The University of Auckland, School of Population Health, Private Bag 92019, Auckland, 1142, New Zealand.
Health Res Policy Syst. 2018 Jan 25;16(1):3. doi: 10.1186/s12961-018-0278-0.
Monitoring the degree of implementation of widely recommended food environment policies by national governments is an important part of stimulating progress towards better population nutritional health.
The Healthy Food Environment Policy Index (Food-EPI) was applied for the second time in New Zealand in 2017 (initially applied in 2014) to measure progress on implementation of widely recommended food environment policies. A national panel of 71 independent (n = 48) and government (n = 23) public health experts rated the extent of implementation of 47 policy and infrastructure support good practice indicators by the Government against international best practice, using an extensive evidence document verified by government officials. Experts proposed and prioritised concrete actions needed to address the critical implementation gaps identified.
Inter-rater reliability was good (Gwet's AC2 > 0.8). Approximately half (47%) of the indicators were rated as having 'low' or 'very little, if any' implementation compared to international benchmarks, a decrease since 2014 (60%). A lower proportion of infrastructure support (29%) compared to policy (70%) indicators were rated as having 'low' or 'very little, if any' implementation. The experts recommended 53 actions, prioritising nine for immediate implementation; three of those prioritised actions were the same as in 2014. The vast majority of experts agreed that the Food-EPI is likely to contribute to beneficial policy change and increased their knowledge about food environments and policies.
The Food-EPI has the potential to increase accountability of governments to implement widely recommended food environment policies and reduce the burden of obesity and diet-related diseases.
监测各国政府对广泛推荐的食品环境政策的实施程度是刺激改善人口营养健康状况取得进展的重要组成部分。
2017 年（2014 年首次应用），新西兰第二次应用健康食品环境政策指数（Food-EPI）来衡量广泛推荐的食品环境政策实施进展情况。一个由 71 名独立（n=48）和政府（n=23）公共卫生专家组成的国家小组，根据国际最佳做法，对政府实施的 47 项政策和基础设施支持良好做法指标的实施程度进行了评估，使用了经政府官员核实的广泛证据文件。专家们提出并优先考虑了为解决确定的关键实施差距所需的具体行动。
评分者间的可靠性良好（Gwet 的 AC2>0.8）。与国际基准相比，约有一半（47%）的指标被评为实施程度“低”或“几乎没有”，比 2014 年（60%）有所下降。与政策（70%）指标相比，基础设施支持（29%）指标的比例较低，被评为“低”或“几乎没有”实施。专家们建议采取 53 项行动，其中 9 项行动被优先考虑立即实施；其中 3 项被优先考虑的行动与 2014 年相同。绝大多数专家认为，Food-EPI 有可能促进有益的政策变革，并增加他们对食品环境和政策的了解。
Food-EPI 有可能增加政府对实施广泛推荐的食品环境政策的问责制，并减少肥胖和饮食相关疾病的负担。
