EHIS Workshop in Berlin: conclusions 30 September – 1 October 2010

Objectives of the Workshop To prepare for an EU Survey on health – wave 2 of EHIS – to answer EU needs National needs/supplementary questions under the responsibility of each MS To be implented in 2014 with an EU legal basis For an average interview duration of 30 – 40 mn NEED FOR GET COMPARABLE INFORMATION ON RESPONSE RATES IN EHIS WAVE 1 30 September – 1 October 2010

Summary of national reports (problems in W1)‏ Starting point Summary of national reports (problems in W1)‏ Quality reports and problems in wave 1 Data comparability (frequency analysis)‏ Users’ demand 30 September – 1 October 2010

Starting point Questionnaire too long Areas to be revisited (mental health; physical activity; alcohol consumption)‏ Questions to be dropped/amended Not working well Low prevalence Comparability problem Sampling and fieldwork needing guidelines 30 September – 1 October 2010

Main outputs - Content Background variables of EHIS Some simplification (matrix/work/source of income)‏ Income is the most problematic variable Investigate possibilities to use quintile and not deciles To be dealt differently compared to other modules (list of variables – use of administrative information possible)‏ Contact needed between EHIS and core variables national focal points (Eurostat to provide list) 30 September – 1 October 2010

Main outputs - Content European Health Status module Physical limitations drop carrying shopping bags/grasp/bite ot chew)‏ TO BE CONFIRMED WITH ECHIM PL5-7 Take questions from BI Personal care and household activities (drop help questions)‏ TRADE-OFF BETWEEN POLICY NEEDS and SAMPLE SIZE Mental Health: first revised proposal to be further investigated (BI for depression, anxiety – panic attack of lower importance))‏ 30 September – 1 October 2010

Main outputs - content European Health Status module MEM - 3rd question: revisited with care List of diseases: shortened/split Accidents/work absence: drop/shorten based on information provided by Eurostat on ESAW/LFS Pain: BI to be considered – Users need to be defined 30 September – 1 October 2010

Main outputs - Content European Health Care module Clear definitions (GP/specialists/day care)‏ Remove (unmet need;out of pocket; blood pressure/cholesterol/sugar; use of care services; visit to dentist)‏ NEED TO HAVE INPUT FROM DG SANCO ON PREVENTION and SATISFACTION 30 September – 1 October 2010

Main outputs - Content European Health Determinants Environment exposure: dropped – only social contacts kept Drugs: dropped except cannabis Smoking: in workplace and public place dropped? Alcohol consumption and physical activity: first revised proposal to be further looked at and testing 30 September – 1 October 2010

Main outputs – Fieldwork and sampling To be looked at together Practise very diverse Recommendations to be developed (not compulsory?)‏ 30 September – 1 October 2010

To be further investigated Precise needs at EU level (SANCO/EMPL)‏ Prevalence (further analysis)‏ Alternative proposals – help/unmet need Further consider BI-Mark II Use of administrative information List of variables/questionnaire in the regulation 30 September – 1 October 2010

Conclusion: next steps Input needed Information from Eurostat on other data sources/core variables Results of in-depth consultation between ESTAT/SANCO/EMPL On content On link EHES/EHIS Results of BI More prevalence analysis 30 September – 1 October 2010

Conclusion: next steps Further discussion in: - 28/29 March 2011: Technical Group meeting + one/two core Group meetings before or after - 28/29 June 2011: Working Group on Public Health - March 2012: DSS meeting - May or September 2012: Approval in ESS Committee - End of 2012: Adoption by the Commission The main element for preparing the 2nd round is represented by the workshop that will be organised by the Robert Koch Institute in Germany, most probably in May 2010. 30 September – 1 October 2010