Download this document in .rtf
Outline
January 2000
Clinical
Information in Europe
Objectives
of this study:
q
To make an inventory of the
medico-administrative data, routinely collected in 18 European countries at the
levels of primary and secondary health care and occupational medicine (PHC,
SHC, OM)
q
To examine these data in terms of data
collection process, type of codification, reliability, mobility, mode of
concentration, possibility of further analyses and/or reports, type of reading
grid.
q
To examine the possibilities of transferring
these data to a European server and handle the problems of format, language, process
of transfer and agreement of the person in charge of the data at a local level.
q
To make proposals for a feed-back of the
analyses to the local health care actors.
q
To examine possibilities of analysis of these
data in order to perform an epidemiological follow-up of public health
indicators and health monitoring.
This study
will be conducted in three consecutive phases:
1.
Inventory and comparison of existing tools:
This first phase will start
in January 2000 and will last for 12 months. It will consist in collecting all
necessary information for the project through a questionnaire completed in each
country by reference persons in the following fields:
-
Public and private structures in charge of
health care and health care financing.
-
Medical informatics companies
-
Practitioners in primary and secondary health
care and occupational medicine
-
Health institutions’ managers
-
Association of health professionals
2.
Test of feasibility for exploitation of the
data
This second phase will start
in January 2001 and will last for
6 months. On basis of the information collected during the first phase,
the study team will select some indicative health problems, according to
pre-defined criteria such as the number of countries where the data are available.
The study team will then
collect all data related to these health problems in order to test the
feasibility of a database for exploitation of the data.
This test will also allow
the evaluation of:
-
procedures for transfer of the data
-
reliability of the data and the first transfer
-
compatibility between the transferred files
and between the transmission procedures
-
possibilities for exploitation of the data
3.
Analysis of results and proposals
The third phase will start
in July 2001 and will last 6 months.
It will consist in analysing
the results of the first two phases and formulating proposals for elaboration
of a unique European database.
Foreseen
results of the activities
1.
A status of the routine collection and encoding of medical data in the
European Community’s member states.
2.
A compared analysis of different national
situations and obstacles to a European consensus for codification of the above mentioned data.
3.
A test of feasibility for the elaboration of a
European database and feed-back procedures to local providers of the source
data.
4.
A final report directed to national Ministries
of health, to the European Commission, to regional comities and European
deputies concerned. This report will
describe the status of the problem and the concrete proposals derived
from the research project.
Contacts:
Responsible for the project: Dr R. Lagasse, MD,
PhD raphael.lagasse@ulb.ac.be
Researchers:
Myriam Desmet ( SHC
& coordinator) myriam.desmet@ulb.ac.be
Marc Jamoulle (PHC) marc.jamoulle@ulb.ac.be
Suzanna Correa-Corralles (OM) gcorrea@ulb.ac.be
Project funded by The European Commission Directorate General for
Public Health and Security
at Work DG V/F L – 2920 Luxembourg