47:. The report is considered the "first modern government document in the Western world to acknowledge that our emphasis upon a biomedical health care system is wrong, and that we need to look beyond the traditional health care (sick care) system if we wish to improve the health of the public.". The Report also recognizes that use of the local Health System shapes how people define their health-related need, options for care and definition of health.
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The proposals advocated by the report seem to have had mixed outcomes; while its nutritional and exercise recommendations are believed to have been widely accepted, there remains disagreement about its overall impact on population health. It has been argued such debates highlight the need for a
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has been the fount from which all improvements in health have flowed, and popular belief equates the level of health with the quality of medicine." The new concept "envisage that the health field can be broken up into four broad elements:
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The report was written by a group of civil servants led by Hubert (Bert) Laframboise, based on population studies in Canada, where care aims to address one of the most ethnically diverse populations in the world.
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in 1974, proposed a new "health field" concept, as distinct from medical care. Lalonde noted that the "traditional or generally-accepted view of the health field is that the art or science of
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The concept of the "health field", as identified in the
Lalonde report, is considered to be composed of four interdependent fields determined to influence individual's health. These include:
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Environmental: all matters related to health external to the human body, over which the individual has little or no control, including the physical and social environment;
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Lifestyle: the aggregation of personal decisions (i.e. over which the individual has control) that can be said to contribute to, or cause, illness or death;
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356:"Transcending the known in public health practice. The inequality paradox: the population approach and vulnerable populations"
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Minkler, M (Spring 1989). "Health education, health promotion and the open society: an historical perspective".
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interventions should focus attention on that segment of the population with the highest level of
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The report is considered to have led to the development and evolution of
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A new perspective on the health of
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Canadian Policy
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Health care organization: includes medical practice, nursing,
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Another innovation of the report was that it proposed that
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