Reducing health inequalities: the use of Health Impact Assessment on Rural Areas

Tolosana, Elvira Sanz

doi:10.1590/s0104-12902015000200010

Cited by 6 publications

(10 citation statements)

References 14 publications

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“…Health impact assessment (HIA) is a predictive tool used to judge the actual or potential impacts of a policy, program, or project on public health and the distribution of potential impacts within the population [ 46 , 47 , 48 ]. An HIA study is usually a multidisciplinary process that utilizes a structured framework to examine a range of evidence about potential health impacts [ 46 ].…”

Section: Description Of Methodsmentioning

confidence: 99%

“…HIA is most commonly applied to decisions made outside of the health sector and focuses on multiple determinants and dimensions of health, including a range of socioeconomic impacts [ 48 ]. The ultimate goal of an HIA study is typically to create evidence-based recommendations that minimize negative health effects and maximize health benefits [ 46 , 47 , 48 ].…”

Section: Description Of Methodsmentioning

confidence: 99%

“…First, governments and international institutions have led efforts to incorporate health considerations more broadly into the environmental impact assessment (EIA) approach (discussed below) [ 48 ]. The HIA approach and framework have been directly derived from EIA, but HIA was developed specifically because the EIA framework does not focus on health outcomes [ 47 ]. EIA commonly uses a biophysical health model which mainly focuses on environmental determinants like air quality and water pollution, whereas HIA attempts to incorporate the social determinants of health [ 47 ].…”

Section: Description Of Methodsmentioning

confidence: 99%

“…The HIA approach and framework have been directly derived from EIA, but HIA was developed specifically because the EIA framework does not focus on health outcomes [ 47 ]. EIA commonly uses a biophysical health model which mainly focuses on environmental determinants like air quality and water pollution, whereas HIA attempts to incorporate the social determinants of health [ 47 ]. Second, the use of HIA has grown as part of efforts to include health goals more explicitly in social policy and urban planning [ 48 ].…”

Section: Description Of Methodsmentioning

confidence: 99%

“…By contrast, the HIA approach has not been applied to agricultural systems as frequently as the HRA or EIA approaches [ 46 , 47 ]. Agricultural and food programs and policies have frequently been subject to EIA, but fewer HIAs have been applied to agricultural sectors [ 46 ].…”

Section: Application Of Assessment Methods To Agricultural Productmentioning

confidence: 99%

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A Review of Methods for Assessing the Environmental Health Impacts of an Agricultural System

Grout

Hales

French

et al. 2018

IJERPH

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(1) Background: Global agricultural production is projected to increase substantially in the coming decades. Agricultural production provides food and materials crucial to human survival and well-being and is a critical source of livelihood, providing employment opportunities and economic benefits. However, industrialized or intensified agricultural systems, in particular, can have adverse effects on public health, place pressure on natural resources, and reduce environmental sustainability. This review attempts to identify and characterize key environmental health assessment methods for examining a broad array of potential impacts; (2) Methods: Electronic databases Medline, Scopus, Web of Science, and GreenLINE were searched for published literature that presented methods for conducting an environmental health assessment of an agricultural system; (3) Results: Fifty-three sources were included in the review. Eight methods were selected to illustrate the wide range of approaches currently available: health risk assessment methods, health impact assessment, environmental impact assessment methods, environmental burden of disease, lifecycle methods, integrated assessment modeling, trade-off analysis, and economic assessment; (4) Conclusions: This review can provide guidance for selecting an existing method or for designing a new method for assessing the environmental health impacts of an agricultural system.

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Section: Description Of Methodsmentioning

confidence: 99%

Section: Description Of Methodsmentioning

confidence: 99%

Section: Description Of Methodsmentioning

confidence: 99%

Section: Description Of Methodsmentioning

confidence: 99%

Section: Application Of Assessment Methods To Agricultural Productmentioning

confidence: 99%

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A Review of Methods for Assessing the Environmental Health Impacts of an Agricultural System

Grout

Hales

French

et al. 2018

IJERPH

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Health Equity Impact Assessment (HEIA) reporting tool: developing a checklist for policymakers

Olyaeemanesh,

Takian,

Mostafavi

et al. 2023

Int J Equity Health

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Introduction Health Equity Impact Assessment (HEIA) is a decision support tool that shows users how a new program, policy, or innovation affects health equity in different population groups. Various HEIA reporting and dissemination tools are available, nevertheless, a practical standard tool to present the results of HEIA in an appropriate period to policymakers is lacking. This work reports the development of a tool (a checklist) for HEIA reporting at the decision-making level, aiming to promote the application of HEIA evidence for improving health equity. Methods This is a mixed-method study that was carried out over four stages in 2022–2023: 1) identifying HEIA models, checklists, and reporting instruments; 2) development of the initial HEIA reporting checklist; 3) checklist validation; and 4) piloting the checklist. We also analyzed the Face, CVR, and CVI validity of the tool. Results We developed the initial checklist through analysis of 53 included studies and the opinions of experts. The final checklist comprised five sections: policy introduction (eight subsections), managing the HEIA of policy (seven subsections), scope of the affected population (three subsections), HEIA results (seven subsections), and recommendations (three subsections). Conclusion Needs assessment, monitoring during implementation, health impact assessment, and other tools such as monitoring outcome reports, appraisals, and checklists are all methods for assessing health equity impact. Other equity-focused indicators, such as the equity lens and equity appraisal, may have slightly different goals than the HEIA. Similarly, the formats for presenting and publishing HEIA reports might vary, depending on the target population and the importance of the report.

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Crisis, austeridad y áreas rurales: estudio cualitativo de las percepciones sobre los impactos en el sistema sanitario y la salud en Navarra, España

Tolosana

2018

Saude soc.

Self Cite

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Resumen La crisis financiera ha impulsado severas medidas de austeridad al sistema español de atención a la salud, entre las que se destacan la reducción del gasto público, la modificación del principio básico de cobertura universal, el copago y las reformas laborales. En este artículo se presentan los resultados de un estudio cualitativo sobre la percepción del personal sanitario y de la población de los impactos de la crisis en el sistema sanitario y de la salud en las áreas rurales. Se consideró la metodología cualitativa como la opción idónea para el estudio de un fenómeno complejo, en el que se buscó profundidad en su comprensión, teniendo en cuenta los significados y el contexto. El estudio se realizó en tres valles del Pirineo navarro. Se llevaron a cabo 22 entrevistas semiestructuradas a informantes clave y de perfiles no expertos, que fueron analizadas según el análisis sociológico del discurso. La desigual accesibilidad a los servicios de salud por parte de la población rural fue el factor identificado de forma unánime como la mayor amenaza y desafío para estos territorios. Una desigualdad que se consideró agravada en la población más envejecida. Las personas entrevistadas no refirieron un impacto negativo en la calidad del servicio de atención primaria, sino que lo localizaron en el entorno urbano y en la asistencia especializada. Los impactos diferenciados de las políticas en las zonas rurales exigen más investigación atendiendo a sus particularidades y de esta forma comprender el impacto específico de la crisis en estos territorios.

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Reducing health inequalities: the use of Health Impact Assessment on Rural Areas

Cited by 6 publications

References 14 publications

A Review of Methods for Assessing the Environmental Health Impacts of an Agricultural System

A Review of Methods for Assessing the Environmental Health Impacts of an Agricultural System

Health Equity Impact Assessment (HEIA) reporting tool: developing a checklist for policymakers

Crisis, austeridad y áreas rurales: estudio cualitativo de las percepciones sobre los impactos en el sistema sanitario y la salud en Navarra, España

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