Review Article: Health impact assessment developments in Sweden

Knutsson, Ida; Linell, Anita

doi:10.1177/1403494809357097

Cited by 12 publications

(9 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2003, the Swedish Parliament adopted Government bill (2002) /03:35 outlining 11 national Public Health Objectives (PHO), with the overarching aim of creating social conditions that ensure good health on equal terms for the population. This represented a paradigm shift in the understanding of health at policy level, shifting from a focus on disease and health problems to objectives based on health determinants (Knutsson & Linell, 2010). Health determinants are factors important for health, such as a person's individual behaviours, physical and social environment and democratic rights, meaning that the new policy has shifted the responsibility from the health sector to a broader range of actors, such as the planning and transport sectors (Knutsson & Linell, 2010).…”

Section: Healthmentioning

confidence: 99%

Barriers and Openings for Transforming Swedish Planning Practice – Examples of Landscape and Health Policy Integration

Kågström

Dovlén

2019

Planning Theory & Practice

View full text Add to dashboard Cite

This paper examines how key actors think and act in everyday planning practice when new policies are introduced. Drawing on frame theory, an analytical lens is developed for explaining mechanisms that restrain and promote policy-driven transformation in practice. The analysis focuses on current practice and Swedish planning practitioners' experience of the integration of recently introduced policies on landscape and health. A key finding is that well-established perceptions of responsibility can hamper policy integrationeven in cases where practitioners see benefits to planning outcomes of acting differently. Another key finding is that policies reframing landscape and health as holistic and relational can make individual practitioners question current practice, thereby opening the way for transformation. ARTICLE HISTORY

show abstract

Section: Healthmentioning

confidence: 99%

Barriers and Openings for Transforming Swedish Planning Practice – Examples of Landscape and Health Policy Integration

Kågström

Dovlén

2019

Planning Theory & Practice

View full text Add to dashboard Cite

show abstract

“…The Public Health Objectives are based on several determinants for health, including living conditions, environments, products and lifestyles, which builds up a rather broad health frame. Some view this as a paradigm shift in public health policy in Sweden (Knutsson and Linell 2010), as health objectives had previously been based on diseases and health problems. In contrast, the new focus on health determinants shifts the majority of the responsibility for health to sectors outside medical care services (Knutsson & Linell 2010).…”

Section: Swedenmentioning

confidence: 99%

“…Some view this as a paradigm shift in public health policy in Sweden (Knutsson and Linell 2010), as health objectives had previously been based on diseases and health problems. In contrast, the new focus on health determinants shifts the majority of the responsibility for health to sectors outside medical care services (Knutsson & Linell 2010). Owing to the broad range of health determinants, the frame includes physical, mental and social impacts.…”

Section: Swedenmentioning

confidence: 99%

See 1 more Smart Citation

Human health frames in EIA – the case of Swedish road planning

Kågström

Hilding-Rydevik

Sjöberg

2013

Impact Assessment and Project Appraisal

View full text Add to dashboard Cite

How human health is framed provides boundaries for choices in practice and bias for certain actions in health assessments in Environmental Impact Assessment (EIA). This study examines health frames in legislation and policies of importance for EIA in Swedish road planning and their implications for practice. The emphasis is on different approaches, such as promotion of health and prevention of ill-health. Indicators of the choices in practice for which the health frames exert bias are further analysed through a review of Environmental Impact Statements (EIS) for road planning and comparison with a similar study conducted about 10 years ago. The indicators studied are: health determinants included, health impacts assessed, and aspects of the affected population concerned in the EISs. There are fundamentally different health frames in Swedish legislation and policies, but this range is not yet reflected in EISs, which mainly focus on environmental health rather than on broader health determinants and health equity. The results indicate that this situation becomes a dilemma for EIA practitioners and a challenge for the field.

show abstract

“…a guide to quantitative methods in HIA (8), HIA of a road traffic project (9), and HIA in physical planning (10). Central agencies and all of Sweden's county administrative boards have been directed by the government to implement HIA within their own remits, in consultation with SNIPH (11). SNIPH has also contributed to international projects, such as the EU-project Equity Action 2011-2014 (12), and a project by the European Observatory on Health Systems and Policies (13).…”

mentioning

confidence: 99%

Health impact assessment (HIA) of political proposals at the local level: successful introduction, but what has happened 15 years later?

Berensson

Tillgren

2017

Glob Health Promot

View full text Add to dashboard Cite

Health impact assessments (HIAs) were first introduced in Sweden in the mid-to-late 1990s, with the aim of placing health issues on the political agenda and helping to reduce health inequalities. In the early 2000s, HIAs entered a second phase and the Swedish Parliament adopted a national public health policy. A national survey conducted in 2001 showed that 10/289 municipalities had begun to use HIA and 55/289 had decided to use HIA or had initiated an adoption process. In a 2013 follow-up study based on a strategic sample of municipalities, 9/36 municipalities reported using HIA and/or similar tools. Corresponding figures for the 21 Swedish regions were 10 regions in 2001 and four in 2013. HIA and similar tools (sustainability analyses, child impact assessments, and others) were applied to the same extent as HIA. Fifteen years after implementation began, HIA is still being used. Regions show a clear decrease in the use of HIA. There are several explanations for this development. One is the political context, and other explanations are shifts in which actors are responsible for HIA and for public health at the local/regional levels.

show abstract

Review Article: Health impact assessment developments in Sweden

Cited by 12 publications

References 3 publications

Barriers and Openings for Transforming Swedish Planning Practice – Examples of Landscape and Health Policy Integration

Barriers and Openings for Transforming Swedish Planning Practice – Examples of Landscape and Health Policy Integration

Human health frames in EIA – the case of Swedish road planning

Health impact assessment (HIA) of political proposals at the local level: successful introduction, but what has happened 15 years later?

Contact Info

Product

Resources

About