Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY project

Background: 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 criti...

Descripción completa

Detalles Bibliográficos
Autores: Santana, Paula, Freitas, Ângela, Stefanik, Iwa, Costa, Claudia, Oliveira, Mónica, Rodrigues, Teresa C., Vieira, Ana, Lopes Ferreira, Pedro, Borrell i Thió, Carme, Dimitroulopoulou, Sani, Rican, Stéphane, Mitsakou, Christina, Marí Dell'Olmo, Marc, 1978-, Schweikart, Jürgen, Corman, Diana, Bana E Costa, Carlos A., EURO-HEALTHY investigators
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/46610
Acceso en línea:http://hdl.handle.net/10230/46610
http://dx.doi.org/10.1186/s12961-020-0526-y
Access Level:acceso abierto
Palabra clave:European Union regions
Foresight
Geographic inequalities
Health equity
Participatory approach
Policy evaluation
Population Health Index
Scenarios
WebGIS
id ES_d88922f1f3f372b92a17bb2cff4ee461
oai_identifier_str oai:repositori.upf.edu:10230/46610
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: the EURO-HEALTHY project
spellingShingle Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY project
Santana, Paula
European Union regions
Foresight
Geographic inequalities
Health equity
Participatory approach
Policy evaluation
Population Health Index
Scenarios
WebGIS
title_short Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY project
title_full Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY project
title_fullStr Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY project
title_full_unstemmed Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY project
title_sort Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY project
dc.creator.none.fl_str_mv Santana, Paula
Freitas, Ângela
Stefanik, Iwa
Costa, Claudia
Oliveira, Mónica
Rodrigues, Teresa C.
Vieira, Ana
Lopes Ferreira, Pedro
Borrell i Thió, Carme
Dimitroulopoulou, Sani
Rican, Stéphane
Mitsakou, Christina
Marí Dell'Olmo, Marc, 1978-
Schweikart, Jürgen
Corman, Diana
Bana E Costa, Carlos A.
EURO-HEALTHY investigators
author Santana, Paula
author_facet Santana, Paula
Freitas, Ângela
Stefanik, Iwa
Costa, Claudia
Oliveira, Mónica
Rodrigues, Teresa C.
Vieira, Ana
Lopes Ferreira, Pedro
Borrell i Thió, Carme
Dimitroulopoulou, Sani
Rican, Stéphane
Mitsakou, Christina
Marí Dell'Olmo, Marc, 1978-
Schweikart, Jürgen
Corman, Diana
Bana E Costa, Carlos A.
EURO-HEALTHY investigators
author_role author
author2 Freitas, Ângela
Stefanik, Iwa
Costa, Claudia
Oliveira, Mónica
Rodrigues, Teresa C.
Vieira, Ana
Lopes Ferreira, Pedro
Borrell i Thió, Carme
Dimitroulopoulou, Sani
Rican, Stéphane
Mitsakou, Christina
Marí Dell'Olmo, Marc, 1978-
Schweikart, Jürgen
Corman, Diana
Bana E Costa, Carlos A.
EURO-HEALTHY investigators
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv European Union regions
Foresight
Geographic inequalities
Health equity
Participatory approach
Policy evaluation
Population Health Index
Scenarios
WebGIS
topic European Union regions
Foresight
Geographic inequalities
Health equity
Participatory approach
Policy evaluation
Population Health Index
Scenarios
WebGIS
description Background: 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. Methods: 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. Results: 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. Conclusions: 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 2020
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/46610
http://dx.doi.org/10.1186/s12961-020-0526-y
url http://hdl.handle.net/10230/46610
http://dx.doi.org/10.1186/s12961-020-0526-y
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Health Res Policy Syst. 2020; 18(1):18
info:eu-repo/grantAgreement/EC/H2020/643398
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869421180790767617
spelling Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY projectSantana, PaulaFreitas, ÂngelaStefanik, IwaCosta, ClaudiaOliveira, MónicaRodrigues, Teresa C.Vieira, AnaLopes Ferreira, PedroBorrell i Thió, CarmeDimitroulopoulou, SaniRican, StéphaneMitsakou, ChristinaMarí Dell'Olmo, Marc, 1978-Schweikart, JürgenCorman, DianaBana E Costa, Carlos A.EURO-HEALTHY investigatorsEuropean Union regionsForesightGeographic inequalitiesHealth equityParticipatory approachPolicy evaluationPopulation Health IndexScenariosWebGISBackground: 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. Methods: 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. Results: 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. Conclusions: 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.The EURO-HEALTHY project (Shaping EUROpean policies to promote HEALTH equity) has received funding from the European Union’s Horizon 2020 research and innovation programme under Grant Agreement No. 643398. Additionally, this study was supported by the Centre of Studies in Geography and Spatial Planning (CEGOT), funded by national funds through the Foundation for Science and Technology (FCT) under the reference UID/GEO/04084/2019. The authors Angela Freitas and Cláudia Costa are recipients of Individual Doctoral Fellowships funded by national funds through the Foundation for Science and Technology (FCT), under the references SFRH/BD/123091/2016 and SFRH/BD/132218/2017, respectively.BioMed Central202120212020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/46610http://dx.doi.org/10.1186/s12961-020-0526-yreponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésHealth Res Policy Syst. 2020; 18(1):18info:eu-repo/grantAgreement/EC/H2020/643398© The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/466102026-06-12T07:21:37Z
score 15,811543

Similares en LA Referencia