Evaluating health impact assessment
Evaluating health impact assessment
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DOI：
10.1016/j.puhe.2003.10.012
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发表时间：
2004-12-01
期刊：
影响因子：
5.2
通讯作者：
Taylor, LC
中科院分区：
文献类型：
--
作者：
Quigley, RJ;Taylor, LC
健康影响评估是一种发展中的方法，它评估一项提案对人口健康的影响，并提出一套实用的建议，为提案的决策过程提供信息。目的是影响决策者增加提案对健康的积极影响，减少消极影响。迄今为止，HIA领域内的大多数工作集中在方法发展和实际执行HIA。很少注意对HIA方法的正式评价以及HIA是否有效（HIA方法是否以及如何为决策过程提供信息，特别是它是否有助于改善健康和减少不平等）。随着循证政策的推进，考虑到实施HIA通常需要大量资源，HIA还需要证明它是否为决策过程增加了价值。根据已经存在的重要公共卫生评价文献，提出了一种评估hia的建议方法，以及它与监测的关系。提供了适合使用的方法，以及适合于卫生保健评价的指标示例。我们建议，典型的HIA评估应侧重于HIA的过程及其对决策过程的影响，而不是试图评估长期健康结果或预测的影响是否实际发生。(C) 2004年由爱思唯尔有限公司代表皇家公共卫生研究所出版。
Health impact assessment (HIA) is a developing approach that assesses the health impacts of a proposal on a population, and produces a practical set of recommendations to inform the decision-making process of the proposal. The purpose is to influence decision makers to increase positive health impacts of a proposal and decrease negative impacts. Most work within the HIA field to date has focused on methodological development and actually carrying out HIAs. Little attention has been paid to the formal evaluation of the HIA approach and whether or not HIA works (if and how the HIA approach informs the decision-making process and, in particular, if it contributes to improving health and reducing inequalities). With the drive towards evidence-informed policy, HIA also needs to show whether it adds value to the decision-making process, given the significant resources often involved in carrying out an HIA. A suggested approach to evaluating HIAs is presented, as well as its relationship with monitoring, drawing on the significant public health evaluation literature that already exists. Methodologies appropriate for use, and examples of indicators suitable f or H IA evaluation, are provided. We suggest that typical H IA evaluations should f ocus on the process of the HIA and the impact that it has on the decision-making process, rather than attempting to evaluate Long-term health outcomes or whether predicted impacts actually occurred. (C) 2004 Published by Elsevier Ltd on behalf of The Royal Institute of Public Health.