1. Impact of Socio-Economic Science and Humanities - an example:
Health and inequality
Athens 26-27th February 2014
John Yfantopoulos
Professor of Social Policy & Health Economics
University of Athens 1

2. HEALTH IMPACT ANALYSIS
DATA SOURCES
HEALTH
INEQUALITIES
CONCEPTUAL MODELS

3. THE HOLLY FATHERS
Hippocrates
Platon
Aristotle's

4. Aristotle 384-322: On equity and equality
The first page of Ethics – Nicomchia in Latin Edition

5. Major Health Inequalities between and within Member States
EU Communication
October 2009
« Solidarity in health: reducing health inequalities in the EU”
14-year difference in life expectancy for men and 8 year gap for women between EU Member States
Directorate-General for Employment, Social Affairs and Equal Opportunities ─ Unit

6. Regional Inequalities in Greece Men
Life Expectancy
Men
Range 5.7 years
Min= 71,92
Max=77,62

7. Regional Inequalities in Greece Women
Life Expectancy
Women
Range= 3.88
Min = 77.88
Max = 81.76

8. Health Inequalities Gini Coefficients EU-SILC 2005

9. Health Inequalities Gini Coefficients EU-SILC 2009

10. Example 3: Self perceived Health Inequalities EU-SILC 2010 and 2005

11. Data Sources

12. Data Sources

13. Self-rated health
European Union Statistics on Income and Living Conditions (EU-SILC)
How is your health in general? Is it:
Very good/Good/Fair/Bad/Very bad
European Social Survey (ESS)
How is your health in general?
European Health Interview Survey (EHIS)
Survey of Health, Ageing and Retirement in Europe (SHARE)
Would you say your health is:
Excellent/Very good/Good/Fair/Poor

14. Methodology

15. Measures of Dispersion

16. CONCEPTUAL FRAMEWORK

17. The Conceptual Framework of EU

18. Health Impact Analysis

19. Definition proposed by Louise Saint Pierre (from Canada )
"The assessment of impact on health is a structured and collaborative approach that, using different tools and methods, mobilizes the knowledge of public health and other types of relevant knowledge, to estimate the potential effects of a project or a policy on the health of the population"", and the distribution of those effects within it, to provide information useful to policy makers."

20. The Dutch Approach Multilevel Local National International
“A combination of procedures, methods and tools by which a policy, programme or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population. The HIA is a flexible method, which is well suited to study, and examine broad policy objectives as well as concrete policy intentions. The application of the method is multi-level: local, national and international.”

21. Health Impact Analysis
There is a mixed picture of the HIAs across different countries.
France, Belgium, Latvia, and Greece there is little known or happening at a national level
Italy and Hungary it is known by experts in public health
Emerging use of HIAs in Basque Country, Portugal, and Spain particularly in regional settings

22. Well Established Health Impact Analysis
Well established processes
Scotland, Wales, England, Ireland, Wales, Norway and Sweden
There are methodological or process requirements on how assessment should be carried out.

23. Well Developed Bodies of HIA
Sweden has undertaken HIAs and has been part of the project “the effectiveness of health impact assessment. Scope and limitations of supporting decision-making in Europe”.
Ireland has an extensive range of expertise in HIA, have annual training, produced a number of publications and support and undertake a number of HIAs.
England, there is a range of expertise and a number of HIAs have been undertaken,

24. Health Impact Analysis in Portugal
In Portugal, there are links with some academic institutions like:
the Institute of Hygiene and Tropical Medicine
the Lisbon Faculty of Medicine and
the National Health Institute Doutor Ricardo Jorge (INSA) and the
Directorate-General for Health (DGH), which are under the Ministry of Health´s direct responsibility.

25. HIA in ITALY
In Italy epidemiologists and public health professionals are well aware of HIA and have tried to introduce it within the frame and regulation of Environmental Impact Assessment and Strategic Impact Assessment.
Moreover a recent project on the Health in All Policies (HiAP) Strategy has put together experts from different fields (social sciences, economic sciences, technical engineering sciences and epidemiology and public health) to scrutinize the impact on health of different categories of policies

26. Health Impact Analysis in ITALY 2013 Italian review
on Equity in Health
submitted
Evidence
Implications
Health
Impact
Analysis in
ITALY
International
benchmarking
Cost Analysis
Actions
Barriers:
(who is gaining?)
… in time
of crisis

27. THANKS FOR YOUR
ATTENTION ;