INDICATORS

costly in comparison with the added value. Register linkage is possible, but difficult to
implement in practice.
Ongoing and/or expected improvements: Mortality and cancer registers have been a
problem, but they are already improving. New national cancer register has been put in
place. The fourth HIS is being performed in 2008 with EHIS components.
Possible solutions for implementation: First of all, better definition of the concepts,
the modalities for calculation and the data source for all the indicators are needed. It is
also crucial to have a national focal point – representatives from different institutions to
prepare the implementation process. ECHIM should also try to convince politicians to
see the profits of implementing the ECHI indicators. Regulation by Eurostat would be
a good opportunity to organise data flow and work division. Also the implementation
of the social data framework directive would facilitate the implementation of the ECHI
indicators in Belgium.
Country Report, data availability
ECHIM Survey, data availability
Health Status
Health Determinants
Health Care
Record linkage, present
Record linkage, future
Implementation prerequisites
Main problem: Complex administration
Main improvement: Data sources improving
Main solution: Regulations from EC / Eurostat
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