ECHIM Final Report

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ECHIM undertook to assess the present availability of core health indicators by two means. First, an enquiry was made on data available from international sources (WHO, OECD) and Eurostat. Available data and indicators were gathered. Next, to complete the picture, a questionnaire survey was carried out among contact persons in each of the Member States. To deepen the information, Bilateral Discussions with the contact persons were initiated and for most part carried out between summer 2007 and May 2008. As a result the European Commission believes that ECHIM has obtained a valid overview of data sources, data availability and indicators in most Member States, and can use that information to help develop health information systems in the majority of Member States. Many Member States are rather advanced and can provide much of the necessary ECHI shortlist indicators already. Using the survey information gathered and other nationally available information, it should be feasible to create national guidelines for the implementation of health indicators. One step in furthering health monitoring was to develop many of the indicators in the ECHI shortlist. Some of these were new indicators and some adapted indicators from various projects and Working Parties. It was also possible to identify the priority needs for indicator development. In order to facilitate the addition and deletion of indicators, ECHIM developed a formal method for assessing newly proposed indicators. The first round of the process led to recommendations for the addition of a few indicators to the original ECHI shortlist. However, this process was not simply a technical task of deciding on additions and deletions. It served the actual gathering of data, and ECHIM will undoubtedly be called upon to help with the assessment of the validity and comparability of the data gathered and indicators constructed. Although one would hope that all the proposed indicators have been tested, this will not be the case. Most of the indicators have a good track record at least in several countries. However, comparative cross-cultural studies are quite rare. Therefore, international comparative studies will be needed in order to obtain appropriate assurances of validity and comparability. The efforts towards implementation of the health indicators were begun using the information derived from the ECHIM Survey and subsequent Bilateral Discussions. The resulting experiences have been very positive. The discussions were open and clarified the replies to the survey. They also provided insight into the overall situation in different countries. This is a good starting point for preparing implementation plans. It also became clear in the Bilateral Discussions that a full implementation effort in all Member States requires further in-depth discussions and the thorough involvement of a number of experts in each Member State. 6
The duration of ECHIM was very short in view of the task of fully implementing the indicators and building the necessary health monitoring system. We are now at a stage where we can confidently move forward to implementation proper. There is an urgent need to continue this action. Some of the initial next steps are to develop new indicators, to interact with Member States with a view to developing data sources and implementing indicators, to develop a prototype for data flow and to gather data for new indicators. Finally, some aspects of Health in Europe should be analysed using both the old, incomplete indicator sets and the new more comprehensive ones in all EU countries. Such a mission is likely to take many years to complete. Much time, therefore, will be needed to put into place a relatively comprehensive set of health indicators across Europe. It is essential that we succeed. Luxembourg, December 2008 Antoni Montserrat, European Commission 7
Page 1: Katri Kilpeläinen, Arpo Aromaa and
Page 4 and 5: Publisher National Public Health In
Page 6 and 7: ANNEXES............................
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
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Page 36 and 37: The first step was to consult the W
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Page 44 and 45: Documentation Sheets are divided in
Page 46 and 47: Table 3. A Documentation Sheet for
Page 48 and 49: Relevant dimensions (subgroups) (pr
Page 50 and 51: Jürgen Thelen, Ari-Pekka Sihvonen,
Page 52 and 53: for All, OECD Health Data) and topi
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Antti Tuomi-Nikula, Ari-Pekka Sihvo
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5.2. Information derived from the E
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The Health determinants section inc
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Excluding vital statistics, there w
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5.4. Initial experiences at the sta
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) Dissemination of knowledge about
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implementation process. There was a
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Summary of Joint Action for ECHIM G
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indicators and the development of d
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Nevertheless, the intention is to d
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7.1. Current state in Europe Health
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Arpo Aromaa & Katri Kilpeläinen 8.
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80 ANNEXES
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ECHI shortlist, release of June 200
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Additions and major changes in the
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ANNEX 2: Documentation Sheets (shor
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6. POPULATION BY EDUCATION Definiti
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Calculation: Life expectancies are
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Calculation: 1) The European Monito
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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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ECHIM Final Report

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