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Join us at the EHIS Workshop in Berlin, Sep 30 - Oct 1, 2010, to discuss implementing the EU Health Information Strategy. Explore indicators, data collection methods, and strategies to improve health information at the European level.
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DG SANCOHealth Information Kick-Off to Wave 2: EHIS Workshop Berlin September 30 – October 1 2010 Sigurlaug HAUKSDÓTTIR European Commission DG SANCO.C2 Health Information unit
EU health strategy • “Together for Health: A Strategic Approach for the EU 2008-2013” was adopted by the European Commission on 27 October 2008. • Overarching strategic framework spanning core issues on health as well as health in all policies and global health issues.
Health Information Strategy • Second programme of Community action in the field of health 2008-2013 • Replaces Programme of Community action in the field of public health (2003-2008). • Three main objectives: • to improve citizens’ health security • to promote health, including the reduction of health inequalities • New strand: to generate and disseminate health information and knowledge
Health Information Strategy • Proposal set forth in a discussion paper. • Aim is to provide long-term framework • Sets out an overall approach for; • generating • disseminating • and applying information • Based on the priorities outlined in the health strategy
Health Information StrategyEuropean Community Health Indicators (ECHI) • Shortlist of 88 indicators • 43 published on SANCO web site, http://ec.europa.eu/dgs/health_consumer/index_en.htm • ECHI-tool launched on SANCO web site, http://ec.europa.eu/health/indicators/indicators/index_en.htm • EHIS is a major source of data for ECHI indicators regarding self-reported morbidity and health determinants.
Health Information StrategyOur needs;ECHI Shortlist • Indicator 23, Depression (HS.4-6) • Advised to add a definition of ‘chronic’ • Indicators 33-35, Self reported health (HS.1-6) • Comparison of data from EU-SILC and EHIS • The disadvantages will be that EHIS is only carried out every 5 years
Health Information StrategyOur needs;ECHI Shortlist • Indicator 44, Regular smokers (SK.1) • The trend of number of smokers will be difficult to evaluate. • Will be good for international comparison • Impact of smoking on others than adults will not be possible to evaluate
Health Information StrategyOur needs;ECHI Shortlist • Indicator 71, General practitioner visits (HC.10-11) • Short recall period, seasonal influences may bias the estimates • What methods could be used to minimize effect • Indicator 72, Outpatient visits (HC.8-9-12-13-16) • What recall methods are best to apply • Asking for number of visits would be feasible
Health Information StrategyOur needs;ECHI Shortlist • Indicator 36 and 39, Physical and sensory functional limitations (PL.1-11) • Awaiting outcome from first wave to evaluate and reflect on possible proposals to adapt questions • Indicator 38, Psychological distress (SF.2-10) • Mental health is a major pubic health concern and European level data are missing. • EHIS data desperately needed
Health Information StrategyOur needs;ECHI Shortlist • Indicator 47, Hazardous alcohol consumption (AL. 1+3) • Indicator 52, Physical activity (PE. 1-6) • Precise operationalisation to be defined • Eurostat Working Group is working on this • Reflect on proposals when they will be presented
Health Information StrategyOur needs;ECHI Shortlist • Indicator 54, Social support (EN.4) • Important determinant where currently data at European level is lacking • ECHI definition is however different from EHIS • Indicator 74, Medicine use (MD.1-2) • Depending decision on precise medicine groups to be defined • EHIS is a preferred source
Health Information StrategyOur general needs • SANCO need for data in general • Drafting of policies • By gender/age groups • Socio economic status • Regional data
Thank you Sigurlaug.Hauksdottir@ec.europa.eu