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Current status of EHES. Kari Kuulasmaa EHES meeting Luxembourg, 2 March 2011. Sources of population health information. Registries Can provide useful information on mortality and morbidity Questionnaire surveys
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Current status of EHES Kari Kuulasmaa EHES meeting Luxembourg, 2 March 2011
Sources of population health information • Registries • Can provide useful information on mortality and morbidity • Questionnaire surveys • Self-reported data on health, diseases, their determinants and health-care use in the entire population • Health examination surveys • Objective information on health, diseases (diagnosed and undiagnosed) and their determinants in the population EHES meeting
UK - England Poland Romania Spain Finland Norway Croatia Denmark Netherlands Germany 1960 1970 1980 1990 2000 Italy France Ireland West Germany Czech Republic Sweden UK - Scotland History of HESs in Europe EHES meeting
European Health Examination Survey (EHES) • To provide info on health behaviour, health determinants, prevalence of diseases, met and unmet need for health services, functional limitations and nutritional status • For planning and evaluation of health policies and health care, and for research • Complementary to EHIS EHES meeting
Target population • Entire country • Permanent residents, including institutionalized persons • Core age group: 25-64 years • Can extend to 18+ • Sample size 4000 per country EHES meeting
Conclusions from feasibility study in 2008 • EHES is feasible • Jointly standardized national HESs • Planned and conducted nationally • Primarily national funding • Joint coordination and standardization • Funded by EU • Close collaboration with EU, WHO, OECD etc. • Action should be taken urgently EHES meeting
European standardization Comparable results within country between population groups Standardized measurement protocols High quality of the measurements Reliable time trends Training of the measurers Comparable results between countries Quality control EHES meeting
Setting up EHES Funding from DG Sanco 2010 2011 2012 2013 2014 EHES meeting
EHES Reference Centre (EHES RC) • Set up in August 2009 by: • National Institute for Health and Welfare (THL), Finland • Istituto Superiore di Sanita (ISS), Italy • Statistics Norway (SSB) • Funded by EU’s Health Programme through a Tender EHES meeting
Preparing for a HES in 13 countries • Planning • Preparation • Fieldwork pilot • Support from a Joint Action of EU’s Health Programme • All will be (technically) ready to start a full-size HES by early 2012 EHES meeting
Norway Finland Germany Netherlands Poland Czech Republic UK/England Slovakia Portugal Italy Spain Malta Greece Pilot countries EHES meeting
Summary of activities in the first year • European guidelines for planning a HES completed • European fieldwork standards being finalized • Two training seminars • Planning (23 countries) • Measurement procedures (16 countries) • 4 full-size HESs ongoing • 5 others have completed pilot HES • 8 site visits conducted EHES meeting
2nd Training Seminar EHES meeting
To be completed within a year • Testing of data transfer and reporting • Evaluation of the pilot surveys • Manuals for all EEA countries • Seminar on national adaptations • Final seminar EHES meeting
Future of EHES • The train is now moving – important to keep the momentum • Possibly funding from FP7 for 2014-2018 • To complete the 1st full round of EHES • Possibly 2nd round for the first countries • Funding for 2012-2013 open EHES meeting
What can/should we do now • Motivate countries to EHES • Objective of this meeting • Keep EHES RC and the Commission aware of your national plans and position • This will facilitate realistic planning and justification of funding in the Commission EHES meeting