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

2. 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 1994-1998

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

4. 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 602 - response rate to questionnaire 15%

5. 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

6. 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

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

8. 6.2 Research on health determinants 19 Projects – 5 Shared Cost 14 Concerted Action 4-12 Countries No novel projects

9. 6.2 Research on health determinants Review existing initiatives in non experimental way and consensus Antenatal care to health protection in the elderly

10. 6.3 Research on the assessment of the socio-economic impact of health policy initiatives No projects funded

11. 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

12. 6.4 Information gathering, co-ordination of data collection Harmonising guidelines Development of traditional management instruments

13. 6.5 Research on quality of health care 23 Projects funded 5-21 Countries 5-85 Institutions

14. 6.5 Harmonisation and standardisation of existing research methodologies Clinical or managerial guidelines Interactive databases

15. 6.6 Research on the assessment of health technologies 7 Projects funded 3-12 Countries 4-18 Institutions 3 Projects of particular interest

16. 6.6 Classical MTA methods Data-bases/registers Programme development

17. 6.7 Research on health scenarios 3 Projects funded 4-8 Countries 7-11 Institutions

18. 6.7 Model-development Assessment of diagnosing instruments

19. 6.8 Research on internal market 1 Project funded 5 Countries 5 Institutions

20. Questionnaire Response rate BIOMED 2 Area 6 Contracts 602 80 Responders 186 (31)12 (15)

21. Public Health (Area 6) outputs 1 Publications BIOMED 2Area 6 1.Projects with publications 157 19 2.Number of publications 960 95 3.Mean 6.1 5 Median5 5 Range 0-22 0-16

22. 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)

23. 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

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

25. Recommendations Outcome assessment Funding public health research Spearheads