[Health evaluation and promotion. State of the art across the international literature].
Ten years after its emergence on the international scene, Health Promotion remains a marginal concept, even it its diffusion continues in practice. Resting on an ecological model of health that stresses the importance of interactions between the individual or group and the physical and social environment, health promotion aims to reduce the inequalities concerning health and access to care. The evaluation of health promotion actions suffers from a double handicap (or benefits from a double advantage?): the newness of the concept of health promotion and the relative novelty of using systematic evaluation practices for health actions. To carry out the inquiry of evaluation and health promotion, several public health data bases were consulted, both French and foreign, crossing evaluation and health promotion. It was noted that a degree of assimilation had occurred between health promotion and health education, and thus the research was enlarged by crossing evaluation with health education, community health and prevention. Only one article made specific reference to any of the five strategies delineated in the Ottawa Charter, and it appeared from the existing literature that health promotion in real life seems to have a meaning-confirmed by general practice--somehow reduced compared with the ambitions of the text to reduce inequalities in health and to allow the mastery and control by the population of the determinants of health.


RESULTS
The lack of available materials, particularly in francophone Europe, with the majority of references describing actions or experiments in Canada, and only rarely actions on the determinants of health.(ABSTRACT TRUNCATED AT 250 WORDS)
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Médecin de Santé Communitaire, Service de Médecine Préventive et Sociale, Faculté de Médecine Saint-Antoine, Paris, France.
D004059:Diffusion of Innovation; D006291:Health Policy; D006293:Health Promotion / Q000592:standards; D006297:Health Services Accessibility; D006801:Humans; D015397:Program Evaluation
Evaluation et promotion de la santé: etat de la question à travers la littérature internationale.