Implementing the European Core Health Indicators (ECHI) in the Netherlands: an overview of data availability.
BACKGROUND
The European Commission, together with the European Union (EU) Member States, developed a core set of indicators for monitoring public health in the EU, the European Core Health Indicators (ECHI) shortlist. From 2009 to 2012 developmental work on the ECHI indicators continued within the framework of the Joint Action for European Community Health Indicators and Monitoring (ECHIM). In this article, we give the current state of affairs on the availability of data for the ECHI indicators in the Netherlands and show what progress has been made over the past 5 years. The information provided serves as an illustration of the challenges encountered in a European country when working on harmonising national data collections with international data delivery requirements.


METHODS
To assess data availability, we consulted Dutch data experts and relevant websites and reports on health monitoring activities. We compared the available Dutch data with the definitions, preferred data sources and relevant dimensions as requested by ECHI.


RESULTS
The Netherlands can provide data for 66 of the 75 ECHI indicators for which availability could be assessed: for all of the 48 ECHI indicators that can be extracted from international databases and for 18 of the 27 indicators not available from international databases. Breakdowns by socio-economic status and region are not possible for 23 (35%) of the total of 66 indicators for which data are available and for 21 (32%) of these 66 indicators the definition is not exactly the same as requested by ECHIM. Since 2009, better estimates have become available for low birth weight, practising physicians and practising nurses. Moreover, several European initiatives to improve harmonised data collection are expected to have a positive effect on data availability for the Netherlands. Such initiatives should become sustainable in order to provide possibilities for monitoring trends. The scattered data ownership in the Netherlands complicates the coordination work for international data deliveries.


CONCLUSIONS
Data availability in the Netherlands is good. Since 2009, several Dutch and European developments in harmonising data collection have contributed or will significantly contribute to improvements in the data situation for the ECHI indicators in the Netherlands.
RIVM, National Institute for Public Health and the Environment, P.O. Box 1, 3720 BA Bilthoven, the Netherlands.
Maartje Marloes
MM
Harbers
RIVM, National Institute for Public Health and the Environment, P.O. Box 1, 3720 BA Bilthoven, the Netherlands.
Marieke
M
Verschuuren
CBS, Statistics Netherlands, P.O. Box 24500, 2490 HA Den Haag, the Netherlands.
Agnes
A
de Bruin
European Core Health Indicators; European Union; International comparisons; Monitoring; Netherlands; Public health