Health impact assessment in Canada

Louise St-Pierre and Anika Mendell

in Health Impact Assessment

Published in print November 2012 | ISBN: 9780199656011
Published online January 2013 | e-ISBN: 9780191748028 | DOI:
Health impact assessment in Canada

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This chapter discusses the development of health impact assessment (HIA) in Canada. The practice and institutionalization of HIA in Canada has been characterized by highs and lows. At both the federal and provincial levels, significant gains have been made but have not necessarily been sustained. However, over the last two decades there has been HIA-related activity at all levels of government and in various sectors. The federal government has produced an internationally recognized guide, two provinces (Quebec and British Columbia) have legislated HIA within the context of renewed Public Health Acts, and various public health units are exploring the implementation of HIA in their regions. Some public health organizations use what is called the ‘expert-driven model’ of HIA, while the Quebec provincial government has structured HIA practice built on the ‘decision-support’ model.

Keywords: HIA; public health; Canadian health policy; public health organizations; expert-driven model; decision-support model

Chapter.  3548 words. 

Subjects: Public Health and Epidemiology

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