Academic Journal
Comparative Policy Analysis of Healthcare Healthy Eating Policies in Canada.
| Τίτλος: | Comparative Policy Analysis of Healthcare Healthy Eating Policies in Canada. |
|---|---|
| Συγγραφείς: | Kennedy LJ; School of Health Administration, Dalhousie University, Halifax, Canada., Kirk SFL; School of Health and Human Performance, Healthy Populations Institute, Dalhousie University, Halifax, Canada., Dykeman A; The Ottawa Hospital, Ottawa, Canada., Sim M; Research and Innovation, IWK Health, Halifax, Canada., Leigh JP; School of Health Administration, Dalhousie University, Halifax, Canada., Mah CL; School of Health Administration, Dalhousie University, Halifax, Canada. |
| Πηγή: | Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals [Health Promot J Austr] 2026 Oct; Vol. 37 (4), pp. e70231. |
| Τύπος έκδοσης: | Journal Article; Comparative Study; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wiley Country of Publication: Australia NLM ID: 9710936 Publication Model: Print Cited Medium: Internet ISSN: 1036-1073 (Print) Linking ISSN: 10361073 NLM ISO Abbreviation: Health Promot J Austr Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2018- : Milton, Queensland : Wiley Original Publication: West Perth, WA : Australian Association of Health Promotion Professionals |
| Ιατρικοί όροι (MeSH): | Diet, Healthy*/standards , Health Promotion*/standards , Nutrition Policy* , Policy Making*, Humans ; Canada ; Benchmarking ; Quality Improvement |
| Περίληψη: | Background: Healthy eating policies are of growing importance to the management of retail food environments in healthcare (e.g., hospital cafeterias). Several researchers have begun to analyse health promoting benchmarks within these policies. However, little is understood about the relationship between policy and continuous quality improvement (CQI) for health promotion in healthcare. Furthering our understanding of benchmarks within these policies could provide insight into how we can measure and create standards in health promotion. This policy analysis examined publicly accessible healthcare healthy eating policies in Canadian health authority jurisdictions, up until November 22, 2022. Methods: Data was extracted using a monitoring and evaluation framework for evaluating nutrition policies in publicly funded institutions, with adaptations based on organisational CQI concepts. Policy components analysed included: policy design, nutrient profiling systems, nutrition standards, evaluation, and monitoring. A second reviewer independently extracted data and peer debriefing was completed on the extractions. Results: This analysis identified five healthy eating policies meeting the inclusion criteria, from Alberta, British Columbia, Newfoundland and Labrador, Nova Scotia, and Winnipeg, Manitoba. Policies included nutrient profiling, including benchmarks for selling healthy, moderately healthy, and less healthy food and beverages. Other benchmarks were mentioned but contained fewer indicators (e.g., fundraising, catering, and advertising). Policies included benchmarks about product and placement (e.g., healthier items in visible places) but less about price. The included policies promoted collaboration amongst healthcare providers but lacked details about evaluation and monitoring. Conclusion: This policy analysis suggests that different healthcare settings may require different benchmarks, tailored to their contexts. Furthermore, standardisation may not be optimal if further experimentation is needed to identify benchmarks for health promotion practices, as is common in healthcare CQI. Policy implementation requires a combination of top-down and bottom-up approaches, and collaboration with multiple partners may be necessary for success. Benchmarking processes are a potential strategy for understanding improvements to other aspects of the food environment beyond nutrient standards. So What: CQI and retail food environments each focus on customer satisfaction and costs, thus sharing alignments. CQI benchmarking processes are a potential strategy for understanding improvements to other aspects of the food environment beyond nutrient standards. Further exploration is needed to implement and monitor benchmarks over time. (© 2026 The Author(s). Health Promotion Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of Australian Health Promotion Association.) |
| References: | J Am Coll Cardiol. 2021 Nov 30;78(22):2262-2264. (PMID: 34823665) Glob Health Promot. 2025 Dec;32(4):15-24. (PMID: 40082398) Obes Rev. 2013 Oct;14 Suppl 1:96-107. (PMID: 24074214) Obes Rev. 2013 Oct;14 Suppl 1:24-37. (PMID: 24074208) Obes Rev. 2019 Oct;20(10):1384-1399. (PMID: 31397087) Healthc Policy. 2017 Feb;12(3):34-49. (PMID: 28277203) Curr Dev Nutr. 2022 Jul 04;6(8):nzac112. (PMID: 36060220) Implement Sci. 2020 May 4;15(1):27. (PMID: 32366269) Implement Sci. 2010 Mar 13;5:21. (PMID: 20226066) Obes Rev. 2013 Oct;14 Suppl 1:1-12. (PMID: 24074206) Syst Rev. 2020 Apr 26;9(1):94. (PMID: 32336290) Health Promot Int. 2025 Mar 05;40(2):. (PMID: 40177784) Health Promot J Austr. 2026 Oct;37(4):e70231. (PMID: 42583714) Eur J Public Health. 2005 Feb;15(1):6-8. (PMID: 15788796) Nat Rev Endocrinol. 2018 Jul;14(7):430-437. (PMID: 29799023) Health Promot Int. 2020 Apr 1;35(2):422-431. (PMID: 30887027) BMC Health Serv Res. 2021 Feb 19;21(1):161. (PMID: 33607988) BMC Public Health. 2020 Jun 30;20(1):1038. (PMID: 32605547) J Epidemiol Community Health. 2018 Apr;72(4):319-323. (PMID: 29321174) J Res Nurs. 2018 Feb;23(1):42-55. (PMID: 34394406) Obes Rev. 2013 Oct;14 Suppl 1:38-48. (PMID: 24074209) Health Promot Int. 2021 Dec 23;36(6):1672-1682. (PMID: 33615376) Healthc Policy. 2012 May;7(4):e101-19. (PMID: 23634166) Public Health Nutr. 2012 Aug;15(8):1489-96. (PMID: 22123203) BMC Health Serv Res. 2022 Apr 7;22(1):459. (PMID: 35392894) Qual Manag Health Care. 2015 Jul-Sep;24(3):121-8. (PMID: 26115059) Am J Health Promot. 2017 Jan;31(1):19-27. (PMID: 26389980) |
| Grant Information: | Killam Memorial Chairs program; Nova Scotia Graduate Scholarship; Canada Research Chairs |
| Contributed Indexing: | Keywords: continuous quality improvement; healthcare; healthy eating; healthy eating policy; retail food environments |
| Entry Date(s): | Date Created: 20260812 Date Completed: 20260812 Latest Revision: 20260826 |
| Update Code: | 20260826 |
| PubMed Central ID: | PMC13463216 |
| DOI: | 10.1002/hpja.70231 |
| PMID: | 42583714 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1036-1073 |
|---|---|
| DOI: | 10.1002/hpja.70231 |