TY - JOUR
T1 - Quantitative health impact assessment methodology for societal initiatives
T2 - A scoping review
AU - Reumers, Laurens M.
AU - Bekker, Marleen P. M.
AU - Jansen, Maria W. J.
AU - Hilderink, Henk B. M.
AU - Helderman, Jan-Kees
AU - Ruwaard, Dirk
N1 - Funding Information:
This article was funded by The Netherlands Organisation for Health Research and Development (ZonMw: 531005012 ).
Publisher Copyright:
© 2020 The Authors
PY - 2021/1
Y1 - 2021/1
N2 - Health initiatives are increasingly situated outside the institutionalised public health sector. The intersectoral character of societal initiatives, along with indirect relationships between initiatives and health, makes making projections of reach, impact and goal achievement complex. This scoping review of the peer-reviewed literature searches for appropriate methods to conduct quantitative health impact assessment for such initiatives. Database searches were done in PubMed and Web of Science, as well as a reference list search. Studies were then selected in a systematic manner. The review includes 64 studies. Most studies made estimates using simulation methods, notably with Monte Carlo, Markov and system dynamics modelling. Inputs for the models such as transition probabilities and price elasticities were taken from census, register and survey data, evidence from previous (scientific) studies and sometimes outcomes from stakeholder participation. Of different health outcome measures, the number of deaths was most frequently used, followed by QALYs and DALYs and life years. Health effect distribution is frequently mentioned, but not often estimated. Scientific methodological publications on HIAs focusing on civil society initiatives are relatively sparse, indicating possibilities for further methodological advancement. Estimating health effect distributions and incorporating stakeholder participation could make meaningful additions to standard practice.
AB - Health initiatives are increasingly situated outside the institutionalised public health sector. The intersectoral character of societal initiatives, along with indirect relationships between initiatives and health, makes making projections of reach, impact and goal achievement complex. This scoping review of the peer-reviewed literature searches for appropriate methods to conduct quantitative health impact assessment for such initiatives. Database searches were done in PubMed and Web of Science, as well as a reference list search. Studies were then selected in a systematic manner. The review includes 64 studies. Most studies made estimates using simulation methods, notably with Monte Carlo, Markov and system dynamics modelling. Inputs for the models such as transition probabilities and price elasticities were taken from census, register and survey data, evidence from previous (scientific) studies and sometimes outcomes from stakeholder participation. Of different health outcome measures, the number of deaths was most frequently used, followed by QALYs and DALYs and life years. Health effect distribution is frequently mentioned, but not often estimated. Scientific methodological publications on HIAs focusing on civil society initiatives are relatively sparse, indicating possibilities for further methodological advancement. Estimating health effect distributions and incorporating stakeholder participation could make meaningful additions to standard practice.
KW - Quantitative health impact assessment
KW - Societal initiatives
KW - Methodology
KW - Simulation
KW - Health effect distribution
KW - Stakeholder participation
KW - PUBLIC-HEALTH
KW - SYSTEM DYNAMICS
KW - AGREEMENTS
U2 - 10.1016/j.eiar.2020.106509
DO - 10.1016/j.eiar.2020.106509
M3 - (Systematic) Review article
SN - 0195-9255
VL - 86
JO - Environmental Impact Assessment Review
JF - Environmental Impact Assessment Review
M1 - 106509
ER -