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

Health is greatly influenced by social, economic and political determinants. Accordingly, decisions influencing people's health do not concern only health services or 'health policies', but decisions in many different policy areas have their influence on these health determinants. Hea...

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Main Author: Elvira Sanz Tolosana
Format: Article
Language:English
Published: Universidade de São Paulo 2015-06-01
Series:Saúde e Sociedade
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902015000200515&lng=en&tlng=en
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author Elvira Sanz Tolosana
author_facet Elvira Sanz Tolosana
author_sort Elvira Sanz Tolosana
collection DOAJ
description Health is greatly influenced by social, economic and political determinants. Accordingly, decisions influencing people's health do not concern only health services or 'health policies', but decisions in many different policy areas have their influence on these health determinants. Health Impact assessment (HIA) is a predictive tool to support decisions in policy-making. The ultimate goal of this framework is to maximize health gains and, as far as possible, to reduce health inequalities. HIA presents a commitment to ensure that the rural dimension is routinely considered as part of the making and implementing of policy. The aim of this paper is to review the use of HIA on rural areas. Conclusions: HIA shows its great potential to contribute to local authority decision making. The use of HIA was identified in 2 key areas: strategic planning (sustainable development, EU Common Agricultural Policy, Federal Farm Bill, land-use planning work); and in specific smaller scale projects (rural health service redesign proposal, accessing healthy food, transport, health care disparities, etc.).
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spelling doaj.art-c1b209f95dd946f8aab8c6c9eaf674ab2022-12-21T23:07:45ZengUniversidade de São PauloSaúde e Sociedade1984-04702015-06-0124251552610.1590/S0104-12902015000200010S0104-12902015000200515Reducing health inequalities: the use of Health Impact Assessment on Rural AreasElvira Sanz TolosanaHealth is greatly influenced by social, economic and political determinants. Accordingly, decisions influencing people's health do not concern only health services or 'health policies', but decisions in many different policy areas have their influence on these health determinants. Health Impact assessment (HIA) is a predictive tool to support decisions in policy-making. The ultimate goal of this framework is to maximize health gains and, as far as possible, to reduce health inequalities. HIA presents a commitment to ensure that the rural dimension is routinely considered as part of the making and implementing of policy. The aim of this paper is to review the use of HIA on rural areas. Conclusions: HIA shows its great potential to contribute to local authority decision making. The use of HIA was identified in 2 key areas: strategic planning (sustainable development, EU Common Agricultural Policy, Federal Farm Bill, land-use planning work); and in specific smaller scale projects (rural health service redesign proposal, accessing healthy food, transport, health care disparities, etc.).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902015000200515&lng=en&tlng=enEvaluación Impacto en SaludSalud en Todas las PolíticasDesigualdades en SaludÁreas RuralesPolíticas Públicas
spellingShingle Elvira Sanz Tolosana
Reducing health inequalities: the use of Health Impact Assessment on Rural Areas
Saúde e Sociedade
Evaluación Impacto en Salud
Salud en Todas las Políticas
Desigualdades en Salud
Áreas Rurales
Políticas Públicas
title Reducing health inequalities: the use of Health Impact Assessment on Rural Areas
title_full Reducing health inequalities: the use of Health Impact Assessment on Rural Areas
title_fullStr Reducing health inequalities: the use of Health Impact Assessment on Rural Areas
title_full_unstemmed Reducing health inequalities: the use of Health Impact Assessment on Rural Areas
title_short Reducing health inequalities: the use of Health Impact Assessment on Rural Areas
title_sort reducing health inequalities the use of health impact assessment on rural areas
topic Evaluación Impacto en Salud
Salud en Todas las Políticas
Desigualdades en Salud
Áreas Rurales
Políticas Públicas
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902015000200515&lng=en&tlng=en
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