scholarly journals HESR innovation in analysis that supports decision making and action

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Barr

Abstract The European Health Equity Status Report makes innovative use of microdata, at the level of the individual, to decompose the relative contributions of five essential underlying conditions to inequities in health and well-being. These essential conditions comprise: (1) Health services (2) Income security and social protection (3) Living conditions (4) Social and human capital (5) Employment and working conditions. Combining microdata across over twenty sources, the work of HESRi has also produced disaggregated indicators in health, well-being, and each of the five essential conditions. In conjunction with indicators of policy performance and investment, the HESRi Health Equity Dataset of over 100 indicators is the first of its kind, as a resource for monitoring and analysing inequities across the essential conditions and policies to inform decision making and action to reduce gaps in health and well-being.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract The adoption of the WHO Resolution on Health Equity (EUR/RC69/R5) put equity, gender equality, human rights and social determinants high on the agenda for policy action and priority for all 53 EURO Member States (MS) and partners. It gives new momentum in the European region to accelerate action in achieving healthy and prosperous lives for all, leaving no one behind. The European Health Equity Status Report initiative (HESRi) is connecting European policy makers with the solutions and best practices to accelerate progress towards this goal of healthy prosperous lives for all. The initiative was launched in 2018 by WHO European Office for Investment for Health and Development and uses an innovative five-step approach underpinned by a suite of tools and sophisticated data analyses to: (1) enable countries to identify who is being left behind and why; (2) build political and public support for action; (3) understand which policies and interventions work best; (4) measure and maintain progress; and (5) influence and sustain action. Key tools launched in 2019 include i) An online interactive Health Equity Dataset which provides country specific data on the status and trends of inequities in health, well-being, and five essential underlying conditions for the 53 member states of the WHO European Region, ii) A Health Equity Policy Tool to support countries in efforts to measure the coverage, uptake and effectiveness of policies for health equity, and iii) 30 case studies showing how countries are advancing real world solutions to improve equity in health. Currently Italy, Slovenia and Wales are developing national and subnational health equity status reports in order to support action for health and well-being for all and measure policy progress. In the USA, practical action for health equity has been rooted in advocacy work reframing the public narrative to focus on social injustices and structural drivers of inequities, a key pillar of the HESRi work. The round table aims to explore the country impact and uptake of the new innovative methods and tools and their potential for accelerating action on regional, national and global level. Key messages WHO Resolution on Health Equity put equity, gender equality, human rights and social determinants high on the agenda for policy action. The European Health Equity Status Report initiative (HESRi) is connecting European policy makers with the solutions and best practices to accelerate progress towards healthy prosperous lives for all.


2020 ◽  
Vol 30 (Supplement_1) ◽  
pp. i24-i27
Author(s):  
Tatjana Buzeti ◽  
Joana Madureira Lima ◽  
Lin Yang ◽  
Chris Brown

Abstract 2019 has been a milestone year for catalyzing changes to improve health equity in the WHO European Region through concomitant progress in the sustainable development goal (SDG) targets. The WHO European Health Equity Status Report Initiative (HESRi) has captured and analyzed the relationships between inequities in health and the conditions that are essential for all to be able to live healthy and prosperous lives. The five essential conditions map directly onto a number of SDG targets, with a much broader span than SDG3 on health. They are: (i) Universal access to good-quality, affordable health services; (ii) Basic income security and social protection; (iii) Safe and decent living conditions; (iv) Inclusive social and human capital building opportunities; and (v) Decent and non-discriminatory employment and working conditions. There is certainly room for improvement in the way ahead, particularly in the availability of fine-grained and disaggregated data, and in the quality of monitoring and analysis of policy options that this would allow. However, the work of the HESRi shows that by harnessing such data it is possible to show what actions policymakers can take in the present to ensure that no one is left behind. This equity framing allows to measure whether the progress on SDGs benefits all, including those who need them most.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Gabrijelčič Blenkus

Abstract Equity and solidarity are strongly embedded in Slovene society from the second half of the 20th century on. Questions, exploring equity issues date in 1964, as a part of the Slovene Public Opinion (SPO) Survey. Slovenia is reporting on health equity and wellbeing in three strands. The first one is regular Human Development Report, based on Slovene Development Strategy since 2007, delegated partially to Institute of Economic Research (IER). Second one is regular Inequalities in Health Report, led by National Institute of Public Health (NIPH), and based on the National Health Strategy, since 2011. The third one is regular Poverty Report, led by Institute of Social Protection (ISP), based on the decision of the Parliamentarian Commission for Health and Social Affairs in 2013. NIPH comprehensively reported on Inequalities in Health in 2011, at that time based on direct measures of socio-economic status (SES) like education, or indirect measures or indexes (as development index or deprivation index of the municipality). In the second, 2018 report, several developments enabled for reporting health equity gap based on the individual SES status and first few cases of policy influences on equity status were described. In line with the WHO Rio SDH declaration 2011, in the third Health Equity Report, planned for 2021, further shift is foreseen and focus will be given to the policies influencing the equity gaps. For the 2021 Health Equity Report for Slovenia, three national key institutions (NIJZ, IER and ISP) decided to work together, based on the established multisectoral competences. WHO HESRi was developed and launched in best possible timing for the Slovene national initiative, to provide the international support, insights and facilitate further national development. Slovene priorities will be defined according to the national interests, Slovene presidency to EU in 2021 and Country Specific Recommendations in the frame of the European Semester.


Author(s):  
Lucy Handscomb ◽  
Gabrielle H. Saunders ◽  
Derek J. Hoare

Hearing impairment is defined as hearing loss that leads to difficulties in hearing, or deafness, and affects an estimated 360 million people worldwide. Consequences of hearing impairment include difficulties in communication, restricting social participation, and leading to feelings of isolation. Hearing impairment cannot be cured, but its consequences can be reduced with self-management whereby the individual adopts, refines, and maintains health behaviors, supported through the provision and availability of suitable interventions. The barriers to self-management are many and should be explored to inform decision-making between the clinician and the individual with hearing impairment. The clinician can then facilitate self-management that is informed, realistic, and fully reflects the preferences and values of the individual.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
◽  

Abstract Health promotion acknowledges the reciprocal relationship between health-related behaviours and the environments in which people live, considers that the environment is made up of different subsystems and emphasises the relationships and dependencies between these subsystems. Our workshop acknowledges the multi-faceted nature of health promotion and intends to provoke thinking, ideas and tools for health promotion to help to expand skills and knowledge to develop health promotion strategies, policies and interventions. This workshop will offer examples and provoke discussions on how to develop, evolve and improve health promotion practices. First, an overview of the European health promotion landscape is presented. This information is based on data collection conducted in 2018 in the European Joint Action Chrodis Plus. Next, we have two interlinked presentations to describe how to institutionalize health promotion thorough legislation, assess health promotion actions nationwide, and foster development in municipalities enforced by legislation. These presentations illustrate the developments in Finland, offer examples and highlight the importance of ministerial level actions for health promotion. The nationwide benchmarking system for assessment has existed for over ten years and offers an example for other countries. The two last presentations address specific health and well-being issues: (1) tobacco control in Portugal and Israel and (2) the promotion of older people’s health and well-being in Iceland. The presentation on tobacco control is an example of inter-dependencies of different stake-holders. The presentation from Iceland will stimulate a discussion on how to start and conduct the nationwide implementation of an evidence based health promotion intervention and what the role governments, municipalities, and NGOs should be. The workshop is a regular workshop. Time for discussion is offered in four spots, (1st) after the first presentation, (2nd) after the second and third presentations, (3rd) after the fourth and (4th) final discussion after the fifth presentation. Key messages Promising methods for health promotion exist. The challenge is how to implement effectively. Legislation is a powerful tool to enhance health promotion practices.


2016 ◽  
Vol 10 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Giordani Santos Silveira ◽  
José Nelson Mucha

Objective: In this study, we aimed highlight some clinical features present in patients whose maxillary lateral incisors are missing, and proposed more logical, rational and predictable solutions to inform decision making in rehabilitation procedures. Methods: Literature review and discussion. Conclusion: Choosing the best possible treatment for congenital absence of maxillary lateral incisors depends on the multidisciplinary diagnosis of facial, occlusal, functional and periodontal features. It also depends on the individual long-term stability, and it does not only rely on canine-guided disocclusion.


2020 ◽  
Vol 96 (1132) ◽  
pp. 120.2-120
Author(s):  
Emma Barnard ◽  
Wendy French

A project is being developed between artists and researchers to identify how to reduce loneliness and isolation in the older woman which could be a model for health and well-being clinics to adapt.Regular sessions with artists and wordsmiths can help to minimise the stress caused by the menopause (add (1 or 2) reference(s) if available). Fears, anxieties and depression are symptoms often experienced with this life stage. Mid-life crisis is an expression that can be an unhelpful way to describe the natural aging of a woman’s body. Negative concepts and poor jokes can add to a woman feeling diminished around the natural process of aging. A regular group might talk and explore these feelings with an artist ready to translate words into pictures, and create with the group a positive collage of loss in this respect. We would see whether looking at poems written by women who have gone through the menopause, finding how to identify with others and their loss, and exploring whether the experiences of others help the individual to feel better about themselves. Would this collaborative approach with women help them to feel more positive about the next life stage and therefore enable them to live a healthier life?


Author(s):  
Carrie Heeter ◽  
Marcel Allbritton ◽  
Chase Bossart

Healthcare professionals and research scientists generally recognize the potential value of mind–body practices grounded in ancient wisdom, but often have limited direct experience with such practices. Meditation participant self-reports provide a window into subjective experiences of three Viniyoga meditations and how and why those meditations could contribute to health and well-being outcomes. Each of the meditations in this analysis had a unique structure and used a different aspect of the ocean as a meditation object. Yoga philosophy and yoga anatomy models of the human system are used to help explain participants’ experiences and associated personal benefits and insights. Four aspects of the individual that can influence what happens for them in meditation are illustrated with tangible examples: (1) What is happening in generally in someone’s life; (2) the state of their system (mind, body, breath) around the time of the meditation; (3) reactions to the meditation steps and instructions; and (4) their prior experiences with the object of meditation. Summaries of the practices, and why and for whom each meditation might be beneficial are discussed. The authors’ perspectives are grounded in Viniyoga and yoga therapy.


1989 ◽  
Vol 65 (3_suppl2) ◽  
pp. 1123-1135 ◽  
Author(s):  
Terry L. Conway

Achieving higher levels of physical fitness has become a goal of many Americans both for personal reasons (e.g., improved health and well-being) and for organizational reasons (e.g., corporate cost-savings; operational effectiveness). Understanding the factors which relate to physical fitness could help people improve their fitness. This study examined 1,357 Navy men to estimate the associations among behavioral, psychological, and background factors and four components of physical fitness: (a) cardiorespiratory endurance (1.5-mile run), (b) muscular endurance (sit-ups), (c) flexibility (sit-and-reach test), and (d) body composition (estimated percent fat). Controlling for exercise activities, physical fitness was positively associated with “wellness” behaviors, believing in the importance of physical fitness, expecting to reach/maintain ideal weight, being athletic as a youth, and education; fitness was negatively associated with tobacco use, “preventive/avoidance” behaviors, age, and ever being overweight. Identifying and dealing constructively with such factors may help to structure better fitness programs tailored to the individual.


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