{"id":7041,"date":"2015-01-16T12:15:00","date_gmt":"2015-01-16T12:15:00","guid":{"rendered":"http:\/\/nccdh.local\/resource\/thirteen-public-interventions-in-canada-that-have-contributed-to-a-reductio\/"},"modified":"2025-11-06T17:20:37","modified_gmt":"2025-11-06T17:20:37","slug":"thirteen-public-interventions-in-canada-that-have-contributed-to-a-reductio","status":"publish","type":"resource","link":"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/thirteen-public-interventions-in-canada-that-have-contributed-to-a-reductio\/","title":{"rendered":"Thirteen public interventions in Canada that have contributed to a reduction in health inequalities"},"content":{"rendered":"<p>Ce rapport publi&eacute; par le <a href=\"http:\/\/www.ccnpps.ca\/\">Centre de collaboration nationale sur les politiques publiques et la sant&eacute;<\/a> fait &eacute;tat de 13 programmes ou politiques ayant assez bien r&eacute;ussi &agrave; r&eacute;duire les in&eacute;galit&eacute;s de sant&eacute; au Canada.&nbsp;Il s&#39;agit d&#39;une synth&egrave;se d;un rapport plus exhausif produit par des chercheurs du <a href=\"http:\/\/www.centrelearoback.org\/\">Centre de recherche L&eacute;a-Roback <\/a>sur les in&eacute;galit&eacute;s de sant&eacute; de Montr&eacute;al.&nbsp;<\/p>\n<p>Toutes les interventions gouvernementales choisies avaient pour objectif pr&eacute;cis de r&eacute;duire les iniquit&eacute;s en sant&eacute; en influant sur les d&eacute;terminants sociaux de la sant&eacute; <em>et<\/em> elles ont toutes &eacute;t&eacute; &eacute;valu&eacute;es &agrave; l&rsquo;aide de normes fond&eacute;es sur des donn&eacute;es probantes actuellement utilis&eacute;es en m&eacute;decine. &laquo;&nbsp;Les&nbsp;13&nbsp;programmes [&hellip;] d&eacute;montrent pr&eacute;cis&eacute;ment que les efforts d&eacute;ploy&eacute;s pour r&eacute;duire les in&eacute;galit&eacute;s sociales de sant&eacute; ne constituent donc pas de simples d&eacute;penses, mais constituent un investissement dont toute la soci&eacute;t&eacute; b&eacute;n&eacute;ficie. Les programmes &eacute;valu&eacute;s d&eacute;montrent de mani&egrave;re convaincante que les d&eacute;terminants sociaux, la sant&eacute; d&eacute;ficiente et les in&eacute;galit&eacute;s en mati&egrave;re de sant&eacute; sont li&eacute;s de fa&ccedil;on inextricable et complexe.&nbsp;&raquo; (P.&nbsp;3)<\/p>\n<p>Les 13&nbsp;cas &eacute;tudi&eacute;s se regroupent suivant deux grands axes, c&rsquo;est-&agrave;-dire&nbsp;: 1)&nbsp;les programmes de soutien au revenu et 2)&nbsp;les programmes visant &agrave; r&eacute;duire l&rsquo;exposition aux conditions et aux comportements dommageables pour la sant&eacute;. Il s&rsquo;agissait de programmes et de politiques d&rsquo;envergure locale, provinciale, territoriale ou nationale.<\/p>\n<p>Parmi les exemples d&rsquo;intervention cit&eacute;s, mentionnons&nbsp;:<\/p>\n<ul>\n<li>le programme de suppl&eacute;ment au revenu mis en place par le Nouveau-Brunswick et la Colombie-Britannique;<\/li>\n<\/ul>\n<ul>\n<li>le programme de loisirs et de d&eacute;veloppement des comp&eacute;tences pour les enfants vivant dans des logements sociaux &agrave; Ottawa;<\/li>\n<\/ul>\n<ul>\n<li>le programme de loisirs, de perfectionnement professionnel et d&rsquo;aide sociale destin&eacute; aux m&egrave;res monoparentales prestataires de l&rsquo;aide sociale en Ontario.<\/li>\n<\/ul>\n<p>Les auteurs rapportent que tr&egrave;s peu de programmes et de politiques font l&rsquo;objet de telles &eacute;tudes syst&eacute;matiques, surtout sur une longue p&eacute;riode de temps. Ce n&rsquo;est pas &eacute;tonnant &eacute;tant donn&eacute; que les &eacute;valuations doivent s&rsquo;effectuer dans des contextes sociaux dynamiques, o&ugrave; il est difficile d&rsquo;isoler les variables &agrave; mesurer sur un certain laps de temps.<\/p>\n<p><strong>Servez-vous de cet outil pour&nbsp;:<\/strong><\/p>\n<ul>\n<li>conna&icirc;tre les politiques et les programmes ayant donn&eacute; des r&eacute;sultats positifs pour ce qui est de r&eacute;duire les iniquit&eacute;s en sant&eacute;;<\/li>\n<\/ul>\n<ul>\n<li>&eacute;tudier les m&eacute;thodes de recherche qui pr&eacute;voient des &eacute;valuations de tr&egrave;s grande qualit&eacute;;<\/li>\n<\/ul>\n<ul>\n<li>trouver des donn&eacute;es probantes sur l&rsquo;efficacit&eacute; par rapport au co&ucirc;t des interventions d&eacute;coulant de politiques ou de programmes mis en place pour am&eacute;liorer la sant&eacute; des gens vivant dans des conditions socio&eacute;conomiques difficiles.<\/li>\n<\/ul>\n<p><strong>R&eacute;f&eacute;rence bibliographique<\/strong><\/p>\n<p>Centre de collaboration nationale sur les politiques publiques et la sant&eacute;. (2010). <em>Treize interventions visant &agrave; r&eacute;duire les in&eacute;galit&eacute;s sociales de sant&eacute; au Canada<\/em>. Montr&eacute;al (Qu&eacute;bec), Centre de collaboration nationale sur les politiques publiques et la sant&eacute;.<\/p>\n<p>Hyperlien vers la version en fran&ccedil;ais&nbsp;: <a href=\"http:\/\/www.ccnpps.ca\/102\/publications.ccnpps?id_article=399\">http:\/\/www.ccnpps.ca\/102\/publications.ccnpps?id_article=399<\/a><\/p>\n<p>Link to English version: <a href=\"http:\/\/www.ncchpp.ca\/141\/publications.ccnpps?id_article=314\">http:\/\/www.ncchpp.ca\/141\/publications.ccnpps?id_article=314<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This report examines 13 programs or policies that have had some success in reducing health inequalities in Canada.  All of the selected interventions set out to reduce health inequities through the social determinants of health, and they were evaluated using current medical evidence-based 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