slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Overview of recent developmental work in Europe Setting up a coherent set of indicators for the EU A project for the Hea PowerPoint Presentation
Download Presentation
Overview of recent developmental work in Europe Setting up a coherent set of indicators for the EU A project for the Hea

Loading in 2 Seconds...

play fullscreen
1 / 23

Overview of recent developmental work in Europe Setting up a coherent set of indicators for the EU A project for the Hea - PowerPoint PPT Presentation


  • 163 Views
  • Uploaded on

Overview of recent developmental work in Europe Setting up a coherent set of indicators for the EU A project for the Health Monitoring Programme. Euro-Reves Washington, February 2002. Euro-reves: Setting up a coherent set of indicators. European Community Health Monitoring Programme.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Overview of recent developmental work in Europe Setting up a coherent set of indicators for the EU A project for the Hea' - louanna


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Overview of recent developmental work in Europe

Setting up a coherent set of indicators for the EU

A project for the Health Monitoring Programme

Euro-Reves

Washington, February 2002

Euro-reves: Setting up a coherent set of indicators

european community health monitoring programme
European CommunityHealth Monitoring Programme

The objective is to contribute to the establishment of a Community health monitoring system allowing:

  • to measure health status, trends and determinants through the Community;
  • to facilitate the planning, monitoring and evaluation of Community programmes and actions;
  • to provide Member States with appropriate health information to make comparisons and support national health policies.
slide3

Health Monitoring Programme

The actions and objectives were implemented under three headings:

  • Establishment of Community health indicators;
  • Development of a Community-wide network sharing health data;
  • Analyses and reporting.
slide4

Community health indicators

Harmonization at post data collection point (selection subsets of items from instruments common to all surveys).

Harmonization at this level produces as many questions as answers.

The European Health Monitoring Programme is

more ambitious and aims to select and develop a coherent set of health indicators for the EU.

slide5

Maximising world developments may not maximise developments for Europe (WHO aims to include measures for less developed countries). Nevertheless, it is hoped that the work of the European groups in the field of health indicators will contribute to the wider work of the WHO.

Such a set of indicators has to be built:

  • on the national experience of the European countries
  • on other initiatives, such as World Health Organization developments based on the International Classification of Functioning, Activities, and Health (ICF).
  • on specific European Community needs and public health concerns
slide6

Setting up a coherent set of indicators for the EU

A project for the Health Monitoring Programme

slide7

Euro-REVES

The main goal of the Euro-REVES project for the HMP was to select or design instruments to monitor the health status of the European population.

The need for truly comparable measures of health across European countries has been increasingly recognised if:

  • countries are to be able to learn from each other on national initiatives to improve health,
  • Community-wide initiatives are to be properly evaluated

Health expectancies are at the heart of the project

slide8

Total life expectancy, life expectancy without disability and life expectancy without chronic disease (WHO, 1984)

slide9

Total survival, survival without disability and survival without chronic disease, France 1981-1991, females

practical goals of euro reves
Practical goals of Euro-REVES
  • to select the health dimensions for health expectancy calculations to fit the European Health Information System.
  • to define specifications for the health measures sought.

… and for the future (mainly in collaboration with Eurostat)

  • to assess the best way to collect the data: HIS, HES, registers...
  • to design the required measurement instruments
  • to develop the required quality assessment procedures to assess comparability for future new Member States.
slide11

Underlying concepts of Euro-REVES

  • to cover the whole process of heath deterioration and its different approaches (perception, functional, morbidity)
  • toadopt cleardefinitionsandconceptual framework
  • to apply current and past scientific literature and the opinion of expertsto the issues.
  • to recommend a globalmeasure as well as a more detailed one: to both tap the 'problem' in each European country and to explain differences (or similarities).
  • to involve researchers from the different member states
models of the disablement process
Models of the disablement process

Disease>Impairment>Functional limitation>Disability

(Nagi, 1965,1976, 1991)

Disease>Impairment>Functional limitation>Activity Restriction>Handicap

(Wood, 1975)

Disease>Impairment>Disability>Handicap

(ICIDH, 1980)

slide13

Further developments

Environmental approach of disability and the social disadvantage

(eg. Canadian stream of research on the disablement process...)

Functional limitations and activity restrictions

Nagi (1965), Wood (1980), Verbrugge&Jette (1994)

Wolinsky FD. et al. Journal of Gerontology: Social Sciences 1991 / Finch M, et al. Journal of American Geriatrics Society 1995 / Fried LP et al. Journal of Gerontology: Medical Sciences 1996 / Ferrucci L et al. Gerontologist 1998 / Harwood et al. International Journal of Epidemiology 1998 / Lawrence et al.Journal of Gerontology: Social Sciences 1998 / Spector et al. Journal of Gerontology: Social Sciences 1998...

Disease - Impairment - Activity limitation & Restriction of Participation

(ICF, 2001)

slide14

To maximise the approaches to measure health, we identified five main health domains

Euro-REVES

  • Chronic morbidity
  • Functional limitation
  • Activity restriction
  • Perceived health
  • Mental health
why distinguishing functional limitation and activity restriction

DISABILITY

Fonctional

Limitations

Activity

Restrictions

Physical, sensory, cognitive

Feed, dress, work...

to plan early interventions (technical aids, reeducation, accurate assistance)

to understand how to maintain activity with functional limitations (compensatory strategy)

Why distinguishing Functional limitation and activity restriction?

Nagi (1965), Wood (1975)...

slide16

Research conducted on 11 instruments

  • Perceived health (global / detailed questions)
  • Chronic morbidity (global / detailed questions)
  • Functional limitations (detailed questions)
    • Physical & Sensory / Cognitive
  • Activity restrictions (global / detailed questions)
    • ADL type, IADL type, other major activities
  • Mental health instrument
chronic morbidity

Euro-reves participants

Chronic morbidity

EuroREVES group: V Egidi, L Frova, R Crialesi (Italia); JM Robine (France); R Gispert (Spain)

In collaboration with the EuroHIS network: V Egidi, V Buratta, L Frova (Italia); M Heliövaara (Finland); JM Robine (France); R Gispert (Spain); A de Bruin (The Neteherlands) & H Meltzer (UK)

Euro-reves: Setting up a coherent set of indicators

functional limitations

Euro-reves participants

Functional limitations

Vincent Coutton, France

Jaap van den Berg, The Netherlands

Jean-Marie Robine, France

Carol Jagger, United Kingdom

Euro-reves: Setting up a coherent set of indicators

activity restrictions a detailed approach

Euro-reves participants

Activity restrictions(a detailed approach)

Emmanuelle Cambois, France

Jean-Marie Robine, France

Carol Jagger, United Kingdom

Euro-reves: Setting up a coherent set of indicators

gali global limitation indicator

Euro-reves participants

GALI: Global Limitation Indicator

Rom Perenboom, The Netherlands

Herman Van Oyen, Belgium

Euro-reves: Setting up a coherent set of indicators

health perceptions

Euro-reves participants

Health Perceptions

Jeanette Nørlev, Denmark

Niels Kr. Rasmussen, Denmark

Rosa Gispert Magarolas, Spain

Euro-reves: Setting up a coherent set of indicators

mental health

Euro-reves participants

Mental health

Karen Ritchie, France

Michael Crawford, United Kingdom

Euro-reves: Setting up a coherent set of indicators

a method to decompose differences in health expectancy by cause

Euro-reves participants

A Method to Decompose Differences in Health Expectancy by Cause

Wilma J Nusselder, The Netherlands

Caspar WN Looman, The Netherlands

Jan J Barendregt, The Netherlands

Euro-reves: Setting up a coherent set of indicators