Publicatie

Publicatie datum

Health indicator profiles: an instrument for valid comparison of health data.

Deckers, J.G.M., Schellevis, F.G. Health indicator profiles: an instrument for valid comparison of health data. European Journal of Public Health: 2003, 13(4 sup) 60. Abstract. 11th Annual Eupha Meeting 'Globalisation and Health in Europe: Harmonising Public Health Practices'. Rome, Italy, 20-22 November 2003.
Issue / problem: Health indicators have been developed as part of the European Commission Health Monitoring Programme to contribute to the establishment of an European health monitoring system. Epidemiological information for this system will be derived from various information sources, one of which is primary care. However requirements for valid international comparison of this information still need to be established. Description of project: To study the appropriateness and comparability of primary care data as a source of epidemiological information, health indicators will be structured into profiles. Primary care networks that monitor diseases on a continuous basis from Belgium, England & Wales, France, Germany, the Netherlands, Portugal and Spain delivered epidemiological data on diseases mainly managed in primary care. A total of 8 diseases was selected: acute diarrhoea/gastroenteritis, asthma, low back pain, chickenpox, depression, diabetes mellitus, herpes zoster and stroke/TIA. For each disease health indicator information from at least 3 countries was available. During a 2 year project, specific health indicator profiles (HIPs) are being developed for each disease. Lessons learned HIPs which are developed include the following categories: health indicator, information on case definition and contextual information per country. The latter category contained a.o. information on the position of primary care, notification status and availability of other information sources for validation in each country. HIPs for a selection of diseases will be presented here.
Conclusions: Primary care data can be used as a tool for public health monitoring. Background information and a description of the data source is necessary to make justified comparisons. Health indicator profiles are a useful instrument to ensure validity of these comparisons. (aut.ref.)