Présentation PowerPoint

Présentation PowerPoint

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 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. 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. 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. 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 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. Setting up a coherent set of indicators for the EU A project for the Health Monitoring Programme

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

Total life expectancy, life expectancy without disability and life expectancy without chronic disease (WHO, 1984) Total survival, survival without disability and survival without chronic disease, France 1981-1991, females 10 0 0 0 0 90000 80000 70 0 0 0 60000 50 0 0 0 S urvie t o t a le 19 8 1

40000 S urvie s a ns ma la d i 19 8 1 30000 S urvie s a ns inc a p a c it 19 8 1 20000 S urvie t o t a le 19 9 1

10 0 0 0 S urvie s a ns ma la d ie 19 9 1 S urvie s a ns inc a p a c it 19 9 1 0 0 20 40

60 80 10 0 Practical goals of Euro-REVES 1. to select the health dimensions for health expectancy calculations to fit the European Health Information System. 2. to define specifications for the health measures sought. and for the future (mainly in collaboration with Eurostat)

3. to assess the best way to collect the data: HIS, HES, registers... 4. to design the required measurement instruments 5. to develop the required quality assessment procedures to assess comparability for future new Member States. Underlying concepts of Euro-REVES to cover the whole process of heath deterioration and its different approaches (perception, functional, morbidity) to adopt clear definitions and conceptual framework to apply current and past scientific literature and the opinion of experts to the issues. to recommend a global measure 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 Disease>Impairment>Functional limitation>Disability (Nagi, 1965,1976, 1991) Disease>Impairment>Functional limitation>Activity Restriction>Handicap (Wood, 1975) Disease>Impairment>Disability>Handicap

(ICIDH, 1980) 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) 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 Limitation s Physical, sensory, cognitive Activity Restrictions Feed, dress, work...

to understand how to maintain activity with functional limitations (compensatory strategy) to plan early interventions (technical aids, reeducation, accurate assistance) Nagi (1965), Wood (1975)... Research conducted on 11 instruments 1. Perceived health (global / detailed questions) 2.

Chronic morbidity (global / detailed questions) 3. Functional limitations (detailed questions) Physical & Sensory / Cognitive 4. Activity restrictions (global / detailed questions) ADL type, IADL type, other major activities

5. Mental health instrument 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 Helivaara (Finland); JM Robine (France); R Gispert (Spain);

A de Bruin (The Neteherlands) & H Meltzer (UK) Euro-reves: Setting up a coherent set of indicators 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 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

Euro-reves participants GALI: Global Limitation Indicator Rom Perenboom, The Netherlands Herman Van Oyen, Belgium Euro-reves: Setting up a coherent set of indicators Euro-reves participants Health Perceptions Jeanette Nrlev, Denmark

Niels Kr. Rasmussen, Denmark Rosa Gispert Magarolas, Spain Euro-reves: Setting up a coherent set of indicators Euro-reves participants Mental health Karen Ritchie, France Michael Crawford, United Kingdom Euro-reves: Setting up a coherent set of indicators

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

Recently Viewed Presentations

  • 1 1. Nama lengkap: Prof. Dr. Sunandar, M.Pd.

    1 1. Nama lengkap: Prof. Dr. Sunandar, M.Pd.

    Taksonomi ini pertama kali disusun oleh Benjamin S. Bloom pada tahun 1956. Membagi tujuan pendidikan dalam beberapa domain (ranah, kawasan) dan setiap domain tersebut dibagi kembali ke dalam pembagian yang lebih rinci berdasarkan hirarkinya Dalam konteks yang sama Ki Hajar...
  • Build on a Breadboard Simulator - Nova Labs

    Build on a Breadboard Simulator - Nova Labs

    Build on a Breadboard Simulator. Build using 123D from AutoDesk. Nick Carter 5/7/2016. What is an Simulator? An Engineering Simulator lets you build things and test them using computer models. Games like Minecraft let you build computer models too.
  • PowerPoint-Präsentation - uni-muenchen.de

    PowerPoint-Präsentation - uni-muenchen.de

    Better indicators of the size of large earthquakes are the surface wave Ms scale or the energy scale Mw. Number of earthquakes as a function of seismic moment from global data sets for shallow events. Far away from the source...
  • Diesel Engines - CCS

    Diesel Engines - CCS

    Gas vs. Diesel Engines No Carburetor or port injection in Diesels Uses direct injection into cylinder No spark plugs Glow plugs to heat engine Much more compression than gasoline engine (approx 2-3 times more) Highest thermal efficiency of all engine...
  • Contents Origin Ethos Rugby vs Football vs American

    Contents Origin Ethos Rugby vs Football vs American

    Two centuries later, Rugby Football has evolved into one of the world's most popular sports. It's a game of all shapes and sizes, each position requires different skills and physical attributes. Rugby still maintains a unique ethos, not only is...
  • THE CRISIS - Edl

    THE CRISIS - Edl

    Paine repeats the theme of slavery in allegiance to the Crown ("bind me in all cases whatsoever" to his absolute will), which is also present in the Speech to the Virginia Convention by Patrick Henry (For my own part, I...
  • Design Tradeoffs For hard and Soft FPGA-based Networks-on-Chip

    Design Tradeoffs For hard and Soft FPGA-based Networks-on-Chip

    The Case for Embedded NoCson FPGAs. Mohamed ABDELFATTAH. Vaughn BETZ
  • Use of Archived Tissues To Determine Clinical Utility of ...

    Use of Archived Tissues To Determine Clinical Utility of ...

    In some cases a trial with optimal structure for evaluating a new biomarker will have been previously performed and will have pre-treatment tumor specimens archived Under certain conditions, a focused analysis based on specimens from the previously conducted clinical trial...