Developing a framework to assess costs and benefits of Health Impact Assessment

This paper presents some early thinking as to how the costs and benefits of HIA might be assessed. After considering previous work it uses a comprehensive HIA in Dulwich, SE London as a case study to highlight the possibilities and difficulties of collecting necessary data on costs and benefits. It then sets a context for developing a cost–benefit framework for analysis. The framework is viewed alongside the major types of economic evaluation. The paper concludes with a review of outstanding issues and considers how evidence on cost and benefit might make a difference in the application of HIA.