1. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 1 of 10 Working Paper No.4 Rev.1 14 November 2005 STATISTICAL COMMISSION andSTATISTICAL OFFICE OF THE UN ECONOMIC COMMISSION FOREUROPEAN COMMUNITIES EUROPE (EUROSTAT) CONFERENCE OF EUROPEAN WORLD HEALTH STATISTICIANS ORGANIZATION (WHO) Joint UNECE/WHO/Eurostat Meeting on the Measurement of Health Status (Budapest, Hungary, 14-16 November 2005) Session 4 – Invited paper European Health Survey System: Results of translation and testing of the European Health Status Module Didier Dupré (Eurostat)

2. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 2 of 10 European Health Survey System (EHSS)

3. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 3 of 10 ECHIS : annual SILC + every 5 years EHIS  Annual component in SILC : MEHM starting 2003 (7 countries) to 2005 (all) - 3) 3 questions on general health, long-standing illness and limitation in activities (+ unmet needs of health care, 4 variables)  European health status module (EHSM) : ready; translation (protocol) + field testing in 2005-mid 2006  European health determinants (EHDM), health care (EHCM) & background modules : development in 2005 & 1rst half 2006 (BE and HU + 4 MS), translation protocol  European Disability Module (EDM) : development to be launched by end 2005 (link WCG)

4. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 4 of 10 EHIS  To be operational in 2007/2008, in the framework of the Community Statistical programme 2003-2007 and Public Health programme 2003-2008  The modules may be grouped in one separate national survey or included in one or more existing national surveys (i.e. national HIS, labour force survey, other) - guidelines on survey design  EDM : later implementation  Preparing legislation (currently framework regulation on health statistics, then implementing regulations)

5. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 5 of 10 EHIS modules - development and translation  Guidelines for the development and criteria for adoption  Needs: EU + MS policies and indicators (ECHI)  Translation protocol: conceptual translation cards; 1st translation (translator working in field of health, target language as mother tongue, EN as working language); checkers with same characteristics; final version  Testing: cognitive/laboratory and field testing  Coordination among countries sharing the same language  Financing from Eurostat/the Commission

6. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 6 of 10 EHSM - MEHM (health status part)  The EHMS covers the following subjects, incl. MEHM: self-perceived health (global) - in MEHM limitations at least the past 6 months due to health problems (global) - in MEHM chronic conditions (global and detailed) - in MEHM physical and sensory functional limitations personal care activities household care activities other daily activities psychological distress and well-being

7. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 7 of 10 EHSM-MEHM: translation and testing  Eurostat + Phare/transition facilities (new MS) actions  Web newsgroups to raise questions / concerns and experience during translation - testing  National report at the end of the translation - testing, including problems encountered in the translation and test process, conclusions derived from the field testing and possible proposals  Final content of all modules & preparing implementation : Technical group HIS meeting September 2006 on the basis of the MS reports

8. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 8 of 10 EHSM - Schedule of translation and testing

9. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 9 of 10 General Health comparisons ECHP - 18 HIS items - SILC (6 MS + NO) - Women

10. ESS F5 Health & Food Safety UNECE/WHO/Eurostat - Measurement health status - Budapest 14-16/11/2005 Slide 10 of 10 General Health comparisons ECHP - 18 HIS items - SILC (6 MS + NO) - Men