Advancing tools to promote health equity across European Union regions : The EURO-HEALTHY project
Santana, Paula (CEGOT-UC. Centre of Studies in Geography and Territorial Planning. University of Coimbra)
Freitas, Ângela (University of Coimbra)
Stefanik, Iwa (University of Coimbra)
Costa, Cláudia (University of Coimbra)
Oliveira, Mónica (Universidade de Lisboa)
Rodrigues, Teresa C. (Universidade de Lisboa)
Vieira, Ana (Universidade de Lisboa)
Ferreira, Pedro Lopes (University of Coimbra)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Dimitroulopoulou, Sani (Public Health England)
Rican, Stéphane (Paris Nanterre University)
Mitsakou, Christina (Public Health England)
Marí-Dell'Olmo, Marc 1978- (Institut d'Investigació Biomèdica Sant Pau)
Schweikart, Jürgen (Beuth University of Applied Sciences Berlin)
Corman, Diana (Karolinska Institutet (Estocolm, Suècia))
Bana E Costa, Carlos A. (Universidade de Lisboa)
Quintal, Carlos
Malva, Joäo
Cunha, Lúcio
Nossa, Paulo
Almendra, Ricardo
Fernandes, Rui Gamma
Palència, Laia (Institut d'Investigació Biomèdica Sant Pau)
Camprubí, Lluís
Rodríguez-Sans, Maica
Gotsens, Mercè (Institut d'Investigació Biomèdica Sant Pau)
Vardoulakis, Sotiris
Heaviside, Clare
Tenailleau, Quentin
Squiban, Clara
Alvarenga, António
Freitas, Liliana
Correia, Paulo
Ledoux, Céline
Pilot, Eva
Krafft, Thomas
Pikhart, Hynek
Morrison, Joana
Franke, Conrad
Burstrom, Bo
Samoli, Evangelia
Katsouyanni, Klea
Rodopoulou, Sophia
Dzúrová, Dagmar
Lustigová, Michala
Cavallo, Anna
Coué, Nathalie
Bosakova, Lucia
Tkáč, Michal
Vandenheede, Hadewijch
Deboosere, Patrick
Costa, Giuseppe
Zengarini, Nicolás
Universitat Autònoma de Barcelona

Data:	2020
Resum:	Population health measurements are recognised as appropriate tools to support public health monitoring. Yet, there is still a lack of tools that offer a basis for policy appraisal and for foreseeing impacts on health equity. In the context of persistent regional inequalities, it is critical to ascertain which regions are performing best, which factors might shape future health outcomes and where there is room for improvement. Under the EURO-HEALTHY project, tools combining the technical elements of multi-criteria value models and the social elements of participatory processes were developed to measure health in multiple dimensions and to inform policies. The flagship tool is the Population Health Index (PHI), a multidimensional measure that evaluates health from the lens of equity in health determinants and health outcomes, further divided into sub-indices. Foresight tools for policy analysis were also developed, namely: (1) scenarios of future patterns of population health in Europe in 2030, combining group elicitation with the Extreme-World method and (2) a multi-criteria evaluation framework informing policy appraisal (case study of Lisbon). Finally, a WebGIS was built to map and communicate the results to wider audiences. The Population Health Index was applied to all European Union (EU) regions, indicating which regions are lagging behind and where investments are most needed to close the health gap. Three scenarios for 2030 were produced - (1) the 'Failing Europe' scenario (worst case/increasing inequalities), (2) the 'Sustainable Prosperity' scenario (best case/decreasing inequalities) and (3) the 'Being Stuck' scenario (the EU and Member States maintain the status quo). Finally, the policy appraisal exercise conducted in Lisbon illustrates which policies have higher potential to improve health and how their feasibility can change according to different scenarios. The article makes a theoretical and practical contribution to the field of population health. Theoretically, it contributes to the conceptualisation of health in a broader sense by advancing a model able to integrate multiple aspects of health, including health outcomes and multisectoral determinants. Empirically, the model and tools are closely tied to what is measurable when using the EU context but offering opportunities to be upscaled to other settings.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Health equity ; European Union regions ; Geographic inequalities ; Population Health Index ; Participatory approach ; Foresight ; Scenarios ; Policy evaluation ; WebGIS
Publicat a:	Health Research Policy and Systems, Vol. 18 Núm. 1 (13 2020) , p. 18, ISSN 1478-4505

DOI: 10.1186/s12961-020-0526-y
PMID: 32054540

14 p, 1.5 MB

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