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Time for a paradigm change? Tracing the institutionalisation of health impact assessment in the Republic of Ireland across health and environmental sectors

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  • Kearns, Noreen
  • Pursell, Lisa

Abstract

This paper presents a critical analysis of health impact assessment (HIA) in the Republic of Ireland (ROI) in the context of institutional policy and practice. It begins with a brief background to the origins and aims of HIA. Core developments in health and environmental sectors pertaining to HIA in the ROI are then considered. A series of significant developments have taken place in these sectors over the past decade that are positively associated with the promotion of HIA in the ROI. However, it is argued that in spite of various institutional facilitators, the practice of implementing HIAs in the ROI is significantly underdeveloped, and it continues to lag behind several of its European Union counterparts. It is contended that a paradigm change is required in order to address the current policy-action gap. An organisation theory framework is used to assess the implementation problem and a number of suggestions are highlighted as potential facilitators of this process.

Suggested Citation

  • Kearns, Noreen & Pursell, Lisa, 2011. "Time for a paradigm change? Tracing the institutionalisation of health impact assessment in the Republic of Ireland across health and environmental sectors," Health Policy, Elsevier, vol. 99(2), pages 91-96, February.
    • Handle: RePEc:eee:hepoli:v:99:y:2011:i:2:p:91-96
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    1. Ferdinand A. Gul & Judy S. L. Tsui, 2004. "Introduction and overview," Palgrave Macmillan Books, in: The Governance of East Asian Corporations, chapter 1, pages 1-26, Palgrave Macmillan.
    2. Dahlgren, Göran & Whitehead, Margaret, 1991. "Policies and strategies to promote social equity in health. Background document to WHO - Strategy paper for Europe," Arbetsrapport 2007:14, Institute for Futures Studies.
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    1. Françoise Jabot & Emile Tremblay & Ana Rivadeneyra & Thierno Amadou Diallo & Geneviève Lapointe, 2020. "A Comparative Analysis of Health Impact Assessment Implementation Models in the Regions of Montérégie (Québec, Canada) and Nouvelle-Aquitaine (France)," IJERPH, MDPI, vol. 17(18), pages 1-18, September.
    2. Pouyan Mahboubi & Margot W. Parkes & Hing Man Chan, 2015. "Challenges and Opportunities of Integrating Human Health into the Environmental Assessment Process: The Canadian Experience Contextualised to International Efforts," Journal of Environmental Assessment Policy and Management (JEAPM), World Scientific Publishing Co. Pte. Ltd., vol. 17(04), pages 1-32, December.

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