INDICATORS
ECHIM Final Report
ECHIM Final Report
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with the Ministry of Health, the national federation of regional health observatories<br />
(FNORS) maintains a database containing data for several dozens of selected health<br />
indicators available at regional or subregional levels (www.fnors.org/Score/accueil.htm).<br />
The National Institute for Statistics and Economic Studies (INSEE) also publishes some<br />
health data online, mainly health care and demographic data. Data are presented by<br />
predefined tables and references to analytical studies and a link to Eurostat database is<br />
well visible. Some of the reports and other publications are available in English.<br />
Main problems: Over the years, multiple institutions have developed information<br />
systems or surveys to address their own specific information needs or agendas. While<br />
patient tracking is possible in principle (unique social insurance identifier) and record<br />
linkage is now possible within the SNIIR-AM under strict data protection legislation, it<br />
is still cumbersome due to the complexity of the health information systems. In addition,<br />
replacing existing definitions, e.g. in the use of the EHIS instrument for national HIS,<br />
creates problems for time trend analyses.<br />
Ongoing and/or expected improvements: Digital patient medical register is planned.<br />
Reform of health insurance information system should lead to improved access to<br />
health insurance and health services data. There are ongoing efforts to better coordinate<br />
the production of health indicators to address national and regional health policy<br />
information needs.<br />
Possible solutions for implementation: Currently the development of reliable health<br />
indicators is focused on national requirements, including those set by the 100 objectives<br />
defined in the 2004 Public Health Law. Due to this, the implementation of the ECHI<br />
indicators currently not available seems problematic. The implementation of the<br />
directive on public health statistics is expected to set common requirements for all EU<br />
countries, and may thus both support and limit the process.<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: Complex administration<br />
Main improvement: Policy / legislation in preparation<br />
Main solution: Regulations from EC / Eurostat<br />
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