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Annual Review of Public Health

Volume 46, 2025

Assessing Policy Impacts on Chronic Disease Risk Reduction: The Science and Art of Policy Measurement and Rating Systems

  • Jamie F. Chriqui1,2, Elizabeth Piekarz-Porter1,3, Rebecca M. Schermbeck2 and Abhery Das1
  • 1Division of Health Policy and Administration, School of Public Health, University of Illinois Chicago, Chicago, Illinois, USA; email: [email protected] 2Institute for Health Research and Policy, School of Public Health, University of Illinois Chicago, Chicago, Illinois, USA 3School of Law, University of Illinois Chicago, Chicago, Illinois, USA
  • Vol. 46:331-348 (Volume publication date April 2025)
  • First published as a Review in Advance on December 20, 2024
  • Copyright © 2025 by the author(s).
    This work is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See credit lines of images or other third-party material in this article for license information.

Abstract

Public policies have been instrumental in influencing population health, and the desire to study their impact led to the development of the fields of policy surveillance and legal epidemiology. The standardized practice of creating policy measurement systems allows researchers to track and evaluate policy impacts across jurisdictions and over time. Policy measures may take many forms, including dichotomous measures, ordinal ratings, composite measures, or scale measures. The policy measures are determined largely based on the research question but should also consider factors impacting policy implementation and equity. Many sources of evidence, including expert input, national standards, scientific evidence, and existing policies, can be used in the development of policy measurement and rating systems. Any system must be tested, reliable, and clearly documented to create a robust and rigorous dataset. This article reviews key considerations for the development of policy measurement and rating systems for use in public health research.

Keyword(s): chronic disease, legal epidemiology, policy surveillance, public policy
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2025-06-22
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/content/journals/10.1146/annurev-publhealth-071723-113826
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Assessing Policy Impacts on Chronic Disease Risk Reduction: The Science and Art of Policy Measurement and Rating Systems
Annual Review of Public Health 46, 331 (2025); https://doi.org/10.1146/annurev-publhealth-071723-113826
/content/journals/10.1146/annurev-publhealth-071723-113826
/content/journals/10.1146/annurev-publhealth-071723-113826
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