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Joint UNECE/WHO/Eurostat Meeting on the Measurement of Health Status, Geneva, May 24-26,2004

This meeting aims to achieve internationally comparable measurement of population health states within the framework of official statistics, taking into account previous work done by the Washington Group on Disability Statistics. Participants from various countries and organizations will discuss strategies for ensuring international comparability, implementation and coordination of health surveys, and minimum requirements for comparability in health state measurement. Future work will focus on developing a common instrument and core domains for measurement.

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Joint UNECE/WHO/Eurostat Meeting on the Measurement of Health Status, Geneva, May 24-26,2004

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  1. Joint UNECE/WHO/Eurostat Meeting on the Measurement of Health Status, Geneva, May 24-26,2004 Update presented by Marijke de Kleijn Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  2. Aim of the meeting • Continue the process • to achieve internationally comparable measurement • of population health states • within the framework of official statistics • taking into account work already done Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  3. Participants • Albania, Australia, Austria, • Belgium, Bosnia and Herzegovina, Bulgaria, • Canada, Croatia, Cyprus, Czech Republic, • Denmark, Estonia, Finland, Germany, • Hungary, Iceland, Ireland, Italy, • Latvia, Netherlands, New Zealand, Norway, • Poland, republic of Moldova, Romania, • Slovak Republic, Slovenia, Spain, Switzerland, • Turkey, United Kingdom, United States of America • EC, OECD, ILO, UNFPA, ESCWA, EuroReves and Partnership Health Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  4. Chair and speakers • Jennifer Madans • Speakers and discussants too much to mention here Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  5. Sessions • Framework to conceptualize health • Review of the work undertaken to achieve international comparability • Strategies for ensuring international comparability • Achievement of summary measures at population level • Implementation and coordination of health surveys in the region Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  6. Papers • See website http://www.unece.org/stats/documents/2004.05.health.htm Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  7. Minimum requirements • Minimum requirements for comparability in health state measurement include: • Conceptual clarity • Common set of domains/attributes • Comparable survey instruments incl translation of concepts and wording • Pre- and post harmonization • Survey design • Common reference period • Reliability and validity Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  8. Criteria for core domains • Feasibility in health interview surveys • Conceptually important and independent • Domains describing most variations in health states or valuations • Potential fro cross population comparability • Clear series of levels within each domain • Capacity (not performance) • Aspects “ within, on or close to the skin” • Suitable for preference measurements • Link with conceptual framework of ICF Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  9. Summary measures • Useful but no need to agree on a summary measure at this point • Main priority now to develop a common instrument Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  10. Future work • Core domains: • Mobility, Cognition, Seeing, • Pain/discomfort, Affect/anxiety • Vitality/fatigue, • Dexterity/self care? • Hearing? • Less agreement: • Interpersonal relationship • Social functioning Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  11. Future work (2) • Steering group: Canada, USA, WHO, Eurostat, ECE • Working group: Belgium, Canada, Estonia, Germany, Hungary, Italy, Netherlands,Norway, Spain, UK, USA, ECE, Eiurostat, WHO, EuroReves • Attention for prevention of duplication of work and controveral results (eg Washington Group) Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

  12. Personal impression • UNECE/WHO/Eurostat: focus at health including functioning/ability • Washington Group: focus at functioning/disability • Possible overlap or controversy results • Avoid by cooperation and aim at complementary instruments • For our group now: continue and feed-back Washington Group on Disability Statistics, Bangkok, september 29 - October 1, 2004

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