Health equity impact assessment.
Health Promot Int
; 29(4): 621-33, 2014 Dec.
Article
en En
| MEDLINE
| ID: mdl-23449601
ABSTRACT
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.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Proyectos de Investigación
/
Disparidades en el Estado de Salud
/
Evaluación del Impacto en la Salud
/
Determinantes Sociales de la Salud
Tipo de estudio:
Qualitative_research
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
/
Patient_preference
Límite:
Humans
Idioma:
En
Revista:
Health Promot Int
Asunto de la revista:
SAUDE PUBLICA
Año:
2014
Tipo del documento:
Article
País de afiliación:
Reino Unido