Population health in Canada: a brief critique.
An internationally influential model of population health was developed in Canada in the 1990s, shifting the research agenda beyond health care to the social and economic determinants of health. While agreeing that health has important social determinants, the authors believe that this model has serious shortcomings; they critique the model by focusing on its hidden assumptions. Assumptions about how knowledge is produced and an implicit interest group perspective exclude the sociopolitical and class contexts that shape interest group power and citizen health. Overly rationalist assumptions about change understate the role of agency. The authors review the policy and practice implications of the Canadian population health model and point to alternative ways of viewing the determinants of health.
Coburn
David
D
Department of Public Health Sciences, University of Toronto, Ontario, Canada. david.coburn@utoronto.ca
Denny
Keith
K
Mykhalovskiy
Eric
E
McDonough
Peggy
P
Robertson
Ann
A
Love
Rhonda
R
D002170:Canada; D006291:Health Policy; D006302:Health Services Research; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D008962:Models, Theoretical; D011057:Politics; D015980:Public Health Practice; D012959:Socioeconomic Factors