Joint UNECE/WHO/Eurostat Meeting on the Measurement of Health Status, Geneva, May 24-26,2004

1
Joint UNECE/WHO/Eurostat Meeting on the
Measurement of Health Status, Geneva, May
24-26,2004

• Update presented by
• Marijke de Kleijn

2
Aim of the meeting

• Continue the process
• to achieve internationally comparable measurement
  
• of population health states
• within the framework of official statistics
• taking into account work already done

3
Participants

• Albania, Australia, Austria,
• Belgium, Bosnia and Herzegovina, Bulgaria,
• Canada, Croatia, Cyprus, Czech Republic,
• Denmark, Estonia, Finland, Germany,
• Hungary, Iceland, Ireland, Italy,
• Latvia, Netherlands, New Zealand, Norway,
• Poland, republic of Moldova, Romania,
• Slovak Republic, Slovenia, Spain, Switzerland,
• Turkey, United Kingdom, United States of America
• EC, OECD, ILO, UNFPA, ESCWA, EuroReves and
  Partnership Health

4
Chair and speakers

• Jennifer Madans
• Speakers and discussants too much to mention here

5
Sessions

• Framework to conceptualize health
• Review of the work undertaken to achieve
  international comparability
• Strategies for ensuring international
  comparability
• Achievement of summary measures at population
  level
• Implementation and coordination of health surveys
  in the region

6
Papers

• See website http//www.unece.org/stats/documents/2
  004.05.health.htm

7
Minimum requirements

• Minimum requirements for comparability in health
  state measurement include
• Conceptual clarity
• Common set of domains/attributes
• Comparable survey instruments incl translation of
  concepts and wording
• Pre- and post harmonization
• Survey design
• Common reference period
• Reliability and validity

8
Criteria for core domains

• Feasibility in health interview surveys
• Conceptually important and independent
• Domains describing most variations in health
  states or valuations
• Potential fro cross population comparability
• Clear series of levels within each domain
• Capacity (not performance)
• Aspects within, on or close to the skin
• Suitable for preference measurements
• Link with conceptual framework of ICF

9
Summary measures

• Useful but no need to agree on a summary measure
  at this point
• Main priority now to develop a common instrument

10
Future work

• Core domains
• Mobility, Cognition, Seeing,
• Pain/discomfort, Affect/anxiety
• Vitality/fatigue,
• Dexterity/self care?
• Hearing?
• Less agreement
• Interpersonal relationship
• Social functioning

11
Future work (2)

• Steering group Canada, USA, WHO, Eurostat, ECE
• Working group Belgium, Canada, Estonia, Germany,
  Hungary, Italy, Netherlands,Norway, Spain, UK,
  USA, ECE, Eiurostat, WHO, EuroReves
• Attention for prevention of duplication of work
  and controveral results (eg Washington Group)

12
Personal impression

• UNECE/WHO/Eurostat focus at health including
  functioning/ability
• Washington Group focus at functioning/disability
• Possible overlap or controversy results
• Avoid by cooperation and aim at complementary
  instruments
• For our group now continue and feed-back