Eurostat, the statistical office of the European Union

F5: Education, health and social protection

2920 Luxembourg LUXEMBOURG

The indicator of healthy life years measures the number of remaining years that a person of specific age (at birth and at 65) is expected to live without any severe or moderate health problems. The indicator is also called disability-free life expectancy (DFLE).

It is a composite indicator that combines mortality data with data referring to a health indicator, such as disability.

Healthy life years also monitor health as a productive or economic factor. An increase in healthy life years is one of the main goals for European health policy. And it would not only improve the situation of individuals but also it would result in lower levels of public healthcare expenditure. If healthy life years are increasing more rapidly than life expectancy, it means that people are living longer and free from health problems.

There are no special classifications for data set produced.

The main economic sectors for data produced are not specified.

Health expectancies are calculated following the Sullivan's method and provide the number of years in a good health which a person can still expect to live.

The indicator is based on a life table and observed prevalence of the population in healthy or unhealthy conditions. For the detailed description of the calculation, please refer to the Annex called "METHOD".

Statistical observations are individuals.

The whole EU population is covered.

European Union, EU Member States.

1995-2003

There is no base of an index number to which data refer.

• Number of years for Healthy Life Years at birth and at 65 for female and male population.
• Number of years for Life Expectancy at birth and at 65 for female and male population.
• Healthy life years at birth and at 65 for female and male population expressed in percentage of the appropriate total life expectancy.

Reference year is defined as the calendar year.

• Communication to the Commission on 14/10/2004, Point II-8:
  "According to the EU Sustainable Development Strategy and the 6th Environmental Action Plan, and as requested by the Council conclusions of December 8, 2003, indicators on biodiversity and health need to be included in the structural indicators database. Indicators of Healthy Life Years (healthy life expectancy at birth: two gender breakdowns) are added to the database. The indicator looks at the number of years that a person can expect to live in a good health, which is closely related to factors such as ageing, productivity/capacity to work and healthcare expenditure."
• Commission COM (2004) 0029 of 21/01/2004 - report from the Commission to the Spring European Council delivering Lisbon reforms for the enlarged Union: set as priority to examine possibilities for integrating Public Health into the Lisbon strategy by 2005, as a contribution to growth & sustainable development.
  The Commission Communication COM (2003) 585 final of 08/10/2003 on structural indicators recommends to develop an indicator to measure Healthy Life Years.
• Decision 2367/2002/EC of the European Parliament and the Council of 16 December 2002 on the Community statistical programme 2003 to 2007.
• Decision No 1786/2002EC of the European Parliament and of the Council of 23 September 2002 adopting a programme of Community action in the field of public health (2003-2008), OJEC L 271/10

There is no common data production.

Regulation (EC) No 223/2009 on European statistics (recital 24 and Article 20(4)) of 11 March 2009 (OJ L 87, p. 164), stipulates the need to establish common principles and guidelines ensuring the confidentiality of data used for the production of European statistics and the access to those confidential data with due account for technical developments and the requirements of users in a democratic society.

There are no special rules applied for treating the data set.

March/N+2; (N = year of data collection).

Information upon request.

In line with the Community legal framework and the European Statistics Code of Practice Eurostat disseminates European statistics on Eurostat's website (see item 10 - 'Accessibility and clarity') respecting professional independence and in an objective, professional and transparent manner in which all users are treated equitably. The detailed arrangements are governed by the Eurostat protocol on impartial access to Eurostat data for users.

Yearly.

News releases on-line.

Health in Europe. Data 1998-2003 (pocketbook)

Please consult free data on-line or refer to contact details.

Micro-data are not disseminated.

http://ec.europa.eu/eurostat

See methodological description on DFLE and footnotes on estimations under the Annexes at the bottom of this page.

We don't collect national quality reports concerning mortality and health data.

Please consult the quality assurance in European Statistics Code of Practice.

• Institutional users like other Commission services, particularly DG SANTE and DG EMPL.
• Statistical users in Eurostat or in Member States National Statistical Institutes to feed sectorial or transversal publications such as the Annual Progress Report on the Lisbon Strategy (structural indicators), the Sustainable Development Strategy monitoring report, the Eurostat yearbook and various pocketbooks, among other reports;
• End users - including the media - interested in public health in the EU.

We don't have any user satisfaction survey.

Refer to the points 3.4 and 3.7, please.

Institutional households are not included in the ECHP itself. However, it is assumed that the population living in the private households covered by ECHP is representative for the total population. Simulation carried out by Eurostat has shown that the effect of this assumption for the indicator HLY at birth is very limited and not significant.

Not applicable for the calculation of HLY indicator.

Not applicable for the calculation of HLY indicator.

Not applicable.

Not applicable.

The HLY indicator is calculated using the same method (Sullivan's) for all countries. Comparable data are available for EU-15 countries (except LU), due to the fact that ECHP uses standardized design and common technical and implementation procedures across countries.

The comparability of the data across countries is limited by the cultural differences from country to country. Therefore, the questions on the existence of disabilities might be interpreted differently from a country to another one, i.e. the prevalence might differ between countries whereas there is no real difference in the health levels between those countries. Another problem is the fact that data about prevalence of disability for Germany and the UK come from original surveys adapted to the ECHP format.

As there are no common survey instruments and methodology in the new Member States, comparability among them as well as between them and the EU-15 Member States is restricted.

Results for the period 1995-2001 are comparable and the extrapolation over 2002 and 2003 ensures a similar comparability for the estimated values for these two years. Actually, the restrictions on the comparability across countries until 2003 data apply on the "level" of the Healthy Life Years but not on the evolution of the indicator.

• Mortality and life expectancy in demographic statistics.
• Statistics on limitation in functioning or disability (Health status statistics on disability): source (ECHP 1995-2001 and extrapolations 2002-2003).

The statistical outputs are consistent.

We don't collect reports describing costs for production of statistical data and of the burden on respondent.

There is no systematic revision of the data. A revision occurs when previous missing values are available and replace the estimated/provisional ones which were used in the calculation or when Eurostat is notified about a change in the data.

Not future revision of the 1995 - 2003 series.

1. For the mortality part: demography statistics.
2. For the health part (data on limitations in functioning / disability):

For EU15 (excl. LU):

• The ECHP survey 1995-2001 (extrapolated from a national source for DE and UK)
• Estimation for 2002 and 2003 on the basis of the trend 1995-2001 (high inertia in limitations / disability levels)
• For the new MS & EFTA countries: national sources are used when comparable - only 6 countries: CZ, HU, CY, MT, PL, NO.
• National surveys (CZ, HU, CY, MT, PL, 1996).
• Population census (PL, 2002).
• Pilot SILC (NO, 2003). 

Yearly.

Methodology of collecting data is included in the metadata pages of mortality and health status statistics.

• Consult data validation procedures in the metadata pages of mortality and health status statistics.
• Experts from the International Network on Health Expectancy and the Disability Process (Euro-REVES) use the same methodology for calculating the healthy life years indicator and their results are compared with the ones of Eurostat.

The aggregation level depends on the availability of data. With the ECHP data only the EU-15 aggregate is calculated

To find statistical procedures used for adjusting the data, please refer to dedicated sections of mortality and health status statistics.

For comparability issues, search in the Annex.