Transcript F5 Health & Food Safety Working Paper No.4 Rev.1 14 November 2005 STATISTICAL COMMISSION and UN ECONOMIC COMMISSION FOR EUROPE STATISTICAL OFFICE OF THE EUROPEAN COMMUNITIES (EUROSTAT) CONFERENCE OF.

F5 Health & Food Safety
Working Paper No.4 Rev.1
14 November 2005
STATISTICAL COMMISSION and
UN ECONOMIC COMMISSION FOR
EUROPE
STATISTICAL OFFICE OF THE
EUROPEAN COMMUNITIES
(EUROSTAT)
CONFERENCE OF EUROPEAN
STATISTICIANS
WORLD HEALTH
ORGANIZATION (WHO)
Joint UNECE/WHO/Eurostat Meeting
on the Measurement of Health Status
(Budapest, Hungary, 14-16 November 2005)
Session 4 – Invited paper
European Health Survey System:
Results of translation and testing of the
European Health Status Module
Didier Dupré (Eurostat)
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European Health Survey System (EHSS)
EHSS - EUROPEAN HEALTH SURVEY SYSTEM
ECHIS - EUROPEAN CORE
HEALTH INTERVIEW
SURVEY
ESTAT - ESS
EHSS
STEERING
COMMITTEE
Every 5 years Modules :
EHSM health status
EHDM health determinants
EHCM health care (use)
EBM background variables
Guidelines :
1) development
instruments
2) survey
design
ESHIS - EUROPEAN
SPECIAL HEALTH
INTERVIEW SURVEY
SANCO
Ad hoc surveys
addressing specific
policy demand
National and EU
surveys
HES examination
survey (long term)
Recommended /
certified
instruments
EDM disability
Annual component :
MEHM in SILC
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HIS / HES
DATABASE
HIS Forum =
2 Circa
newsgroups
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ECHIS : annual SILC + every 5 years EHIS
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Annual component in SILC : MEHM starting 2003 (7
countries) to 2005 (all) - 3) 3 questions on general
health, long-standing illness and limitation in activities
(+ unmet needs of health care, 4 variables)
European health status module (EHSM) : ready;
translation (protocol) + field testing in 2005-mid 2006
European health determinants (EHDM), health care
(EHCM) & background modules : development in 2005 &
1rst half 2006 (BE and HU + 4 MS), translation protocol
European Disability Module (EDM) : development to be
launched by end 2005 (link WCG)
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EHIS
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To be operational in 2007/2008, in the framework of
the Community Statistical programme 2003-2007 and
Public Health programme 2003-2008
The modules may be grouped in one separate national
survey or included in one or more existing national
surveys (i.e. national HIS, labour force survey, other) guidelines on survey design
EDM : later implementation
Preparing legislation (currently framework regulation on
health statistics, then implementing regulations)
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EHIS modules - development and translation
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Guidelines for the development and criteria for adoption
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Needs: EU + MS policies and indicators (ECHI)
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Translation protocol: conceptual translation cards; 1st
translation (translator working in field of health, target
language as mother tongue, EN as working language);
checkers with same characteristics; final version
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Testing: cognitive/laboratory and field testing
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Coordination among countries sharing the same language
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Financing from Eurostat/the Commission
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EHSM - MEHM (health status part)
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The EHMS covers the following subjects, incl. MEHM:
 self-perceived health (global) - in MEHM
 limitations at least the past 6 months due to health
problems (global) - in MEHM
 chronic conditions (global and detailed) - in MEHM
 physical and sensory functional limitations
 personal care activities
 household care activities
 other daily activities
 psychological distress and well-being
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EHSM-MEHM: translation and testing
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Eurostat + Phare/transition facilities (new MS) actions
Web newsgroups to raise questions / concerns and
experience during translation - testing
National report at the end of the translation - testing,
including problems encountered in the translation and
test process, conclusions derived from the field testing
and possible proposals
Final content of all modules & preparing implementation :
Technical group HIS meeting September 2006 on the
basis of the MS reports
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EHSM - Schedule of translation and testing
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General Health comparisons
ECHP - 18 HIS items - SILC (6 MS + NO) - Women
General Health - Women - Bad+very bad
12,0
%
10,0
8,0
ECHP 2001
6,0
18 HIS 2004
4,0
SILC 2003
2,0
0,0
BE
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DK
EL
IE
AT
NO
UNECE/WHO/Eurostat - Measurement health status Budapest 14-16/11/2005
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F5 Health & Food Safety
General Health comparisons
ECHP - 18 HIS items - SILC (6 MS + NO) - Men
General Health - Men - Bad+very bad
10,0
8,0
ECHP 2001
%
6,0
18 HIS 2004
4,0
SILC 2003
2,0
0,0
BE
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DK
EL
IE
AT
NO
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