These institutes housed the secretariats and

These institutes housed the secretariats and Dovitinib buy paid 50% of the costs. The structure was: a) ECHIM Core Group of 28 public health experts b) ECHIM collaboration with DG SANCO expert groups, WHO Euro and OECD c) A network comprising 1�C3 health information experts in all EU and EFTA countries The work was divided into work packages, carried out by each of the secretariats. In brief, they were the following: ECHI Indicators; Website for the indicators; Implementation of the indicators (Northern and Western MSs and Eastern and Southern MSs), Data flow. The expected results comprise a new release of the ECHI shortlist, the ECHIM products website [14], MS and EU specific guidelines for indicator implementation, improved data flow, the electronic presentation of the health data based on the ECHI shortlist in HEIDI [15], the first joint analyses on data, and the final report.

Overall progress has been rather good, and by June 2012 the majority of these goals have been reached. One can also judge that in comparison with the original expectation of a duration of 6 years for the complete implementation process, progress has been faster than expected. Nevertheless a few more years are needed to create a full-fledged information system. Survey data needed To allow for the effect of the expected different national situations and developments the original ECHIM plan was based on reserving sufficient time and reasonable additional resources for improving the present health information systems. Most countries needed to improve the gathering of survey data.

The foremost task was to develop the European Health interview Survey (EHIS) in collaboration with all countries. ECHIM and EHIS worked very well together in ensuring that new core health indicators based on interview survey data, become available. Next, a number of data are needed, which can only be obtained by comparable national health examination surveys (EHES). Without health examinations, important policy relevant information remains lacking. Examples are data on topics such as high blood pressure, high serum lipids, diabetes control, other biochemically determined blood constituents, body mass index, functional limitations and the treatment situation. Without European progress in these surveys, there is no chance to add to the national health information systems the indicators now lacking. Therefore, both the European health interview survey (EHIS wave 2) must be further developed and an entirely new national health examination survey system (over 70% of the countries had Brefeldin_A none) must be set up. Taken together more than seven years have now been needed to develop both the surveys and the health indicator system.

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