Mas-Pons Rosa, Barona-Vilar Carmen, Ninyoles Guillem, García Ana M
Dirección General de Salud Pública, Conselleria de Sanitat Universal i Salut Pública, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, España.
Dirección General de Salud Pública, Conselleria de Sanitat Universal i Salut Pública, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España.
Gac Sanit. 2019 Nov-Dec;33(6):593-597. doi: 10.1016/j.gaceta.2018.09.002. Epub 2018 Dec 12.
This paper describes the beginning of the implementation process of the health impact assessment in the Valencian Community (Spain), as an instrument to incorporate the framework of social determinants and health inequalities in the policies issued by the different departments of the Valencian government. The proposal involves: 1) political commitment, with legislative and strategic planning actions; 2) the creation of structures to allow intersectoral collaboration, with the establishment of the health impact assessment commission and the intersectoral technical committee; and 3) the design and validation of a tool for the simplified health impact assessment of non-health policies adapted to the Valencian Community. We highlight the importance of the participatory methodology used in the whole process and the potential of the health impact assessment for the development of public policies oriented to improve health and equity.
本文描述了西班牙巴伦西亚自治区健康影响评估实施过程的开端,该评估作为一种工具,将社会决定因素和健康不平等框架纳入巴伦西亚政府不同部门发布的政策中。该提议包括:1)政治承诺,采取立法和战略规划行动;2)建立允许跨部门协作的结构,设立健康影响评估委员会和跨部门技术委员会;3)设计并验证一种适用于巴伦西亚自治区的非健康政策简化健康影响评估工具。我们强调了整个过程中使用的参与式方法的重要性,以及健康影响评估对制定旨在改善健康和公平的公共政策的潜力。