The European Health Expectancy

Monitoring Unit (EHEMU)

An overview

Jean-Marie Robine

2005

Purpose of EHEMU

• To provide annual comparable health expectancy estimates for all European Union countries, in association with Eurostat

• To analyse and interpret the results

• To educate policy makers, politicians and the public in health expectancy as an indicator of population health

EHEMU team

• INSERM, Montpellier

- Jean-Marie Robine, - Isabelle Romieu,- Aurore Clavel

• University of Leicester

- Carol Jagger, - Geraldine Barker

• IPH, Brussels

- Herman van Oyen

• INED, Paris

- Emmanuelle Cambois

Rationale for Health Expectancies

Health Expectancies

• extend the notion of life expectancy to different health dimensions

• can simultaneously monitor trends in different health dimensions such as chronic morbidity, disability and poor self-rated health

• allow direct comparison of regions or population subgroups

• can assess whether we are exchanging longer life for poorer health

Euro-REVES: the foundation of EHEMU

• The sustained interest in disability-free life expectancy within countries led to a European research programme identifying reasons for the incomparability of European results (Biomed II, 1995-1997)

• From this, the development of a coherent set of health expectancies was proposed through the Health Monitoring Programme (1997-2002)

• The current move to standardised surveys in Europe (ECHP, SILC, and the future European Health Interview Survey) allows this development through EHEMU

Euro-REVES: the foundation of EHEMU

• The sustained interest in disability-free life expectancy within countries led to a European research programme identifying reasons for the incomparability of European results (Biomed II, 1995-1997)

• From this, the development of a coherent set of health expectancies was proposed through the Health Monitoring Programme (1997-2002)

• The current move to standardised surveys in Europe (ECHP, SILC, and the future European Health Interview Survey) allows this development through EHEMU

Euro-reves: A vision for Europe

European Health Expectancy Monitoring Unit (EHEMU)

• Providing annual comparable values

• Analysing and interpreting the results

• Educating about health expectancies

EHEMU components

Research Education

DisseminationWebsite and scientific

papers

EHEMU Creed• Calculation

- calculation, analysis and interpretation of current harmonized data (ECHP 1994-2001, EB 2002, SILC 2003+, EHIS 2007)

• Repository- EHEMU-calculated values- Available information on other studies calculating HE

• Education- Computation (including web-based)- Interpretation (including web-based)

• Extension of the network- Especially to new MS

• Dissemination-Through paper and web-based reports

EHEMU Creed• Calculation

- Trends in disability-free life expectancy using ECHP 1994-2001 data with extrapolation for 2002-3 in relation to the new structural indicator Healthy Life Years (HLY) - Interrelationships between different health dimensions using EB 2002

• Repository- EHEMU-calculated values- Available information on other studies calculating HE

• Education- Computation manual with extension for confidence intervals

• Extension of the network- Identifying EHEMU partners in all MS (policy and technical)

• Dissemination- Conception and development of EHEMU website - Country reports

European Health Expectancy Monitoring Unit (EHEMU)

2004-2007