Risk Assessment from Policy to Impact Dimension Funded by the - - PowerPoint PPT Presentation

Risk Assessment from Policy to Impact Dimension

Funded by the European Commission Health & Consumer Protection Directorate‐General via Executive Agency for Health and Consumers Grant agreement no 20081105

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Partner organisations:

• IVZ RS ‐ Institute of Public Health, Ljubljana, Republic of Slovenia, www.ivz.si
• LIGA.NRW ‐ Landesinstitut für Gesundheit und Arbeit des Landes Nordrhein‐Westfalen,

Düsseldorf, Germany , www.liga.nrw.de

• UD MHSC Faculty of Public Health University of Debrecen, Hungary www.sph.dote.hu
• IFC‐CNR ‐ National Research Council, Institute of Clinical Physiology, Pisa, Italy

www.ifc.cnr.it

• EASP ‐ Escuela Andaluza de Salud, Granada, Spain www.easp.es
• SMLPC – Health education and disease prevention centre, Vilnius, Lithuania

www.smlpc.lt

• MUS ‐ Department of Public Health, Medical University of Silesia, Katowice, Poland

www.sum.edu.pl

• TU ‐ Trnava University, Faculty of Health Care and Social Work, Trnava, Slovak republic

www.truni.sk

• RUVZ ‐ Regionalny urad verejneho zdravotnictva, Kosice, Slovak Republic

www.ruvzke.sk

• UBB ‐ Babes‐Bolyai University, Clij‐Napoca, Romania www.ubbcluj.ro
• WHO European Centre for Environment and health, Rome, Italy

www.euro.who.int/ecehrome

Coordinated by

SDU ‐ University of Southern Denmark, Unit for health promotion research, Esbjerg, Denmark www.sdu.dk/healthpromotion

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Background

• Policies and strategies influence the wider determinants
• f health. These determinants have their impact on a

range of different risk factors which then directly affect human health.

• RAPID grew‐out from a previous project “Health

impact assessment in new member states and accession countries” (HIA NMAC). HIA NMAC identified a lack of risk assessment methods for conducting policy health impact assessments across areas of broad determinants of health.

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General objectives

• The main objective of RAPID project is to

develop methodologies for conducting "full chain" risk assessment (policy‐determinants of health‐

risk factors‐health effect), and implement them

• n case studies and on a selected EC policy.

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Full chain methodology

• Liver Cirrhosis
• Risk assessment, perception, communication, management
• →

↕ ←

• Different population
• Alcohol consumption
• Risk assessment, perception, communication, management
• →

↕ ←

• Different determinants
• Social determinants
• Risk assessment, perception, communication, management
• →

↕ ←

• Different sectors and policies
• Policy

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Model methodologies for bottom‐up risk assessment in a range of themes

• Osteoporosis, SDU, Denmark
• Prevention of deaths and injuries related to traffic accidents

EASP, Spain

• Chronic liver disease and cirrhosis, UD MHSC, Hungary
• Road traffic injuries, LIGA.NRW, Germany
• Primary healthcare sector, MUS, Poland
• Liver cirrhosis, RUVZ, Slovak Republic
• Asthma, TU, Slovak Republic
• Chronic obstructive pulmonary disease, IVZ RS, Slovenia

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• Tobacco policy, UD MHSC, Hungary
• Energy policy of Denmark, SDU, Denmark
• Housing subsidy program, LIGA.NRW, Germany
• Air pollution legislation, MUS, Poland
• National alcohol problem plan, RUVZ, Slovak Republic
• Road safety and injuries, TU, Slovak Republic
• Wine production, IVZ RS, Slovenia
• Computer tomography for cancer risk, IFC‐CNR, Italy
• Road traffic safety policy, VASC, Lithuania
• National pandemic influenza plan, UBB, Romania

Model methodologies for top‐down risk assessment in a range of themes

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A policy assessment case study developed on a EU policy

• EU Health strategy – work in progress

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Full chain methodology

• Top‐down – relevant for impact assessment and

starts by a policy

• Bottom‐up – relevant for putting health on

agenda and start by a relevant health issue

Top‐down methodology

• Policy

– Identify the problem, policy analysis, context, target population, time course…

• Determinants of health

– Model, identify major determinants influenced, strength of evidence, causality, severity of impact, interactions among determinants, …

• Risk factors

– Identify those influenced by determinants, qualitative/quantitative assessment, strength of association, evidence, causality, loops among risk factors and determinants, population, …

• Health outcome – ICD codes, direction of change

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Bottom‐up methodology

• Health outcome

– ICD codes, relevance, population…

• Risk factors

– Identify those influencing the health outcome, qualitative/quantitative assessment, strength of association, evidence, causality,, …

• Determinants of health

– Model, identify major determinants influencing the risk factors, strength of evidence, causality, severity of impact, interactions among determinants, loops among risk factors and determinants, …

• Policy

– Identify policies, policy analysis, context, target population, time course…

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National workshops

• Discuss the assessment checklist (tool,

method, guidance)

• Provide feedback