Charter

About: Charter is a research topic. Over the lifetime, 11404 publications have been published within this topic receiving 140865 citations. The topic is also known as: charters.

Ottawa Charter for Health Promotion

Abstract: The first International Conference on Health Promotion was held in Ottawa, Canada in November 1986. The conference aimed for action to achieve 'Health for all' by the year 2000 and beyond. The charter is a clear statement of action for health promotion, widely used by the health promotion sector.

Health Promotion Glossary

Abstract: The first edition of this health promotion glossary of terms was published by the World Health Organization (WHO) in 1986 as a guide to readers of WHO documents and publications. It met a useful purpose in clarifying the meaning and relationship between the many terms which were not in common usage at that time. This first edition of the glossary has been translated into several languages (French, Spanish, Russian, Japanese and Italian), and the terms defined have been widely used both within and outside WHO. The glossary was adapted and republished in German in 1990. Much has happened since the publication of the glossary a decade ago. Most notably, in October 1986 the First International Conference on Health Promotion was held in Ottawa, Canada, producing what is now widely known as the Ottawa Charter for Health Promotion. This conference was followed by others which explored the major themes of the Ottawa Charter on healthy public policy (in Adelaide, 1988), and on supportive environments for health (in Sundsvall, 1991). These conferences have added greatly to our understanding of health promotion strategies and their practical application, as well as more fully accounting for issues of relevance to developing countries. This was taken a step further at the 4th International Conference on Health PromotionÐNew Players for a New Era: Leading Health Promotion into the 21st Century, which was held in Jakarta, Indonesia in July 1997. Several WHO programmes and projects have been developed and implemented which have sought to translate health promotion concepts and strategies into practical action. These include: the `Healthy Cities, Villages, Municipalities' and `Healthy Islands' projects; the networks of `Health Promoting Schools' and `Health Promoting Hospitals'; the `Healthy Marketplaces and `Health Promoting Workplaces' projects; as well as WHO action plans on alcohol and tobacco, active living and healthy ageing. Recent developments in health systems around the world have given new prominence to health promotion approaches. The increasing focus on health outcomes reconfirms the priority placed on investment in the determinants of health through health promotion. Continually asking the question `where is health created?' links health promotion to two major reform debates: the formulation of new public health strategies, and the need to re-orient health services. The foresight shown in the Ottawa Charter has been adopted by many countries and organizations around the worldÐa process which was taken one step further through the 4th International Conference on Health Promotion in Jakarta, July 1997. This Conference adopted the Jakarta Declaration on Leading Health Promotion into the 21st Century. A number of terms that are HEALTH PROMOTION INTERNATIONAL Vol. 13, No. 4 # Oxford University Press 1998 Printed in Great Britain

Policing the Risk Society

Abstract: These fine books on aspects of law and criminality support the platitude that crime does not pay -- except for lawyers, criminologists and insurance companies. Canadian criminals put in more time in jail per dollar stolen in other countries, although these statistics predate the conviction of Alan Eagleson. Another statistic, even less likely to stir patriotic pride, is that Canadian youth, as Bernard Schissel points out, have the highest per capita rate of incarceration of any country in the world.If crime rates in Canada have dropped off in recent years, corresponding to the diminishing ratio of youth in the Canadian population, we still have a lot more lawyers. Prior to the Charter of Rights and Freedoms, Canadians had less than half as many lawyers per capita as the Americans but now we approach two-thirds of the American ratio (Law and Markets 77-81) creating "the danger of supply-driven and socially harmful increases in litigation" (85). Virtually, all of the contributors to Law and Markets bemoan Canada's increasing litigiousness; none defend the very quality that brought one of Canada's most honoured citizens to jail. The Fraser Institute has brought together an interesting volume that seems to bear the message of Adam Egoyan's movie The Sweet Hereafter; namely, that lawyers as ambulance-chasers are bad news. Law and Markets is concerned not with corporate criminality but with the prospect that enterprising lawyers, instigating class action suits on contingency fees, will be able to dupe civil juries, and cut into profit margins. Indeed, Richard Hazelton, the CEO of Dow Corning which filed for bankruptcy because of the silicone breast implant suit, tells a cautionary tale for Canadian businesspeople.Contributors point out that jurors lack competence to assess the scientific and technical evidence about toxic emissions, risks to health, the relationship of causality and legal accountability; prejudices about dioxin spills may skew assessment of the personal injury caused by the spillage. The one exception to the anti-litigation view of the 17 contributors to Law and Markets is Mark Mattson, an environmental litigator, who argues convincingly that the Canadian Environmental Protection Act needs radical revision or abolition. Mattson argues that the federal government should either enforce environmental standards or leave private litigators like himself to engage in civil ligation against environmental polluters. Mattson recommends that public interest groups and their lawyers split the fine levied on the offending corporations or municipalities (135). While Mattson may conform to the Fraser Institute's policy on deregulation -- "It is government intervention that stands in the way of a public right to protect community resources" (136) -- his proposals would encourage litigation, diminish shareholder profits and raise citizens' taxes. If the aim of Canadian economic regulation is, as Konrad von Finckenstein puts it, "user-friendly regulation," we are led to conclude that deregulation and user-friendly regulation are not the same thing. If the conflicting interests of Richard Hazelton and Mark Mattson reveal the current contradictions of capitalism, we might also note that the provinces geographically and ideologically closest to the Fraser Institute (British Columbia and Alberta) are the most litigious, while New Brunswick are Newfoundland are least litigious (158-9).An exciting challenge for the Fraser Institute would be to take on the human rights legislation that emerged after the Second World War, arising from a combination of anti-Nazi principle, Keynesian welfarism and acceptance of wartime control of goods and services in the public interest. Since human rights codes abridge several common law rights, of property and contract, specifically the right of business to discriminate in favour of preferred employees, buyers, tenants and customers, the Institute's views on James Walker's compelling account of the role of human rights legislation in limiting racism in the Canadian marketplace would be illuminating. …

Medical Professionalism in the New Millennium: A Physician Charter

Abstract: Project of the ABIM Foundation, ACP–ASIM Foundation, and European Federation of Internal Medicine* To our readers: I write briefly to introduce the Medical Professionalism Project and its principal product, the Charter on Medical Professionalism. The charter appears in print for the first time in this issue of Annals and simultaneously in The Lancet .I hope that we will look back upon its publication as a watershed event in medicine. Everyone who is involved with health care should read the charter and ponder its meaning. The charter is the product of several years of work by leaders in the ABIM Foundation, the ACP‐ASIM Foundation, and the European Federation of Internal Medicine. The charter consists of a brief introduction and rationale, three principles, and 10 commitments. The introduction contains the following premise: Changes in the health care delivery systems in countries throughout the industrialized world threaten the values of professionalism. The document conveys this message with chilling brevity. The authors apparently feel no need to defend this premise, perhaps because they believe that it is a universally held truth. The authors go further, stating that the conditions of medical practice are tempting physicians to abandon their commitment to the primacy of patient welfare. These are very strong words. Whether they are strictly true for the profession as a whole is almost beside the point. Each physician must decide if the circumstances of practice are threatening his or her adherence to the values that the medical profession has held dear for many millennia. Three Fundamental Principles set the stage for the heart of the charter, a set of commitments. One of the three principles, the principle of primacy of patient welfare, dates from ancient times. Another, the principle of patient autonomy, has a more recent history. Only in the later part of the past century have people begun to view the physician as an advisor, often one of many, to an autonomous patient. According to this view, the center of patient care is not in the physician’s office or the hospital. It is where people live their lives, in the home and the workplace. There, patients make the daily choices that determine their health. The principle of social justice is the last of the three principles. It calls upon the profession to promote a fair distribution of health care resources. There is reason to expect that physicians from every point on the globe will read the charter. Does this document represent the traditions of medicine in cultures other than those in the West, where the authors of the charter have practiced medicine? We hope that readers everywhere will engage in dialogue about the charter, and we offer our pages as a place for that dialogue to take place. If the traditions of medical practice throughout the world are not congruent with one another, at least we may make progress toward understanding how physicians in different cultures understand their commitments to patients and the public. Many physicians will recognize in the principles and commitments of the charter the ethical underpinning of their professional relationships, individually with their patients and collectively with the public. For them, the challenge will be to live by these precepts and to resist efforts to impose a corporate mentality on a profession of service to others. Forces that are largely beyond our control have brought us to circumstances that require a restatement of professional responsibility. The responsibility for acting on these principles and commitments lies squarely on our shoulders.