Abstract Attention to the determinants of health and health equity in impact assessment remains under-utilised at the project, Environmental Impact Assessment, level. Determinants focussed health impact assessment has developed at an upstream, policy level, but tends to assess draft proposals rather than form the basis of policies and plans. Project level health (risk) impact assessment tends to focus on a project by project basis, and generally eschews a broad model of health. One answer to this ‘health and impact assessment’ problem is to shift attention to the strategic level, in a similar manner to, and learning from, the development of Strategic Environmental Assessment and its theoretical and practical derivatives. In this article we explain the need for this shift both conceptually and practically by navigating the literature. Our analysis derives specifically from developing the Strategic Health Impact Assessment section of new international industry HIA guidance, coupled with work in and around health impact assessment and policy analysis for the past decade. We develop characteristics of conducting strategic health assessments for multiple industry development activities at the supra national, national or regional level. Our intended audience are public administrators, industry planners and financial sector investors. A particular focus is low and middle income countries, now seen by industry as emerging markets.

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大型产业发展活动的战略健康评估：介绍

摘要 在影响评估中对健康和健康公平的决定因素的关注在项目环境影响评估层面仍未得到充分利用。以决定因素为重点的健康影响评估是在上游政策层面发展起来的，但倾向于评估提案草案，而不是形成政策和计划的基础。项目级别的健康（风险）影响评估往往侧重于逐个项目的项目，并且通常避开广泛的健康模型。这个“健康和影响评估”问题的一个答案是将注意力转移到战略层面，以类似于战略环境评估及其理论和实践衍生品的发展并从中学习。在本文中，我们通过浏览文献，从概念上和实践上解释了这种转变的必要性。我们的分析特别源自制定新的国际行业 HIA 指南的战略健康影响评估部分，以及过去十年中健康影响评估和政策分析及其相关的工作。我们开发了在超国家、国家或地区层面为多个行业发展活动进行战略健康评估的特点。我们的目标受众是公共管理人员、行业规划者和金融部门投资者。一个特别关注的是低收入和中等收入国家，现在被行业视为新兴市场。我们开发了在超国家、国家或地区层面为多个行业发展活动进行战略健康评估的特点。我们的目标受众是公共管理人员、行业规划者和金融部门投资者。一个特别关注的是低收入和中等收入国家，现在被行业视为新兴市场。我们开发了在超国家、国家或地区层面为多个行业发展活动进行战略健康评估的特点。我们的目标受众是公共管理人员、行业规划者和金融部门投资者。一个特别关注的是低收入和中等收入国家，现在被行业视为新兴市场。