Abstract
Health needs assessment (HNA) is one of the approaches used to provide intelligence and inform decision-making on the planning and deploying of resources to address the health priorities of local populations. Need is an important concept in public health but is also a multifaceted one that represents different things to different people. From a public health perspective, need is seen as the ‘ability to benefit’, which means that there must be effective interventions available to meet the need. In present-day public health practice, assessing the health needs of local populations typically involves considering not just their physical and mental health and well-being, but the wider determinants or social factors, such as housing, employment and education that influence their health. This chapter describes the historic development of health needs assessment and its use in contemporary public health practice. The different ways in which need is perceived and their implications for the health service are discussed. A step-by-step guide through the HNA process is outlined and comparisons are made with other overlapping approaches to assessment. The practical challenges of carrying out HNAs are highlighted and case studies are used to illustrate real life experiences.
By the end of this chapter, you should be able to:
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Discuss the concepts of need, want and demand.
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Describe what is meant by a health needs assessment (HNA) and the different approaches that currently influence thinking and practice underpinning HNA.
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Identify the key steps and practical challenges involved in conducting a HNA.
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Compare HNA with other overlapping assessment approaches.
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Understand, through case studies, how HNA is applied in practice.
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References
Bradshaw, J. R. (1972). The taxonomy of social need. In G. McLachlan (Ed.), Problems and progress in medical care. Oxford: Oxford University Press.
Bradshaw, J. (1994). The conceptualisation and measurement of need: A social policy perspective. In J. Popay & G. Williams (Eds.), Researching the people’s health (pp. 45–57). London: Routledge.
Cavanagh, S., & Chadwick, K. (2005). Health needs assessment: A practical guide. London: National Institute for Health and Clinical Excellence.
Dahlgren, G., & Whitehead, M. (1991). Policies and strategies to promote social equity in health. Stockholm: Institute for Future Studies.
Department of Health. (2007). Guidance on joint strategic needs assessment. London: DoH.
Elkheir, R. (2007). Health needs assessment: A practical approach. Retrieved September 29, 2015, from http://www.sjph.net.sd/files/vol2i2p81-88.pdf.
Hooper, J., & Longworth, P. (2002). Health needs assessment workbook. London: Health Development Agency.
Powell, J. (2006). Health needs assessment: A systematic approach. London: National Library for Health.
Quigley, R., Cavanagh, S., Harrison, D., Taylor, L., & Pottle, M. (2005). Clarifying approaches to assessment: Health needs assessment, health impact assessment, integrated impact assessment, health equity audit, and race equality impact assessment. London: Health Development Agency.
Rogers, C., & Fox, R. (2005). Health needs assessment. Wales: National Public Health Service for Wales.
Stevens, A., & Gillam, S. (1998). Needs assessment: From theory to practice. British Medical Journal, 316, 1448–1452.
Stevens, A., & Rafferty, J. (1994, 1997). Health care needs assessment: The epidemiologically based needs assessment reviews. Vol. 1 and 2. Oxford: Radcliffe Medical Press.
Stevens, A. J., & Rafferty, J. (1997). Health care needs assessment. Oxford: Radcliffe.
Stevens, A., Raftery, J., Mant, J., & Simpson, S. (2004). Health care needs assessment: The epidemiologically based needs assessment reviews (Vol. 1 and 2). Oxford: Radcliffe Medical Press.
Williams, R., & Wright, J. (1998). Epidemiological issues in health needs assessment. British Medical Journal, 316, 1379–1382.
Wright, J. (2001). Assessing health needs. In D. Pencheon (Ed.), Oxford handbook of public health practice. Oxford: Oxford University Press.
Recommended Reading
Cavanagh, S., & Chadwick, K. (2005). Health needs assessment: A practical guide. London: National Institute for Health and Clinical Excellence.
Hooper, J., & Longworth, P. (2002). Health needs assessment workbook. London: Health Development Agency.
Department of Health. (2007). Guidance on joint strategic needs assessment. London: DoH.
Quigley, R., Cavanagh, S., Harrison, D., Taylor, L., & Pottle, M. (2005). Clarifying approaches to assessment: Health needs assessment, health impact assessment, integrated impact assessment, health equity audit, and race equality impact assessment. London: Health Development Agency.
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Tobi, P. (2016). Health Needs Assessment. In: Regmi, K., Gee, I. (eds) Public Health Intelligence. Springer, Cham. https://doi.org/10.1007/978-3-319-28326-5_9
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DOI: https://doi.org/10.1007/978-3-319-28326-5_9
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