Upstream Approaches to Canadian Population Health

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Upstream Approaches to Canadian Population Health

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Upstream Approaches to Canadian Population Health

Week 6 Assignment
Application: Upstream Approaches to Canadian Population Health
Although Canada is contiguous to the United States and has some cultural and historical similarities, Canada’s population enjoys a vastly superior health status. Reasons are many, can be traced historically, and are related to a different view of the role of government. The experience of Canada demonstrates that neither a heterogeneous population, nor a health system that has waiting lines for services, are reasons for poor health. By looking critically at what produces good health in Canada, much can be learned about steps the U.S. might need to take if population health is its goal.
The Canadian Best Practices Portal challenges Canadian public health practitioners and researchers to create upstream interventions aimed at the source of a population health problem or benefit. What is being done to aIDress the influences on population health in Canada?
To prepare for this Assignment, review your Learning Resources. Search the Internet and scholarly research for examples of Canadian “upstream interventions” that can be put forth as examples of either effective or ineffective efforts to improve population health.
NOTE: Application Assignment Rubric
I. Paper demonstrates an excellent understanding of all of the concepts and key points presented in the text(s).

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II. Paper must provide significant detail including multiple relevant examples, evidence from the readings and other sources, and discerning ideas.

III. Paper is well organized, uses scholarly tone, follows APA style, uses original writing and proper paraphrasing, contains very few or no writing and/or spelling errors, and is fully consistent with graduate-level writing style.

IV. Paper must contain multiple, appropriate, and exemplary sources expected/required for the assignment.

1. Provide a description of an existing intervention in Canada, intended to improve health inequities. Include an explanation of the inequity and how the intervention targets upstream determinants of health.
2. Describe the organizations involved and/or social policies enacted in the implementation of the intervention.

3. Explain whether or not the intervention was/is successful and what lessons public health practitioners can learn from that experience that might improve population health in the United States. Expand on your insights utilizing the Learning Resources.

NOTE: Use APA formatting for your Assignment and to cite your resources.

1.Feeny, D., Kaplan, M. S., Huguet, N., & McFarland, B. H. (2010). Comparing population health in the United States and Canada. Population Health Metrics, 8, 8–18.
Retrieved from the Walden Library databases.
2.Health Council of Canada. (2010). Stepping it up: Moving the focus from health care in Canada to a healthier Canada. Toronto, Canada: Health Council of Canada. Retrieved from

3.Public Health Agency of Canada. (2013, July 12). Key element 4: Increase upstream investments. Retrieved from
4.Public Health Agency of Canada. (2014). Retrieved from
5.Vafaei, A., Rosenberg, M. W. & Pickett, W. (2010). Relationships between income inequality and health: A study on rural and urban regions of Canada. Rural and Remote Health, 10(2), 1430.
Retrieved from the Walden Library databases.
6. Laureate Education (Producer). (2011). Global health and issues in disease prevention [Multimedia file]. Retrieved from

“Health Status in Canada,” featuring Stephen Bezruchka, MD
Health Status in Canada Program Transcript
DR. STEPHEN BEZRUCHKA: Many of you maybe have been to Canada and wondered, “Is Canada healthier than the United States?” Overwhelmingly, no matter what you look at, Canadians live longer, they have better lives by most measures, this is almost never discussed. Canada is presented as a country with socialized medicine and that’s usually a discussion, and that’s not something we want for the United States.
So we’re going to aIDress this question, is Canada healthier? How would we know that, and if so, why? And what we’ll discover is, yes Canada has universal health care. Everybody has access to health care. But surprisingly, that’s not the reason. That’s going to be a tough thing to try and understand. If everybody has access to health care and good medical services, that alone doesn’t produce health. As a matter of fact it’s not even that important, and the Canadians recognize this. And they were one of the first countries, over 35 years ago, to recognize that it wasn’t health care that produced health in society.
So what does? Well, Canada has a variety of social programs in place that support early life. They have, for example, paid parental leave policies, they have a whole host of government subsidized housing and education and factors that really are important to put in place to have better health. So you’ll look into studies aIDressing the health differences, because once you look at the life expectancies, or infant mortalities, you’ll see that Canada does better.
You’ll also come to grips with the fact that when we aIDress health in the United States and map it in a variety of indicators, the maps always stopped at the northern border, and don’t include any information with Canada. That turns out to be really important, because we have to see ourselves in comparison to other nations to begin to aIDress, “What are the problems and why are they there.” So Canada will be a very interesting case study.

©2014 Laureate Education, Inc.

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