Koncepcja „Oceny wpływu na zdrowie” (Health Impact Assessment) i jej wykorzystywanie w Unii Europejskiej. Perspektywa sektora prywatnego

Włodzimierz Cezary Włodarczyk

Tytuły

Koncepcja „Oceny wpływu na zdrowie” (Health Impact Assessment) i jej wykorzystywanie w Unii Europejskiej. Perspektywa sektora prywatnego

Abstrakt

Concept of Health Impact Assessment and its application in European Union. Private sector dimension

According to the WHO definition Health Impact Assessment (HIA) refers to “procedures, methods and tools by which a policy, programme or project may be judged as to its potential effects on the health of the population and the distribution of those effects within the population”. HIA has emerged from weather forecasts and is founding much broader use. It helps to identify the factors, which have a potential impact on health. HIA may be relevant for all sectors to determine the effects, also unintentional, of their policies and actions on health and it has the potential to bring greater transparency to the decision-making process. Usually, it is very important to be able to foresee future health related effects, also by clarifying the nature of trade-offs in policy. Comparing and judging wanted and unwanted results is essential to choose a possibly best alternative and avoid harm.
In European Union where modern tools to rationalize decision making process are broadly accepted HIA has been welcomed, at least in declarations. Although some approaches to assess actions targeted at environment have been formalized and are binding, but others, including HIA, still depend on good will of partners involved. Both member countries and institutions are a bit reserved to use HIA. Insufficient popularity of HIA may result from scarce educational opportunities but also from deficit in well grounded scientific evidence.

Concept of Health Impact Assessment and its application in European Union. Private sector dimension

According to the WHO definition Health Impact Assessment (HIA) refers to “procedures, methods and tools by which a policy, programme or project may be judged as to its potential effects on the health of the population and the distribution of those effects within the population”. HIA has emerged from weather forecasts and is founding much broader use. It helps to identify the factors, which have a potential impact on health. HIA may be relevant for all sectors to determine the effects, also unintentional, of their policies and actions on health and it has the potential to bring greater transparency to the decision-making process. Usually, it is very important to be able to foresee future health related effects, also by clarifying the nature of trade-offs in policy. Comparing and judging wanted and unwanted results is essential to choose a possibly best alternative and avoid harm.
In European Union where modern tools to rationalize decision making process are broadly accepted HIA has been welcomed, at least in declarations. Although some approaches to assess actions targeted at environment have been formalized and are binding, but others, including HIA, still depend on good will of partners involved. Both member countries and institutions are a bit reserved to use HIA. Insufficient popularity of HIA may result from scarce educational opportunities but also from deficit in well grounded scientific evidence.

Słowa kluczowe

ocena wpływu na zdrowie, Health Impact Assessment, UE, polityka zdrowotna, sektor prywatny ochrony zdrowia

Health Impact Assessment, UE, health policy, private sector

Bibliografia

NHS Executive, A Short Guide to Health Impact Assessment, Informing Healthy Decisions, Commissioned by NHS Executive. London, August 2000. www.londonshealth.gov.uk/pdf/hiaguide.pdf.

Gagnon F., Turgeon J., Dallaire C., Healthy public policy: A conceptual cognitive framework.„Health Policy” 2007; 81, 1: 42–55.

Traktat z Maastricht. http://eur-lex.europa.eu/pl/treaties/dat/11992M/word/11992M.doc.

Rayner M., European Union policy and health. „British Medical Journal” 1995; 311(7014): 1180–1181.

WHO, Definitions of HIA. who.int/hia/about/defin/en/index.html.

Birley M., The health impact assessment of development projects. HMSO, London 1995. who.int/hia/about/defin/en/index.html.

Health Impact Assessment: main concepts and suggested approach, Gothenburg consensus paper. WHO Regional Office for Europe, Copenhagen 1999. http://www.hiaconnect.edu.au/files/Gothenburg_Consensus_Paper.pdf.

Health Impact Assessment Guidance. Published by The Institute of Public Health in Ireland, 2006. www.publichealth.ie/files/file/Health_Impact_Assessment_Guidance.pdf.

Joffe M., Mindell J., Health Impact Assesment. „Journal of Occupational and Environmental Medicine” 2005; 62(12): 907–912.

Elliott I., Health Impact Assessment, an introductory paper. The Institute of Public Health in Ireland September 2001. http://www.publichealth.ie/files/file/HIA_introductory_paper.pdf.

Bubak A., Nowak W., „Buzz” around electromagnetic fields: lengthy environmental HIA in Poland, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 225–236.

Kelly M.P., Morgan A., Bonnefoy J., Butt J., Bergman V., Final Report to World Health Organization Commission on the Social Determinants of Health From Measurement and Evidence Knowledge Network. October 2007. s.10. http://www.who.int/social_determinants/resources/mekn_final_report_102007.pdf.

Blau J., et al., The use of HIA across Europe, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe, European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 37–55.

Dannenberg A.L., Bhatia R., Cole B.L., Heaton S.K., Feldman J.D, Rutt C.D., Use of Health Impact Assessment in the U.S. 27 Case Studies, 1999–2007. http://apho.org.uk/resource/item.aspx?RID=60060.

Elliott I., Policy context for HIA in Ireland and Northern Ireland. Institute of Public Health in Ireland, 16.11.2002. http://www.nice.org.uk/media/hiadocs/Policy%20context.pdf.

Impact HIA Reports. University of Liverpool. http://www.liv.ac.uk/ihia/IMPACT_HIA_Reports.htm.

WHO Other impact assessments, 2008. www.who.int/hia/tools/other_1A.

Lorenz E., Does the flap of a butterfly wing set off a tornado in Texas. Obituary: Edward N. Lorenz ScD ’48 , The Thech, on line edition, Volume 128, Issue 20: Friday, April 18. 2008, http://tech.mit.edu/V128/N20/lorenzobit.

Will S., Ardern K., Spencely M., Watkins S., A prospective health impact assessment of the proposed development of a second runway at Manchester International Airport. Written submission to the public enquiry. Manchester and Stockport Health Commissions 1994.

Scott-Samuel A., Health Impact Assessment: An Idea whose Time has come. „British Medical Journal” 1996; 313 (7051): 183–184,

Zdrowie 21. CIOZ, Warszawa 2001.

Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007.

Mindell J.S., Boltong A., Forde I., A review of health impact assessment frameworks. „Public Health” 2008; 122 (11): 1177–1187.

Rapid Health and Equality Impact Assessment (HEqIA) of Mersey Care NHS Trust’s Outline Business Case for Mental Health and Learning Disability Services. http://apho.org.uk/resource/item.aspx?RID=54739.

Integrated Impact Assessment in Northern Ireland, 18.02.2004. www.ofmdfmni.gov.uk/iia/pdfs/sustainability.pdf.

Improving Assessment of the Environment in Impact Assessment. A project under the Framework contract for economic analysis ENV.G.1/FRA/2004/0081. Institute for European Environmental Policy Final Report, Draft, January 2007. www.ecologic-events.de/eu-impact-assessment/en/documents/Env_in_IA_Final_Report.pdf.

Salay R., Paul Lincoln P., The European Union and Health Impact Assessments Are they an unrecognised statutory obligation? National Heart Forum, September 2008. http://apho.org.uk/resource/item.aspx?RID=54650.

Dannenberg A.L., et al., Growing the Field of Health Impact Assessment in the United States: An Agenda for Research and Practice. „American Journal of Public Health” 2006; 96 (2): 262–270.

Scott-Samuel A., Birley M., Ardern K., The Merseyside Guidelines for Health Impact Assessment. Liverpool: Merseyside Health Impact Assessment Steering Group, published by the International Health IMPACT Assessment Consortium (second edition) 2001. http://www.ihia.org.uk.

Wismar M., Blau J., Ernst K., Is HIA effective? A synthesis of concepts, methodologies and results, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe, European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 15–33.

Elliott E., Francis S., Making effective links to decision-making: Key challenges for health impact assessment. Science direct. www.sciencedirect.com/science?

Wismar M., Blau J., Implementing and institutionalizing HIA in Europe, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 57–80.

Siliquini R., Nante N., Ricciardi W., Ecosystem revitalization: community empowerment through HIA in Tuscany, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies, The Crommwell Press, Wilts 2007: 94–103.

Stricka M., Zurlyte I., Grabauskas V., A local-level HIA in the transport sector: following legal requirements in Lithuania, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 105–114.

Gabrijelcic-Blenkus M., Scagnetti N., Using intersectoral network towards the adoption of the Common Agriculture Policy: an HIA on the Food and Nutrition Action Plan in Slovenia, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 137–146.

Knutsson I., Linell A., HIA speeding up the dicision making process: the reconstruction of the route 73 in Sweden, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 161–176.

Nelimarkka K., Kauppinen T., Perttila K., A participative social impact assessment at the local level: supporting the land-use planning process in Finland, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 191–206.

Von Bremen K., Moving towards the development of an HIA methodology : the effect of air pollution in Ticino, Switzerland, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 283–290.

Barroso F., A private HIA initiative: free-smoke work place policy in Spain, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: 147–160.

Council Directive 97/11/EC of 3 March 1997 amending Directive 85/337/EEC on the assessment of the effects of certain public and private projects on the environment. „Official Journal” NO. L 073, 14.03.1997 P. 0005. http://ec.europa.eu/environment/eia/full-legal-text/9711.

Dyrektywa 2001/42/we Parlamentu Europejskiego i Rady z dnia 27 czerwca 2001 r. w sprawie oceny wpływu niektórych planów i programów na środowisko, L 197/30

Dziennik Urzędowy Wspólnot Europejskich 21.7.2001.

„Bulletin of the World Health Organization” 2003: 81 (6). http://www.who.int/bulletin/volumes/81/6/pdf.

Commission Impact Assessment Guidelines. http://ec.europa.eu/governance/impact/commission_guidelines/commission_guidelines_en.htm.

2010 impact assessment (IA) reports. http://ec.europa.eu/governance/impact/ia_carried_out/cia_2010_en.htm.

Forward R.M, w: Wismar M., Blau J., Ernst K., Figueras J. (red.), The Effectiveness of Health Impact Assessment. Scope and limitations of supporting decision making in Europe. European Observatory on Health Systems and Policies. The Crommwell Press, Wilts 2007: s.xiii. http://www.euro.who.int/__data/assets/pdf_file/0003/98283/E90794.pdf.

Commission Staff Working Document, Accompanying document to the White Paper. Together for Health: A Strategic Approach for the EU 2008–2013 Impact Assessment (COM(2007) 630 final). Brussels, 23.10.2007. http://ec.europa.eu/internal_market/company/docs/modern/sec2010_669_en.pdf.

Hubel M., Hedin A., Developing health impact assessment in the European Union. „Bulletin of the World Health Organization” 2003: 81 (6): 463–464. http://www.who.int/bulletin/volumes/81/6/hubel.pdf.

Community action in the field of public health (2003–2008) Work Plan 2003. http://health.osf.lt/downloads/news/08WP_2003_en.pdf.

European Policy Health Impact Assessment – A Guide, May 2004. http://ec.europa.eu/health/ph_projects/2001/monitoring/fp_monitoring_2001_a6_frep_11_en.pdf.

Lock K., McKee M., Health impact assessment: assessing opportunities and barriers to intersectoral health improvement in an expanded European Union, „Journal of Epidemiology and Community Health” 2005; 59: 356–360. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1733092/pdf/v059p00356.pdf.

Gulis G., Health impact assessment in CEE region: case of the former Czechoslovakia. „Environmental Impact Assessment Review” 2004: 24 (2): 169–175.

Lock K., Gabrijelcic-Blenkus M., Martuzzi M., Otorepec P., Kuhar A., Robertson A. et. al., Conducting an HIA of the effect of accession to the European Union on national. „agriculture and food policy in Slovenia”. „Environmental Impact Assessment Review” 2004; 24 (2): 177–188.

Council of the European Union. Council Conclusions on Health in All Policies. Brussels: Council of the European Union, 2767th Employment, Social Policy, Health and Consumer Affairs. Council meeting, Brussels, 30 November and 1 December 2006. http://www.consilium.europa.eu/uedocs/cms_Data/docs/pressdata/en/lsa/91929.pdf.

Decyzja Nr 1350/2007/we Parlamentu Europejskiego i Rady z dnia 23 października 2007 r. ustanawiająca drugi wspólnotowy program działań w dziedzinie zdrowia na lata 2008–2013. Dziennik Urzędowy Unii Europejskiej L 301/3, 20.11.2007. http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2007:301:0003:0013:PL:PDF.

Health Impact Assessment (HIA) Conference: Urban development and extractive industries: What can HIA offer? http://www.who.int/hia/conference/en/index.html.

Salay R., Lincoln P., Increasing the use of health impact assessments: Is the environment a model? http://www2.lse.ac.uk/LSEHealthAndSocialCare/LSEHealth/documents/eurohealth/Salay%20v15n2.pdf.

Thomson S., Mossialos E., Regulating private health insurance in the European Union: the implications of single market legislation and competition policy. „Working Paper” No. 4/2006, November 2006. http://www.bvsde.paho.org/bvsacd/cd59/regulating.pdf.

Cross-border health services in the EU. Analytical report, June 2007. http://ec.europa.eu/health-eu/doc/crossbordereurobaro_en.pdf.

Directive 2009/138/EC of the European Parliament and of the Council of 25 November 2009 on the taking-up and pursuit of the business of Insurance and Reinsurance (SolvencyII). http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2009:335:0001:0155:en:PDF.

Bauman Z., Płynna nowoczesność. Wydawnictwo Lite-rackie, Kraków 2007.

Metcalfe O., Higgins C., Healthy public policy – is health impact assessment the cornerstone? „Public Health” 2009; 123 (4): 296–301. https://extranet.uj.edu.pl/pdflinks/,DanaInfo=vls1.icm.edu.pl+10100112134803047.pdf.

Salay R., Lincoln P., Health impact assessments in the European Union. „The Lancet” 2008; 372 (9641): 860–861.

Ahmad B., Chappel D., Pless-Mulloli T., White M., Enabling factors and barriers for the use of health impact assessment in decision-making processes.„Public Health” 2008; 122 (5): 452–457. https://extranet.uj.edu.pl/pdflinks/,DanaInfo=vls2.icm.edu.pl+10101111272120282.pdf.

Informacje

Informacje: Zdrowie Publiczne i Zarządzanie, 2010, Tom 8, Numer 1, s. 79 - 94

Typ artykułu: Oryginalny artykuł naukowy

Tytuły:

Polski:

Koncepcja „Oceny wpływu na zdrowie” (Health Impact Assessment) i jej wykorzystywanie w Unii Europejskiej. Perspektywa sektora prywatnego

Angielski:

Concept of Health Impact Assessment and its application in European Union. Private sector dimension

Autorzy

Włodzimierz Cezary Włodarczyk

https://orcid.org/0000-0001-9616-391X

Instytut Zdrowia Publicznego, Uniwersytet Jagielloński Collegium Medicum, Kraków

Publikacja: 2010

Status artykułu: Otwarte

Licencja: Żadna

Udział procentowy autorów:

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