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Cover of Improving Health in the United States

Improving Health in the United States

The Role of Health Impact Assessment


Washington (DC): National Academies Press (US); .
ISBN-13: 978-0-309-21883-2ISBN-10: 0-309-21883-7


Health impact assessment (HIA) is a tool that can help decision-makers identify the public-health consequences of proposals that potentially affect health. Because of the potential that HIA offers to improve public health, the Robert Wood Johnson Foundation, the National Institute of Environmental Health Sciences, the California Endowment, and the U.S. Centers for Disease Control and Prevention asked the National Research Council to develop a framework, terminology, and guidance for conducting HIA.

In this report, the Committee on Health Impact Assessment discusses the need for health-informed decision-making and policies and reviews the current practice of HIA. The committee provides a definition, framework, and criteria for HIA; discusses issues in and challenges to the development and practice of HIA; and closes with a discussion on structures and policies for promoting HIA. The committee notes that the framework provided in this report is not a reinvention of the field but a synthesis of guidance provided in other documents and publications. Thus, the reader will find many similarities between the committee’s descriptions and characterizations and those of other guides.


This project was supported by contracts between the National Academy of Sciences and Robert Wood Johnson Foundation, Grant No. 66737; The California Endowment, Grant No. 20091397; DHHS/CDC, Contract No. 200-2005-13434; and DHHS/NIH, Contract No. N01-OD-4-2139.

Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the authors and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

Copyright © 2011, National Academy of Sciences.
Bookshelf ID: NBK83546PMID: 22379655DOI: 10.17226/13229


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