INDICATORS

39. Psychological well-being – ADDED
Definition, comments connected to the proposed additions or major changes: Definition is clear: it
implies the Energy-vitality scale from the SF-36 questionnaire, which is also included in the EHIS. Data
available for about half the EU. Included in this development section because Eurostat considers revising
the instrument, together with the indicator 38. Psychological distress.
Origin and rationale of selection: Indicator suggested by WP Mental Health and MINDFUL project, as
a core item to cover the mental health issue.
53. Work-related health risks – MOVED
Definition, comments connected to the proposed additions or major changes: Moved to development
section to stimulate work on further precise definition of feasible indicators. This cluster originally would
include 1) subjective risk assessments (data European Survey on Working Conditions), 2) physical/
psychological working conditions (survey data) and 3) job transitions (survey data).
Origin and rationale of selection: Originally suggested by NCA, Working Party Mental Health,
Workhealth project. Workplace conditions are important for health.
57. Influenza vaccination rate for elderly – ADDED
Definition, comments connected to the proposed additions or major changes: Defined as the
proportion of the population over 65 receiving influenza vaccination in a given year. OECD presented
data for 22 member countries.
Origin and rationale of selection: This indicator was proposed by ECHIM on the basis of its inclusion
in the OECD Health Care Quality Indicators and its importance for reducing the disease burden by
influenza. It was rated very high in the selection process.
60. Colon cancer screening – ADDED
Definition, comments connected to the proposed additions or major changes: Data collection is not
regular, in view of different national policies; can be assessed by Eurobarometer.
Origin and rationale of selection: Indicator suggested by DG SANCO, as related to EU prevention
policy.
61. Timing of first antenatal visits among pregnant women – ADDED
Definition, comments connected to the proposed additions or major changes: Indicator needs
development of operational definition.
Origin and rationale of selection: Indicator suggested by WP Lifestyles and Peristat project, as a
comprehensive indicator for the adequacy of the important area of perinatal care. Rated rather high in
selection process.
78. Survival rates cancer – CHANGED
Definition, comments connected to the proposed additions or major changes: To include incidence of:
all cancers (without non-melanoma skin), lung, breast, colorectal, prostate, stomach, melanoma, cervical,
leukaemias/lymphomas, all childhood. If a cancer register is present, these data will all be available. OECD
health care quality project: 5-years observed and relative survival rates. IARC, cancer registers.
Origin and rationale of selection: The WP Mortality/morbidity suggested the extension from only
cervical and breast cancer to nine specific cancers and all cancers combined, arguing the importance of
these additional cancers in terms of disease burden and possibilities for improvement of prevention and
treatment.
79. 30-day in-hospital case-fatality AMI and stroke – ADDED
Definition, comments connected to the proposed additions or major changes: Defined as proportion
of deaths in hospital within 30 days after admission with primary diagnosis ICD-10 I21, I22 (AMI),
I61–I64 (stroke), among all such admissions. OECD reported data for 23–24 countries. EUPHORIC
project proposes slightly different definition for AMI survival.
Origin and rationale of selection: Indicator proposed by the WP Mortality/morbidity and Eurociss
project. Rather high rating in selection process. Also in the OECD Health Care Quality Indicators. Good
indicator for the adequacy of AMI and stroke treatment, for AMI especially in the acute phase.
85