When drafting health proposals, policymakers require data on a wide range of factors affecting health, such as the social, economic and administrative environment.
The EU compiles indicators on many of these issues outlined below.
Sustainable development indicators
In 2016 the European Commission launched a Communication on Next steps for a sustainable European future [COM(2016)739]. It maps the policies contributing to the 17 United Nations Sustainable Development Goals (SDGs), in particular for the SDG 3 to ensure healthy lives and promote well-being for all at all ages.
Yearly EU monitoring is based on the EU SDG indicator set. The following 6 indicators were selected for Goal 3 on health and well-being:
- Life expectancy at birth
- Self-perceived health
- Smoking prevalence
- Preventable and treatable mortality
- Death rate due to tuberculosis, HIV and hepatitis
- Self-reported unmet need for medical care.
In addition, indicators for other SDG Goals have also been attributed to Goal 3 as 'multi-purpose indicator' such as:
- Obesity rate
- People killed in accidents at work
- People killed in road accidents
- Disturbance by noise
- Concentration of particulate matter.
Some of these indicators are common to the European Core Health Indicators (ECHI) shortlist.
The European Commission evaluates progress towards the agreed goals in a yearly report on SDG monitoring. Last report is available together with several additional tools to assess the EU situation.
- EU approach to sustainable development
- Eurostat overview on Sustainable Development Goals
- GDP and beyond
- Greening the European Semester
- Global health
- Measuring Distance to the SDG Targets - An assessment of where OECD countries stand (June 2017)
European Pillar of Social Rights
The European Pillar of Social Rights is to deliver on a more social and fair Europe and is a key priority for the European Commission. The Public support / Social protection and inclusion strand includes indicators on health care:
- Self-reported unmet need for medical care
- Out-of-pocket expenditure on healthcare
- Healthy life years at 65.
See also the EU social indicators and Joint Assessment Framework (JAF) on health.
EU Youth health indicators
The EU Youth Strategy sets out a framework for cooperation from 2020-2027. It focuses on three core areas of action, around the three words: Engage Connect Empower, while working on joined-up implementation across sectors. Eleven European Youth Goals identify cross-sectoral areas that affect young people’s lives and point out challenges, including mental health and wellbeing.
See also the 2017 module on children’s health from the EU-SILC (European Statistics on Income and Living Conditions) survey.
Healthcare quality indicators and patient reported measures
The Health Care Quality Indicators project (HCQI), led by the Organisation for Economic Co-operation and Development (OECD) with European Commission support, aims to measure and compare the quality of health services in different countries. The key areas are:
- Primary Care
- Acute Care
- Mental Health Care
- Cancer Care
- Patient Safety
- Responsiveness and Patient Experiences
Typically, the success of health care is assessed on the basis of survival rates, or rates of cure, after treatment. This tends to mask important differences, which only emerge when considering outcomes and experiences reported by patients themselves.
Supported by the Commission, OECD’s Patient-Reported Indicators Survey (PaRIS) will address critical information gaps and build a patient-centred view of health system performance.
Work on accelerating the adoption and reporting of patient-reported indicators in individual disease areas (breast cancer, hip and knee replacements and mental health) and a new international patient survey is being developed (focusing on complex, chronic conditions being treated in primary care).