Implementing a national HES in practice - FEHES review

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Presentation transcript:

Implementing a national HES in practice - FEHES review Päivikki Koponen 9.4.2008

HES Models – phases of fieldwork Interview supplemented by a few basic measurements Extensive clinical examination by a survey team and several phases of fieldwork Average length/participant Min. 10 minutes, Max. 4 hours Frequency: Irregular (over 10 years), 3-5 early, annually (continuous)

HES Models - Core and modular structure One comprehensive HES Separate surveys for dental and/or mental health and/or elderly and/or children and adolescents Core survey Additional modules (specific topics) Booster samples (e.g. regional, specific population groups)

Questionnaires and interviews Personal interview at home before examinations Mailed questionnaire before examination Interviews and/or self-administered questionnaires during examinations Additional questionnaires after examinations

Feasibility of different environments (FEHES questionnaire, 32 countries/contact persons)

Organization and personnel Planning, coordination and fieldwork by one organization in collaboration with others Fieldwork organization selected by an open call for tender Personnel specially employed for the survey or regular staff Type and number of personnel vary

Need of physicians in the fieldwork (FEHES questionnaire, 32 countries/contact persons) Not needed Presence/ availability Carried out by physician BP 28 1 3 Blood samples 20 11 Spirometry 8 4 ECG 22 2

Potentials and difficulties (FEHES questionnaire, 32 countries/contact persons)

Conclusions Previous experience and current interest available Funding and participation major challenges Differences in health care systems, and in professional qualifications, practices and roles need to be taken into account