EHIS wave 2 state of play Bart De Norre, Jakub Hrkal ESTAT-F5

Transcription

1 EHIS wave 2 state of play Bart De Norre, Jakub Hrkal ESTAT-F September 2012 Public Health Working Group (Item 4.2 )

2 Overview Regulation and Decision on derogations EHIS wave 2 Manual Selected issues for discussion September 2012 Public Health Working Group (Item 4.2 ) 2

3 Commission Regulation and Decision Actions since WG June Written consultation of the EHIS TG (July-September 2011) 2. First discussion at the DSS level (September 2011) 3. Discussion during the EHIS TG meeting (January 2012) 4. Written consultation of the EHIS TG members on Medicine Use and Unmet Needs (February 2012) 5. Written consultation of the EHIS Technical Group and Public Health Working Group (February March 2012) 6. Negotiation round with the EHIS TG members of countries asking for derogations (May 2012) 7. Written consultation of the DSS (June 2012) 8. Inter-Services Consultation of the Commission (July 2012) 9. Official translation (August 2012) September 2012 Public Health Working Group (Item 4.2 ) 3

4 Commission Regulation and Decision Some major issues Simplified and less stringent Variables Reference year Data collection period EHIS Manual and guidelines Next steps ESSC vote: 26 September 2012 Scrutiny period European Parliament and Council (3 months) Final adoption and publication in Official Journal (early 2013) September 2012 Public Health Working Group (Item 4.2 ) 4

5 EHIS wave 2 Manual Article 3.3 of the Regulation : essential for comparability 3 blocks: Guidelines and model questionnaire - First consultation round (End August 2012) - Selected issues for discussion (in WG) Survey manual: - First draft sent (End August 2012) Data processing manual (February 2013) Next steps Revised version in second consultation round Final version in TG EHIS (February 2013) Target: final manual in March September 2012 Public Health Working Group (Item 4.2 ) 5

6 EHIS wave 2 Guidelines and model questionnaire: selected issues Guidance on modes of data collection too much oriented for a face to face interview More on recommended and allowed modes of data collection Use of proxy under which conditions (rationale) for which variables are proxy answers valid enough Guidance on changing of questions Comparability with EHIS wave 1 for selected variables Optional questions to be included in EHIS wave 2 documentation Specific issues September 2012 Public Health Working Group (Item 4.2 ) 6

7 Guidance on modes of data collection Face-to-face interview recommended and developmental work focused on this mode For some instruments recommendations on other data collection modes exist: EHIS wave 1: self-completion: smoking, alcohol consumption EHIS wave 2: comments on different modes in the guidelines: AL, PE, PL Mainly the responsibility of countries to adapt the instrument if other modes of data collection used September 2012 Public Health Working Group (Item 4.2 ) 7

8 Use of proxy: Rationale General conditions for the use of proxy in the Manual Proxy interviews not recommended if less reliable or accurate data are expected: the question is very subjective the topic is too sensitive data is probably less known to proxy Background information on allowing proxies: EHIS wave 1 recommendations Final report for 3 new instruments EUROHIS General recommendation: if the proxy respondent is not sure about the answer, use the 'Do not know' code September 2012 Public Health Working Group (Item 4.2 ) 8

9 Use of proxy: Revised proposal for EHIS wave 2 HS Health Status - MEHM HS1: no (subjective), HS2 and HS3: yes CD Diseases and chronic conditions Yes AC Accidents and injuries Yes AW Absence from work (due to health problems) AW1: Yes, AW2: No (less known) PL Physical and sensory functional limitations Yes PC Personal care activities PC1+PC2: yes; PC3: no (subjective) HA Household activities HA1+HA2: yes; HA3: no (subjective) PN Pain No (subjective) MH Mental health No (subjective) HO Use of inpatient and day care Yes AM Use of ambulatory and home care Yes MD Medicine use No (less known) PA Preventive services No (less known, sensitive for cancer-related) UN Unmet needs for health care No (subjective) BM Weight and height No (less known) PE Physical activity / exercise No (less known) FV Consumption of fruit and vegetables No (less known) SK Smoking SK1-SK3: Yes; SK4: No (less known) AL Alcohol consumption No (sensitive, less known) SS Social support No (subjective) IC Provision of informal care or assistance No (less known) September 2012 Public Health Working Group (Item 4.2 ) 9

10 Specific issues (1) Treatment of chronic problems (allergies) (HS2): seasonal or intermittent conditions included Diseases and chronic conditions (CD1): Wording of MI/stroke questions revised: 'MI/Stroke or chronic consequences of MI/stroke' Injuries (AC): The concept of accident: as in EHIS wave 1 National definitions should not be followed (road accidents work accidents) The term 'admission' difficult to understand by respondents (AC2) Answer categories revised: 1. Yes, I was ADMITTED to a hospital or any other health facility and stayed overnight + 2. Yes, I was ADMITTED to a hospital or any other health facility but didn't stay overnight September 2012 Public Health Working Group (Item 4.2 ) 10

11 Specific issues (2) Hospital questions (HO): present hospitalization should be excluded HO1-HO2 (in-patient): admission to emergency departments if overnight stay Doctors at school or workplace (AM4) : Practice in countries may differ (GP's or specialists?) EHIS wave 1 guidelines included them in AM4 (specialists) Treatment of psychiatrists in mental health care related questions and overlap with other questions (AM and UN), options: Psychiatrists with specialists: Psychiatrists are medical specialists (ISCO), compliance with EHIS wave 1 Psychiatrists with psychologists: easier for respondents, overview on broader mental health care, Psychiatrists with specialists and also with psychologists: most advantages September 2012 Public Health Working Group (Item 4.2 ) 11

12 Specific issues (3) Medicine use (MD) treatment of contraception contraceptive pills used for different purposes than contraception are included Preventive services (PA) Flu vaccination: 'too long ago': last vaccination not effective anymore (in survey year) Scope of cancer related examinations: inclusion of all examinations (not only preventive) Unmet needs (UN) The perception of a need and delay is subjective Only a delay perceived as worrying or causing additional health problem should be taken into account Need for health care should be probed by interviewer September 2012 Public Health Working Group (Item 4.2 ) 12

13 Specific issues (4) Physical activity (PE) overlap between questions on 'endurance' and 'muscle-strengthening' activities allowed scope of activities: physical activities which do not fulfil the requested criteria are not taken into account Fruits and vegetables (FV) non-fresh fruit and vegetables included Treatment of smokers of tobacco and cannabis (SK) Smoking of cannabis mixed in tobacco should not be considered as smoking tobacco Provision of informal care or assistance (IC) link between questions: the attribution of hours from IC3 to persons in IC2 is not necessarily needed September 2012 Public Health Working Group (Item 4.2 ) 13

14 The Public Health Working Group is invited to take note of the state of play regarding the adoption of the EHIS wave 2 regulation; Slides 1-4 to take note of the synthesis of the first consultation round of the EHIS wave 2 guidelines and model questionnaire and to discuss selected issues. Slide 5: manual structure and next steps Slides 6-9: general issues Slides 10-13: specific issues (concepts, questions) September 2012 Public Health Working Group (Item 4.2 ) 14