Advancing tools to promote health equity across European Union regions

Santana, Paula|||0000-0002-7658-8475; Freitas, Ângela; Stefanik, Iwa; Costa, Claudia|||0000-0002-7422-6139; Oliveira, Mónica|||0000-0003-4053-9214; Rodrigues, Teresa C.|||0000-0002-7548-3794; Vieira, Ana|||0000-0003-3863-1070; Ferreira, Pedro L.|||0000-0002-9448-9542; Borrell i Thió, Carme|||0000-0002-1170-2505; Dimitroulopoulou, Sani|||0000-0001-9913-1526; Rican, Stéphane; Mitsakou, Christina; Marí-Dell'Olmo, Marc|||0000-0003-4345-4988; Schweikart, Jürgen|||0000-0002-6459-4173; Corman, Diana; Bana E Costa, Carlos A.|||0000-0001-7906-379X; Quintal, Carlota|||0000-0002-8306-3431; Malva, Joäo|||0000-0002-5438-4447; Cunha, Lúcio; Nossa, Paulo|||0000-0001-5000-8754; Almendra, Ricardo|||0000-0002-2712-9643; Fernandes, Rui Gamma; Palència, Laia|||0000-0002-3726-9893; Camprubí, Lluís; Rodríguez-Sans, Maica; Gotsens, Mercè|||0000-0003-2952-2024; Vardoulakis, Sotiris|||0000-0003-3944-7128; Heaviside, Clare; Tenailleau, Quentin; Squiban, Clara; Alvarenga, António|||0000-0002-0606-9098; Freitas, Liliana|||0000-0001-9513-2476; Correia, Paulo|||0000-0003-0395-841X; Ledoux, Céline; Pilot, Eva|||0000-0003-3112-4447; Krafft, Thomas; Pikhart, Hynek|||0000-0001-5277-4049; Morrison, Joana|||0000-0002-2181-4869; Franke, Conrad; Burstrom, Bo; Samoli, Evangelia; Katsouyanni, Klea; Rodopoulou, Sophia; Dzurova, Dagmar|||0000-0003-0530-4997; Lustigova, Michala|||0000-0002-5235-1932; Cavallo, Anna; Coué, Nathalie; Bosakova, Lucia|||0000-0001-8381-7064; Tkáč, Michal; Vandenheede, Hadewijch; Deboosere, Patrick|||0000-0002-8148-3694; Costa, Giuseppe|||0000-0003-3187-4889; Zengarini, Nicolás|||0000-0003-1707-9942

Advancing tools to promote health equity across European Union regions

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 ascer...

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Autores:	Santana, Paula\|\|\|0000-0002-7658-8475, Freitas, Ângela, Stefanik, Iwa, Costa, Claudia\|\|\|0000-0002-7422-6139, Oliveira, Mónica\|\|\|0000-0003-4053-9214, Rodrigues, Teresa C.\|\|\|0000-0002-7548-3794, Vieira, Ana\|\|\|0000-0003-3863-1070, Ferreira, Pedro L.\|\|\|0000-0002-9448-9542, Borrell i Thió, Carme\|\|\|0000-0002-1170-2505, Dimitroulopoulou, Sani\|\|\|0000-0001-9913-1526, Rican, Stéphane, Mitsakou, Christina, Marí-Dell'Olmo, Marc\|\|\|0000-0003-4345-4988, Schweikart, Jürgen\|\|\|0000-0002-6459-4173, Corman, Diana, Bana E Costa, Carlos A.\|\|\|0000-0001-7906-379X, Quintal, Carlota\|\|\|0000-0002-8306-3431, Malva, Joäo\|\|\|0000-0002-5438-4447, Cunha, Lúcio, Nossa, Paulo\|\|\|0000-0001-5000-8754, Almendra, Ricardo\|\|\|0000-0002-2712-9643, Fernandes, Rui Gamma, Palència, Laia\|\|\|0000-0002-3726-9893, Camprubí, Lluís, Rodríguez-Sans, Maica, Gotsens, Mercè\|\|\|0000-0003-2952-2024, Vardoulakis, Sotiris\|\|\|0000-0003-3944-7128, Heaviside, Clare, Tenailleau, Quentin, Squiban, Clara, Alvarenga, António\|\|\|0000-0002-0606-9098, Freitas, Liliana\|\|\|0000-0001-9513-2476, Correia, Paulo\|\|\|0000-0003-0395-841X, Ledoux, Céline, Pilot, Eva\|\|\|0000-0003-3112-4447, Krafft, Thomas, Pikhart, Hynek\|\|\|0000-0001-5277-4049, Morrison, Joana\|\|\|0000-0002-2181-4869, Franke, Conrad, Burstrom, Bo, Samoli, Evangelia, Katsouyanni, Klea, Rodopoulou, Sophia, Dzurova, Dagmar\|\|\|0000-0003-0530-4997, Lustigova, Michala\|\|\|0000-0002-5235-1932, Cavallo, Anna, Coué, Nathalie, Bosakova, Lucia\|\|\|0000-0001-8381-7064, Tkáč, Michal, Vandenheede, Hadewijch, Deboosere, Patrick\|\|\|0000-0002-8148-3694, Costa, Giuseppe\|\|\|0000-0003-3187-4889, Zengarini, Nicolás\|\|\|0000-0003-1707-9942
Tipo de recurso:	artículo
Fecha de publicación:	2020
País:	España
Institución:	Universitat Autònoma de Barcelona
Repositorio:	Dipòsit Digital de Documents de la UAB
Idioma:	inglés
OAI Identifier:	oai:ddd.uab.cat:284436
Acceso en línea:	https://ddd.uab.cat/record/284436 https://dx.doi.org/urn:doi:10.1186/s12961-020-0526-y
Access Level:	acceso abierto
Palabra clave:	Health equity European Union regions Geographic inequalities Population Health Index Participatory approach Foresight Scenarios Policy evaluation WebGIS

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oai_identifier_str	oai:ddd.uab.cat:284436
network_acronym_str	ES
network_name_str	España
repository_id_str
dc.title.none.fl_str_mv	Advancing tools to promote health equity across European Union regions The EURO-HEALTHY project
title	Advancing tools to promote health equity across European Union regions
spellingShingle	Advancing tools to promote health equity across European Union regions Santana, Paula\|\|\|0000-0002-7658-8475 Health equity European Union regions Geographic inequalities Population Health Index Participatory approach Foresight Scenarios Policy evaluation WebGIS
title_short	Advancing tools to promote health equity across European Union regions
title_full	Advancing tools to promote health equity across European Union regions
title_fullStr	Advancing tools to promote health equity across European Union regions
title_full_unstemmed	Advancing tools to promote health equity across European Union regions
title_sort	Advancing tools to promote health equity across European Union regions
dc.creator.none.fl_str_mv	Santana, Paula\|\|\|0000-0002-7658-8475 Freitas, Ângela Stefanik, Iwa Costa, Claudia\|\|\|0000-0002-7422-6139 Oliveira, Mónica\|\|\|0000-0003-4053-9214 Rodrigues, Teresa C.\|\|\|0000-0002-7548-3794 Vieira, Ana\|\|\|0000-0003-3863-1070 Ferreira, Pedro L.\|\|\|0000-0002-9448-9542 Borrell i Thió, Carme\|\|\|0000-0002-1170-2505 Dimitroulopoulou, Sani\|\|\|0000-0001-9913-1526 Rican, Stéphane Mitsakou, Christina Marí-Dell'Olmo, Marc\|\|\|0000-0003-4345-4988 Schweikart, Jürgen\|\|\|0000-0002-6459-4173 Corman, Diana Bana E Costa, Carlos A.\|\|\|0000-0001-7906-379X Quintal, Carlota\|\|\|0000-0002-8306-3431 Malva, Joäo\|\|\|0000-0002-5438-4447 Cunha, Lúcio Nossa, Paulo\|\|\|0000-0001-5000-8754 Almendra, Ricardo\|\|\|0000-0002-2712-9643 Fernandes, Rui Gamma Palència, Laia\|\|\|0000-0002-3726-9893 Camprubí, Lluís Rodríguez-Sans, Maica Gotsens, Mercè\|\|\|0000-0003-2952-2024 Vardoulakis, Sotiris\|\|\|0000-0003-3944-7128 Heaviside, Clare Tenailleau, Quentin Squiban, Clara Alvarenga, António\|\|\|0000-0002-0606-9098 Freitas, Liliana\|\|\|0000-0001-9513-2476 Correia, Paulo\|\|\|0000-0003-0395-841X Ledoux, Céline Pilot, Eva\|\|\|0000-0003-3112-4447 Krafft, Thomas Pikhart, Hynek\|\|\|0000-0001-5277-4049 Morrison, Joana\|\|\|0000-0002-2181-4869 Franke, Conrad Burstrom, Bo Samoli, Evangelia Katsouyanni, Klea Rodopoulou, Sophia Dzurova, Dagmar\|\|\|0000-0003-0530-4997 Lustigova, Michala\|\|\|0000-0002-5235-1932 Cavallo, Anna Coué, Nathalie Bosakova, Lucia\|\|\|0000-0001-8381-7064 Tkáč, Michal Vandenheede, Hadewijch Deboosere, Patrick\|\|\|0000-0002-8148-3694 Costa, Giuseppe\|\|\|0000-0003-3187-4889 Zengarini, Nicolás\|\|\|0000-0003-1707-9942
author	Santana, Paula\|\|\|0000-0002-7658-8475
author_facet	Santana, Paula\|\|\|0000-0002-7658-8475 Freitas, Ângela Stefanik, Iwa Costa, Claudia\|\|\|0000-0002-7422-6139 Oliveira, Mónica\|\|\|0000-0003-4053-9214 Rodrigues, Teresa C.\|\|\|0000-0002-7548-3794 Vieira, Ana\|\|\|0000-0003-3863-1070 Ferreira, Pedro L.\|\|\|0000-0002-9448-9542 Borrell i Thió, Carme\|\|\|0000-0002-1170-2505 Dimitroulopoulou, Sani\|\|\|0000-0001-9913-1526 Rican, Stéphane Mitsakou, Christina Marí-Dell'Olmo, Marc\|\|\|0000-0003-4345-4988 Schweikart, Jürgen\|\|\|0000-0002-6459-4173 Corman, Diana Bana E Costa, Carlos A.\|\|\|0000-0001-7906-379X Quintal, Carlota\|\|\|0000-0002-8306-3431 Malva, Joäo\|\|\|0000-0002-5438-4447 Cunha, Lúcio Nossa, Paulo\|\|\|0000-0001-5000-8754 Almendra, Ricardo\|\|\|0000-0002-2712-9643 Fernandes, Rui Gamma Palència, Laia\|\|\|0000-0002-3726-9893 Camprubí, Lluís Rodríguez-Sans, Maica Gotsens, Mercè\|\|\|0000-0003-2952-2024 Vardoulakis, Sotiris\|\|\|0000-0003-3944-7128 Heaviside, Clare Tenailleau, Quentin Squiban, Clara Alvarenga, António\|\|\|0000-0002-0606-9098 Freitas, Liliana\|\|\|0000-0001-9513-2476 Correia, Paulo\|\|\|0000-0003-0395-841X Ledoux, Céline Pilot, Eva\|\|\|0000-0003-3112-4447 Krafft, Thomas Pikhart, Hynek\|\|\|0000-0001-5277-4049 Morrison, Joana\|\|\|0000-0002-2181-4869 Franke, Conrad Burstrom, Bo Samoli, Evangelia Katsouyanni, Klea Rodopoulou, Sophia Dzurova, Dagmar\|\|\|0000-0003-0530-4997 Lustigova, Michala\|\|\|0000-0002-5235-1932 Cavallo, Anna Coué, Nathalie Bosakova, Lucia\|\|\|0000-0001-8381-7064 Tkáč, Michal Vandenheede, Hadewijch Deboosere, Patrick\|\|\|0000-0002-8148-3694 Costa, Giuseppe\|\|\|0000-0003-3187-4889 Zengarini, Nicolás\|\|\|0000-0003-1707-9942
author_role	author
author2	Freitas, Ângela Stefanik, Iwa Costa, Claudia\|\|\|0000-0002-7422-6139 Oliveira, Mónica\|\|\|0000-0003-4053-9214 Rodrigues, Teresa C.\|\|\|0000-0002-7548-3794 Vieira, Ana\|\|\|0000-0003-3863-1070 Ferreira, Pedro L.\|\|\|0000-0002-9448-9542 Borrell i Thió, Carme\|\|\|0000-0002-1170-2505 Dimitroulopoulou, Sani\|\|\|0000-0001-9913-1526 Rican, Stéphane Mitsakou, Christina Marí-Dell'Olmo, Marc\|\|\|0000-0003-4345-4988 Schweikart, Jürgen\|\|\|0000-0002-6459-4173 Corman, Diana Bana E Costa, Carlos A.\|\|\|0000-0001-7906-379X Quintal, Carlota\|\|\|0000-0002-8306-3431 Malva, Joäo\|\|\|0000-0002-5438-4447 Cunha, Lúcio Nossa, Paulo\|\|\|0000-0001-5000-8754 Almendra, Ricardo\|\|\|0000-0002-2712-9643 Fernandes, Rui Gamma Palència, Laia\|\|\|0000-0002-3726-9893 Camprubí, Lluís Rodríguez-Sans, Maica Gotsens, Mercè\|\|\|0000-0003-2952-2024 Vardoulakis, Sotiris\|\|\|0000-0003-3944-7128 Heaviside, Clare Tenailleau, Quentin Squiban, Clara Alvarenga, António\|\|\|0000-0002-0606-9098 Freitas, Liliana\|\|\|0000-0001-9513-2476 Correia, Paulo\|\|\|0000-0003-0395-841X Ledoux, Céline Pilot, Eva\|\|\|0000-0003-3112-4447 Krafft, Thomas Pikhart, Hynek\|\|\|0000-0001-5277-4049 Morrison, Joana\|\|\|0000-0002-2181-4869 Franke, Conrad Burstrom, Bo Samoli, Evangelia Katsouyanni, Klea Rodopoulou, Sophia Dzurova, Dagmar\|\|\|0000-0003-0530-4997 Lustigova, Michala\|\|\|0000-0002-5235-1932 Cavallo, Anna Coué, Nathalie Bosakova, Lucia\|\|\|0000-0001-8381-7064 Tkáč, Michal Vandenheede, Hadewijch Deboosere, Patrick\|\|\|0000-0002-8148-3694 Costa, Giuseppe\|\|\|0000-0003-3187-4889 Zengarini, Nicolás\|\|\|0000-0003-1707-9942
author2_role	author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author
dc.contributor.none.fl_str_mv	Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv	Health equity European Union regions Geographic inequalities Population Health Index Participatory approach Foresight Scenarios Policy evaluation WebGIS
topic	Health equity European Union regions Geographic inequalities Population Health Index Participatory approach Foresight Scenarios Policy evaluation WebGIS
description	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.
publishDate	2020
dc.date.none.fl_str_mv	2 2020-01-01 2020 2020-01-01
dc.type.none.fl_str_mv	Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://ddd.uab.cat/record/284436 https://dx.doi.org/urn:doi:10.1186/s12961-020-0526-y
url	https://ddd.uab.cat/record/284436 https://dx.doi.org/urn:doi:10.1186/s12961-020-0526-y
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	application/pdf
dc.source.none.fl_str_mv	reponame:Dipòsit Digital de Documents de la UAB instname:Universitat Autònoma de Barcelona
instname_str	Universitat Autònoma de Barcelona
reponame_str	Dipòsit Digital de Documents de la UAB
collection	Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling	Advancing tools to promote health equity across European Union regionsThe EURO-HEALTHY projectSantana, Paula\|\|\|0000-0002-7658-8475Freitas, ÂngelaStefanik, IwaCosta, Claudia\|\|\|0000-0002-7422-6139Oliveira, Mónica\|\|\|0000-0003-4053-9214Rodrigues, Teresa C.\|\|\|0000-0002-7548-3794Vieira, Ana\|\|\|0000-0003-3863-1070Ferreira, Pedro L.\|\|\|0000-0002-9448-9542Borrell i Thió, Carme\|\|\|0000-0002-1170-2505Dimitroulopoulou, Sani\|\|\|0000-0001-9913-1526Rican, StéphaneMitsakou, ChristinaMarí-Dell'Olmo, Marc\|\|\|0000-0003-4345-4988Schweikart, Jürgen\|\|\|0000-0002-6459-4173Corman, DianaBana E Costa, Carlos A.\|\|\|0000-0001-7906-379XQuintal, Carlota\|\|\|0000-0002-8306-3431Malva, Joäo\|\|\|0000-0002-5438-4447Cunha, LúcioNossa, Paulo\|\|\|0000-0001-5000-8754Almendra, Ricardo\|\|\|0000-0002-2712-9643Fernandes, Rui GammaPalència, Laia\|\|\|0000-0002-3726-9893Camprubí, LluísRodríguez-Sans, MaicaGotsens, Mercè\|\|\|0000-0003-2952-2024Vardoulakis, Sotiris\|\|\|0000-0003-3944-7128Heaviside, ClareTenailleau, QuentinSquiban, ClaraAlvarenga, António\|\|\|0000-0002-0606-9098Freitas, Liliana\|\|\|0000-0001-9513-2476Correia, Paulo\|\|\|0000-0003-0395-841XLedoux, CélinePilot, Eva\|\|\|0000-0003-3112-4447Krafft, ThomasPikhart, Hynek\|\|\|0000-0001-5277-4049Morrison, Joana\|\|\|0000-0002-2181-4869Franke, ConradBurstrom, BoSamoli, EvangeliaKatsouyanni, KleaRodopoulou, SophiaDzurova, Dagmar\|\|\|0000-0003-0530-4997Lustigova, Michala\|\|\|0000-0002-5235-1932Cavallo, AnnaCoué, NathalieBosakova, Lucia\|\|\|0000-0001-8381-7064Tkáč, MichalVandenheede, HadewijchDeboosere, Patrick\|\|\|0000-0002-8148-3694Costa, Giuseppe\|\|\|0000-0003-3187-4889Zengarini, Nicolás\|\|\|0000-0003-1707-9942Health equityEuropean Union regionsGeographic inequalitiesPopulation Health IndexParticipatory approachForesightScenariosPolicy evaluationWebGISPopulation 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.Universitat Autònoma de Barcelona 22020-01-0120202020-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/284436https://dx.doi.org/urn:doi:10.1186/s12961-020-0526-yreponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest 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.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2844362026-06-06T12:50:31Z
score	15,300719

Advancing tools to promote health equity across European Union regions

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