首页> 外文期刊>International journal for equity in health >A rapid equity focused health impact assessment of a policy implementation plan: An Australian case study and impact evaluation
【24h】

A rapid equity focused health impact assessment of a policy implementation plan: An Australian case study and impact evaluation

机译:快速公平的政策实施计划对健康的影响评估:澳大利亚的案例研究和影响评估

获取原文
       

摘要

Background Equity focused health impact assessments (EFHIAs), or health equity impact assessments, are being increasingly promoted internationally as a mechanism for enhancing the consideration of health equity in the development of policies, programs and projects. Despite this there are relatively few examples of examples of completed EFHIAs available. This paper presents a case study of a rapid EFHIA that was conducted in Australia on a health promotion policy implementation plan. It briefly describes the process and findings of the EFHIA and evaluates the impact on decision-making and implementation. Methods The rapid EFHIA was undertaken in four days, drawing on an expert panel and limited review of the literature. A process evaluation was undertaken by email one month after the EFHIA was completed. An impact evaluation was undertaken two years later based on five semi-structured interviews with members of the EFHIA working group and policy officers and managers responsible for implementing the plan. A cost estimation was conducted by the EFHIA working group. Findings The EFHIA made both general and specific recommendations about how the health equity impacts of the policy implementation plan could be improved. The impact evaluation identified changes to development and implementation that occurred as a result of the EFHIA, though there was disagreement about the extent to which changes could be attributed solely to the EFHIA. Those responsible considered the recommendations of the EFHIA in the next versions of their ABHI implementation plans. Factors that influenced the impact of the EFHIA included consolidating understandings of equity, enabling discussion of alternatives, and differing understandings of the purpose of the EFHIA. The EFHIA cost US$4,036 to undertake. Conclusions This EFHIA was conducted in a short timeframe using relatively few resources. It had some reported impacts on the development of the implementation plan and enhanced overall consideration of health equity. This case highlights some of the factors and preconditions that may maximise the impact of future EFHIAs on decision-making and implementation.
机译:背景技术在国际上,以公平为重点的健康影响评估(EFHIA)或健康公平影响评估正在日益得到推广,作为一种在制定政策,计划和项目时加强对健康公平的考虑的机制。尽管如此,仍然有相对较少的完整EFHIA实例。本文介绍了在澳大利亚针对健康促进政策实施计划进行的快速EFHIA的案例研究。它简要描述了EFHIA的过程和发现,并评估了对决策和实施的影响。方法在专家小组的指导下,对文献进行有限的回顾,在四天内进行了快速EFHIA。 EFHIA完成一个月后,通过电子邮件进行了过程评估。两年后,根据对EFHIA工作组成员以及负责实施该计划的政策官员和经理的五次半结构化访谈,进行了影响评估。 EFHIA工作组进行了成本估算。调查结果EFHIA就如何改善政策实施计划对健康公平的影响提出了一般性和具体性建议。影响评估确定了EFHIA导致的开发和实施变更,尽管对于将变更完全归因于EFHIA的程度存在分歧。负责人在其ABHI实施计划的下一版本中考虑了EFHIA的建议。影响EFHIA影响的因素包括巩固对公平的理解,进行替代方案的讨论以及对EFHIA目的的不同理解。 EFHIA的费用为4,036美元。结论该EFHIA是在较短的时间内使用相对较少的资源进行的。据报告,这对实施计划的制定产生了一些影响,并增强了对卫生公平性的总体考虑。本案例强调了一些因素和前提条件,这些因素和前提条件可能会使未来的EFHIA对决策和实施的影响最大化。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号