title: [Integrating prevention and promotion in health systems: four realities, diverse similarities].
abstract: The Forum Dialogue on national health systems which took place as a satellite meeting of the 2nd International Conference on Local and Regional Health Programmes compared four countries (Brazil, France, Switzerland and Canada) sustain "conditions to integrate prevention and promotion in health systems". Despite the diversity of the four systems presented, several similarities regarding difficulties faced and achievements obtained in the integration process have been extracted, which has allowed highlighting three perspectives of action. It is suggested that prevention and promotion can be integrated into health systems by mobilising the population and health professionals towards prevention, but with the condition that the promotion and prevention sector increase its credibility by developing practices of quality, organisation, discourse, and prevention practices adjusted to the health care context. Finally, exchange between the countries on this subject is the way forward to nourish the thinking and support each other to obtain this desired integration.
authors.affiliation: Ministère de la Santé et des Services sociaux, Direction générale de la santé publique, Québec, Québec, Canada. josee.bourdages@msss.gouv.qc.ca
authors.forename: Josée
authors.initials: J
authors.lastname: Bourdages
authors.forename: Yvon
authors.initials: Y
authors.lastname: Brunelle
authors.forename: Louise
authors.initials: L
authors.lastname: St-Pierre
authors.forename: Marc
authors.initials: M
authors.lastname: Duriez
authors.forename: Catherine
authors.initials: C
authors.lastname: Gerhart
authors.forename: Françoise
authors.initials: F
authors.lastname: Jabot
authors.forename: Christian
authors.initials: C
authors.lastname: Nicolas
authors.forename: Marianne
authors.initials: M
authors.lastname: Sereda
authors.forename: Jean D
authors.initials: JD
authors.lastname: Simos
authors.forename: Nadia
authors.initials: N
authors.lastname: von Holzen
authors.forename: Zulmira de Araújo
authors.initials: Zde A
authors.lastname: Hartz
authors.forename: Miguel Malo
authors.initials: MM
authors.lastname: Serrano
authors.forename: Pierre
authors.initials: P
authors.lastname: Bergeron
authors.forename: Denis
authors.initials: D
authors.lastname: Drouin
authors.forename: Daniel
authors.initials: D
authors.lastname: Reinharz
authors.forename: Paul A
authors.initials: PA
authors.lastname: Lamarche
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007391:International Cooperation; D007400:Interprofessional Relations; D011057:Politics; D011315:Preventive Medicine / Q000458:organization & administration*; D012924:Social Conditions; D014944:World Health Organization