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European Health Promotion Indicator Development (EUHPID Project)

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European Health Promotion Indicator Development (EUHPID Project) John Kenneth Davies & Caroline Hall on behalf of the EUHPID Consortium J.K.Davies_at_brighton.ac.uk – PowerPoint PPT presentation

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Title: European Health Promotion Indicator Development (EUHPID Project)


1
European Health Promotion Indicator Development
(EUHPID Project)
  • John Kenneth Davies Caroline Hall
  • on behalf of the EUHPID Consortium
  • J.K.Davies_at_brighton.ac.uk
  • Caroline.Hall_at_brighton.ac.uk
  • This project is funded by the European Commission
    (DG SANCO)

2
EUHPID Project Aims
  • To establish a European Health Promotion
    Monitoring System, including a set of common
    health promotion indicators
  • To recommend suitable methodology and systems to
    collect the above data on health promotion
    indicators and activate the monitoring system
  • To recommend dissemination strategies to policy
    makers and practitioners at Community level and
    within Member States

3
EUHPID Consortium
  • Universities
  • Athens
  • Bergen
  • Brighton
  • Brussels
  • Galway
  • Graz
  • Jyvaskyla
  • Maastricht
  • Magdeburg
  • Marseille
  • Perugia
  • Southern Denmark
  • Nordic School of Public Health - Goteborg
  • National School of Public Health - Lisbon
  • Regional School of Public Health -Valencia
  • Flemish Centre for Health Promotion -Brussels
  • International Union for Health Promotion
    Education Paris
  • Also colleagues from
  • University of Vienna
  • University of Zurich
  • Health Promotion Switzerland

4
EUHPID Working Groups
  • Data-driven-
  • Links with HP Source, EUROSTAT, etc.
  • Policy-driven-
  • Links with Health Promoting Schools, Workplace
    Health Promotion Health Promoting Hospitals
  • Theory-driven
  • EUHPID Health Development Model

5
Focus on key perspectives of HP field (model
specifications)
  • health development interaction between
    individual/population (health/health capacities)
    and environment (health opportunities)
  • distinguish health development intentional
    interventions
  • health of individuals/populations at centre
  • health defined by three interacting dimensions
  • distinguish health and health capacity

6
EUHPID Model Specifications
  • distinction between pathogenic salutogenic
    health development
  • negative health (disease) vs. positive health
    (wellbeing)
  • Risk factors vs. resources
  • Ottawa Charter action areas define
  • Health promotion actions (interventions)
  • Health promoting areas (targets of interventions)

7
Detailed sub-levels of classification system
  • structure vs. processes
  • functional systems vs. environment
  • not generalizable distinction
  • context-specific, to be defined by user -
    health promotion user window
  • possible to propose key settings and sectors for
    HP

8
1) HEALTH DEVELOPMENT MODEL
9

10
3) EUHPID HEALTH PROMOTION MODEL
HEALTH PROMOTION INTERVENTION(HP Process
indicators)
HEALTH DEVELOPMENT(HP Outcome indicators)
HEALTH PROMOTION ACTIONS
- socio-ecological context development - policy
development - organisational/network
development - community development - competency
building/health education
HEALTH PROMOTION APPROACHES
- advocate - enable - mediate
HEALTH PROMOTION PRINCIPLES
- empowering - participatory - holistic -
intersectoral - equitable - sustainable -
multistrategy
11
(No Transcript)
12
Health Promotion Policy Practice
  • Policy formulation
  • Infra-structure development
  • Implementation
  • Campaigns programmes
  • Evaluation
  • Funding

13
Settings Based Health Promotion User Windows
  • Hospitals
  • Work places
  • Schools

14
Classifying Indicators of health (level
individual(s))
Endpoints of health Endpoints of health

disease positive health/wellbeing
Sub-dimensions
social social isolation amongst staff Information is available on patient organisations and those related to his/her condition.
mental of staff smoking Suicide attempts (staff and patients) Patient and staff need for health promotion intervention are assessed.
physical of patients educated about risk factor modification and disease treatment options in the management of their condition. of work related injuries of patients educated about specific actions in the self-management of their condition. of discharge letters sent to GP within 2 weeks.
15
Classifying indicators of health capacities
(level individual(s))
Endpoints of health capacities Endpoints of health capacities
riskfactors resources
Sub-dimensions
social Social withdrawal Opportunities and resources for leisure allocated to staff and patients
mental Resignation rates staff awareness of content and location of health promotion policies.
physical Morbidity rates Immobility rates of patients assessed for disease specific risk factors according to guidelines of patients assessed for generic risk factors
16
Classifying Indicators of health opportunities
(level environment)
Endpoints of health opportunities Endpoints of health opportunities
riskfactors resources
Sub-dimensions
socio-ecologicalcontext Number of snack machines for staff and patients. Non-smoking environments Environmental determinants of physical activity
policy Hire and fire culture. Access to healthy food Existence/adherence to an equal opportunity policy.
organisation/ network Multi-level hierarchy of staff. budget dedicated to staff health promotion activities Resources allocated to the processes of implementation, evaluation and regular review of health promotion policy.
community Regularity of strike action by work force. social support amongst colleagues
17
(No Transcript)
18
Current Status
  • Final report submitted April 2004
  • Outcomes
  • Influence overall European Health Monitoring and
    Information System
  • Enhance ECHI framework settings, policy and
    practice indicators
  • Concept of EUHPID Health Promotion User Window

19
Recommendations
  • Use of the EUHPID Health Promotion model
    construction, selection and classification of
    European HP indicators
  • Develop indicators integrated settings approach
    policy and practice
  • Testing concept of user windows
  • Links to key players/ dissemination
  • Complex task and further work required- Phase 2

20
http//www.health.brighton.ac.uk/euhpid /
  • International Health Development Research Centre,
    Faculty of Health, University of Brighton,
    Mayfield House, Falmer, Brighton BN1 9PH, UK
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