Public Health Research including Health Services Research BIOMED II Area 6 Professors Ingrid Mur-Veeman and Charles Wolfe

BIOMED Programme Objectives To contribute to resolving the common problems which affect European Health systems and which can affect the attainment of a high level of health status for the population

REVIEW BOARD 12 Members Expertise from genomics to public health Questionnaire development for the review Interpretation and report conclusions

BIOMED 2-Public Health “All health systems whatever their organisations and financing mechanisms must react to the rising health care demand and at the same time contain the health expenditure. The general aim is to contribute to resolving common problems which affect EU health systems and which can affect the attainment of a high level of health status for the population” -79 projects out of response rate to questionnaire 15%

6.1 Research on methodologies linked to health data on demographics, morbidity and mortality 16 projects – 3 Shared Cost 13 Concerted Actions 4-27 Countries 2 projects of particular interest

Area 6.1 Good fit with aims, although social deprivation excluded 9 harmonised data collection –Routine data –Consensus on collection 2 developed communication networks Perinatal to ageing, inc communicable disease

Area 6.1 Socio-economic and geographical variation in health Coordination of national surveillance programmes for CJD in 13 States Injury Surveillance Stroke Care

6.2 Research on health determinants 19 Projects – 5 Shared Cost 14 Concerted Action 4-12 Countries No novel projects

6.2 Research on health determinants Review existing initiatives in non experimental way and consensus Antenatal care to health protection in the elderly

6.3 Research on the assessment of the socio-economic impact of health policy initiatives No projects funded

6.4 Research on economics and organisation of health systems and the provision of health services 10 Projects funded 4-14 Countries 5-26 Institutions 1 Project of particular interest

6.4 Information gathering, co-ordination of data collection Harmonising guidelines Development of traditional management instruments

6.5 Research on quality of health care 23 Projects funded 5-21 Countries 5-85 Institutions

6.5 Harmonisation and standardisation of existing research methodologies Clinical or managerial guidelines Interactive databases

6.6 Research on the assessment of health technologies 7 Projects funded 3-12 Countries 4-18 Institutions 3 Projects of particular interest

6.6 Classical MTA methods Data-bases/registers Programme development

6.7 Research on health scenarios 3 Projects funded 4-8 Countries 7-11 Institutions

6.7 Model-development Assessment of diagnosing instruments

6.8 Research on internal market 1 Project funded 5 Countries 5 Institutions

Questionnaire Response rate BIOMED 2 Area 6 Contracts Responders 186 (31)12 (15)

Public Health (Area 6) outputs 1 Publications BIOMED 2Area 6 1.Projects with publications Number of publications Mean Median5 5 Range

Public Health (Area 6) outputs 2 BIOMED 2Area 6 Guidelines/protocols58 (35)16 (73) Centralised facilities/resources75 (45)17 (77) Policy implications46 (27)12 (55) Industrial involvements55 (33) 3 (14) Patents27 (16) 0 - Personal exchanges142 (85)18 (82) New collaborations129 (78)16 (73)

Conclusions 1 Broad range of topics Methodological development weak Outputs vary considerably Often not yet written up Focus on consensus and guidelines Emphasis on influencing policy Variable sustainability

Conclusions 2 Questionnaire –Response –Results Public Health –Area –Objectives/outcomes –Assessment

Recommendations Outcome assessment Funding public health research Spearheads