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Making effective links to decision-making: Key challenges for health impact assessment

Elliott, Eva ORCID: https://orcid.org/0000-0003-1583-2603 and Francis, Sarah 2005. Making effective links to decision-making: Key challenges for health impact assessment. Environmental Impact Assessment Review 25 (7-8) , pp. 747-757. 10.1016/j.eiar.2005.07.007

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Abstract

This paper draws on an exploratory research study to examine the effectiveness of health impact assessments in Wales. Through the review of five case study health impact assessments the research identified a number of benefits of the process in terms of skills and knowledge development amongst participants. The indirect contributions to decision-making were also evident including the way in which health impact assessment provided useful insights into the local community's perspective and raised awareness about the wider determinants of health. The process was also useful in establishing a dialogue between different stakeholders, which indirectly assisted decision-making and implementation. The direct links between health impact assessment and decision-making were more difficult to trace and this paper puts forward a number of suggestions for making those links more transparent. Suggestions include integrating decision-makers and clarifying the intended links to decision-making at the start of the health impact assessment process. Mainstreaming health impact assessment so that it is triggered as a routine part of all decision-making would help ensure it stands the best chance of informing decisions.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Department of Politics and International Relations (POLIR)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Publisher: Elsevier
ISSN: 0195-9255
Last Modified: 25 Oct 2022 09:26
URI: https://orca.cardiff.ac.uk/id/eprint/58467

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