Differing forms, differing purposes: A typology of health impact assessment

Differing forms, differing purposes: A typology of health impact assessment
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DOI:
10.1016/j.eiar.2010.03.003
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发表时间:
2011-07-01
影响因子:
7.9
通讯作者:
Harris, Elizabeth
Harris, Elizabeth
中科院分区:
法学1区
文献类型:
--
作者:
Harris-Roxas, Ben;Harris, Elizabeth

文献摘要

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目前,国际上的健康影响评估(HIA)实践存在相当大的差异。从历史上看,这种多样性被描述为简单的二分法,例如,项目和政策的HIA之间的差异。然而,这些区别未能充分说明不同形式的重债穷国之间可以观察到的差异。本文介绍了HIA出现的三个历史和学科领域-环境健康,健康的社会观和健康公平。它还提出了在目前的健康影响评估实践中可以观察到的四种不同形式的健康影响评估类型:授权、决策支持、宣传和社区领导的健康影响评估。本文认为,这些不同形式的HIA服务于不同的目的,并不一定是在竞争中,而是他们允许HIA的人口健康问题和目的的范围内作出反应。(C)2010年爱思唯尔公司All rights reserved.
There is currently considerable diversity in health impact assessment (HIA) practice internationally. Historically this diversity has been described as simple dichotomies, for example the differences between HIAs of projects and policies. However these distinctions have failed to adequately describe the differences that can be observed between different forms of HIAs. This paper describes the three historical and disciplinary fields from which HIA has emerged - environmental health, a social view of health, and health equity. It also puts forward a typology of four different forms of HIA that can be observed in current HIA practice: mandated, decision-support, advocacy, and community-led HIAs. This paper argues that these different forms of HIA serve different purposes and are not necessarily in competition; rather they allow HIA to be responsive to a range of population health concerns and purposes. (C) 2010 Elsevier Inc. All rights reserved.