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NORWAY Data availability by Country Report: 72% of ECHI shortlist indicators are available in international data sources. The ECHI shortlist sections for which there are some data missing are Health Services and Health Determinants. Data availability by ECHIM Survey: 90% of ECHIM Survey indicators are available at the national level. Data availability in European context: ECHIM Survey reveals there are more data existing than are available in international data sources. The difference can partly be explained by the fact that some indicator data that exist based on ECHIM Survey results do not necessarily meet the definitions of the international data sources. Overall situation of data sources: Norway has a highly developed system of complementary instruments for public health monitoring. Several registers are operating (e.g. cancer, injuries) and a national patient register was established in 2007. HIS are regularly conducted by Statistics Norway (www.ssb.no) within a general survey on living conditions. While a nationally representative HES has not yet been performed, measured data from examinations are available from a large cohort. A HES using EHES methods is planned to start in 2012. Health reporting: The Norwegian Institute for Public Health (NIPH, www.fhi.no) is responsible for public health monitoring and reporting. Moreover the institute maintains an online interactive database with selected statistics about health, disease and risk factors in the Norwegian population (www.norgeshelsa.no/norgeshelsaen). Public Health and topic specific reports are available online. Statistics Norway annually publishes a statistical yearbook where health data are also reported. Main problems: Norwegian health monitoring is based on an established set of instruments and measures. The integration of the EHIS instrument would lead to a break in the existing time series which would pose a problem for the analysis of national time trends. Norway is planning for a gradual implementation of parts of EHIS in the national Survey on Level of Living concerning health, care and social contact (Statistics Norway). In a national perspective it is important to keep established time series in the official health statistics. Apart from leading to a break in existing time series, there are also challenges in making valid translations of EHIS questions into Norwegian. Translations of EHIS modules are currently being tested as part of a Eurostat project. Ongoing and/or expected improvements: Possibilities to link records are already good in Norway, but will improve further when hospital and health care data from 188
the Norwegian Patient Register can also be linked to health registers and surveys. The Norwegian Health Register started using personal ID numbers on 1.7.2007, although it may be 1-2 years before the linkable data sets are ready for use. Norway participates in the PREHES project. Possible solutions for implementation: The complete ECHI shortlist with extensive indicator definitions is necessary. Country Report, data availability ECHIM Survey, data availability Health Status Health Determinants Health Care Record linkage, present Record linkage, future Implementation prerequisites Main problem: No HES Main improvement: New HIS / HES Main solution: Complete ECHI shortlist with definitions 189
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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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84. DIABETES CONTROL Definition: Pr
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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 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 192 and 193: POLAND Data availability by Country
Page 194 and 195: PORTUGAL Data availability by Count
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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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