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Public Health, Policy Analysis, Risk Assessment, and Impact Assessment

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Assessment of Population Health Risks of Policies


There is no common consensus on the meaning of public health and its future goals and there are different understandings among states about objectives and how public health services are organized. The new public health can be generally defined as an integrative approach to protect and promote the health status of the individuals and population. New public health focuses especially on disease prevention, health promotion, education and cross-sectoral action, including decisions and activities beyond the health system, well-being and health of society, communities, and individuals.

The policy of new public health is based on responsibility of national, regional, and local governments, with significant international engagement (e.g., World Health Organization—WHO, European Commission—EC) for the well-being and health of society and self-care by the community and the individual. From European perspective, the new public health policy no longer concentrates on a series of separate or specific condition-oriented programs as it had over the past several years. Currently, the focus has been switched to health status, health determinants and health systems. This is also reflected by the key European health documents such as the EC health strategy

Several of Essential public health operations include risk assessment, policy analysis, and impact assessment. The chapter describes main issues how to link risk assessment to policies and public health functions.

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  • Adelaide Statement on Health in All Policies. (2010). Moving towards a shared governance for health and well-being. Report from the International Meeting on Health in All Policies, World Health Organization (WHO), Adelaide.

    Google Scholar 

  • Allin, S., Mossialos, E., Mc, K. M., & Holland, W. (2004). Making decisions on public health: A review of eight countries. Brussels: WHO, European Observatory on Health Systems and Policies.

    Google Scholar 

  • Bambra, C., Gibson, M., Sowden, A., Wright, K., Whitehead, M., & Petticrew, M. (2010). Tackling the wider social determinants of health and health inequalities: Evidence from systematic reviews. Journal of Epidemiology and Community Health, 64(4), 284–291.

    Article  PubMed  CAS  Google Scholar 

  • Barker, A., & Wood, C. H. (1999). An evaluation of EIA system performance in eight EU countries. Environmental Impact Assessment Review, 19, 387–404.

    Article  Google Scholar 

  • Baum, F. (2007). The new public health. Melbourne: Oxford University Press.

    Google Scholar 

  • Bettcher, D. W., Sapirie, S., & Goon, E. H. (1998). Essential public health functions: Results of the international DELPHI study. World Health Statistics Quarterly, 51(1), 44–54.

    CAS  Google Scholar 

  • CSDH (WHO Commission on Social Determinants of Health). (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization.

    Google Scholar 

  • Dahlgren, G., & Whitehead, M. (1991). Policies and strategies to promote social equity in health. Stockholm, Sweden: Institute for Future Studies.

    Google Scholar 

  • Douma, K. F. L., Karsenberg, K., Hummel, M. J. M., Bueno-de-Mesquita, J., & van Harten, W. H. (2007). Methodology of constructive technology assessment in health care. International Journal of Technology Assessment in Health Care, 2, 162–168.

    Google Scholar 

  • Hanney, S. R., Gonzalez-Block, M. A., Buxton, M. J., & Kogan, M. (2003). The utilisation of health research in policy-making: Concepts, examples and methods of assessment. Health Research Policy and Systems, 1(1), 2.

    Article  PubMed  Google Scholar 

  • Health impact assessment toolkit for cities; Document 1; From vision to action, WHO Copenhagen. (2005). Retrieved on 18 Apr, 2013, from

  • Health impact assessment; Main concepts and suggested approach. (1999). WHO. Retrieved on 27 Jun, 2007, from

  • Health Report. (1998). Life in the 21st century, a vision for all. Geneva: World Health Organization.

    Google Scholar 

  • Jacobsen, D. I., & Thorsvik, J. (2002). Hvordan organisationer fungerer. Indføring i organisation og ledelse. København: Hans Reitzels Forlag.

    Google Scholar 

  • Joffe, M., & Mindell, J. (2006). Complex causal process diagrams for analyzing the health impacts of policy interventions. American Journal of Public Health, 96, 473–479.

    Article  PubMed  Google Scholar 

  • Kaiser, S., & Mackenbach, J. P. (2008). Public health in eight European countries: An international comparison of terminology. Public Health, 122(2), 211–216.

    Article  PubMed  Google Scholar 

  • Keleher, H., & Murphy, B. (2004). Understanding health: A determinants approach. London: Oxford University Press.

    Google Scholar 

  • Kemm, J., Parry, J., & Palmer, S. (2004). Health impact assessment. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Kingdon, J. D. (1984, 1995). Agendas, alternatives and public policies. Boston, MA: Little Brown and Company.

    Google Scholar 

  • Nutley, S. W., & Davis, T. O. (2007). Using evidence, how research can inform public services. Bristol: The Policy Press.

    Google Scholar 

  • Pedersen, K. M. (2006). Sundhedspolitik, Beslutningsgrundlag, beslutningstangen og be-slutninger i sundhedsvæsnet. Odense: Syddansk Universitetsforlag.

    Google Scholar 

  • Preliminary review of institutional models for delivering essential public health operations in Europe, WHO. (2012). Accessed 18 Apr, 2013, from

  • Rose, G. A. (1992). The strategy of preventive medicine. Oxford, NY: Oxford University Press.

    Google Scholar 

  • Rushton, J., Thornton, P. K., & Otte, M. J. (1999). Methods of economic impact assessment, Rev. Off. int. Epiz., 18(2), 315–342.

    Google Scholar 

  • The EU Health Strategy, White paper. Together for health: A strategic approach for the EU 2008–2013. European Commission (2007). Retrieved on 14 Jan, 2013, from

  • The Future of the Public’s Health in the 21st Century, 2002, Committee on Assuring the Health of the Public in the 21st Century, Board on Health Promotion and Disease Prevention, Institute of Medicine, The National Academies Press, Washington, DC. (2002). Retrieved on 27 Jan, 2013, from

  • Theodoulou, S. Z., & Kofinis, C. (2003). The Art of the Game: Understanding Public Policy, Wadsworth Publishing, USA.

    Google Scholar 

  • Weil, O., & McKee, M. (1998). Setting priorities for health in Europe: Are we speaking the same language? European Journal of Public Health, 8, 256–258.

    Article  Google Scholar 

  • WHO. (1986). The Ottawa charter on health promotion. Geneva: World Health Organization.

    Google Scholar 

  • Winslow CEA. (1920). The untitled fields of public health, Science 51(1306), 23–33, DOI: 10.1126/science.51.1306.23

    Google Scholar 

  • Yach, D. (1996). Redefining the scope of public health beyond the year 2000. Current Issues in Public Health, 2, 247–252.

    Google Scholar 

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Guliš, G. et al. (2014). Public Health, Policy Analysis, Risk Assessment, and Impact Assessment. In: Guliš, G., Mekel, O., Ádám, B., Cori, L. (eds) Assessment of Population Health Risks of Policies. Springer, New York, NY.

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