- Reflect a Canadian society that values health as a fundamental goal and right
The Chronic Disease Prevention System will be based on underlying values reflected in these guiding principles:
- Population based: Take a population-based public health approach to system development. Chronic disease prevention should be done in a health promoting way, with a focus on enabling systems, healthy public policy, mediating structures, and consideration of the broader determinants of health.
- Reducing inequalities: Reduce inequalities in risk factor prevalence and chronic disease burden, at the same time that aggregate risk factor and disease rates for the entire population are improved. Measures should seek to ensure equal access to opportunities for the avoidance of chronic disease, including access to preventive programs, and factors that can promote health (e.g. food security).
- Integration and coordination: Integrated and coordinated collaborative action for cost-effectiveness and increase in the opportunities for learning. There are many stakeholder organizations and coordination will enhance effectiveness and create synergy.
- Comprehensiveness: Ensure multifaceted interventions are implemented. This should include a focus on multiple risk factors, multiple approaches (policy, program, and media), implemented in multiple settings/locations/environments, and address multiple segments of Canadian society. Actions in various settings and at various levels should be mutually supportive and reinforcing.
- Focus on excellence: The iterative linkage between science, policy, and practice should lead to evidence-based decision-making, quality assurance, and evaluation.
- Best practices: The system should be defined based on the best available evidence, with latitude for different types of evidence and decisions that must be made vis-à-vis interventions in various health promotion settings.
- Capacity building: Focus on capacity building with strong linkages. The most promising interventions have multiple interventions in multiple settings at the community level with supportive action at the provincial/territorial and national levels.
- Accountability: Increased funding is required for planning, implementing and evaluating the system. Systematic and meaningful measures of effectiveness and reporting need to be in place. The system should be designed with achievable and quantifiable goals/objectives for specified timeframes.
- Sustainability: It will take time to establish the system and time before impact is seen. Strong leadership is required that has clear responsibilities, adequate resources and accountability. The system should be funded for sufficient duration to see clear, measurable results.
- Collaborative Leadership: To facilitate joint problem solving and decision making amoung key stakeholders.
- Advocacy: There is a need to advocate in order to influence public opinion and societal attitudes. This will bring about changes in government, community and or institutional policies.
Please see the CDPAC logic model that incorporates the vision and function of CDPAC.
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