Health equity impact assessment
| Autor: | Alex Scott-Samuel, Debbie Abrahams, Sue Povall, Fiona Haigh |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Health (social science)
Equity (economics) Public economics Social Determinants of Health business.industry Impact assessment Public Health Environmental and Occupational Health International health Public policy Health Status Disparities World Health Organization Health equity Research Design Global health Humans Health Impact Assessment Social determinants of health Socioeconomics business Health impact assessment |
| Zdroj: | Health Promotion International. 29:621-633 |
| ISSN: | 1460-2245 0957-4824 |
| Popis: | The World Health Organization's Commission on Social Determinants of Health has called for 'health equity impact assessments' of all economic agreements, market regulation and public policies. We carried out an international study to clarify if existing health impact assessment (HIA) methods are adequate for the task of global health equity assessments. We triangulated data from a scoping review of the international literature, in-depth interviews with health equity and HIA experts and an international stakeholder workshop. We found that equity is not addressed adequately in HIAs for a variety of reasons, including inadequate guidance, absence of definitions, poor data and evidence, perceived lack of methods and tools and practitioner unwillingness or inability to address values like fairness and social justice. Current methods can address immediate, 'downstream' factors, but not the root causes of inequity. Extending HIAs to cover macro policy and global equity issues will require new tools to address macroeconomic policies, historical roots of inequities and upstream causes like power imbalances. More sensitive, participatory methods are also required. There is, however, no need for the development of a completely new methodology. |
| Databáze: | OpenAIRE |
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