INDICATORS

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MALTA Data availability by Country Report: 62 % of ECHI shortlist indicators were available in international data sources as at the time the country reports were compiled. The ECHI shortlist section for which there are most data missing is Health Services. Data availability by ECHIM Survey: 81 % of ECHIM Survey indicators are available at the national level. Also according to ECHIM Survey, Health Services is the shortlist section for which data availability is below European average. Data availability in European context: On the whole, data availability in Malta is slightly below European average. However, ECHIM Survey reveals there are more data already existing which most likely could be included in international databases than what were available in international data sources around year 2004. Of course, some indicator data that exist based on ECHIM Survey results do not necessarily meet the definitions of the international data sources. Register data namely in the field of health care services is more scarce than in most countries, most of the registers required do not exist at the moment, do not cover the whole country, or are being built up. On the other hand, data quality for mortality, cancer, obstetrics and congenital anomalies must be considered good since data come from well established registers. Overall situation of data sources: The National Statistics Office (NSO; www.nso.gov.mt) is responsible for collection of national demographic data while the Department of Health Information and Research (DHIR; www.sahha.gov.mt) of the Maltese Ministry of Social Policy (MSP; www.msp.gov.mt) is responsible for the collection and analysis of health data. Current efforts are directed towards the improvement of health care services data for the ambulatory and in-patient services. A health interview survey was conducted in 2002, thus time trends for indicators derived from HISs will become available only after the health interview survey using the EHIS questionnaire has been done in 2008/09. There is little data by socio-economic status. There are no nationally representative health examination survey data available, but the situation is quite similar in most European countries. Record linkage is possible using national ID number, apart from census (prohibited), HIS (anonymous) and hospital records (anonymised). Health reporting: Health monitoring and health reporting are under the responsibility of DHIR, which published the first comprehensive public health report in 2002 (in English). Topic specific reports are published regularly (e.g. cancer, obstetrics, hospital activity, mortality, congenital anomalies, injuries). All these reports are available in English and online. 184
Main problems: Resources, especially appropriate personnel, are limited. Also there is a lack of an adequate legal framework to guarantee the necessary data collection especially in view of the increasing restrictions due to data protection and confidentiality legislation. Ongoing and/or expected improvements: Malta will perform the EHIS in 2008/2009. There is work ongoing on implementing a System of Health Accounts (SHA) and Health Examination Survey (HES). Possible solutions for implementation: Work on an appropriate legal framework, developing efficient electronic data transfer systems, and more appropriate personnel. 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: EHIS, work on SHA and HES Main solution: National legislation 185
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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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Calculation: 1a) For adults: Lifeti
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Notes: Exclusive versus partial bre
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Calculation: 1) Age and sex adjuste
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58. BREAST CANCER SCREENING Definit
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62. HOSPITAL BEDS Definition: The i
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Notes: Practising, professionally a
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Calculation: The indicator is calcu
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Calculation: Eurostat: a) Average l
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74. MEDICINE USE, SELECTED GROUPS D
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Calculation: (1) OECD: The indicato
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80. EQUITY OF ACCESS TO HEALTH CARE
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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 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 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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