INDICATORS

FRANCE
Data availability by Country Report: 78% of ECHI shortlist indicators are available
in international data sources. The ECHI shortlist sections for which there are most data
missing are Health Services and Health Determinants.
Data availability by ECHIM Survey: 87% of ECHIM Survey indicators are available at
a national level. Most of the data for the indicators are from Health Insurance Database
or other registers. Data for most Health Determinants indicators are produced by HIS.
In addition, the national health nutrition survey and the regional MONALISA surveys
provide some data for health determinants indicators. ECHIM Survey reveals there are
more data existing than are available in international data sources. Examples include
consumption of fruit/vegetables and cancer survival rates. The difference is partly
explained by the fact that some data that are not available at the moment are expected
in near future, such as cancer screenings. In addition to that, some indicator data that
exist based on ECHIM Survey results do not necessarily meet the definitions of the
international data sources. However, there are much data already existing that could be
derived to international databases.
Data availability in European context: Data availability in France is above European
average. Most data come from surveys and registers. The national survey on nutrition
and health (National Institute of Health Surveillance, InVS; www.invs.sante.fr) contains
examination measures which can serve as a source for indicators based on measured
data.
Overall situation of data sources: The French Ministry of Health (www.sante-jeunessesports.gouv.fr),
with its agencies (in particular InVS), is responsible for general health
monitoring. Within the Ministry the Direction for Research, Evaluation and Statistics
(DREES) coordinates the publication of health data that are collected and analysed by
a significant number of public health authorities. Within the Ministry of Economy, the
National Institute for Statistics and Economic Studies (INSEE; www.insee.fr) performs
regular HIS. Other major data sources include the National Information System of
Health Insurance (SNIIR-AM), mortality data collected and analysed by the National
Institute for Medical Research (CépiDC-Inserm) and HIS performed on a regular basis
by the National Institute for Prevention and Health Education (INPES) or the Institute
for Research and Documentation in Health Economy (IRDES).
Health reporting: Public Health Reports have been published by the High Committee
on Public Health (www.hcsp.fr) in 1994, 1998 and 2002. A wide range of topic
specific reports are regularly published by DREES and several other authorities with
responsibilities in the area of public health (mainly in French). Under a contract
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