Evidence map›Paper›PMID 32054540›Full record

ArticleHealth research policy and systems2020

Advancing tools to promote health equity across European Union regions: the EURO-HEALTHY project.

Paula Santana, Ângela Freitas, Iwa Stefanik, Cláudia Costa, Mónica Oliveira, Teresa C Rodrigues, Ana Vieira, Pedro Lopes Ferreira, Carme Borrell, Sani Dimitroulopoulou and 7 more

Abstract read
In one paragraph

Article in Health research policy and systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

17 authors.

Paula SantanaDepartment of Geography and Tourism, Faculty of Arts and Humanities, University of Coimbra, Colégio S. Jerónimo, Largo D. Dinis, 3001-401, Coimbra, Portugal. paulasantana.coimbra@gmail.com.ORCID http://orcid.org/0000-0002-7658-8475
Ângela FreitasCEGOT-UC, Centre of Studies in Geography and Territorial Planning, University of Coimbra, Coimbra, Portugal.
Iwa StefanikCEGOT-UC, Centre of Studies in Geography and Territorial Planning, University of Coimbra, Coimbra, Portugal.
Cláudia CostaCEGOT-UC, Centre of Studies in Geography and Territorial Planning, University of Coimbra, Coimbra, Portugal.
Mónica OliveiraCEG-IST, Centre for Management Studies of Instituto Superior Técnico, Universidade de Lisboa, Avenida Rovisco Pais, 1049-001, Lisbon, Portugal.
Teresa C RodriguesCEG-IST, Centre for Management Studies of Instituto Superior Técnico, Universidade de Lisboa, Avenida Rovisco Pais, 1049-001, Lisbon, Portugal.
Ana VieiraCEG-IST, Centre for Management Studies of Instituto Superior Técnico, Universidade de Lisboa, Avenida Rovisco Pais, 1049-001, Lisbon, Portugal.
Pedro Lopes FerreiraCEISUC, Center for Health Studies and Research, Faculty of Economics, University of Coimbra, Coimbra, Portugal.
Carme BorrellASPB, Agència de Salut Pública de Barcelona, Barcelona, Spain.
Sani DimitroulopoulouPHE-CRCE, Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Didcot, OX11 0RQ, United Kingdom.
Stéphane RicanLAboratoire DYnamiques Sociales et Recomposition des espaceS (LADYSS), Paris Nanterre University, Paris, France.
Christina MitsakouPHE-CRCE, Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Didcot, OX11 0RQ, United Kingdom.
Marc Marí-Dell'OlmoASPB, Agència de Salut Pública de Barcelona, Barcelona, Spain.
Jürgen SchweikartBeuth University of Applied Sciences Berlin (BHT), Berlin, Germany.
Diana CormanKarolinska Institute (KI), Stockholm, Sweden.
Carlos A Bana E CostaCEG-IST, Centre for Management Studies of Instituto Superior Técnico, Universidade de Lisboa, Avenida Rovisco Pais, 1049-001, Lisbon, Portugal.
EURO-HEALTHY investigators

Funding

H2020 Health Grant Agreement No 643398Medical Research Council MR/S019669/1
6 · The paper itself

Abstract

backgroundPopulation health measurements are recognised as appropriate tools to support public health monitoring. Yet, there is still a lack of tools that offer a basis for policy appraisal and for foreseeing impacts on health equity. In the context of persistent regional inequalities, it is critical to ascertain which regions are performing best, which factors might shape future health outcomes and where there is room for improvement.

methodsUnder the EURO-HEALTHY project, tools combining the technical elements of multi-criteria value models and the social elements of participatory processes were developed to measure health in multiple dimensions and to inform policies. The flagship tool is the Population Health Index (PHI), a multidimensional measure that evaluates health from the lens of equity in health determinants and health outcomes, further divided into sub-indices. Foresight tools for policy analysis were also developed, namely: (1) scenarios of future patterns of population health in Europe in 2030, combining group elicitation with the Extreme-World method and (2) a multi-criteria evaluation framework informing policy appraisal (case study of Lisbon). Finally, a WebGIS was built to map and communicate the results to wider audiences.

resultsThe Population Health Index was applied to all European Union (EU) regions, indicating which regions are lagging behind and where investments are most needed to close the health gap. Three scenarios for 2030 were produced - (1) the 'Failing Europe' scenario (worst case/increasing inequalities), (2) the 'Sustainable Prosperity' scenario (best case/decreasing inequalities) and (3) the 'Being Stuck' scenario (the EU and Member States maintain the status quo). Finally, the policy appraisal exercise conducted in Lisbon illustrates which policies have higher potential to improve health and how their feasibility can change according to different scenarios.

conclusionsThe article makes a theoretical and practical contribution to the field of population health. Theoretically, it contributes to the conceptualisation of health in a broader sense by advancing a model able to integrate multiple aspects of health, including health outcomes and multisectoral determinants. Empirically, the model and tools are closely tied to what is measurable when using the EU context but offering opportunities to be upscaled to other settings.

Indexed as

EnvironmentEuropeFemaleHealth BehaviorHealth EquityHealth PolicyHealth Services AccessibilityHealth Status DisparitiesHealth Status IndicatorsHealth SurveysHumansLife StyleMalePolicy MakingPublic Health AdministrationSafetyEuropean Union regionsForesightGeographic inequalitiesHealth equityParticipatory approachPolicy evaluationPopulation Health IndexScenariosWebGIS

Identifiers

PMID32054540
PMCPMC7020561

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.