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Estimating the Costs and Benefits of Providing Free Public Transit Passes to Students in Los Angeles County: Lessons Learned in Applying a Health Lens to Decision-Making

Author

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  • Lauren N. Gase

    (Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd, 8th floor, Los Angeles, CA 90010, USA)

  • Tony Kuo

    (Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd, 8th floor, Los Angeles, CA 90010, USA
    David Geffen School of Medicine, University of California, Los Angeles, 10880 Wilshire Blvd, Ste. 1800, Los Angeles, CA 90024, USA)

  • Steven Teutsch

    (Los Angeles County Department of Public Health, 313 N Figueroa St., Los Angeles, CA 90012, USA
    Fielding School of Public Health, University of California, Los Angeles, 640 Charles E Young Dr., Los Angeles, CA 90095, USA)

  • Jonathan E. Fielding

    (Los Angeles County Department of Public Health, 313 N Figueroa St., Los Angeles, CA 90012, USA
    Fielding School of Public Health, University of California, Los Angeles, 640 Charles E Young Dr., Los Angeles, CA 90095, USA)

Abstract

In spite of increased focus by public health to engage and work with non-health sector partners to improve the health of the general as well as special populations, only a paucity of studies have described and disseminated emerging lessons and promising practices that can be used to undertake this work. This article describes the process used to conduct a Health Impact Assessment of a proposal to provide free public transportation passes to students in Los Angeles County. This illustrative case example describes opportunities and challenges encountered in working with an array of cross-sector partners and highlights four important lessons learned: (1) the benefits and challenges associated with broad conceptualization of public issues; (2) the need for more comprehensive, longitudinal data systems and dynamic simulation models to inform decision-making; (3) the importance of having a comprehensive policy assessment strategy that considers health impacts as well as costs and feasibility; and (4) the need for additional efforts to delineate the interconnectivity between health and other agency priorities. As public health advances cross-sector work in the community, further development of these priorities will help advance meaningful collaboration among all partners.

Suggested Citation

  • Lauren N. Gase & Tony Kuo & Steven Teutsch & Jonathan E. Fielding, 2014. "Estimating the Costs and Benefits of Providing Free Public Transit Passes to Students in Los Angeles County: Lessons Learned in Applying a Health Lens to Decision-Making," IJERPH, MDPI, vol. 11(11), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:11:p:11384-11397:d:41837
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    References listed on IDEAS

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    1. Mathilde Pascal & Magali Corso & Olivier Chanel & Christophe Declercq & Chiara Badaloni & Giulia Cesaroni & Susann Henschel & Kadri Meister & Daniela Haluza & Piedad Martin-Olmedo & Sylvia Medina, 2013. "Assessing the public health impacts of urban air pollution in 25 European cities: Results of the Aphekom project," Post-Print hal-01500894, HAL.
    2. Michael T. Molla & Jennifer H. Madans & Diane K. Wagener, 2004. "Differentials in Adult Mortality and Activity Limitation by Years of Education in the United States at the End of the 1990s," Population and Development Review, The Population Council, Inc., vol. 30(4), pages 625-646, December.
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    Cited by:

    1. Jeffery Spickett & Dianne Katscherian & Helen Brown & Krassi Rumchev, 2015. "Health Impact Assessment: Improving Its Effectiveness in the Enhancement of Health and Well-Being," IJERPH, MDPI, vol. 12(4), pages 1-6, April.

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