Regions in the European Union (EU) are becoming
an increasingly important political and administrative level. In
the field of health monitoring, the exchange of health indicators
at the regional level across Europe would allow health professionals
and decision-makers to put the characteristics of their own area
in the wider context of all other regions across the EU.
Within the framework of the Health Monitoring Programme
from the European Commission, the Fédération Nationale
des Observatoires Régionaux de Santé (FNORS)
has undertaken a project entitled “Health Indicators in the
European Regions” (or ISARE - “Indicateurs de Santé
dans les Régions d’Europe).
Its aims are to identify for each country the most
appropriate sub-national level for exchange of health indicators
within the EU (thereafter referred to as “health regions”),
and to assess the extent of data availability at these levels.
Existing literature on health care systems and
local democracy, and contacts with representatives from each EU
member states were used in order to identify the “health regions”.
The availability of a set of key data at regional
level was explored by means of a questionnaire based on the framework
of the European Community Health Indicators project (or ECHI project,
also part of the HMP).
Download report here.
ISARE 2 project
Within the frame of the community
action programme for health monitoring (HMP, Health Monitoring Program),
the objective of this second phase of the project is to test the
feasibility of gathering data at the infra-national levels defined
in each of the countries of the European Union(1).
The five specific objectives are:
Selecting the data to be collected on the basis of their availability
provided by the ISARE I project.
Performing two distinct collection processes : the collection of
a limited number of data for all the regions of the participating
countries, the collection of a broader range of data for only one
region in the participating countries.
Calculating indicators derived from the collected data.
Analysing the comparability between regions of the same country.
The two collections contains the data sources information and elements
allowing a judgment about their comparability. The comparability
analyse will be also based on the work conducted by the HMP.
Creating an experimental internet database to illustrate the interest
of the work.
This project was conducted in three
Definition of the information to gather and elaboration of the data
Creation of the database. Analysis of comparability problems.
Recommendations for the integration of regional data in the European
1. Denmark did not wish to participate
in this phase.