2. ISARE : Health indicators in the regions of Europe André Ochoa for Isare team ISARE : Health indicators in the regions of Europe André Ochoa for Isare team

3. The Isare project: rationale The Isare project: rationale Health indicators in the regions of Europe National averages hide important variations Diseases know no boundaries National averages hide important variations Diseases know no boundaries Infant mortality

4. The Isare project: rationale National averages hide important variations Diseases know no boundaries Importance of the regional level in health policies and in the management of the health system National averages hide important variations Diseases know no boundaries Importance of the regional level in health policies and in the management of the health system Health indicators in the regions of Europe

5. The Isare project goal To gather the useful information for the knowledge and use of health indicators in the regions (sub-national level) of the European Union Health indicators in the regions of Europe

6. The Isare project Feasibility of gathering data at sub-national levels Interest of this sub-national level Useful of regional data and an European regional database Feasibility of gathering data at sub-national levels Interest of this sub-national level Useful of regional data and an European regional database Health indicators in the regions of Europe

7. Germany Austria Belgium Denmark Spain Greece Ireland Italy Luxembourg Netherlands Portugal United Kingdom Sweden France Finland Czech Republic Estonia Hungary Slovak Republic Latvia Poland Malta Slovenia The members of the Isare project

8. …identify the « health regions » …describe the data availability at these levels …test the feasibility of gathering data in the « health regions » …collect data and built an experimental database …extend the results to the “new countries” and update the information for the other countries …check different methods to analyse the data …prove interest of regional indicators …disseminate results …identify the « health regions » …describe the data availability at these levels …test the feasibility of gathering data in the « health regions » …collect data and built an experimental database …extend the results to the “new countries” and update the information for the other countries …check different methods to analyse the data …prove interest of regional indicators …disseminate results Isare 1 & 2 Isare 3 The Isare project: method Health indicators in the regions of Europe

9.  Identification of sub-national levels with a new approach of the NUTS levels in the field of Public Health Results Health indicators in the regions of Europe

10. Health regions and Nuts levels Nuts 1: 6 countries Estonia, Latvia, Luxembourg, Malta, Germany, United Kingdom Nuts 2: 11 countries Austria, Belgium, France, Greece, Hungary, Ireland, Italy, Netherlands, Poland, Slovakia, Spain Nuts 3: 4 countries Czech republic, Denmark, Slovenia, Sweden. No Nuts correspondence : 2 countries Portugal, Finland

11.  Identification of sub-national levels with a new approach of the NUTS levels in the field of Public Health  Data collected at regional level and an experimental database of indicators built  Different types of analysis produced  Identification of sub-national levels with a new approach of the NUTS levels in the field of Public Health  Data collected at regional level and an experimental database of indicators built  Different types of analysis produced Results Health indicators in the regions of Europe

12.  The regional dimension is increasingly integrated in the new projects funded in the Public health program of the European Union  A new approach of the NUTS levels in the field of Public Health was needed  The Isare project showed the interest of regions but also of “small” countries to compare their situation with regions of “big” countries rather than with the whole “big” countries  The regional dimension is increasingly integrated in the new projects funded in the Public health program of the European Union  A new approach of the NUTS levels in the field of Public Health was needed  The Isare project showed the interest of regions but also of “small” countries to compare their situation with regions of “big” countries rather than with the whole “big” countries Lessons (1) Health indicators in the regions of Europe

13.  Gathering data at regional level is feasible. The problems of validity and comparability of data seem to be similar to those encountered for comparisons between countries  There is a weakness of some indicators: domain of health promotion for example. (immunization, obesity, tobacco, …)  Analysing data at regional level needs the expertise of the regional professionals  Gathering data at regional level is feasible. The problems of validity and comparability of data seem to be similar to those encountered for comparisons between countries  There is a weakness of some indicators: domain of health promotion for example. (immunization, obesity, tobacco, …)  Analysing data at regional level needs the expertise of the regional professionals Lessons (2) Health indicators in the regions of Europe

14.  The Isare project showed the utility of collaboration between regional (national) health observatories …. and the need for a network  The Isare project put on the agenda the need to continue to develop tools for the gathering, validation, analysis and dissemination of health data at regional level and...  The Isare project showed the utility of collaboration between regional (national) health observatories …. and the need for a network  The Isare project put on the agenda the need to continue to develop tools for the gathering, validation, analysis and dissemination of health data at regional level and... Lessons (3) Health indicators in the regions of Europe

15. Outcome of Isare: a new project, I2SARE Health indicators in the regions of Europe Assist European, regional and local decision makers in developing their health policy General Objective: An updated database of health indicators at regional level Around 300 health profiles A typology of regions based on health related indicators A typology of infra regional level in 10 countries or regions Expected results:

16. Germany Austria Belgium Denmark Spain Greece Ireland Italy Luxembourg Netherlands Portugal United Kingdom Sweden France Finland Czech Republic Estonia Hungary Slovak Republic Latvia Poland Malta Slovenia The countries covered by I2sare project Cyprius Bulgaria Romania Lituania

17. ISARE : Health indicators in the regions of Europe André Ochoa for Isare team ISARE : Health indicators in the regions of Europe André Ochoa for Isare team