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Ben RHM II - LZG.NRW

Ben RHM II - LZG.NRW

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ 10.2 Lessons learned from the analysis of good practice The analysis of good practice in the Ben RHM II project shows remarkable results. On the one hand, statistical data are collected, evaluated and analysed. On the other hand, those measures and actions are identified which are actually being implemented by the interviewed European regions. To identify good practice methods, only data available at the regional level should be used. Data only available at the national level were not considered for the study. It has been shown in the course of the project that many data are being collected at the national level and not at the regional level. To turn the argument on its head, this means that no good health policy can be implemented at the regional level if corresponding data are not available. To put it in a nutshell, this can be summarised in the following words: “You cannot manage what you cannot measure”. It turns out that some regions have no responsibility for the regional data but that some regions manage this kind of data very well. But not all regions have the tools for this. An additional problem revealed by the project consists in the fact that there is no health data law which means that there is no legal basis to get data. In general it can be said that “good practice” is not possible without good data. It has through our study in numerous cases and with the help of specific regions been shown that regional data are urgently required for implementing specific actions and recommendations for action at the regional level and for analysing them with respect to their evidence. 125 It remains to be stated that presently no data have been collected on the successes of specific measures at the regional level and been analysed with regard to their evidence. All in all it has to be stated that the methods for collecting data at the national and also at the regional level have to be further improved. If more regional data are available, the “good practice“ approach can provide an incentive for increasingly comparing and learning from each other. The analysis of the three tracers “measles, breast cancer and diabetes (type II)“ can thus serve as a basis for getting an insight into further diseases and their immanent care systems. Yet some good practices and hints on good practice could be identified. Regions can learn for their health management by referring to the reference framework, by doing rapid appraisal, comparing their Organigraphs and by further researching in the first insights on 125 Exemplarisch ist hier zu nennen: European guidielines for quality assurance in breast cancer screening and diagnosis (2006). - 336 -

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ good practice. Ben RHM II has thus significantly contributed to the opportunity of improving health management of European regions. 11 Perspectives 11.1 Complementarity with other EU Projects 126 Ben RHM II is one of several projects established on the basis of the European Community action programme in the field of public health. This programme forms an essential part of the Community’s health strategy and is aiming at three main objectives. 1. To improve information and knowledge with emphasis on promoting public health and health systems; a comprehensive system for collecting, analysing and evaluating data and knowledge should be developed. 2. To enhance the ability of the Community to respond rapidly and coherently to health threads; surveillance and early-warning mechanisms should be developed and strengthened. 3. To reduce premature death and illnesses; health promotion activities and measures to reduce or eliminate health risks should be developed. Especially the first bullet comprises several tasks which correspond to the four steps of the public health action cycle: Assessment of a situation, development of policies to influence the situation, implementation of policies and evaluation of the results which form a new situation and start the cycle again. For each of theses steps there are some projects which look at specific aspects and deliver solutions for parts of the whole system. In addition there are projects which coordinate the individual projects and bring the results together. Community health policy is not restricted to the formulation of regulations which are to be implemented in the Member States. Community health policy is also aimed at supporting the Member States providing information and methods and tries to improve the harmonisation within the European Community by regional funding beyond the national level. For this purpose it is important to identify regions which are responsible for health policy and thus able to influence the health system or to perform health promotion. For the funding and pro- 126 Author: Dr Wolfgang Hellmeier, Institute of Public Health North Rhine-Westphalia, Bielefeld (Germany). - 337 -

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Part II
IB417 - IIS RU