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• W2183635124 abstract "The Canadian Journal of Public Health provides leadership and direction for those who ask the question “How do I promote health?” This question needs to be more meaningfully addressed in every public health research article published. The need for knowledge transfer – to apply research in practice – is more urgent than ever, especially as it relates to public health and community development. The Public health system is stretched to capacity. The literature and research informing the practice of public health is extensive. Primary health care needs to be made universally accessible in partnership with individual, family and community with an emphasis on health promotion. A population health approach and the process of community development have been identified as critical strategies for a healthy future. Despite this vital and strong theoretical background, the public health system struggles to be recognized as a priority for health. The acute and illness care system continues to dominate Canadian health care – even when politicians, health care providers, researchers and clients have all recommended alternatives. It is time we walked our talk. This means we must all take the challenge and consider how public health research can support the public health agenda. Recent “Communication Notes” from the Canadian Health Services Research Foundation (CHSRF) recommend that a dissemination plan be developed as a component of any collaborative research process in health care. As stated in the CHSRF communication note: “Successful dissemination activities go beyond traditional vehicles such as publication in scholarly journals to activities that promote a two-way dialogue with decision makers.” The Romanow Report (2003) also promotes this type of knowledge transfer, specifically as it relates to primary health care. Canada’s health community is developing an integrated Chronic Disease Prevention Strategy. Some jurisdictions across the country have focussed specifically on chronic disease prevention while others have suggested policy initiatives that reflect a “health”, “public health”, “wellness” or “healthy living” approach. The country’s health ministers are meeting to consider a prevention strategy for Canada. Now is the time to push for a public health agenda. The statements from both the CPHA and the CHSRF are consistent with the expanded health promotion approach that includes community development. If the articles published in this journal are to improve the health of Canadians, the authors, editorial board, staff and readers must act to ensure information shared in the journal stimulates action by health decision-makers to improve a community’s health. Articles submitted for publication should offer the reader information about how the knowledge will be used by the writers to improve health and some suggestions of how the reader can act to disseminate the new knowledge. We need to pose questions such as, “what structures and processes have been or can be mobilized to use this information to change the public’s health?” and “what are the connections that need to be developed or sustained to use the knowledge for the enhancement of the health of a community?” For example, Young, James and Cunningham ask us to consider the relationship between lone motherhood and the risk for cardiovascular disease. The Heart & Stroke Foundation has supported this investigation. It is assumed, but not stated, that a presentation would be made to this organization related to how to target smoking cessation programs for lone mothers. This segment of our population is an asset – caregiving is a valuable commodity for any society. The lack of social support in this population is an important health problem. Connecting to parent groups related to day care, coordinating and supporting smoke-free family picnics in local neighbourhoods or helping mothers to organize a babysitting co-op would provide important social supports. The knowledge presented in this article will stimulate readers to explore these types of health-giving initiatives in their local areas. It is not sufficient to just describe the situation. The challenge is what can be done about it? When the lone mother is being asked to go for a pap smear, will her children learn about healthy sexual practices? Does the community in which she lives practice safe sex? Will those who do appear for pap smears, colposcopy or mammography learn about health within a context of a healthy lifestyle of good food, exercise and safe use of chemicals? Leslie Gaudette et al. challenge the reader to consider regional changes in breast cancer treatment protocols between 1981and 2000. The writer suggests that national treatment standards developed through a clinical trial process, may be affected by patient and doctor communication, lack of information on the part of the doctor and/or the patient and system priorities mitigated by variables such as age. The public health practitioner will enquire further to ensure that policies, programs and practices promote social and economic inclusion. Gina Ogilvie et al. note the importance of colposcopy services being available locally, particularly for those marginalized by financial and/or ethnic barriers. They recommend that services be provided in local Community Health Centres. While Allysa Reed and colleagues ask us to consider predictors of waiting time between diagnosis and treatment of breast cancer, both articles imply that social support has a very strong effect on women’s use of the health care system. How can we build this knowledge into practice? Surely we need to focus more on family and community development. The articles in this publication hint that the work with the communities of people in question has considered many of these Dalhousie University, Halifax, NS Correspondence: Carol Smillie, E-mail: carolsmillie@hfx.eastlink.ca" @default.
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• W2183635124 title "Walking the talk: An opportunity and a challenge" @default.
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• W2183635124 doi "https://doi.org/10.1007/bf03405139" @default.
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