Shifting Discourses on Health in Canada
From Health Promotion to Population Health
Bibliographic Data
| ID | 22944151 |
|---|---|
| Authors | Ann Robertson (0000-0003-1077-0343, University of Toronto, corresponding author) |
| Year | 1998 |
| Volume | 13 |
| Issue | 2 |
| Pages | 155-166 |
| Publication date | 1998-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Promotion International (JOURNAL) |
| Journal identifiers | ISSN: 0957-4824 • E-ISSN: 1460-2245 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/heapro/13.2.155 |
| OpenAlex | W2152063517 |
| Language | EN |
| Citations received | 41 |
| References cited | 18 |
This paper argues that discourses on health are products of the particular social, economic and political context within which they are produced. In the early 1980s, the discourse on health in Canada shifted from a post-Lalonde Report lifestyle behaviour discourse to one shaped by the discourse on the ‘social determinants of health’. In Canada, we are currently witnessing the emergence of another discourse on health—‘population health’—as a guiding framework for health policy and practice. Grounded in a critical social science perspective on health and health promotion, this paper critiques the population health discourse in terms of its underlying epistemological assumptions and the theoretical and political implications which follow. Does it matter whether we talk about ‘heterogeneities in health’ or ‘inequities in health’? This paper argues that it does, and concludes that population health is becoming a prevailing discourse on health at this particular historical time in Canada because it provides powerful rhetoric for the retreat of the welfare state. This paper argues further that it is health promotion's alignment with the moral economy of the welfare state that makes it a countervailing discourse on health and its determinants.
Context (archaeology) · Geography · Health care · Health equity · Health promotion · International health · Political science · Politics · Population · Population health · Public health · Rhetoric · Social determinants of health · Sociology · Welfare state · Global Public Health Policies and Epidemiology · Law · Medicine · Nursing · Obesity and Health Practices · Public Health and Social Inequalities · Health Policy
Addressing the persistence of Tuberculosis Among the Canadian Inuit Population
The HIV/Aids epidemic in Ukraine
Cochrane reviews and the behavioural turn in evidence-based medicine
Canada's Active Living Policy
Personal Responsibility for Health? A Review of the Arguments and the Evidence at Century’s End
Ottawa to Bangkok
The invisibilization of health promotion in Australian public health initiatives
Welfare babies
Salutogenesis for health promotion
Complexity
A decolonizing approach to health promotion in Canada
How have health promotion frameworks considered gender?
"They Don't Trust Us; We're Just Kids." Views About Community From Predominantly Female Inner City Youth
Confronting Racism within the Canadian Healthcare System
L’étude des savoirs au-delà du contrôle disciplinaire
The Graying of “Sexual Health”
Cochrane reviews and the behavioural turn in evidence-based medicine
Risk, responsibility, resistance
Theoretical issues in the ‘food desert’ debate and ways forward
The weight of communication
It's a tradition of naming injustice”
Health inequalities in Canada
Using Habermas’ theory of communicative action to transform sociological analyses of evidence-based policy
Grasping at straws
A critical analysis of Canada's ‘Active Living’
A discourse analysis of the social determinants of health
Moving between ideologies in self‐management support—A qualitative study
Population Health as a Framework for Public Health Practice
Population Health in Canada
Different Wor(l)ds
Population Health Promotion
Fiscal federalism, Medicare, and the Lalonde report
Government Policies as a Threat to Health
Putting the Population into Population Health
Finding the Kieran Way
La satisfaction des patients francophones de l’Est de l’Ontario traités en réadaptation à domicile
Moving from information transfer to information exchange in health and health care
What determines health? To where should we shift resources
Income inequality, social cohesion and the health status of populations
Men on the margin
Une analyse comparative entre le Canada, le Québec et la France
Why Are Some People Healthy and Others Not?
Tenacious Assumptions in Western Medicine
New Health Promotion Movement
Race or class versus race and class
Income distribution and life expectancy.
Rights talk
Making of the English Working Class
Work, ideology, and science
The Role of Medicine
The Importance of Social Intervention in Britain's Mortality Decline c .1850–1914
Retirement and the moral economy
Commitment to Welfare
Towards a critical social science perspective on health promotion research
Social analysis of collective health in Latin America
Income distribution and mortality
| Unique citing works | 41 |
|---|---|
| Citations per year | 1,46 |
| Citation span | 1998 - 2026 (29) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 39 |