ECHIM Final Report

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Relevant dimensions (subgroups) (preferred) data source(s) Rationale Data availability, quality, periodicity References Work to do As a summary, the OECD indicator should be reported for all countries in which it is available. In addition, the EUROCISS indicators should be reported for the countries for which they are available, and their availability should be promoted. Also the conclusion of the OECD Health Care Quality Indicators Project with regard to the indicator “AMI and stroke 30-Day Case-Fatality Rate/In- Hospital Mortality Rate” is “Report in-hospital mortality for all countries for comparability reasons until the majority of countries is able to calculate the true 30-day case-fatality rate”. Country (also region), calendar year, sex. 1) OECD, based on national hospital discharge records and hospital registers. 2), 3) The EUROCISS and Euphoric definitions require a linkage between the hospital discharge records and the mortality register. An indicator for the adequacy of AMI and stroke treatment, for AMI especially in the acute phase. Note however, that early access to hospital both improves the success of treatment and tends to increase the case fatality because many of the subjects who will die early will reach the hospital before the death. AMI and stroke 30-Day Case-Fatality Rate/In-Hospital Mortality Rate are both included in the OECD set of Health Care Quality Indicators. – OECD Health Data: reports data for 23–24 countries. – OECD Health Care Quality Indicators Project report (Health Care Quality Indicators Project - Initial Indicators Report) presents data for 17–20 European countries. – Eurostat, WHO HfA: no data. – OECD Health Care Quality Indicators project note: the main problems in cross-country comparisons: Some data are drawn from samples of patient records, some from all patients. Some countries use unique patient IDs (allows identifying hospital readmissions) some not. Some countries are able to track patient after hospital discharge, some are not. Data are available for different years. – Results from MONICA project indicate that a higher percentage of women reach hospital alive, but a higher percentage of men survive after hospitalisation, making the overall 28-day case-fatality very similar between the sexes. – EUROCISS project: www.cuore.iss.it/eurociss/ – EUROCISS 2003 report: www.cuore.iss.it/eurociss/en/project/report2003.asp – OECD Health Care Quality Indicators project: www.oecd.org/health/hcqi and the publication. “Health Care Quality Indicators Project - Initial Indicators Report” (OECD Health Working Papers no. 22/2006: www.oecd.org/dataoecd/1/34/36262514.pdf - European Public Health Outcome Research and Indicators Collection, The EUPHORIC Project: www.euphoric-project.eu - Genetic regulation of the end-stage clotting process that leads to thrombotic stroke, EuroClot: www.euroclot.eu/ 46
Documentation Sheets (version 9/2008) for all ECHI shortlist indicators are listed in Annex 2 in a shortened form that contains only three sections: the Definition and Calculation sections are identical to those in the complete Documentation Sheets, but the Notes section is a combination mainly of the Additional underlying concepts and Rationale sections of the complete Documentation Sheets. The complete Documentation Sheets are available at www.echim.org (pdf) and at www.healthindicators.org (database tables). 47
Page 1: Katri Kilpeläinen, Arpo Aromaa and
Page 4 and 5: Publisher National Public Health In
Page 6 and 7: ANNEXES............................
Page 8 and 9: ECHIM undertook to assess the prese
Page 10 and 11: ACKNOWLEDGEMENTS The project leader
Page 12 and 13: 14 University of Brighton, Faculty
Page 14 and 15: its Work Plan 2004 (1.1. Developing
Page 16 and 17: Public health policies aim at maint
Page 18 and 19: Methods: • ECHIM Country Reports:
Page 20 and 21: ECHIM was also the scientific secre
Page 22 and 23: Jürgen Thelen, Ari-Pekka Sihvonen,
Page 24 and 25: Typically, national health informat
Page 26 and 27: 2.3. Major international data sourc
Page 28 and 29: discharges and beds are part of hea
Page 30 and 31: users to assess data quality via th
Page 32 and 33: Pieter Kramers, Rutger Nugteren, Ar
Page 34 and 35: 12/2007: WP Indicators meeting #5 1
Page 36 and 37: The first step was to consult the W
Page 38 and 39: 3.3. Additions to the ECHI shortlis
Page 40 and 41: It was proposed earlier that the sh
Page 42 and 43: 3. Many Public Health Programme pro
Page 44 and 45: Documentation Sheets are divided in
Page 46 and 47: Table 3. A Documentation Sheet for
Page 50 and 51: Jürgen Thelen, Ari-Pekka Sihvonen,
Page 52 and 53: for All, OECD Health Data) and topi
Page 54 and 55: Figure 3. Availability of ECHI shor
Page 56 and 57: Figure 5. Availability of ECHI shor
Page 58 and 59: Antti Tuomi-Nikula, Ari-Pekka Sihvo
Page 60 and 61: 5.2. Information derived from the E
Page 62 and 63: The Health determinants section inc
Page 64 and 65: Excluding vital statistics, there w
Page 66 and 67: 5.4. Initial experiences at the sta
Page 68 and 69: ) Dissemination of knowledge about
Page 70 and 71: implementation process. There was a
Page 72 and 73: Summary of Joint Action for ECHIM G
Page 74 and 75: indicators and the development of d
Page 76 and 77: Nevertheless, the intention is to d
Page 78 and 79: 7.1. Current state in Europe Health
Page 80 and 81: Arpo Aromaa & Katri Kilpeläinen 8.
Page 82 and 83: 80 ANNEXES
Page 84 and 85: ECHI shortlist, release of June 200
Page 86 and 87: Additions and major changes in the
Page 88 and 89: ANNEX 2: Documentation Sheets (shor
Page 90 and 91: 6. POPULATION BY EDUCATION Definiti
Page 92 and 93: Calculation: Life expectancies are
Page 94 and 95: Calculation: 1) The European Monito
Page 96 and 97: 17. EXCESS MORTALITY BY HEATWAVES D
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Calculation: 1) Proportion of indiv
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Calculation: 1) Age-standardised in
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27. COPD Definition: Prevalence of
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31. INJURIES: WORKPLACE Definition:
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Calculation: 1) EHIS: Percentage of
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38. PSYCHOLOGICAL DISTRESS Definiti
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41. HEALTH EXPECTANCY, OTHERS Defin
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44. REGULAR SMOKERS Definition: Per
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Calculation: 1a) For adults: Lifeti
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Notes: Exclusive versus partial bre
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Calculation: 1) Age and sex adjuste
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58. BREAST CANCER SCREENING Definit
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62. HOSPITAL BEDS Definition: The i
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Notes: Practising, professionally a
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Calculation: The indicator is calcu
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Calculation: Eurostat: a) Average l
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74. MEDICINE USE, SELECTED GROUPS D
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Calculation: (1) OECD: The indicato
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80. EQUITY OF ACCESS TO HEALTH CARE
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84. DIABETES CONTROL Definition: Pr
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ANNEX 3: Availability of the ECHI s
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26. Asthma AT BE BG CH CY CZ DE DK
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Data availability of Health service
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142
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figure is higher than that of the C
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AUSTRIA Data availability by Countr
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BELGIUM Data availability by Countr
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BULGARIA Data availability by Count
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CROATIA Data availability by Countr
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CYPRUS Data availability by Country
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CZECH REPUBLIC Data availability by
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DENMARK Data availability by Countr
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ESTONIA Data availability by Countr
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FINLAND Data availability by Countr
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FRANCE Data availability by Country
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GERMANY Data availability by Countr
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GREECE Data availability by Country
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HUNGARY Data availability by Countr
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ICELAND Data availability by Countr
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IRELAND Data availability by Countr
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ITALY Data availability by Country
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LATVIA Data availability by Country
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LITHUANIA Data availability by Coun
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LUXEMBOURG Data availability by Cou
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MALTA Data availability by Country
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NETHERLANDS Data availability by Co
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NORWAY Data availability by Country
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POLAND Data availability by Country
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PORTUGAL Data availability by Count
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SLOVENIA Data availability by Count
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SPAIN Data availability by Country
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SWEDEN Data availability by Country
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TURKEY Data availability by Country
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UNITED KINGDOM Data availability by
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ANNEX 5: ECHIM Products website Int
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User windows can also be found in t
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ANNEX 6: List of abbreviations Abbr
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Abbreviation EU-SILC E4SM Explanati
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