Evidence map›Paper›PMID 29703176›Full record

ArticleBMC public health2018

Indicators for evaluating European population health: a Delphi selection process.

Ângela Freitas, Paula Santana, Mónica D Oliveira, Ricardo Almendra, João C Bana E Costa, Carlos A Bana E Costa

Abstract read
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  18. Inconvenience and adaptation in Japanese adult achondroplasia and hypochondroplasia: A cross-sectional study.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2022
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  20. Inequalities in Health: Methodological Approaches to Spatial Differentiation.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ângela FreitasCentre of Studies in Geography and Spatial Planning (CEGOT), University of Coimbra, Coimbra, Portugal. angelafreitas30@gmail.com.ORCID 0000-0002-1081-2147
Paula SantanaDepartment of Geography and Tourism, Centre of Studies in Geography and Spatial Planning (CEGOT), University of Coimbra, Coimbra, Portugal.
Mónica D OliveiraCentre for Management Studies of Instituto Superior Técnico (CEG-IST), Universidade de Lisboa, Lisbon, Portugal.
Ricardo AlmendraCentre of Studies in Geography and Spatial Planning (CEGOT), University of Coimbra, Coimbra, Portugal.
João C Bana E CostaBana Consulting, Lda, Lisbon, Portugal.
Carlos A Bana E CostaCentre for Management Studies of Instituto Superior Técnico (CEG-IST), Universidade de Lisboa, Lisbon, Portugal.

Funding

H2020 Health 643398
6 · The paper itself

Abstract

backgroundIndicators are essential instruments for monitoring and evaluating population health. The selection of a multidimensional set of indicators should not only reflect the scientific evidence on health outcomes and health determinants, but also the views of health experts and stakeholders. The aim of this study is to describe the Delphi selection process designed to promote agreement on indicators considered relevant to evaluate population health at the European regional level.

methodsIndicators were selected in a Delphi survey conducted using a web-platform designed to implement and monitor participatory processes. It involved a panel of 51 experts and 30 stakeholders from different areas of knowledge and geographies. In three consecutive rounds the panel indicated their level of agreement or disagreement with indicator's relevance for evaluating population health in Europe. Inferential statistics were applied to draw conclusions on observed level of agreement (Scott's Pi interrater reliability coefficient) and opinion change (McNemar Chi-square test). Multivariate analysis of variance was conducted to check if the field of expertise influenced the panellist responses (Wilk's Lambda test).

resultsThe panel participated extensively in the study (overall response rate: 80%). Eighty indicators reached group agreement for selection in the areas of: economic and social environment (12); demographic change (5); lifestyle and health behaviours (8); physical environment (6); built environment (12); healthcare services (11) and health outcomes (26). Higher convergence of group opinion towards agreement on the relevance of indicators was seen for lifestyle and health behaviours, healthcare services, and health outcomes. The panellists' field of expertise influenced responses: statistically significant differences were found for economic and social environment (p < 0.05 in round 1 and 2), physical environment (p < 0.01 in round 1) and health outcomes (p < 0.01 in round 3).

conclusionsThe high levels of participation observed in this study, by involving experts and stakeholders and ascertaining their views, underpinned the added value of using a transparent Web-Delphi process to promote agreement on what indicators are relevant to appraise population health.

Indexed as

ConsensusHealth Status IndicatorsPopulation HealthDelphi TechniqueEuropeFemaleHumansMaleSurveys and QuestionnairesEuropean regionsExpert opinionGroup agreementIndicatorsParticipatory approachPopulation healthWeb Delphi

Identifiers

PMID29703176
PMCPMC5922019

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.