27.09.2015 Views

INDICATORS

ECHIM Final Report

ECHIM Final Report

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

selected health indicators with time series and breakdowns which are accessible online.<br />

ÖBIG hosts a geographical information system that presents data and time trends with<br />

reference to geographical regions.<br />

Main problems: The implementation of some indicators is difficult, as there is no<br />

political will for doing it. Apart from that budgetary restrictions make the collection<br />

of data for new indicators improbable. There are no current or future plans to perform<br />

national HES in Austria. The linkage of hospital discharge data and other data sources is<br />

problematic because a unique patient identification number does not exist. Accordingly<br />

it is not possible to link health data to population registers, others than the health data<br />

gathered by the Austrian census. By contrast indicators derived from the ATHIS 2006<br />

can be stratified by socioeconomic variables. Child health checkups are performed in<br />

schools, but it is not possible to use them at the moment. Sentinel networks are mainly<br />

operating for infectious diseases. Austrian HIS is not exactly the current version of<br />

EHIS, but a follow-up version after 5 years maybe closer to EHIS (but EHIS may also<br />

change after the first round).<br />

Ongoing and/or expected improvements: Health insurance data are becoming<br />

available and aggregated data are now provided by the insurance companies. A stroke<br />

register is starting in Austria.<br />

Possible solutions for implementation: Due to lack of political will and budgetary<br />

restrictions, the implementation of the indicators not yet available will be difficult. A<br />

clear limitation of the indicator set and the framework regulation on public health<br />

statistics will thus be supportive: the indicators should be based on existing sources,<br />

indicators that are very expensive or available in only a few countries should be deleted.<br />

Funding by the European Commission would help.<br />

Country Report, data availability<br />

ECHIM Survey, data availability<br />

Health Status<br />

Health Determinants<br />

Health Care<br />

Record linkage, present<br />

Record linkage, future<br />

Implementation prerequisites<br />

Main problem: Funding/manpower<br />

Main improvement: New HIS<br />

Main solution: Regulations from EC / Eurostat<br />

147

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!