Table 1.
Evaluation domains related to the implementation of minimum pricing policies in the United States
| Domains | Definition | Measurement | Evaluation method |
|---|---|---|---|
| Political feasibility | Assessing whether a policy option is likely to be adopted, accounting for the political climate. | Low, Medium, High as measured by the likelihood of adoption, given political stakeholders’ views on the policy. | Stakeholder analysis,a subject matter expert interviews, and review of literature |
| Public acceptability | Assessing whether a policy option is likely to be adopted based on social context and public perceptions. | Low, Medium, High as measured by the likelihood of adoption, given the level of public acceptance of the policy. | Review of peer-reviewed studies on social context of alcohol-related norms and public acceptability of alcohol control policies, media reports on minimum pricing policies implementation |
| Costs | Approximated costs of policy implementation to the economy, to private and public sector and individual revenues or spending. | Low, Medium, High as measured by the likelihood of adoption, given policy implementation costs. A policy option rank of high indicates minimal implementation costs and higher likelihood of adoption. | Review of peer-reviewed literature on policy implementation and cost analyses of policy options, stakeholder analysisa |
| Health equity | Health equity refers to social allocation of burdens and benefits. | Low, Medium, High as measured by evidence of the disproportionate negative health impact of a policy on a segment of society. | Review of peer-reviewed studies on social context of alcohol-related norms |
| Legal feasibility Effectiveness | Legal feasibility is determined by the presence of legal challenges or barriers which could impact the likelihood of policy adoption. Effectiveness is a measure of whether a policy option will have its intended effect—in this case, reduction in alcohol consumption and alcohol-related harms. |
Low, Medium, High as measured by the presence of legal challenges or barriers, based on legal precedent. Low, Medium, High as measured by available evidence conveying positive public health impact resulting from the policy. |
Internal minimum pricing policy legal reviewb and review of literature on other pricing policies (e.g., minimum pricing for other products, alcohol taxes) Review of peer-reviewed literature on minimum pricing policy implementation |
The stakeholders included academic institutions; enforcement organizations (e.g., public safety, criminal justice); public health organizations; governmental organizations; and alcohol producers/importers, distributors, and retailers. The stakeholder analysis included an assessment of the policy impact on stakeholders’ operations; whether stakeholders’ stance is in support of or against the implementation of minimum pricing policies; the level of influence that stakeholders are expected to have on alcohol producers/importers, distributors, and retailers; the stakeholders’ influence on policy development and implementation; and the stakeholders’ financial resources based on annual revenue. The stakeholder analysis was informed by interviews with four subject matter experts in alcohol policy and public health, as well as reviews of organization websites and documents.
The legal review was prepared by ChangeLab Solutions (Oakland, CA) for the authors of this study. ChangeLab Solutions is a national organization that assesses laws and policies that could improve health.
