European Community Health Indicators (ECHI)

The ECHI (European Community Health Indicators) project was carried out under the Health Monitoring Programme and the Community Public Health Programme 2003-2008. The aim was to advance health monitoring throughout Europe by developing relevant and comparable health indicators and by making them available in the EU and its Member States (MSs). A list of 88 'indicators' (ECHI short list) was developed.

During its first phase (2005−2008) the ECHIM (European Community Health Indicator Monitoring) project assessed the preconditions for implementing shortlist indicators and the availability and comparability of existing health indicator data sources in more than 30 European countries. This was done in close collaboration with a network of contact persons all over Europe, from both national and international organisations. ECHIM Joint Action (2009−2011) seeks to consolidate the ECHI indicator system towards a sustainable health information system, as well as to collect and disseminate comparable health data and information based on the ECHI shortlist.

For 63 of the 88 indicators documentation sheets were developed by the ECHIM group. The documentation sheets show, for each indicator, the definition and data source that ECHIM experts currently consider to be the best available option. This implies that not all indicator definitions are flawless from a methodological perspective, and that there still will be room for (considerable) improvement of data quality for several shortlist indicators. Better data sources or advanced scientific insights may become available in future. These kinds of considerations are given in the documentation sheets.

25 indicators are still under development and not ready for implementation yet, as there still is a lot of developmental work needed on definitions and/or data collections. There are no documentation sheets available for these indicators.

For Austria, 58 indicators are presented.

A) Demographic and socio-economic factors

1. Population by sex/age
2. Birth rate, crude
3. Mother’s age distribution
4. Total fertility rate
5. Population projections
6. Population by education
7. Population by occupation
8. Total unemployment
9. Population below poverty line and income inequality

B) Health status

10. Life expectancy
11. Infant mortality
12. Perinatal mortality
13. Disease-specific mortality; 65 causes
14. Drug-related deaths
15. Smoking-related deaths (not available yet)
16. Alcohol-related deaths (not available yet)
17. Excess mortality by heat waves (not available yet)
18. Selected communicable diseases
20. Cancer incidence
21. Diabetes
22. Dementia (not available yet)
23. Depression
24. Acute myocardial infarction (AMI) (not available yet)
25. Stroke (not available yet)
26. Asthma
27. Chronic obstructive pulmonary disease (COPD)
28. (Low) birth weight
29. Injuries: home/leisure, violence
30. Injuries: road traffic
31. Injuries: workplace
32. Suicide attempt (not available yet)
33. Self-perceived health
34. Self-reported chronic morbidity
35. Long-term activity limitations
36. Physical and sensory functional limitations (not available yet)
37. General musculoskeletal pain (not available yet)
38. Psychological distress (not available yet)
39. Psychological well-being (not available yet)
40. Health expectancy: Healthy Life Years (HLY)
41. Health expectancy, others

C) Determinants of health

42. Body mass index/obesity
43. Blood pressure
44. Regular smokers
45. Pregnant women smoking (not available yet)
46. Total alcohol consumption
47. Hazardous alcohol consumption (not available yet)
48. Use of illicit drugs
49. Consumption/availability of fruit (not available yet)
50. Consumption/availability of vegetables (not available yet)
51. Breastfeeding (not available yet)
52. Physical activity (not available yet)
53. Work-related health risks (not available yet)
54. Social support (not available yet)
55. PM10 (particulate matter) exposure

D) Health interventions: health services

56. Vaccination coverage in children
57. Influenza vaccination rate in elderly
58. Breast cancer screening
59. Cervical cancer screening
60. Colon cancer screening
61. Timing of first antenatal visits among pregnant women (not available yet)
62. Hospital beds
63. Physicians employed
64. Nurses employed
65. Mobility of professionals (not available yet)
66. Medical technologies: MRI units and CT scans
67. Hospital in-patient discharges, limited diagnoses
68. Hospital day cases, limited diagnoses
69. Hospital day case/in-patient discharge ratio, limited diagnoses
70. Average length of stay (ALOS), limited diagnoses
71. General practitioner (GP) utilization
72. Other outpatient visits
73. Surgeries: PTCA, hip, cataract
74. Medicine use, selected groups (not available yet)
75. Patient mobility (not available yet)
76. Insurance coverage
77. Expenditures on health
78. Survival rates cancer
79. 30-day in-hospital case-fatality AMI and stroke
80. Equity of access to health care services
81. Waiting times for elective surgeries (not available yet)
82. Surgical wound infections (not available yet)
83. Cancer treatment quality (not available yet)
84. Diabetes control (not available yet)

E) Health interventions: health promotion

85. Policies on environmental tobacco smoke (ETS) exposure
86. Policies on healthy nutrition (not available yet)
87. Policies and practices on healthy lifestyles (not available yet)
88. Integrated programs in settings, including workplace, schools, hospital (not available yet)

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