A Comparative Analysis of Health Impact Assessment Implementation Models in the Regions of Montérégie (Québec, Canada) and Nouvelle-Aquitaine (France)
Open accessAbstract
Many countries have introduced health impact assessment (HIA) at the national, regional, or local levels. In France and in Québec, there is increasing interest in using HIA to inform decision-makers and influence policies, programs, and projects. This paper aims to compare HIA implementation models in two regions: Nouvelle-Aquitaine (France) and Montérégie (Québec, Canada) using a case study methodology. The objective is to gain a better understanding of the similarities and differences in the approaches used to achieve the operationalization of HIA. The methodological approach involves four steps: (1) design of an analytical framework based on the literature; (2) exchanges within the research team and review of documents concerning the two implementation strategies under study; (3) development of the case studies based on the proposed framework; and (4) cross-comparison analysis of the case studies. The findings show that the two regions share certain similarities, including the strong commitment and political will of the public health organizations involved and a well-established culture of engaging in intersectoral action with municipal partners. Differences mainly concern their different approaches to implementing HIAs in accordance with the regional policies and the organizational and administrative contexts in place. This study identifies potential avenues for supporting the practice of HIA at the municipal level.
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Governance of the HIA process is still insufficiently documented, and the question of leadership is delicate, particularly regarding the place of health authorities.
“La gouvernance du processus est encore insuffisamment documentée et la question du leadership est un point délicat, s'agissant notamment de la place des autorités de santé[22].”
From L’évaluation d’impact sur la santé pour scruter et sculpter les politiques (2021) · cites this paper as [22]
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Self-citation
- Authors
- Jabot, F., Tremblay, E., Rivadeneyra, A., Diallo, T. A., & Lapointe, G.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Direction of environmental health and toxicology, Institut National de Santé Publique du Québec, Quebec City, QC G1V 5B3, Canada
- Université de Bordeaux (FR)
- National Collaborating Centre for Healthy Public Policy, Montreal, QC H2P 1E2, Canada
- Corresponding author
- Jabot, Françoise
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-09-09
- Volume
- 17
- Issue
- 18
- Pages
- 6558
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7559264
- OpenAlex
- W3084110010
- Cited by
- 26
- References
- 42
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 10
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Oskar-Bordeaux (Universite de Bordeaux) (submittedVersion, cc-by)
- Topics
- Physical Sciences › Environmental Science › Management, Monitoring, Policy and Law › Environmental and Social Impact Assessments
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Public Health and Environmental Issues
- Keywords
- health impact assessment, intersectoral collaboration, municipal partnerships, public health organizations, political will, cross-national comparison, Montérégie, Nouvelle-Aquitaine
- MeSH terms
- Canada, France, Health Policy, Humans, Public Health, Quebec, Health Impact Assessment
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