[Transition of the roles and mandates of public health professionals].
There is a call for a new intervention paradigm that integrates all dimensions of physical, political and economic environments that might impact on health. The Ottawa Charter, the Global Plan for Health Promotion and the Health and Welfare Policy to mention a few, suggest that public health agents broaden their roles and their mandates. From health educators, they are now being asked to not only continue to favour the development of personal skills, to help create supporting environments, to reorient health services, to reinforce community action, as well as elaborate health public policies but to also become consensus builders towards this new paradigm. This article discusses the transition of the role and mandate of the individual health professional. In order to do so, the article traces the practice of the health professional beginning at the end of the 1970's and compares it to that of 1996 looking at the following dimensions: roots, objectives, place of activity, favoured strategies and approaches. Furthermore, it will try to identify new obstacles in health promotion. Finally, it will underline the new challenges for public health near the year 2000.
Renaud
L
L
Direction de la santé publique de Montréal-Centre, Montréal, Québec. Renaudli@ere.Umontreal.CA
Sacks-Silver
G
G
D006282:Health Personnel; D006291:Health Policy; D006293:Health Promotion; D006801:Humans; D009864:Ontario; D011634:Public Health; D012380:Role; D000078329:Workforce
Une transition des rôles et des mandats des professionnels de la santé publique.