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Implementing Health Impact Assessment as a Required Component of Government Policymaking: A Multi-Level Exploration of the Determinants of Healthy Public Policy.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Implementing Health Impact Assessment as a Required Component of Government Policymaking: A Multi-Level Exploration of the Determinants of Healthy Public Policy./
作者:	Simpson, Stephanie A.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2022,
面頁冊數:	278 p.
附註:	Source: Dissertations Abstracts International, Volume: 83-11, Section: B.
Contained By:	Dissertations Abstracts International83-11B.
標題:	Collaboration. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29239043
ISBN:	9798438766377

Implementing Health Impact Assessment as a Required Component of Government Policymaking: A Multi-Level Exploration of the Determinants of Healthy Public Policy.
Simpson, Stephanie A.

Implementing Health Impact Assessment as a Required Component of Government Policymaking: A Multi-Level Exploration of the Determinants of Healthy Public Policy. - Ann Arbor : ProQuest Dissertations & Theses, 2022 - 278 p.

Source: Dissertations Abstracts International, Volume: 83-11, Section: B.

Thesis (Ph.D.)--The University of Western Ontario (Canada), 2022.

This item must not be sold to any third party vendors.

It is widely understood that the public policies of 'non-health' government sectors have greater impacts on population health than those of the traditional healthcare realm. Health Impact Assessment (HIA) is a decision support tool that identifies and promotes the health benefits of policies while also mitigating their unintended negative consequences. Despite numerous calls to do so, the Ontario government has yet to implement HIA as a required component of policy development. This dissertation therefore sought to identify the contexts and factors that may both enable and impede HIA use at the sub-national (i.e., provincial, territorial, or state) government level. The three integrated articles of this dissertation provide insights into specific aspects of the policy process as they relate to HIA. Chapter one details a case study of purposive information-seeking among public servants within Ontario's Ministry of Education (MOE). Situated within Ontario's Ministry of Health (MOH), chapter two presents a case study of policy collaboration between health and 'non-health' ministries. Finally, chapter three details a framework analysis of the political factors supporting health impact tool use in two sub-national jurisdictions - namely, Quebec and South Australia. MOE respondents (N=9) identified four components of policymaking 'due diligence', including evidence retrieval, consultation and collaboration, referencing, and risk analysis. As prospective HIA users, they also confirmed that information is not routinely sought to mitigate the potential negative health impacts of education-based policies. MOH respondents (N=8) identified the bureaucratic hierarchy as the brokering mechanism for inter-ministerial policy development. As prospective HIA stewards, they also confirmed that the ministry does not proactively flag the potential negative health impacts of non-health sector policies. Finally, 'lessons learned' from case articles specific to Quebec (n=12) and South Australia (n=17) identified the political factors supporting tool use at different stages of the policy cycle, including agenda setting ('policy elites' and 'political culture'), implementation ('jurisdiction'), and sustained implementation ('institutional power'). This work provides important insights into 'real life' policymaking. By highlighting existing facilitators of and barriers to HIA use, the findings offer a useful starting point from which proponents may tailor context-specific strategies to sustainably implement HIA at the sub-national government level.

ISBN: 9798438766377Subjects--Topical Terms:

3556296
Collaboration.

Implementing Health Impact Assessment as a Required Component of Government Policymaking: A Multi-Level Exploration of the Determinants of Healthy Public Policy.
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