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The Role of Average Health Status: Health Inequalities Matrix for Assessing Impacts on Population Health in Health in All Policies
Abstract
Economic, social and environmental policies, programs and projects have impact on health. Health in All Policies (HiAP) aims to improve population health by taking into account these impacts. HiAP needs appropriate tools for assessing impacts on population health. When making choices between policy options, decision-makers rely on predictions from Health Impact Assessment. Currently there is no gold standard for establishing and assessing validity of predictions. This paper distinguishes between two levels of causal pathways regarding health impacts – specific and conditional, and proposes the Average Health Status – Health Inequalities Matrix as gold standard. The Matrix facilitates making the right choices at any level and local context, thus is useful for researchers, policy-makers and practitioners for designing, analysing and evaluating all kinds of policies. By allowing quick, reliable and inexpensive appraisal of different policy options the matrix makes feasible taking into account the impacts on population health and paves the way for institutionalizing of HiAP.
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