scholarly journals Capturing how age-friendly communities foster positive health, social participation and health equity: a study protocol of key components and processes that promote population health in aging Canadians

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Mélanie Levasseur ◽  
Marie-France Dubois ◽  
Mélissa Généreux ◽  
Verena Menec ◽  
Parminder Raina ◽  
...  
2019 ◽  
pp. 183-192
Author(s):  
Fran Baum

This chapter distills the contents of the book into six central messages: (1) reducing inequities is the central, vital mechanism for building population health; (2) human health is intimately connected to planetary health and needs to be viewed as part of the broader ecosystem; (3) how we govern is vitally important to how healthy, sustainable and equitable we are: good governance is centrally concerned with the involvement of all sectors to promote health and reduce inequities; (4) regulation is a powerful and essential tool for public health; (5) new ways of measuring progress are important; (6) ubiquitous leadership is required for health, equity, and well-being. The chapter elaborates on each of these and then ends with a consideration of the importance of maintaining hope and acting with courage.


2016 ◽  
Vol 37 (S2) ◽  
pp. 145-153 ◽  
Author(s):  
James Chauvin ◽  
Laetitia Rispel

2020 ◽  
Vol 11 ◽  
Author(s):  
Bernd Schulte ◽  
Kirsten Lehmann ◽  
Christiane Sybille Schmidt ◽  
Elke Rühling ◽  
Bernd Weber ◽  
...  

Introduction: Once-weekly or once-monthly injectable depot buprenorphine is a new opioid substitution treatment (OST) medication that provides clinically relevant plasma concentrations without daily peaks. Together with a high tolerability and acceptance reported by patients, the prolonged release of injectable depot buprenorphine might have beneficial implications on the patients' quality of life and social participation. The primary objective of this prospective non-interventional observational study is to evaluate the effects of subcutaneous injectable depot buprenorphine on the quality of life of patients in routine OST care in Germany. Secondary outcomes like illicit substance use, psychological distress, social participation and activity are assessed to provide an overall evaluation toward addiction recovery.Methods and Analysis: The present study is a non-randomized prospective observational study with a control group (treatment-as-usual). To ensure comparability between both patient groups, suitable control patients (n = 213) from the same OST unit will be matched pairwise to each patient treated with injectable depot buprenorphine (n = 213). Matching variables are gender, duration of OST, take-home prescription and psychosocial functioning (according to the Global Assessment of Functioning scale). Primary study endpoint is the difference of change in quality of life, assessed with the recently developed Opioid Substitution Treatment Quality of Life scale (OSTQOL), within the depot buprenorphine group between baseline and month 12. The primary analysis will be carried out according to the intention-to-treat principle (ITT) by comparing OSTQOL mean scores using dependent t-tests. For secondary analyses, group comparisons will be done by mixed model approaches with baseline OSTQOL score and the (pairwise) cluster term as covariates.Discussion: The study combines clinical, routine OST care data with relevant patient reported outcome data. The pairwise matching allows conclusions on effects of different OST medications. The study findings will provide new insights in the addiction recovery processes of OST patients treated with depot buprenorphine.Ethics and Dissemination: The study protocol has been approved by the Ethics Committee of the Hamburg Chamber of Physicians (Ärztekammer Hamburg) (reference number: PV7078). The study results will be disseminated through peer-reviewed publications and presentations on scientific conferences.Clinical Trial Registration: German Clinical Trials Register DRKS-ID: DRKS00020797


2020 ◽  
Vol 45 (6) ◽  
pp. 983-995 ◽  
Author(s):  
Julia Lynch

Abstract The COVID-19 pandemic has revealed starkly and publicly the close interconnections between social and economic equality, health equity, and population health. To better understand what social policies would best promote population health, economic recovery, and preparedness for future pandemics, one must look both upstream and abroad for inspiration. In this article, the author argues for a suite of near-term and longer-term interventions, including universal health insurance and paid sick leave; upgraded wage insurance policies; tax reform; investments in parental leave, childcare, and education; and upgraded government record systems. Policies that equalize the distribution of the social determinants of health and promote social solidarity also will improve population health and economic performance and allow everyone to confront future pandemics more successfully.


2011 ◽  
Vol 17 (4) ◽  
pp. 327 ◽  
Author(s):  
Helen Keleher

Australia’s health reform documents make reference to the need to address health equity and strengthen population health planning. They make a stronger case about the need to address equity than policy documents that have preceded them. However, they do not make clear that health care is one of many determinants of health and equity, and that planning for health care, social care and social health outcomes are necessary for effectiveness. In other words, population health planning is much more than health care planning. Population health plans vary in their intent and design, depending on the population catchment for the plan, the remit of the organisations involved and the paradigms from which the plan is written. A stronger vision is necessary if population health plans are to affect health inequities. Comprehensive population planning is necessarily intersectoral with engagement across a wide cross-section of government department policies, portfolios and data sources, with a focus on the determinants of health and inequity, and a sound foundation of social values. This paper unpacks the elements of population health planning, the data sources that may be used and their interrogation in terms of the determinants of health, and presents core principles that distinguish population health planning from other types of planning to ensure that planning is comprehensive and able to be actioned.


2013 ◽  
Vol 8 (1) ◽  
Author(s):  
Kathryn Powell ◽  
Alison Kitson ◽  
Elizabeth Hoon ◽  
Jonathan Newbury ◽  
Anne Wilson ◽  
...  

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