|
Projects funded in 1998
: description and outcomes
|
Area of
acticity
Establishment
of Community health indicators |
|
Title of
project
ECAS 2 - A comparative analysis of
alcohol consumption and its public health effects
in the EU-states: a discussion of indicators on consumption and
alcohol related harms (Phase 2)
|
|
Organisation
|
Countries participating
A,B,D,DK,E,EL,F,FIN,I,IRL,L,NL,P,S,UK
Total cost : 352.191,60 Euros
Grant : 176.095,80 Euros
|
Start
of project: 01/12/98 |
Duration of project (months): 34 |
Statement of the project's aims
This project is supplementary to the project “ECAS 1 - A
Comparative Analysis of Alcohol Policy and its Effects in the
EU-States” (below referred to as the ECAS-project).
The ECAS-project collects and analyses various data on alcohol
consumption and alcohol-related harm. The general aim of the
present project is to assess the quality and reliability of these
data. In more specific terms the aims of the project can be
described as follows :
I. To estimate the prevalence of unrecorded alcohol consumption in
a cross-sectional perspective
II. To estimate trends in unrecorded alcohol consumption in the
Member States
III. To assess the reliability and validity of alcohol-related harm
indicators
As a result of our project it will be possible to :
IV. Describe an optimal set of indicators, and also
V. To investigate what options there are in different EU-States to
implement this optimal set of indicators. In this application we
will concentrate on point (I)-(III). In the year 2000 we will apply
for funds to accomplish points (IV) and (V). |
Outcomes of the project
Executive summary of the final
report (8KB)
Final report, September
2002 (354KB)
Report of the Swedish
Presidency:
Executive summary (70KB)
Report:
A background report on relevant data on
alcohol consumption, alcohol-related problems and relevant
policies, June 2001 (393KB)
|
|
|
Area of acticity
Development
of a Community-wide network for sharing health data |
|
Title of
project
Health surveys in the European
Union: European Health Interview & Health Examination
Surveys
(HIS and HIS/HES) evaluations and models (Phase 1)
|
|
Organisation
Name: |
NCBS (STATISTICS
NETHERLANDS) |
Adress: |
1, Kloosterweg
P.O. Box 4481
NL-6401 CZ HEERLEN |
Telephone: |
+31.(0).45.570.60.00 |
Fax: |
+31.(0).45 572.74.40 |
Web site: |
http://www.cbs.nl |
Contact
person: |
Jaap VAN DEN BERG
Tel: +31.(0).45.570.74.19
Fax: +31.(0).45.570.62.74
E-mail: JBRG@cbs.nl |
|
Countries participating
A,B,D,DK,E,EL,F,FIN,I,IRL,L,NL,P,S,UK
Total cost : 342.726,00 Euros
Grant : 239.908,00 Euros
|
Start
of project:
01/12/98 |
Duration of project (months): 24 |
Statement of the project's aims
The project aims to support Health Monitoring by means of
production of a computerised up to date overview of methods and
content of existing and planned Health Interview Surveys (HIS),
Health Examination Surveys (HES), combinations of HIS/HES, and
other population surveys with a significant health component in the
MS and EFTA/EEA countries to provide insight into the coverage of
areas that are relevant for Health Monitoring by national and
international surveys.
The project will comprise two phases : the aims of the current
phase 1 are to produce the data base mentioned above, to review the
literature, to collect information and to review European
experiences on HIS, HIS/HES and HES, and to create an European
network for development and testing of proposed HIS/HES and HES
methodologies.
The final overall project aim is to develop comprehensive and
comparable health measurement for health surveys in the EU and the
Member States by developing models for surveys which combine the
HIS and the HES. It is intended that models of varying intensity
will be developed for the different circumstances in the Member
States.
|
Outcomes of the project
Executive summary of the
final report (94 KB)
Final report,
February 2001 (179 KB)
Annexes of the final
report:
Annex 1: Health surveys
in the European Union: HIS and HIS/HES evaluations and models,
27-28 October 1999, Brussels (Belgium). Draft minutes of the second
Core Group meeting) (238 KB)
Annex 2: Health
surveys in the European Union: HIS and HIS/HES evaluations and
models, 14-15th June 2000, Helsinki (Finland). Minutes of the
plenary meeting (186 KB)
Health Interview Surveys (HIS) in
the European Union:
Overview of methods and
contents (337 KB)
Annexes of the Overview:
Annex 1: Overview of
Core Group members (70 KB)
Annex 2: Request letter
accompanying the questionnaire concerning the methodological aspect
of health interview surveys (139 KB)
Annex 3: Questionnaire
concerning the methodological aspect of health interview
surveys (178 KB)
Annex 4:
Response on inventory of health interview surveys (83 KB)
Annex 5: Methodological
aspects of 41 national health interview surveys and 2 international
surveys (0.97 MB)
Annex 6: The
list of health topics (43 KB)
Annex 7: Overview of
HIS questionnaires that were translated, scanned and included in
the database (70 KB)
Annex 8: The HIS/HES
database: HIS questions (91 KB)
Annex 9: The HIS/HES
database: HIS survey methodology (122 KB)
Annex 10: The HIS/HES
database: search methods (131 KB)
Annex 11: Number of
health related topics per survey (81 KB)
Annex 12: Questions on
smoking prevalence in national health interview surveys
(116 KB)
Annex 13: Questions on
heavy drinking in national health interview
surveys (207 KB)
Health Examination Surveys
(HES)
Review of literature and inventory of surveys in
the EU/EFTA Member States (1.6 MB)
Online database
European Health Interview
& Health Examination Surveys Database :
this database was developped in this project and was enhanced in
the "Health
surveys in the European Union : European Health Interview &
Health Examination Surveys (HIS and HIS/HES) evaluations and models
(Phase 2)"
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|
|
Area of acticity
Establishment of Community health
indicators |
|
Title of
project
Setting up a coherent
set of health indicators for most of the health aspects (Phase 1)
/
Proposition d'un ensemble cohérent d'indicateurs de santé couvrant
la plupart des dimensions de la santé (phase 1)
|
|
Organisation
Name: |
DEMOGRAPHIE ET SANTE,
INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE
(INSERM) |
Adress: |
Université de Montpellier Val
d'Aurelle
F-34298 MONTPELLIER |
Telephone: |
+33 67.61.30.26 |
Fax: |
+33 67.61.30.47 |
Contact
person: |
Jean-Marie ROBINE |
|
Countries participating
I,E,UK,NL,DK,F,B
Total cost : 417.600,00 Euros
Grant : 289.600,00 Euros
|
Start
of project:
01/12/98 |
Duration of project (months): 15 |
Statement of the project's aims
Le projet a pour but la construction d'un ensemble cohérent
d'indicateurs de santé répondant aux principaux objectifs du
programme de surveillance de la santé : (i) appréciation des
niveaux de santé des populations de la Communauté et (ii)
détermination des poids respectifs des causes de morbidité, afin de
faciliter la définition des priorités et des objectifs en matière
de santé publique. Notre projet retiendra un petit nombre
d'espérances de santé couvrant les principales dimensions de la
santé et proposera des indicateurs comparables entre les pays de
l'Union.
Il s'appuie sur :
1. la décision adoptant le programme de surveillance de la santé,
accompagnée en annexe d'une liste d'indicateurs qui repose sur
l'inventaire fait en 1994 par le "Working Party on Community health
data and indicators" (Ministry of Health of Denmark), et qui
commence par l'espérance de vie et les espérances de santé. Il
s'agit donc de passer maintenant à la phase d'opérationnalisation
de ces indicateurs.
2. les travaux réalisés dans le cadre de l'action concertée sur les
espérances de santé, Euro-REVES (BIOMED 1), qui a rassemblé les
enquêtes et les rapports "Santé" des pays de l'Union dans la Base
de Données Européennes sur la Santé de Montpellier. L'analyse des
documents a porté sur l'incapacité, la santé perçue, et
l'utilisation des espérances de santé. En particulier, Euro-REVES a
évalué l'application des recommandations de l'OCDE pour mesurer
l'incapacité (1981), et de l'OMS-Europe pour harmoniser les
enquêtes "Santé" (1988), ainsi que l'utilisation des concepts de la
Classification Internationale des Handicaps (ICIDH, 1980) et des
modèles d'incapacité portant sur les activités de la vie
quotidienne (ADL). Ce travail a montré qu'au-delà des indicateurs
de mortalité, il y a actuellement très peu d'indicateurs
strictement comparables entre les pays de l'Union. Par contre on
constate de nombreuses proximités et de convergences
nouvelles.
3. l'expérience de nos collègues canadiens avec qui nous sommes en
contact et qui ont beaucoup travaillé sur les systèmes
d'information, les ensembles d'indicateurs de santé et les guides
d'utilisation. |
Outcomes of the project
Executive summary of the final
report (44KB)
Final report, June
2000 (1144KB)
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|
|
Area of acticity
Establishment of Community health
indicators |
|
Title of
project
Comparability and
quality improvement in European causes in death
statistics
|
|
Organisation
Name: |
SERVICE D'INFORMATION SUR LES
CAUSES MEDICALES DE DECES,
INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE
(INSERM) |
Adress: |
B.P. 34
F-78116 LE VESINET |
Telephone: |
+33 1 34 80 24 30 |
Fax: |
+33 1 34 80 24 29 |
Contact
person: |
Eric JOUGLA |
|
Countries participating
A,B,D,DK,E,EL,F,FIN,I,IRL,L,NL,P,S,UK
Total cost : 263.643,00 Euros
Grant : 187.000,00 Euros
|
Start
of project:
15/10/98 |
Duration of project (months): 30 |
Statement of the project's aims
Cause-of-death statistics are widely used for comparing the status
of health in EC countries. Before interpreting these data it is
essential to assess the biases affecting their comparability. One
of the main problem outlined by experts (e.g. Eurostat working
group, international papers), is the differences in the
certification process (unknow and ill-defined causes, certifiers
training and querying practices…). For instance, the proportion of
ill-defined causes, for young people, ranges from less than 3% in
Greece, Spain, Ireland to almost 15% in Portugal, Belgium, France.
These differences affect inter-country comparability and trend
analysis for all causes of death but especially for external causes
(e.g. suicide, accidental deaths, drug related deaths).
The general objective of the project, gathering representants from
all MS, is to access and improve the quality and comparability of
the cause-of-death certification process among EC. The specific
aims are :
- to access the specific certification practices and main issues in
each EC country (nature of information entered, degree of
consistency of the causes of death entered, autopsy practices…) and
to define procedures to improve quality and comparability with a
special involvement on problems such as ill-defined causes (legal
problem, influence of forensie institutes…), querying practices,
certifiers training programs, causes of death with specific
comparability problems (e.g. violent deaths),
- to make a precise international review on causes of death
comparability and quality studies (1980-1998) and to produce a
dictionary containing assessment of quality for the specific causes
of death defined as priorities by the European Commission,
- to propose common recommendations and guidelines on
cause-of-death certifiction to EC. |
Outcomes of the project
Executive summary of the final report (20KB)
Final
report, July
2001 (3605KB)
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|
Area of acticity
Development of a
Community-wide network for sharing health data |
|
Title of
project
Health monitoring in sentinel
practice networks (Phase 1)
|
|
Organisation
Name: |
NIVEL (NETHERLANDS INSTITUTE OF
PRIMARY HEALTH CARE) |
Adress: |
PO Box 1568
NL-3500 BN UTRECHT |
Telephone: |
+31.30.27.29.700 |
Fax: |
+31.30.27.29.729 |
Contact
persons: |
Douglas FLEMING
(Project coordinator)
Director
Birmingham Research Unit of the Royal College of General
Practitioners
Lordswood Road
Harborne
Birmingham B17 9 DB
Tel: +44.121.426.11.25
Fax: +44.121.248.20.84
E-mail: dfleming@rcgpbhamresunit.nhs.uk
François SCHELLEVIS
(Project leader)
Tel: +31.30.27.29.724
E-mail: f.schellevis@nivel.nl
|
|
Countries participating
B,E,F,NL,P,UK
Total cost : 207.658,00 Euros
Grant : 145.360,00 Euros
|
Start of project: 15/12/98 |
Duration of project (months): 24 |
Statement of the project's aims
a. To identify, make an inventory of and describe the organisation
and function of nationally recognised primary care networks in
European countries active in monitoring disease specific
morbidity.
b. To establish a centre of
reference to which existing and new networks can look for advice
and support in developing networks for monitoring morbidity in
primary care.
c. To seek consensus on the criteria
by which the incidence and prevalence of diabetes mellitus [as an
example chronic disease] and the incidence of varicella/herpes
zoster [as an example acute disease] can be described in a
standardised way.
d. To achieve on the long term
standardisation in methods of data collection analysis and
presentation of morbidity data in primary care, permitting
comparability between States.
|
Outcomes of the project
Executive summary of the final
report (13KB)
Final report, March
2001 (133KB)
Publications:
A free abstract of this publication,
is available at the editor's web site.
If you need more information on this publication please contact the
author(s).
D.M. FLEMING, F.G. SCHELLEVIS, W.J. PAGET:
Health monitoring in sentinel practice networks: the contribution
of primary care,
European Journal of Public Health, Volume 13, Supplement 1
("The European Health Monitoring Programme"), September
2003
D.M. FLEMING, F.G. SCHELLEVIS, V. VAN
CASTEREN:
The
prevalence of known diabetes in eight European countries,
European Journal of Public Health, Volume 14, Issue 1, March
2004
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Area of acticity
Analyses and
reporting |
|
Title of
project
Monitoring socio-economic
differences in health indicators in the European Union
|
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Organisation
Name: |
DEPARTMENT OF PUBLIC HEALTH,
ERASMUS UNIVERSITY ROTTERDAM |
Adress: |
P.O. Box 1738
NL-3000 DR ROTTERDAM |
Telephone: |
+31/10.4087714 |
Fax: |
+31/10.4366831 |
Contact
person: |
J. P. MACKENBACH |
|
Countries participating
D,DK,E,F,FIN,I,IRL,L,NL,P,S,UK
Total cost : 473.690,00 Euros
Grant : 283.690,00 Euros
|
Start
of project:
01/12/98 |
Duration of project (months): 18 |
Statement of the project's aims
The general aim of this project is to contribute to the development
of systems that are able to monitor socio-economic differences in
health in the Community at large.
Its specific objective is to develop a practical guide for users of
present and future monitoring systems. This guide helps users to
select and apply the analytical methods that in their situation are
most appropriate to (1) measure the association between
socio-economic indicators and health indicators, (2) describe time
trends in this association, and (3) explain these trends and
evaluate the effects of specific policies, programmes and
actions.
The guide will be practical, flexible and experience-based.
Practical : descriptions of methods will be accompanied by details
on their calculation, illustrations of their application, and
guidelines for their use and interpretation. Flexible : guidelines
will be given that permit users to take into account their specific
data source (e.g. health surveys), specific health indicators (e.g.
health care use) and specific monitoring purpose (e.g. evaluating
the effects of anti-smoking policies). Experience-based : the guide
will draw upon experiences from all parts of the Community. If
there is little experience with the application of a potentially
relevant method, this method will be tested by applying it to
existing data from different Member States.
This guide will be developed by the EU Working Group on
Socio-economic Inequalities in Health. This group includes leading
experts from all Member States where experience has been obtained
with monitoring inequalities in health. |
Outcomes of the project
Executive summary of the final
report (15KB)
Final
report, February
2001 (1001KB)
Publication:
Executive
summary of the publication (7KB)
Health inequalities in
Europe and the situation of disadvantaged groups,
2003 (1.6 MB)
|
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Area of acticity
Establishment of Community health indicators
Development of a Community-wide network for sharing health
data |
|
Title of
project
EUCOMP 1 - Towards comparable health
care data in the European Union (Phase 1)
|
|
Organisation
Name: |
NEHB (North Eastern Health
Board) |
Adress: |
Railway street,
IR - Navan, Co. Meath |
Telephone: |
+353 (46) .90.403.41 |
Fax: |
+353 (46) .90.414.59
|
Contact
person: |
Rosaleen CORCORAN
(Director)
Department of Public Health
E-mail: rosaleen.corcoran@nehb.ie
Mary TOLAN
(Secretary)
E-mail:
mary.tolan@nehb.ie
|
|
Countries participating
A,B,D,DK,E,EL,F,FIN,I,IRL,L,NL,P,S,UK
Total cost : 279.289,00 Euros
Grant : 197.329,00 Euros
|
Start
of project:
01/12/98 |
Duration of project (months): 18 |
Statement of the project's aims
The aim of the project is to set up a European system of
standardised descriptions and comparisons of health care systems to
create the basis of common European Union health care statistics as
the fundamental foundation for routine data collection and
comparative analysis. A functional breakdown of health care
delivery systems in Member States (MS) will be produced, (by
reference to international health care clarifications) detailing
health care functions performed. This will enable a European Union
wide comparative picture to be produced at an appropriate level
derived directly from MS country profiles. The feasibility of the
system will be tested by applying it to existing national data sets
relating to health care delivery in selected areas in MS. The
project also aims to contribute to the development of comparable
European Union health care indicators to assist MS in health care
policy making by sharing the functional descriptions of MS health
care systems and enabling the sharing of well defined comparable
data by MS starting in selected areas. |
Outcomes of the project
Executive summary of
the final report (72
KB)
Final report, August
2000:
Part
1 - 3: Towards Comparable Health Care Data in the European
Union (Part 1), Functional breakdown of health care systems (Part
2), Annexes (Part 3) (1,1
MB)
Part 4:
Glossaries (1,2
MB)
Part 5: Country
profiles in tabular format, volume A (976 KB)
Part 5: Country
profiles in tabular format, volume B (923 KB)
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Area of acticity
Establishment of Community health
indicators |
|
Title of
project
ECHI 1 - Integrated approach to
establishing Community Health Indicators (Phase 1)
|
|
Organisation
Name: |
RIVM
(NATIONAL INSTITUTE OF
PUBLIC HEALTH AND THE ENVIRONMENT) |
Adress: |
P.O. Box 1
3720 BA Bilthoven
A. van Leeuwenhoeklaan 9
NL - Bilthoven |
Telephone: |
+31.30.274.91.11 |
Fax: |
|
Contact
person: |
Pieter KRAMERS
(Deputy Head)
Department for Public Health Forecasting
Tel: +31.30.274.21.63
Fax: +31.30.274.44.50
E-mail: pgn.kramers@rivm.nl |
|
Countries participating
A,B,D,DK,E,EL,F,FIN,I,IRL,L,NL,P,S,UK
Total cost : 123.128,00 Euros
Grant : 87.500,00 Euros
|
Start
of project:
01/11/98 |
Duration of project (months): 24 |
Statement of the project's aims
Pillar A of the Health Monitoring Programme envisages the
establishment of aset of Community Health Indicators, for the
monitoring of Community Programmes... and other Community
policies...and for providing Member States with common measurements
for making comparisons...'. These indicators should cover a range
of areas as set out in Annex II to the HMP.
These areas include different domains of primary data collection,
with different methodological approaches and covered by different
professional circles. Therefore, to realise the selection and
definition of a coherent set of Community Indicators for the entire
area, a coordinated and conceptual approach is needed. This is the
aim of the present proposal. It is envisaged that to reach this aim
we need to cover three steps : firstly to further define and
delineate the categories of indicators, secondly to define a set of
coherent criteria for the selection of indicators within the
categories, and what we precisely mean by the word 'indicator', and
thirdly to propose the selection of 'core' and 'background'
indicators. A crucial point here is to accomplish consistency
within and between the different categories of indicators. The
result should be guiding to other projects rather dealing with
enhancing the comparability of data and improving the strategy of
actual data collection. |
Outcomes of the project
Executive summary of the final
report (13KB)
Final report, February
2001 (907KB)
Publication:
A free abstract of this publication,
is available at the editor's web site.
If you need more information on this publication please contact the
author(s).
Pieter G.N. Kramers:
The ECHI project, European Journal of Public Health,
Volume 13, Supplement 1 ("The European Union Health Monitoring
Programme"), September 2003
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Area of acticity
Establishment of Community health indicators |
|
Title of
project
Establishment of the indicators for
mental health monitoring in Europe
|
|
Organisation
Name: |
THE NATIONAL RESEARCH AND
DEVELOPMENT CENTRE FOR WELFARE AND HEALTH |
Adress: |
Siltasaarenkatu 18A
FIN-00530 HELSINKI |
Telephone: |
+358-9-39671 |
Fax: |
+358-9-3967 2155 |
Contact
person: |
Ville LEHTINEN |
|
Countries participating
B,D,DK,E,EL,F,FIN,I,IRL,L,NL,P,S,UK
Total cost : 453.081,00 Euros
Grant : 317.157,00 Euros
|
Start
of project:
15/12/98 |
Duration of project (months): 34,5 |
Statement of the project's aims
The aim is to collect information on existing mental health and
well-being indicators and information systems, and to go agree on
harmonised definitions for a set of European mental health
indicators, maximally feasible and accepted for use by the Member
States and the European Commission.
The project will look at different approaches, such as survey
techniques, analyses of utilisation data, analysis of
socio-economic indicators, and combinations of techniques.
Different types of indicators will be included, such as
demographic, social stress, health and social functioning
indicators ; indicators reflecting the subjective experience,
demand of services ; and indicators describing morbidity and
mortality. The needs and preferences of citizens and consumers
themselves will be included as a natural part into the monitoring
system.
Several scientifically proved measures to evaluate mental health
and ill-health exist. However, the definitions of the indicators
disregarding diagnostics based on international classifications are
often ambiguous. In addition, no efforts have been made to
integrate these measures to a comprehensive, as well resource-and
illness-oriented monitoring system. The indicators will be feasible
even when integrated to other health monitoring systems. The
monitoring system will provide enhanced possibilities for
evaluation, comparison and planning of mental health policies and
actions. |
Outcomes of the project
Executive summary of the final
report (23KB)
Final report, February
2002 (121KB)
Annexes of the final
report:
Annexe 1:
Questionnaire (60KB)
Annexe 2:
Proposed set of mental health indicators; definitions, description
and sources (252KB)
Annexe 3:
Proposal: Guidelines for using the set of mental health indicators:
survey data (53KB)
Annexe 4: List
of priority of the indicators (54KB)
Annexe 5:
Summary of data collected in the Member States: comparability,
availability (23KB)
Annexe 6: Survey
items (98KB)
Annexe 7: Data
on existing indicators and results of the pilot survey
(172KB)
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Area of acticity
Analyses and reporting |
|
Title of
project
The state of health in the European
Community in the year 2000
|
|
Organisation
Name: |
HEALTH DEPARTMENT (MINISTRY OF
HEALTH) |
Adress: |
45, Al D. Afonso Henriques
P-1056 LISBOA CEDEX |
Telephone: |
+351-8430-646 |
Fax: |
+351-8430-655 |
Contact
person: |
Paulo FERRINHO |
|
Countries participating
A,B,D,DK,E,EL,F,FIN,I,IRL,L,NL,P,S,UK
Total cost : 1.045.398,00 Euros
Grant : 411.798,00 Euros
|
Start
of project:
15/12/98 |
Duration of project (months): 31 |
Statement of the project's aims |
Outcomes of the project
Publication : The health
status of the European Union - narrowing the health gap,
2003
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