INDICATORS

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BULGARIA Data availability by Country Report: Only about half (52%) of the ECHI shortlist indicators are available in international databases, which is below European average. The ECHI shortlist sections for which there are most data missing are Health Status and Health Services. Data availability by ECHIM Survey: 73% of the ES indicators are available at the national level, which is close to European average. Reason for not scoring higher is mainly due to lack of data on musculoskeletal symptoms (Health Status section) and screenings (Health Care section). Data availability in European context: Data availability in Bulgaria is worse than European average, mainly because of low data availability by CR. However, data availability by ES is equivalent to European average, although there is a lack of some of the registers (e.g. accidents, ambulatory and primary care registers). Also the lack of nationally representative HES is quite typical in European context. Lack of data on screenings is not that exceptional. Overall situation of data sources: The most important bodies gathering data and producing health statistics are National Statistics Institute (NSI; www.nsi.bg), National Centre of Health Information (NCHI; www.nchi.government.bg) and Bulgarian National Cancer Register (BNCR; www.onco-bg.com). Record linkage is possible as Bulgaria uses a 10 digit unique personal identifier (EGN – Edinen Grajdanski Nomer). Data by socio-economic status is lacking. Data at regional level is scarce. Data for most of the indicators that can be derived from HIS (NSI) are available, as well as their time trends. Of note is that some of the hospital data missing in the international databases are actually available. There has not been nationally representative HES in Bulgaria (only CINDI), as is the case in most of the European countries. Health reporting: Health report (Zdraveopazvane, “Healthcare”, 2006) by NSI and NCHI is published annually, but not in English. Annual Public Health Statistics are available also in English in printed form and online at the NCHI website. Main problems: As the EGN contains the date of birth and sex of the person in an obvious format, some people are against using it, which may affect record linking possibilities in the future. Ongoing and/or expected improvements: ECHI shortlist already being implemented at least partly. 150
Possible solutions for implementation: Regulation by Eurostat is wished for. Country Report, data availability ECHIM Survey, data availability Health Status Health Determinants Health Care Record linkage, present Record linkage, future Implementation prerequisites Main problem: Funding / manpower Main improvement: ECHI shortlist already being implemented at least partly Main solution: Regulations from EC / Eurostat 151
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Katri Kilpeläinen, Arpo Aromaa and
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Publisher National Public Health In
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ANNEXES............................
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ECHIM undertook to assess the prese
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ACKNOWLEDGEMENTS The project leader
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14 University of Brighton, Faculty
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its Work Plan 2004 (1.1. Developing
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Public health policies aim at maint
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Methods: • ECHIM Country Reports:
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ECHIM was also the scientific secre
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Jürgen Thelen, Ari-Pekka Sihvonen,
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Typically, national health informat
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2.3. Major international data sourc
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discharges and beds are part of hea
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users to assess data quality via th
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Pieter Kramers, Rutger Nugteren, Ar
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12/2007: WP Indicators meeting #5 1
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The first step was to consult the W
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3.3. Additions to the ECHI shortlis
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It was proposed earlier that the sh
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3. Many Public Health Programme pro
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Documentation Sheets are divided in
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Table 3. A Documentation Sheet for
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Relevant dimensions (subgroups) (pr
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Jürgen Thelen, Ari-Pekka Sihvonen,
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for All, OECD Health Data) and topi
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Figure 3. Availability of ECHI shor
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Figure 5. Availability of ECHI shor
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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
Page 102 and 103: 27. COPD Definition: Prevalence of
Page 104 and 105: 31. INJURIES: WORKPLACE Definition:
Page 106 and 107: Calculation: 1) EHIS: Percentage of
Page 108 and 109: 38. PSYCHOLOGICAL DISTRESS Definiti
Page 110 and 111: 41. HEALTH EXPECTANCY, OTHERS Defin
Page 112 and 113: 44. REGULAR SMOKERS Definition: Per
Page 114 and 115: Calculation: 1a) For adults: Lifeti
Page 116 and 117: Notes: Exclusive versus partial bre
Page 118 and 119: Calculation: 1) Age and sex adjuste
Page 120 and 121: 58. BREAST CANCER SCREENING Definit
Page 122 and 123: 62. HOSPITAL BEDS Definition: The i
Page 124 and 125: Notes: Practising, professionally a
Page 126 and 127: Calculation: The indicator is calcu
Page 128 and 129: Calculation: Eurostat: a) Average l
Page 130 and 131: 74. MEDICINE USE, SELECTED GROUPS D
Page 132 and 133: Calculation: (1) OECD: The indicato
Page 134 and 135: 80. EQUITY OF ACCESS TO HEALTH CARE
Page 136 and 137: 84. DIABETES CONTROL Definition: Pr
Page 138 and 139: ANNEX 3: Availability of the ECHI s
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Page 142 and 143: Data availability of Health service
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Page 148 and 149: AUSTRIA Data availability by Countr
Page 150 and 151: BELGIUM Data availability by Countr
Page 154 and 155: CROATIA Data availability by Countr
Page 156 and 157: CYPRUS Data availability by Country
Page 158 and 159: CZECH REPUBLIC Data availability by
Page 160 and 161: DENMARK Data availability by Countr
Page 162 and 163: ESTONIA Data availability by Countr
Page 164 and 165: FINLAND Data availability by Countr
Page 166 and 167: FRANCE Data availability by Country
Page 168 and 169: GERMANY Data availability by Countr
Page 170 and 171: GREECE Data availability by Country
Page 172 and 173: HUNGARY Data availability by Countr
Page 174 and 175: ICELAND Data availability by Countr
Page 176 and 177: IRELAND Data availability by Countr
Page 178 and 179: ITALY Data availability by Country
Page 180 and 181: LATVIA Data availability by Country
Page 182 and 183: LITHUANIA Data availability by Coun
Page 184 and 185: LUXEMBOURG Data availability by Cou
Page 186 and 187: MALTA Data availability by Country
Page 188 and 189: NETHERLANDS Data availability by Co
Page 190 and 191: NORWAY Data availability by Country
Page 192 and 193: POLAND Data availability by Country
Page 194 and 195: PORTUGAL Data availability by Count
Page 196 and 197: SLOVENIA Data availability by Count
Page 198 and 199: SPAIN Data availability by Country
Page 200 and 201: 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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INDICATORS

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