Developing European Health Promoting Hospital Indicators: the EUHPID Project

1. Developing European Health Promoting Hospital Indicators: the EUHPID Project John Kenneth Davies University of Brighton on behalf of EUHPID Consortium j.k.davies@brighton.ac.uk EUHPID J K Davies/Firenze/ May 2003

2. EC Health Monitoring Programme • information & knowledge base for Public Health 2003-2008 • improving health information & knowledge • responding rapidly to health threats • addressing health determinants across all policies/activities EUHPID J K Davies/Firenze/ May 2003

3. Demographic & socio-economic factors population socio-economic factors Health status mortality morbidity generic health status composite health measures Determinants of health personal & biological factors health behaviours living & working conditions Health care systems prevention & protection resources utilisation expenditure quality European Community Health Indicator (ECHI) System EUHPID J K Davies/Firenze/ May 2003

4. Issues in EUHPID Indicator Development • Use/Users • Definition • Framework • Process: social construction EUHPID J K Davies/Firenze/ May 2003

5. Universities Athens Bergen Brighton Brussels Galway Graz Jyvaskyla Maastricht Magdeburg Marseille Perugia Southern Denmark Nordic School of Public Health Goteborg National School of Public Health Lisbon Regional School of Public Health Valencia Flemish Centre for Health Promotion Brussels International Union for Health Promotion & Education Paris also colleagues from University of Vienna University of Zurich Health Promotion Switzerland EUHPID Consortium EUHPID J K Davies/Firenze/ May 2003

6. EUHPID Project Aims • To establish a European Health Promotion Monitoring System, including a set of common health promotion indicators • To recommend suitable methodology and systems to collect the above data on health promotion indicators and activate the monitoring system • To recommend dissemination strategies to policy makers and practitioners at Community level and within Member States EUHPID J K Davies/Firenze/ May 2003

7. EUHPID Outline • HP indicators - definition,expectations, use/users • HP quality framework for indicator selection- why, types, quality criteria • theoretical/expert vs social construction of indicators • outlook - from general framework to specific measures EUHPID J K Davies/Firenze/ May 2003

8. Health Promotion • “the process of enabling people to exert control over, and to improve, their health” (WHO 1986) • Tackling determinants at levels of individual health behaviours and social, economic and environmental conditions • Health promotion matrix • setting/health issue/population group EUHPID J K Davies/Firenze/ May 2003

9. Technical Steps in EUHPID Development • Define purpose of indicator system • identify complex system • define framework • define components • select indicators • select measures • collection • dissemination EUHPID J K Davies/Firenze/ May 2003

10. USE agenda setting, advocacy policy development planning monitoring & evaluation USER public health community, general public policy makers inside & outside public health health promotion experts, field partners health promotion experts, field partners, researchers Use/Users of HP Indicators EUHPID J K Davies/Firenze/ May 2003

11. EUHPID Working Groups • Theory-driven • data-driven • policy-driven EUHPID J K Davies/Firenze/ May 2003

12. Need for Framework • Describes system to be reflected by indicators • rationale for selection of indicators • describes relationship between indicators • basis for interpretation of indicators • basis for defining,communicating and advocating unique, generic health promotion perspective EUHPID J K Davies/Firenze/ May 2003

13. environmental structure cultural socio-economical physical/ecological environmental process cultural socio-economical physical/ecological Health Development Pathogenesis Salutogenesis system structure cultural socio-economical physical/ecological system process cultural socio-economical physical/ecological Socio-Ecological Model of Health Development Systems quality environmentpoliciesorganizationcommunityperson Systems scale micro - macro EUHPID J K Davies/Firenze/ May 2003

14. environmental structure health opportunities environmental process health opportunities Assessment Health Development Pathogenesis Salutogenesis Evaluation Planning Implementation system structure health capacities system process health actions Socio-Ecological Model of Health Promotion Health Promotion action areas Create supportive environments Build healthy public policy Reorient health services Strengthen community action Develop personal skills combined into Health Promotion strategies Systems quality environmentpoliciesorganizationcommunityperson Systems scale micro - macro Health Promotion Principles (participation, empowerment, equity) EUHPID J K Davies/Firenze/ May 2003

15. Hospital Setting • physical environment • how can it be protected • built environment • how can design protect & promote health • social environment • how to promote social & psychological wellbeing of users and staff • health promoting environment • how it can play direct role in promoting health EUHPID J K Davies/Firenze/ May 2003

16. HPH Indicator Use • monitoring of HP projects • evaluation of HP projects • culture change/reorientation to health gain • disease reduction to health development • continuous process of organisational & cultural development • supportive organisational context EUHPID J K Davies/Firenze/ May 2003

17. HPH Development Indicators • individual behaviour • setting/s development (management policy) • patients focus (assessment, information, intervention) • staff focus (promoting healthy workplace) • community focus (partnerships) EUHPID J K Davies/Firenze/ May 2003

18. Workshop Task • With reference to your understanding & experience of HPH, what are the key sets of relevant health promotion indicators that you can identify within the EUHPID socio-ecological model of health promotion? EUHPID J K Davies/Firenze/ May 2003

19. EUHPID • Http://www.health.brighton.ac.uk/euhpid/ EUHPID J K Davies/Firenze/ May 2003