{"id":1442,"date":"2008-12-04T17:07:47","date_gmt":"2008-12-04T22:07:47","guid":{"rendered":"http:\/\/gillesenvrac.ca\/carnet\/?p=1442"},"modified":"2010-05-06T23:11:26","modified_gmt":"2010-05-07T03:11:26","slug":"plan-regional","status":"publish","type":"post","link":"https:\/\/gillesenvrac.ca\/carnet\/2008\/12\/plan-regional\/","title":{"rendered":"plan r\u00e9gional de sant\u00e9 publique"},"content":{"rendered":"<p>La direction de la sant\u00e9 publique de Montr\u00e9al lan\u00e7ait hier son <a href=\"http:\/\/www.santepub-mtl.qc.ca\/gardersante\/index.html\">plan r\u00e9vis\u00e9 de sant\u00e9 publique<\/a>.\u00a0 Des deux documents mis en ligne, seul <a href=\"http:\/\/www.santepub-mtl.qc.ca\/public\/video\/gardersante\/gardernotremonde.swf\">le vid\u00e9o<\/a> fonctionne pour le moment.<\/p>\n<p>La mise \u00e0 jour du plan r\u00e9gional donne le coup d&rsquo;envoi (ou une tappe d&rsquo;encouragement) aux travaux locaux r\u00e9alis\u00e9s par les 12 CSSS qui sont \u00e0 mettre \u00e0 jour leurs propres plan locaux d&rsquo;action en sant\u00e9 publique. Le plan r\u00e9gional lui-m\u00eame <a href=\"http:\/\/www.santepub-mtl.qc.ca\/direction\/prevention.html\">datait de 2003<\/a> (<a href=\"http:\/\/www.santepub-mtl.qc.ca\/Publication\/autres\/plan2003-2006fianle.html\">r\u00e9sum\u00e9<\/a>, <a href=\"http:\/\/www.santepub-mtl.qc.ca\/Publication\/pdfautre\/planaction03-06.pdf\">plan complet<\/a> <a href=\"http:\/\/www.santepub-mtl.qc.ca\/Publication\/pdfautre\/planaction03-06.pdf\"><\/a>). La synth\u00e8se des plans locaux, <a href=\"http:\/\/www.santepub-mtl.qc.ca\/Publication\/pdfautre\/planactionlocaux2004-2007.pdf\">de 2005<\/a> <a href=\"http:\/\/www.santepub-mtl.qc.ca\/Publication\/pdfautre\/planactionlocaux2004-2007.pdf\"><\/a>. Depuis la r\u00e9vision du <a href=\"http:\/\/msssa4.msss.gouv.qc.ca\/fr\/document\/publication.nsf\/4b1768b3f849519c852568fd0061480d\/f83b3d7956d513758525743c0068adff?OpenDocument\">Plan national de sant\u00e9 publique 2003-2012<\/a><a href=\"http:\/\/publications.msss.gouv.qc.ca\/acrobat\/f\/documentation\/2008\/08-216-01.pdf\"><\/a> r\u00e9alis\u00e9e plus t\u00f4t cette ann\u00e9e, la mise \u00e0 jour r\u00e9gionale devenait urgente.<\/p>\n<p>Mais pour le moment les 6 axes autour desquels le plan r\u00e9gional s&rsquo;articule me laissent un peu sur ma faim : o\u00f9 sont pass\u00e9s les interventions sur les <strong>d\u00e9terminants sociaux de la sant\u00e9<\/strong>, qui ont \u00e9t\u00e9 bien repris dans le plan national et qui ont \u00e9t\u00e9 au coeur des travaux r\u00e9cents de l&rsquo;<a href=\"http:\/\/www.who.int\/social_determinants\/fr\/index.html\">OMS<\/a> ?<\/p>\n<ul>\n<li>Des enfants qui naissent et se d\u00e9veloppent en sant\u00e9<\/li>\n<li>Des jeunes en sant\u00e9 qui r\u00e9ussissent leur apprentissage scolaire<\/li>\n<li>Des milieux de travail exempts de menaces \u00e0 la sant\u00e9<\/li>\n<li>Une population vaccin\u00e9e et prot\u00e9g\u00e9e des infections et des menaces chimiques et physiques<\/li>\n<li>Un environnement urbain favorable \u00e0 la sant\u00e9<\/li>\n<li>Un syst\u00e8me de sant\u00e9 qui sert aussi \u00e0 pr\u00e9venir<\/li>\n<\/ul>\n<p>Comment inscrire dans les plans locaux des questions aussi importantes que la lutte aux in\u00e9galit\u00e9s sociales et le soutien au d\u00e9veloppement des communaut\u00e9s&#8230; quand les axes sont d&rsquo;abord le reflet des diff\u00e9rentes sp\u00e9cialit\u00e9s (ou directions) de sant\u00e9 publique plut\u00f4t que d&rsquo;\u00eatre des des dimensions de la sant\u00e9 de la population ? Y aurait-il encore un travail \u00e0 faire pour pousser un peu plus loin la mise en oeuvre de l&rsquo;approche populationnelle et, finalement, du slogan de la DSP : <strong>Garder notre monde en sant\u00e9<\/strong> ?<\/p>\n<p>S\u00fbr que les axes actuels touchent des dimensions essentielles de la sant\u00e9 de la population et du syst\u00e8me de sant\u00e9. Mais pourquoi deux axes sur l&rsquo;enfance et la jeunesse ? Pourquoi pas un axe enfance-jeunesse et un autre a\u00een\u00e9s ? ou adultes ? Parce qu&rsquo;on pr\u00e9f\u00e8re investir pour l&rsquo;avenir ? C&rsquo;est une r\u00e9flexion qu&rsquo;ont fait, semble-t-il, certaines fondations priv\u00e9s tr\u00e8s actives dans le domaine de la promotion de la sant\u00e9 depuis quelques ann\u00e9es&#8230; et qui visent essentiellement les jeunes&#8230; et les enfants bient\u00f4t. Un hasard ? La r\u00e9sultante de \u00ab\u00a0donn\u00e9es probantes\u00a0\u00bb ?<!--more--><\/p>\n<p>J&rsquo;ai au moins deux r\u00e9serves quand \u00e0 cette id\u00e9e de \u00ab\u00a0travailler d&rsquo;abord les jeunes\u00a0\u00bb. La premi\u00e8re a trait au fait que les jeunes enfants ne sont atteignables que par le biais des familles&#8230; et les moyens que nous avons d&rsquo;intervenir ne peuvent se poser en remplacement des familles. Tout au plus peuvent-ils s&rsquo;offrir en ressources compl\u00e9mentaires de stimulation ou, au pire, palliatives. Il faut stimuler les parents afin qu&rsquo;ils stimulent leurs enfants&#8230; Ma seconde r\u00e9serve touche \u00e0 cette id\u00e9e saugrenue voulant que \u00ab\u00a0pass\u00e9 un certain \u00e2ge\u00a0\u00bb la cause est perdue ! Pourtant les changements d&rsquo;habitudes apportent un suppl\u00e9ment de bien-\u00eatre et de sant\u00e9 m\u00eame quand on a quarante, cinquante ou soixante-dix ans !<\/p>\n<p>Serait-ce qu&rsquo;il est plus facile de mesurer l&rsquo;impact de l&rsquo;action aupr\u00e8s des jeunes ? Qu&rsquo;il y a moins de r\u00e9sistance (parce que moins d&rsquo;habitudes ancr\u00e9es) ?<\/p>\n<p>Ou bien je n&rsquo;ai rien compris aux 6 axes, et lorsqu&rsquo;on parle d&rsquo;un \u00ab\u00a0syst\u00e8me de sant\u00e9 qui sert aussi \u00e0 pr\u00e9venir\u00a0\u00bb on y inclut toutes ces pratiques innovantes et de mobilisation vers de \u00ab\u00a0saines habitudes de vies\u00a0\u00bb !<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La direction de la sant\u00e9 publique de Montr\u00e9al lan\u00e7ait hier son plan r\u00e9vis\u00e9 de sant\u00e9 publique.\u00a0 Des deux documents mis en ligne, seul le vid\u00e9o fonctionne pour le moment. La mise \u00e0 jour du plan r\u00e9gional donne le coup d&rsquo;envoi (ou une tappe d&rsquo;encouragement) aux travaux locaux r\u00e9alis\u00e9s par les 12 CSSS qui sont \u00e0 &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/gillesenvrac.ca\/carnet\/2008\/12\/plan-regional\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;plan r\u00e9gional de sant\u00e9 publique&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"atmosphere_disabled":false,"atmosphere_custom_text":"","_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[],"tags":[18,151],"class_list":["post-1442","post","type-post","status-publish","format-standard","hentry","tag-montreal","tag-sante-publique"],"jetpack_featured_media_url":"","jetpack-related-posts":[{"id":3935,"url":"https:\/\/gillesenvrac.ca\/carnet\/2011\/08\/duld\/","url_meta":{"origin":1442,"position":0},"title":"d\u00e9veloppement urbain local durable","author":"Gilles Beauchamp","date":"26 ao\u00fbt 2011","format":false,"excerpt":"\u00c0 voir : le Plan m\u00e9tropolitain d\u2019am\u00e9nagement et de d\u00e9veloppement (PMAD) de la Communaut\u00e9 m\u00e9tropolitaine de Montr\u00e9al (CMM), sur lequel elle tiendra des consultations publiques du 28 septembre au 20 octobre prochain (document complet de consultation, document r\u00e9sum\u00e9). Mais si vous voulez dire votre mot, il faut s\u2019annoncer avant le\u2026","rel":"","context":"Dans \"d\u00e9veloppement local\"","block_context":{"text":"d\u00e9veloppement local","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/developpement-local\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.gillesenvrac.ca\/carnet\/wp-content\/uploads\/2011\/08\/PMAD-266x300.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":3309,"url":"https:\/\/gillesenvrac.ca\/carnet\/2010\/07\/de-ville\/","url_meta":{"origin":1442,"position":1},"title":"nouvelles de ville","author":"Gilles Beauchamp","date":"6 juillet 2010","format":false,"excerpt":"Le Conseil r\u00e9gional de l'environnement de Montr\u00e9al publiait r\u00e9cemment son Guide sur le verdissement pour les propri\u00e9taires institutionnels, commerciaux et industriels. Un document de 42 pages bien fait ! Au moment o\u00f9 la premi\u00e8re vague de chaleur accablante de l'\u00e9t\u00e9 frappe Montr\u00e9al (4 jours \u00e0 plus de 30 -- jusqu'\u00e0\u2026","rel":"","context":"Dans \"environnement\"","block_context":{"text":"environnement","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/environnement\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":3147,"url":"https:\/\/gillesenvrac.ca\/carnet\/2010\/02\/strategie-de-dc\/","url_meta":{"origin":1442,"position":2},"title":"strat\u00e9gie de DC pour les CSSS\/DSP","author":"Gilles Beauchamp","date":"22 f\u00e9vrier 2010","format":false,"excerpt":"Un an apr\u00e8s avoir produit un premier document de consultation intitul\u00e9 Cadre de r\u00e9f\u00e9rence pour soutenir l\u2019int\u00e9gration du D\u00e9veloppement des Communaut\u00e9s, qui fut notamment discut\u00e9 lors d'une (exceptionnelle) rencontre entre la Direction de la sant\u00e9 publique de Montr\u00e9al et les organisateurs communautaires des CSSS de la r\u00e9gion, (dont nous avions\u2026","rel":"","context":"Dans \"communaut\u00e9 de pratique\"","block_context":{"text":"communaut\u00e9 de pratique","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/communaute-de-pratique\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":4077,"url":"https:\/\/gillesenvrac.ca\/carnet\/2012\/01\/dc-sp\/","url_meta":{"origin":1442,"position":3},"title":"d\u00e9veloppement des communaut\u00e9s et sant\u00e9 publique","author":"Gilles Beauchamp","date":"20 janvier 2012","format":false,"excerpt":"Le d\u00e9veloppement des communaut\u00e9s ne semble plus faire parti des priorit\u00e9s strat\u00e9giques de la direction de la sant\u00e9 publique de Montr\u00e9al. Apr\u00e8s une r\u00e9flexion autour d'un cadre de r\u00e9f\u00e9rence en la mati\u00e8re, qui a donn\u00e9 lieu \u00e0 une m\u00e9morable (rare) rencontre entre les organisateurs communautaires des CLSC et la sant\u00e9\u2026","rel":"","context":"Dans \"d\u00e9veloppement communautaire\"","block_context":{"text":"d\u00e9veloppement communautaire","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/developpement-communautaire\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":3998,"url":"https:\/\/gillesenvrac.ca\/carnet\/2011\/11\/sante-publique-2011\/","url_meta":{"origin":1442,"position":4},"title":"sant\u00e9 publique 2011","author":"Gilles Beauchamp","date":"3 novembre 2011","format":false,"excerpt":"Le Rapport annuel de l'Agence de la sant\u00e9 publique du Canada porte cette ann\u00e9e sur les jeunes (12-19 ans) et jeunes adultes (20-29 ans). Des donn\u00e9es r\u00e9centes, tir\u00e9es de la version 2009 de l'Enqu\u00eate sur la sant\u00e9 des collectivit\u00e9s canadiennes (ESCC) y sont publi\u00e9es. Le rapport de 2010 portait sur\u2026","rel":"","context":"Dans \"sant\u00e9 publique\"","block_context":{"text":"sant\u00e9 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mise \u00e0 jour du PNSP","author":"Gilles Beauchamp","date":"9 juin 2008","format":false,"excerpt":"La mise \u00e0 jour 2008 du Programme national de sant\u00e9 publique 2003-2012 est int\u00e9ressante \u00e0 plus d'un \u00e9gard. \u00c0 mi-parcours de ce plan de dix ans plusieurs choses ont chang\u00e9 dont la configuration m\u00eame du r\u00e9seau de service. 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