Politiques publiques et santé : Les dilemmes de l'évaluation prospective
By: TURGEON, Jean
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Contributor(s): GAGNON, France | BOURGAULT, Jacques | GARANT, Sophie.
Material type: 
ArticlePublisher: Toronto : IPAC, Fall 2005Canadian Publique Administration Publique du Canada 48, 3, p. 328-347Abstract: Since the mid-1990s, several governments have declared their commitment to ensuring that the impact of their actions on the health of the population is taken into account. In June 2002, the Quebec provincial government implemented Article 54 of the Public Health Act (R.S.Q., chapter 2.2, 2001). This article stipulates the obligation on the part of the government departments to take into account the social, environmental and economic impacts of their actions on public health in the future. The implementation of this article means integrating a process for the prospective assessment of the governments public policies, and reexamining the vertical model of operation of public administrations; it also underlines the importance of strategic knowledge management in a world without borders. Four dilemmas are raised within this context. The first two dilemmas are interdepartmental in nature, and involve the relationships the government departments have with each other and with the central agencies. The other two dilemmas fall within the intra-organizational sphere, i.e. the way in which each government department reacts to the demands for the prospective assessment of its public policies or programs, and how each department responds to the requirements of Article 54. Processes that should allow the public administrations to solve these various dilemmas are also presented.
Since the mid-1990s, several governments have declared their commitment to ensuring that the impact of their actions on the health of the population is taken into account. In June 2002, the Quebec provincial government implemented Article 54 of the Public Health Act (R.S.Q., chapter 2.2, 2001). This article stipulates the obligation on the part of the government departments to take into account the social, environmental and economic impacts of their actions on public health in the future. The implementation of this article means integrating a process for the prospective assessment of the governments public policies, and reexamining the vertical model of operation of public administrations; it also underlines the importance of strategic knowledge management in a world without borders. Four dilemmas are raised within this context. The first two dilemmas are interdepartmental in nature, and involve the relationships the government departments have with each other and with the central agencies. The other two dilemmas fall within the intra-organizational sphere, i.e. the way in which each government department reacts to the demands for the prospective assessment of its public policies or programs, and how each department responds to the requirements of Article 54. Processes that should allow the public administrations to solve these various dilemmas are also presented.
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