scholarly journals A sustainable ECHI-shortlist

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Tijhuis ◽  
K Ombrellaro ◽  
I Petrauskaite ◽  
A Vaidelauskaite ◽  
S Daňková ◽  
...  

Abstract Background The European Core Health Indicators (ECHI) list provides a 'snapshot' of European public health (including care). It is the result of consecutive EU-wide projects in response to a 1998 European Commission (EC) call to establish an indicator list as the core of the EU public health monitoring system. The current list contains 88 indicators, a large part of which have been implemented and used across the EU. Using ECHI to internationally compare public health aspects adds value to national health information. Currently, EC maintains a tool in which the indicators can be consulted. However, no formal governing entity exists. The aim of this study, under the Joint Action on Health Information (InfAct), is to explore the future of the policy guiding role of the ECHI list, the process of adapting and innovating the list and the role of current member state initiatives in this. Methods Relevant technical information, available via 'doc(umentation) sheets' dating from 2012, was subjected to an update process. Potential improvements in content (additions, deletions, and adjustments), overall balance and policy relevance were suggested by health information experts (via survey and expert meetings). This work will be expanded in the near future of InfAct. Results Peer-reviewed updates of the doc sheets included aligning with meta information from relevant data collecting bodies and reviving web links. A process to guide content changes to the list is in development, balancing sustainability and updates for public health policy. Online background ECHI information is disseminated via ECHI.eu. Conclusions Health information experts still consider the ECHI shortlist important for EU health policy, but it needs to be modernized and promoted. A formal structure is needed to ensure the highest value to EC and MS health policies. The future distributed research Infrastructure on population health (DIPoH) may host the shaping and governing the ECHI, in liaison with EC and MS.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Delnord ◽  
F Tille ◽  
L A Abboud ◽  
D Ivanković ◽  
H Van Oyen

Abstract Background The optimal use of data and evidence from national health information systems is paramount in public health. However, current tools to evaluate health information systems focus on data quality and availability rather than measuring how data are used by key stakeholders. This limits capacity to monitor the impact of evidence on health care management and health policy making. Methods Based on an extensive literature review we developed a new model, the Health Information (HI)-Impact framework, to monitor the impact of health information in health policy and practice. We further conducted a web-based Delphi survey between February and April 2019 among European public health professionals working in health policy, health care, research, and health monitoring to develop the HI-Impact Index. Results In the HI-Impact framework, four domains are essential for mapping public health data availability, dissemination, and use: (1) Health Information and Evidence Quality, (2) Health Information System Responsiveness, (3) Stakeholder Engagement, and (4) Knowledge Integration. This last domain has a broader reach on the determinants of health and reflects the use of evidence by community partners and across sectors. In the DELPHI survey, 127 experts from 38 European countries selected 30 criteria to integrate in the HI-Impact Index. This tool could be used by European public health agencies to monitor the impact of their information products, and inform national strategies for evidence-based public health. Conclusions It is crucial for routine health information systems to create a culture of accountability in the use of evidence. Data on the determinants and consequences of ill-health as well as stakeholder engagement in leveraging evidence for intervention are explicit points to consider for a full quality assessment of national health information systems, and a sustainable impact on health outcomes.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Haneef ◽  
H Van Oyen ◽  
R Gaidelyte ◽  
O Zeynep ◽  
B Pérez-Gomez ◽  
...  

Abstract Background Health information systems both at the national and international level play a key role in ensuring that timely and reliable evidence is used for operational and strategic decision making inside and outside the health sector. The availability of data generated from different sources is increasing with the possibility to link these data sources together. However, more efficient data generation processes are required to use data collected for different purposes initially, as well as advanced statistical techniques to generate comparable and timely health information. The main objective is to explore the innovative use of health information for better public health policy across the Member States. Methods As part of InfAct, we have conducted as survey among EU-MS to describe the innovative use of data sources. We are collecting inspiring examples on the innovative use of health information based on national or European data networks involved with health policy-making at national, regional or local level. We are further developing generic methods to estimate health indicators using machine learning techniques and mathematical modelling. Results These approaches will generate a roadmap on the innovative use of health information across Member States, enlarge the existing list of health indicators estimated from linked data and/or advanced statistical techniques, inform on the implications of these indicators in health policy with inspiring examples from Member States, and provide methodological guidelines for using linked data and advanced statistics to estimate health indicators, and composite outcome measures. Conclusions This work will highlight the gaps in the innovative use of data sources, and improve the comparability of health indicators and the capacity of EU-Member states to apply innovation for increased relevance and timeliness of health information for public health policy-making.


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

Abstract The plenary will continue the debate on The future of Public Health in Europe introduced in the previous plenary, tackling the role of the EU and its institutions in ensuring that health is addressed in all EU policies. The EU is firmly committed to implementing the 2030 Agenda and the Sustainable Development Goals through its range of institutional mechanisms. Incoming Commission President von der Leyen has pledged to refocus the European Semester ‘to make sure we stay on track with our SDGs’. These developments, together with the broad recognition of the central role of health in the SDGs and the momentum given by the new EU policy cycle presents a unique window of opportunity to critically reappraise the role of health in the EC, which, at least, on paper makes for an ideal Health in All Policies institution. The first keynote by Director General Anne Bucher, DG SANTE, will draw on the ‘hot of the press’ results of the November 2019 State of Health in the EU exercise, including the EU Country Health Profiles and the Commission Staff Companion Report. She will highlight the main health and health system challenges faced by EU Member States—ranging from the burden posed by preventable mortality to the vaccination crisis and the resilience of the health workforce. Prof. Scott Greer’s keynote will contend that to tackle these challenges we need to go beyond Public Health Article 168 and its subsidiarity corset. He will speak to the need to proactively employ the much stronger (health) policy tools within the large body of EU law underlying the internal market and to draw on the EU’s newfound role in fiscal governance such as through the European semester. Prof. Greer will draw on the innovative results of the new edition of the seminal study ‘Everything you always wanted to know about European Union health policies but were afraid to ask’ which will be distributed to participants. The following panel will debate on the practical implementation and political economy questions arising from the plenary’s postulates. Prof. John Middleton, ASPHER’s president, will address the implications for the Public Health profession such as training in public health leadership, overhauling public health competencies or indeed the understanding of the public health profession itself. The second panellist will address the political economy implications of bringing health across EU policies and how to bypass the complexities of working across policy sectors in the EU institutions. The panel will actively interact with the participating audience through a range of innovative ways. Panellists Anne Bucher DG SANTE, European Commission Scott L. Greer Health Management and Policy, University of Michigan John Middleton The Association of Schools of Public Health (ASPHER)


2007 ◽  
Vol 97 (Supplement_1) ◽  
pp. S93-S97 ◽  
Author(s):  
Enrique Regidor ◽  
Luis de la Fuente ◽  
Juan L. Gutiérrez-Fisac ◽  
Salvador de Mateo ◽  
Cruz Pascual ◽  
...  

Author(s):  
S. Pogorelskaya

The article describes the transformation of German policy towards the European Union after the reunification of Germany, German proposals to overcome the Euro crisis of 2010–2011 and the future role of Germany in the EU.


2020 ◽  
Vol 26 (1) ◽  
pp. 24-28
Author(s):  
Milena Wojciechowska ◽  
Oliwia McFarlane ◽  
Agata Żaroń

Sign in / Sign up

Export Citation Format

Share Document