European Health Promotion Indicator Development (EUHPID Project) John Kenneth Davies & Caroline Hall...
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Transcript of European Health Promotion Indicator Development (EUHPID Project) John Kenneth Davies & Caroline Hall...
European Health Promotion Indicator Development
(EUHPID Project)
John Kenneth Davies & Caroline Hall
on behalf of the EUHPID [email protected]
This project is funded by the European Commission (DG SANCO)
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
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
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
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
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)
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
1) HEALTH DEVELOPMENT MODEL
HEALTH
DISEASEPOSITIVE HEALTHWELLBEING
PATHOGENESISSALUTOGENESIS
RISK FACTORSRESOURCES
SOCIO-ECOLOGICAL ENVIRONMENT
INDIVIDUAL(S)
mental
physical
socialHEALTH CAPACITIES
HEALTH
HEALTH OPPORTUNITIES
ANALYTICAL PERSPECTIVES ON HEALTH DEVELOPMENT
3) EUHPID HEALTH PROMOTION MODEL
HEALTH PROMOTION ACTIONS
- socio-ecological context development
- policy development
- organisational/network development
- community development
- competency building/health education
- empowering- participatory- holistic- intersectoral- equitable- sustainable- multistrategy
HEALTH PROMOTION PRINCIPLES
HEALTH PROMOTION INTERVENTION(HP Process indicators)
HEALTH DEVELOPMENT(HP Outcome indicators)
- advocate- enable- mediate
HEALTH PROMOTION APPROACHES
HEALTH
DISEASEPOSITIVE HEALTHWELLBEING
PATHOGENESISSALUTOGENESIS
RISK FACTORSRESOURCES
SOCIO-ECOLOGICAL ENVIRONMENT
INDIVIDUAL(S)
mental
physical
socialHEALTH CAPACITIES
HEALTH
HEALTH OPPORTUNITIES- socio-ecological context
- policy- organisation/network
- community
ANALYTICAL PERSPECTIVES ON HEALTH DEVELOPMENT
Health Promotion Policy & Practice
• Policy formulation
• Infra-structure development
• Implementation
• Campaigns & programmes
• Evaluation
• Funding
Settings Based Health Promotion User Windows
• Hospitals
• Work places
• Schools
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.
Classifying Indicators of health (level: individual(s))
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
Classifying indicators of health capacities (level: individual(s))
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
Classifying Indicators of health opportunities (level: environment)
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
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…
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