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Evaluating health impact assessment.

R J Quigley1, L C Taylor

  • 1Research and Information Directorate, Health Development Agency, 330 High Holborn, London WC1V 7BA, UK. rob.quigley@hda-online.org.uk

Public Health
|November 9, 2004
PubMed
Summary

Health impact assessment (HIA) needs evaluation to prove its value. This study suggests focusing evaluations on HIA processes and their influence on decision-making, not just long-term health outcomes.

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Area of Science:

  • Public Health
  • Health Policy
  • Health Services Research

Background:

  • Health Impact Assessment (HIA) is an emerging approach to evaluate the health effects of proposals.
  • Current HIA research prioritizes methodology and application over formal evaluation of its effectiveness.
  • There is a need to demonstrate HIA's value in evidence-informed policy and decision-making.

Purpose of the Study:

  • To propose a framework for evaluating Health Impact Assessments.
  • To explore the relationship between HIA evaluation and public health monitoring.
  • To guide future research on HIA effectiveness.

Main Methods:

  • Drawing on existing public health evaluation literature.
  • Suggesting methodologies and indicators for HIA evaluation.
  • Proposing focus on process and decision-making impact.

Main Results:

  • A structured approach to evaluating HIAs is presented.
  • The study emphasizes the importance of evaluating HIA processes.
  • Recommendations are made to focus evaluations on HIA's impact on decision-making.

Conclusions:

  • Formal evaluation of HIA is crucial for its credibility and advancement.
  • Evaluations should prioritize the HIA process and its influence on decisions.
  • This approach supports evidence-informed policy by demonstrating HIA's added value.

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