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INDICATORS

ECHIM Final Report

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ANNEX 4<br />

ANNEX 4: Country Specific Section<br />

In this annex the information derived from the Country Reports, the ECHIM Survey<br />

and the Bilateral Discussions is compiled by country, in order to create a general view<br />

of the participating countries, as separate entities as well as in European context. The<br />

health indicator data availability is reviewed, as well as the main data sources and health<br />

reporting. The main emphasis is, however, on the prerequisites and possibilities to<br />

implement the ECHI indicator system in the countries.<br />

The structure of the Country Specific Section is standardised for all countries. It consists<br />

of not more than two pages of text and the so-called Info Box by which the main points<br />

of the information are visualised. The countries are assorted in alphabetical order. In<br />

this introduction the structure is looked through, and the frequently used abbreviations<br />

are explained.<br />

The Country Specific Sections (abbreviation: CSS) start with the indicator data<br />

availability figures according to both the Country Report (CR) and the ECHIM Survey<br />

(ES). The figures are not outright comparable, because the indicators in the CR and the<br />

ES were not totally correspondent. For the CR, the availability figure is the percentage<br />

of the ECHI shortlist indicators for which there are data available in the international<br />

data sources, most notably Eurostat, WHO Health for All database and OECD Health<br />

Data. The fact that for many ECHI indicators there are no datasets in those databases<br />

has been taken into account by counting these indicators out of the total number of<br />

indicators that is used as denominator. Thus, as 17 of the 82 ECHI shortlist indicators<br />

(before July 2008) are missing in the data sources, the denominator and theoretic 100%<br />

score is 65. The average score of 32 countries is 68%, the highest being 86% and the<br />

lowest 35%. The score is clarified by referring to the indicator groups of particularly<br />

high or low availability figure.<br />

The data availability figures of the ES are based on the individual 52 indicators reviewed<br />

in the ES. They differ from the ECHI shortlist indicators so that the generally best<br />

available indicators, i.e. all demographic and socio-economic factors and many health<br />

services indicators were left out. Instead, some important health examination survey<br />

indicators were included, although they were not on the current ECHI shortlist. The<br />

European average score is 77%, ranging from 58% to 100%. The most important<br />

factors of the score are explained similarly as in the case of the CR, and in some cases<br />

some important data sources are also mentioned, particularly health interview surveys<br />

(abbreviation: HIS), health examination surveys (HES) and registers.<br />

The differences in data availability between the CR and the ES are not completely<br />

comparable, but by observing the availability scores some remarkable findings can be<br />

made in many cases. The most frequent observation is that often the ES availability<br />

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