Health economic assessment tools (HEAT) for
walking and cycling -transport infrastructure and policies
Methodology and user guide
Nick Cavill, Cavill Associates, United Kingdom
Hywell Dinsdale, National Obesity Observatory
Harry Rutter, National Obesity Observatory
Pekka Oja, UKK Institute for Health Promotion
Dave Stone, Natural
Francesca Racioppi, WHO Regional Office for
WHO Regional Office for Europe.2011
Available online PDF [46p.] at: http://bit.ly/zJVPYm
“…..The promotion of cycling and walking for everyday physical activity not only promotes health but can also have positive effects on the environment.
This booklet summarizes the tools and guidance developed to facilitate this shift: the methodology for the economic assessment of transport infrastructure and policies in relation to the health effects of walking and cycling; systematic reviews of the economic and health literature; and guidance on applying the health economic assessment tools and the principles underlying it.
This methodology and user guide will be of key interest to professionals at both national and local levels: transport planners, traffic engineers, and special interest groups working on transport, walking, cycling or the environment, as well as health economists, physical activity experts and health promotion experts….”
1. Introduction .
2. Methodological guidance on economic appraisal of health effects related to walking and cycling
2.1. Walking and cycling data .
2.2. Time needed to reach full level of walking or cycling
2.3. Interactions between transport-related physical activity, air pollution and road traffic injuries
2.4. Mortality or morbidity?
2.5. The nature of the relationship between physical activity and health
2.6. Age groups .
2.8. Time needed for health benefits to build up .
2.9. Activity substitution
2.10. Static vs life tables approach
2.11. Costs applied
2.13. Sensitivity analysis .
3. Reviews of the literature: summary
3.1. Economic literature
3.2. Epidemiological literature
4. The HEAT for walking and for cycling: introduction .
5. HEAT for walking: instructions for users
6. HEAT for cycling: instructions for users
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