INDICATORS

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FINLAND Data availability by Country Report: 80% of ECHI shortlist indicators are available in international data sources, which is more than European average. There is no particular ECHI shortlist section where Finland scores particularly low. Data availability by ECHIM Survey: In principal, data for every indicator covered in ECHIM Survey are available. Data availability in European context: Data availability in Finland is among the best in Europe. Unlike in most countries, register situation is excellent; all registers enquired exist, except the Primary health care register. Overall situation of data sources: National and relevant health data are gathered and published by several organisations, the most important ones being the National Public Health Institute (KTL, www.ktl.fi), National Research and Development Centre for Welfare and Health (STAKES, www.stakes.fi), Social Insurance Institute (KELA, www.kela.fi) and Statistics Finland (www.stat.fi). Possibilities for record linkages are good, provided that certain requirements are fulfilled. This is because Personal Identification Number is used in all registers which are allowed to keep the information and further link to other sources. All of the registers enquired in the ES exist already. Register coverages are good. Most of the register based data are available also in regional level. EHIS has not yet been conducted in Finland, and there is no definite date set for it. Of course many national HISs are, so also time trends for HIS derived indicators exist. Of note is the fact that more than one nationally representative HES have been been done, thus there is also a time series from 1978-1980 to 2000-2001 of HES derived indicators (KTL). STAKES is the focal point for providing data for EU, WHO, OECD and other international actors. Health reporting: KTL is the institution primarily responsible for health reporting. Report “Health in Finland” by KTL (from 2006). Cancer reports are being published biennially by Finnish Cancer Register (www.cancerregistry.fi). Also many ad hoc reports have been published, e.g. on infectious diseases, health care services and reproductive health. Main problems: As in everywhere, lack of funding and resources. Co-operation and coordination between institutes can always be improved. Ongoing and/or expected improvements: KTL and STAKES are to be merged by January 1, 2009. 162
Possible solutions for implementation: Series of discussions with key players in public health and health care, especially the Ministry of Social Affairs and Health. 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: More funding / manpower 163
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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
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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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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
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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 152 and 153: BULGARIA Data availability by Count
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 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
Page 202 and 203: TURKEY Data availability by Country
Page 204 and 205: UNITED KINGDOM Data availability by
Page 206 and 207: ANNEX 5: ECHIM Products website Int
Page 208 and 209: User windows can also be found in t
Page 210 and 211: ANNEX 6: List of abbreviations Abbr
Page 212 and 213: Abbreviation EU-SILC E4SM Explanati
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INDICATORS

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