Selection of Health Variables for SILC Module Item 6.3.2

1. Selection of health variables for the new 3-yearly SILC module Item 6.3.2 of the agenda Pascal WolffESTAT-F5 Working Group Public Health

2. Outline • Background: health data in SILC • Overall approach • - Module development process • - State of the discussion • Discussion Working Group Public Health

3. Background: Health data in SILC • Currently: 7 annual variables • In the future: • Likely 7 annual variables in the nucleus • Every 3-year health module (20 variables) • Potentially other health-related variables (modules on Access to services, Quality of life, Children and child care) Working Group Public Health

4. Why strengthening health in SILC? • Relevance • Periodicity Working Group Public Health

5. Module development process • Wide consultation: SILC TF, Living Conditions WG, JAF Expert Group • Looking for consensus … but need to reconcile users and producers expectations • Provisional agreement on most variables in September 2014 • Harmonisation with EHIS … but adaptations when considered as useful • Variables and questions: need for input-harmonisation • Need for testing (before initial inclusion in 2017 SILC module) Working Group Public Health

6. User perspective: possible use of future SILC for JAF Health • Health status: • [Well-being (Quality of life module)] • (Mental health - refused by SILC TF) • Health care system access: • Out-of-pocket payments for health care • Care utilisation • Non-health care determinants: • Regular daily smoking • Obesity • (Risky single occasion drinking – refused by SILC TF) • Fruit consumption • Vegetable consumption • Physical activity Working Group Public Health

7. Producer perspective • Reduction of number of topics  more focus on selected ones (health status and access to care) • Removal of some topics perceived as sensitive (diseases including depression, alcohol consumption) • Adaptation or simplification of some topics to be more suited for SILC (out-patient care, physical activity) • Integration with other SILC modules (unmet needs, mental well-being and informal care) • Harmonisation of variables (with EHIS) • Testing envisaged Working Group Public Health

8. State of the discussion Content: 20 variables • 17 agreed variables, 3 placeholdersunder discussion • Health state: 4 variables, strengthen health status part and complement disability domain • Formal care: 3 variables, strengthen JAF 'access' • Financial burden: 3 new variables to complement JAF 'access' • Health behaviour: 7 variables, strengthen JAF 'lifestyles' and provide more frequent data Issues: • Sensitivity in SILC (e.g. BMI, alcohol consumption) • Relevance for SILC (e.g. BMI, physical activity) • Complexity of some variables (e.g. alcohol, fruits/vegetables) Working Group Public Health

9. Health status: 4 variables Working Group Public Health

10. Formal care: 3 variables Working Group Public Health

11. Financial burden: 3 variables Working Group Public Health

12. Health behaviour: 7 variables Working Group Public Health

13. Health behaviour: Smoking Working Group Public Health

14. Other health variables under discussion Working Group Public Health

15. SILC health module - timetable Working Group Public Health

16. Thank you for your attention Working Group Public Health