Key recommendations of the workshop included:
- Conduct pilot tests of existing health impact assessment tools, ranging from simple checklists to complex collaborative processes. Pilot tests should be designed to provide information on:
- The usefulness of health impact assessment methods in US settings.
- The availability of needed health impact data.
- The acceptability of the process to local decision-makers.
- Develop a database of health impacts of common projects and policies. Such a searchable database should contain:
- An inventory of tools for conducting health impact assessments.
- Guidelines for choosing tools used in health impact assessments.
- Systematic reviews of health impacts for a range of policies and projects.
- Links to completed health impact assessments on numerous topics.
- Lists of experts in the field of health impact assessment.
- Develop resources for the use of health impact assessment, which may vary according to scope of the project, depth of analysis, time available and processes employed.
- Build workforce capacity to conduct health impact assessments, including:
- Health impact assessment professionals, whose training curriculum should include skills to:
- Understand the health impact assessment process.
- Identify stakeholders.
- Analyze policies.
- Identify and quantify health impacts.
- Communicate results.
- Understand land use and transportation planning.
- Planners and decision-makers, who would be more likely to request and use health impact assessment processes if trained to understand their value. Health impact assessment training for this group should be interdisciplinary, problem-based and not overly technical.
- Health impact assessment professionals, whose training curriculum should include skills to:
- Evaluate health impact assessments. Such assessment have the potential to:
- Advance the field.
- Demonstrate value.
- Document influence on decisions.
- Improve quality.
- Facilitate training.
- Enhance institutional relationships.
- Raise awareness of health impacts for decision-makers.
- Examine adherence of processes to underlying values.
Three types of health impact assessment evaluations would apply, depending on the needs:- Process evaluations examining how the health impact assessment was planned and implemented.
- Impact evaluations assessing the effect of the health impact assessment on the decision-making process.
- Outcome evaluations comparing the health outcomes after implementation with those predicted by the health impact assessment.
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