second issue of euro-healthy's newsletter
TRANSCRIPT
September 2016: SECOND ISSUE
EURO-HEALTHY NEWSLETTER
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
EURO-HEALTHY project has received funding from the European Union’s HorizonϮϬϮϬƌĞƐĞĂƌĐŚĂŶĚŝŶŶŽǀ ĂƟŽŶƉƌŽŐƌĂŵŵĞƵŶĚĞƌ' ƌĂŶƚŐƌĞĞŵĞŶƚE Žϲϰϯϯϵϴ
Figure 1. Map of Euro-, ĞĂůƚŚLJƉĂƌƟĐŝƉĂŶƚĐŝƟĞƐ ĐŽƵƌƚĞƐLJŽĨŽŶƌĂĚ
Franke, Beuth University
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č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
&ŝŐƵƌĞϮ KƵƚůŝŶĞŽĨƚŚĞƉĂƌƟĐŝƉĂƚŽƌLJƉƌŽĐĞƐƐ
DELPHI PROCESS: BUILDING A
POPULATION HEALTH INDEXA first aim of the EURO-HEALTHY project is to devel-
ŽƉĂWŽƉƵůĂƟŽŶ, ĞĂůƚŚ/ŶĚĞdž;W, /ͿĂďůĞƚŽŵĞĂƐƵƌĞ
ƉŽƉƵůĂƟŽŶ ŚĞĂůƚŚ ;W, ͿŽĨ ƚŚĞƵƌŽƉĞĂŶƌĞŐŝŽŶƐ
(Figure 1). The PHI is modelled using MACBETH, a
ƉĂƌƟĐŝƉĂƚŽƌLJŵƵůƟ-criteria approach (see Figure 2),
ƚĂŬŝŶŐŝŶƚŽĐŽŶƐŝĚĞƌĂƟŽŶƚŚĞĐƵƌƌĞŶƚƐƚĂƚĞŽĨƚŚĞĂƌƚ
on the different areas of concerns within the domain
of PH.
The PHI model will then be used to inform the design
of policies to improve PH and reduce health inequali-
ƟĞƐĂĐƌŽƐƐƵƌŽƉĞĂŶƌĞŐŝŽŶƐ– a second aim of EURO
-, >d, z ĐŝĞŶƟĮ ĐĞǀ ŝĚĞŶĐĞǁ ĂƐĐŽůůĞĐƚĞĚa priori
ƚŽƚŚĞƉĂƌƟĐŝƉĂƚŽƌLJƉƌŽĐĞƐƐďLJŵĞŵďĞƌƐŽĨƐĞǀ ĞƌĂů
project work packages.
dŚŝƐŝŶĨŽƌŵĂƟŽŶƐĞƚƚŚĞŐƌŽƵŶĚƐĨŽƌƚŚĞĞůŝĐŝƚĂƟŽŶĂŶĚ
ĞdžƉƌĞƐƐŝŽŶŽĨũƵĚŐĞŵĞŶƚƐĨƌŽŵĂƌĞƉƌĞƐĞŶƚĂƟǀ ĞŐƌŽƵƉ
of experts from all areas answering following ques-
ƟŽŶƐ
the worst and best performance on each indicator,
across European regions?
III. What is the added value to PH of improving perfor-
mance along each indicator range?
dŚĞĚĞƐŝŐŶŽĨƚŚĞƉĂƌƟĐŝƉĂƚŽƌLJƉƌŽĐĞƐƐ ŽƵƚůŝŶĞĚŝŶ
Figure 2, includes a Web-based process. The structur-
ing of the model started with a web-survey to specify
the health dimensions that make clear the content of
each area of concern. Then, to complete the structure
of the PHI, task I (see above) was accomplished by a
Delphi panel.
A tailor-ŵĂĚĞt ĞďƉůĂƞŽƌŵĂůůŽǁ ĞĚƚŚĞĂŶŽŶLJŵŽƵƐ
ƉĂƌƟĐŝƉĂƟŽŶŽĨĂŚŝŐŚŶƵŵďĞƌŽĨƚŚĞŐĞŽŐƌĂƉŚŝĐĂůůLJ
dispersed experts and stakeholders.
I. Which are the key indi-
cators, both determinants
and outcomes, to include
ŝŶƚŚĞŵƵůƟ-criteria mod-
el?
II. t ŚĂƚ ŝƐ ƚŚĞ ƌĞůĂƟǀ Ğ
importance of reducing
ŚĞĂůƚŚŝŶĞƋƵĂůŝƟĞƐŽŶĞĂĐŚ
one of the selected indica-
tors, more specifically,
how important is to bridge
de gap between
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č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
DELPHI PROCESS
The experts and stakeholders were invited (Figures 3
ĂŶĚϰͿƚŚƌŽƵŐŚĂĨƌŝĞŶĚůLJĂŶĚĂƩ ƌĂĐƟǀ ĞŝŶƚĞƌĨĂĐĞ ŝŵͲ
ilarly, the Delphi method was used to help answer
ƋƵĞƐƟŽŶƐ//ĂŶĚ///ŝŶǁ ŚŝĐŚŽŶůLJƋƵĂůŝƚĂƟǀ Ğǀ ĂůƵĞ
judgements were elicited from a panel, concerning the
ǁ ĞŝŐŚƟŶŐŽĨƚŚĞŝŶĚŝĐĂƚŽƌƐĂŶĚ ƐƵďƐĞƋƵĞŶƚůLJƚŚĞ
ƐŚĂƉĞŽĨƚŚĞǀ ĂůƵĞĨƵŶĐƟŽŶŽŶĞĂĐŚŝŶĚŝĐĂƚŽƌ&ŽƌƚŚŝƐ
ƉƵƌƉŽƐĞƚŚĞD d, ĞůŝĐŝƚĂƟŽŶƚĞĐŚŶŝƋƵĞǁ ĂƐŝŵͲ
ƉůĞŵĞŶƚĞĚŝŶƚŚĞt ĞďƉůĂƞŽƌŵ >ĂƚĞƌŽŶ ƚŚĞƋƵĂůŝƚĂͲ
Ɵǀ ĞŽƵƚƉƵƚƐŽĨƚŚĞĞůƉŚŝƉƌŽĐĞƐƐǁ ŝůůŐƵŝĚĞĂƐƚƌĂƚĞŐŝĐ
ŐƌŽƵƉƚŽĂƐƐŝŐŶƋƵĂŶƟƚĂƟǀ Ğǁ ĞŝŐŚƚƐĂŶĚƚŽƐĞƚƚŚĞ
ǀ ĂůƵĞĨƵŶĐƟŽŶƐĨŽƌƚŚĞŝŶĚŝĐĂƚŽƌƐŝŶĂĮ ŶĂůĚĞĐŝƐŝŽŶ
ĐŽŶĨĞƌĞŶĐŝŶŐƉƌŽĐĞƐƐ dŚĞǀ ĂůƵĞĨƵŶĐƟŽŶĚĞĮ ŶĞĚĨŽƌ
each indicator will allow to measure the value of the
performance of each Region in terms of its PH. Follow-
ŝŶŐƚŚĞƉƌŝŶĐŝƉůĞƐŽĨĂĚĚŝƟǀ Ğǀ ĂůƵĞŵĞĂƐƵƌĞŵĞŶƚĂŶĚ
ĚĞƉĂƌƟŶŐďŽƩ ŽŵƵƉŽŶƚŚĞŚŝĞƌĂƌĐŚŝĐĂůƐƚƌƵĐƚƵƌĞĚĞͲ
fined for the PHI model, several enchained indices can
be defined: dimensional health indices by weighted
sum of the values on indicators within each health di-
mension; area health indices by the weighted sum of
the dimension indices within each area of concern, i.e.,
ďLJǁ ĞŝŐŚƟŶŐƚŚĞǀ ĂůƵĞƐŽŶƚŚĞŝŶĚŝĐĂƚŽƌƐĂĐƌŽƐƐƚŚĞ
dimensions within each area of concern; two compo-
ŶĞŶƟĂůŚĞĂůƚŚŝŶĚŝĐĞƐ ŽŶĞoutcomes health index and
one determinants health index by the weighted sum of
ƚŚĞƌĞƐƉĞĐƟǀ ĞĂƌĞĂŝŶĚŝĐĞƐ /ŶŐůŽďĂůƚĞƌŵƐ ĂƚŽƉůĞǀ Ğů
W, /ƐŚŽƵůĚĐŽŵďŝŶĞƉƌŽƐƉĞĐƟǀ ĞůLJƚŚĞƚǁ ŽĐŽŵƉŽŶĞŶͲ
ƟĂůŝŶĚŝĐĞƐ ƚŽƌĞƐƉĞĐƚƚŚĞƉĞƌƐƉĞĐƟǀ ĞƚŚĂƚĚĞƚĞƌŵŝͲ
nants are means to improve the outcomes of health.
Accordingly, the EURO-HEALTHY PHI will be such that if
two regions score equally on the outcomes PHI but
have different scores on the determinants PHI, PH will
not be perceived as equal in both regions, as the re-
ŐŝŽŶďĞƩ ĞƌŝŶŚĞĂůƚŚĚĞƚĞƌŵŝŶĂŶƚƐŚĂƐŚŝŐŚĞƌƉŽƚĞŶƟĂů
ƚŽŝŵƉƌŽǀ ĞŚĞĂůƚŚĂŶĚƚŚĞƌĞĨŽƌĞŚĂǀ ĞďĞƩ ĞƌƉƵďůŝĐ
health in the future.
&ŝŐƵƌĞϯ ĞůƉŚŝƉĂŶĞůƐĞůĞĐƟŽŶĐƌŝƚĞƌŝĂ &ŝŐƵƌĞϰ ĞůƉŚŝƉĂŶĞůƐŚĂƌĞŽĨƉĂƌƟĐŝƉĂŶƚƐ
4
INTERVIEW WITH CARLOS BANA e COSTA
Project partners were involved in the construction of
the EURO-HEALTHY
population health in-
dex. What was your
role in this process?
In view of defining a
EURO-HEALTHY popu-
ůĂƟŽŶŚĞĂůƚŚŝŶĚĞdžŵLJ
role is to lead the tech-
nical design of a mul-
ƟĐƌŝƚĞƌŝĂŵŽĚĞůĂŶĚƚŽŐƵŝĚĞŝƚƐĐŽŶƐƚƌƵĐƟŽŶƚŚƌŽƵŐŚ
ĂƉĂƌƟĐŝƉĂƚŽƌLJƉƌŽĐĞƐƐ ǁ ŚŝĐŚƐƚĂƌƚĞĚďLJĂt Ğď-
Delphi process and will be followed by a decision con-
ferencing process.
EURO-Healthy is using Delphi panel techniques with
the use of experts not only to select the indicators
but also to weight them and define the shapes of
their value functions. What are the practicalities of
this methodology?
ŶŝŶŶŽǀ ĂƟǀ ĞƚĂŝůŽƌ-made Web-ĞůƉŚŝƉůĂƞŽƌŵǁ ĂƐ
ĚĞƐŝŐŶĞĚƚŽĂůůŽǁ ƚŚĞƉĂƌƟĐŝƉĂƟŽŶŽĨĂŚŝŐŚ ŵƵůƟĚŝƐͲ
ciplinary, and geographically dispersed number of ex-
ƉĞƌƚƐĂŶĚƐƚĂŬĞŚŽůĚĞƌƐ ǁ ŚĞƌĞĞĂĐŚƉĂƌƟĐŝƉĂŶƚĐŽƵůĚ
ƌĞƐƉŽŶĚŝŶŝƚƐŽǁ ŶƉĂĐĞǁ ŝƚŚŝŶƚŚĞƟŵĞĨƌĂŵĞŽĨƚŚĞ
project, and in non-face-to-face format through a
ĨƌŝĞŶĚůLJĂŶĚĂƩ ƌĂĐƟǀ ĞŝŶƚĞƌĨĂĐĞ
Given the innovative features of the socio-technical
processes used, when we design and implement each
process we always take into account the characteris-
tics of the participants, trying to anticipate their even-
tual difficulties and needs and to promote a good
communication and a clarification of concepts.
For this reason emphasis was also given to the devel-
opment of supporting materials, like the writing of
the emails of invitation and instructions to partici-
pants for each round. One interesting experience was
the development of a tailor-made “Mr. Help” that fo-
cused on specific questions some of the participants
asked regarding the Web-Delphi for value functions.
What has been the most challenging process so far?
After selecting the indicators, the Web-Delphi plat-
form was used to elicit qualitative judgement about
the importance of each indicator. The question posed
to the panel was challenging: being presented with
the indicator range from worst to best performance
ĂĐƌŽƐƐƵƌŽƉĞĂŶƌĞŐŝŽŶƐ ĞĂĐŚƉĂƌƟĐŝƉĂŶƚŚĂĚƚŽŐŝǀ Ğ
an individual judgement about how important would
ďĞƚŽĐůŽƐĞƚŚĂƚŐĂƉƚŽƌĞĚƵĐĞŚĞĂůƚŚŝŶĞƋƵĂůŝƟĞƐŝŶ
ƵƌŽƉĞďLJƐĞůĞĐƟŶŐŽŶ-line of the MACBETH qualita-
Ɵǀ ĞũƵĚŐĞŵĞŶƚƐ ŶŽ ǀ ĞƌLJǁ ĞĂŬ ǁ ĞĂŬ ŵŽĚĞƌĂƚĞ
‘strong’, ‘very strong’, or extreme’ importance.
We were surprised with the panel acceptance of the
ƋƵĞƐƟŽŶĂŶĚĂƚƚŚĞĞŶĚŽĨƚŚĞĚĂLJƚŚĞŵŽƐƚĐŚĂůůĞŶŐͲ
ŝŶŐĂƐƉĞĐƚǁ ĂƐƚŚĞŶƵŵďĞƌŽĨƋƵĞƐƟŽŶƐƉŽƐĞĚŝŶĂ
total of three rounds. However, the Web-Delphi for
ǀ ĂůƵĞĨƵŶĐƟŽŶƐŚĂƐďĞĞŶƐŽĨĂƌŵƵĐŚŵŽƌĞĐŽŐŶŝƟǀ ĞůLJ
ĐŚĂůůĞŶŐŝŶŐdŚĞƌĞĂƐŽŶďĞŝŶŐƚŚĞƐƵďƐƚĂŶƟĂůĚŝī ĞƌͲ
ence between the first and the second and third
ƌŽƵŶĚ /ŶƚŚŝƐĮ ƌƐƚƌŽƵŶĚ ĨŽƌĞĂĐŚŝŶĚŝĐĂƚŽƌƉĂƌƟĐŝͲ
ƉĂŶƚƐũƵĚŐĞĚƚŚĞĐŽŶƚƌŝďƵƟŽŶƚŽƉŽƉƵůĂƟŽŶŚĞĂůƚŚŽĨ
three changes in performance. The sequence of these
ƚŚƌĞĞũƵĚŐĞŵĞŶƚƐŚĂƐŝŵƉůŝĐŝƚĂǀ ĂůƵĞĨƵŶĐƟŽŶƐŚĂƉĞ
that is defined upon the full performance range. In
ƚŚĞƐĞĐŽŶĚƌŽƵŶĚ ƚŚĞŝŵƉůŝĐŝƚǀ ĂůƵĞĨƵŶĐƟŽŶƐŽĨĞĂĐŚ
ƉĂƌƟĐŝƉĂŶƚĂŶĚƚŚĞƉĞƌĐĞŶƚĂŐĞŽĨƚŚĞƚŽƚĂůŶƵŵďĞƌŽĨ
ƌŽƵŶĚϭƉĂƌƟĐŝƉĂŶƚƐĨŽƌĞĂĐŚƚLJƉĞŽĨǀ ĂůƵĞĨƵŶĐƟŽŶ
ǁ ĂƐĚĞůŝǀ ĞƌĞĚĂƐĨĞĞĚďĂĐŬƚŽĂůůƉĂƌƟĐŝƉĂŶƚƐ
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
5
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
INTERVIEW WITH CARLOS BANA e COSTA
An added challenge was to design the second round in
Ăǁ ĂLJƚŚĂƚƉŽƚĞŶƟĂƚĞĚƚŚĞƵŶĚĞƌƐƚĂŶĚŝŶŐŽĨƚŚĞƐƵďͲ
ƐƚĂŶƟǀ ĞŵĞĂŶŝŶŐ ŽĨ ƚŚĞ Ěŝī ĞƌĞŶƚ ǀ ĂůƵĞ ĨƵŶĐƟŽŶ
shapes. The design of the second round, now applied
ŶŽƚƚŽƚŚĞŝŵƉůŝĐŝƚǀ ĂůƵĞĨƵŶĐƟŽŶƐŚĂƉĞƐďƵƚƚŽƚŚĞ
ǀ ĂůƵĞĨƵŶĐƟŽŶƐƐĞůĞĐƚĞĚŝŶƚŚĞƐĞĐŽŶĚƌŽƵŶĚ ŝƐĐƵƌͲ
rently being repeated in a third round of the process.
Could you discuss methodological issues along with
main concepts and elements of expert use?
/ƌƌĞƐƉĞĐƟǀ ĞůLJŽĨƚŚĞĐŚŽŝĐĞŽĨƚŚĞƉĂƌƟĐŝƉĂƚŽƌLJƉƌŽͲ
ĐĞƐƐĞƐ ƚŚĞƌĞĂƌĞŐŽŽĚƉƌĂĐƟĐĞƐƚŚĂƚƐŚŽƵůĚďĞŐƵĂƌͲ
anteed. Before, and while, preparing all the processes
ǁ ĞƚŽŽŬĞƐƉĞĐŝĂůĂƩ ĞŶƟŽŶƚŽǁ ŚĂƚǁ ĂƐƌĞĨĞƌƌĞĚŝŶ
both methodological and health literature as the best
ƉƌĂĐƟĐĞƐ ƐĂŶLJƉƌŽĐĞƐƐŽĨĐŽůůĞĐƟŶŐƐĐŝĞŶƟĮ ĐŝŶĨŽƌͲ
ŵĂƟŽŶ ĞdžƉĞƌƚũƵĚŐŵĞŶƚƐĚĞƌŝǀ ŝŶŐĨƌŽŵƉĂƌƟĐŝƉĂƚŽƌLJ
processes need to be collected through a well-
structured, reliable, and transparent process. Howev-
er, the literature is scarce on this subject and to the
best of our knowledge there are no generally accept-
ĞĚŐƵŝĚĞůŝŶĞƐďŽƚŚĨŽƌƚŚĞĂƉƉůŝĐĂƟŽŶŽĨƉĂƌƟĐŝƉĂƚŽƌLJ
processes in general, or to the Delphi process in par-
ƟĐƵůĂƌt ĞƚŚƵƐƌĞƐŽƌƚĞĚƚŽƚŚĞƐƉĞĐŝĮ ĐďĞƐƚƉƌĂĐƟĐĞƐ
and looked for the common key-features addresses in
ƚŚĞůŝƚĞƌĂƚƵƌĞĂƐŚĂǀ ŝŶŐǀ ĂůƵĞŝŶƉƌŽŵŽƟŶŐĂŶĞī ĞĐͲ
Ɵǀ ĞĚŝĂůŽŐƵĞĂŶĚĐƌŝƟĐĂůĚŝƐĐƵƐƐŝŽŶĂŵŽŶŐƉĂƌƟĐŝͲ
ƉĂŶƚƐ ĂŶĚƚŚĞƉƌŽŵŽƟŽŶŽĨƚƌƵƐƚĂŵŽŶŐƉĂƌƟĐŝƉĂŶƚƐ
and facilitators to build for a long-term commitment
on the research results which in itself is paramount to
improve the final outcomes of the EURO-HEALTHY
project.
Is there an emphasis on policy impact and an oppor-
tunity of influencing decision making?
t ŝƚŚƚŚĞĚĞǀ ĞůŽƉŵĞŶƚŽĨĂŶĞǀ ĂůƵĂƟŽŶŵŽĚĞůƚŽĂƉͲ
praise PH that makes use of Web-Delphi and decision
ĐŽŶĨĞƌĞŶĐŝŶŐƉƌŽĐĞƐƐĞƐ ǁ ĞĞdžƉĞĐƚƚŚĂƚƚŚĞƉĂƌƟĐŝͲ
ƉĂŶƚƐŝŶƚŚŝƐƉĂƌƟĐŝƉĂƚŽƌLJƉƌŽĐĞƐƐŚĂǀ ĞĚĞǀ ĞůŽƉĞĚĂŶ
ĂŐƌĞĞŵĞŶƚŽŶƚŚĞŬĞLJĞůĞŵĞŶƚƐŽĨƚŚĞŵƵůƟĐƌŝƚĞƌŝĂ
model to define the PHI, which in turn will allow them
to develop a sense of ownership of the PHI results,
improve their knowledge about what influences PH,
ĂďŽƵƚW, ǀ ĂƌŝĂƟŽŶƐŝŶƵƌŽƉĞĂŶĚĂďŽƵƚƚŚĞŶĞĞĚĨŽƌ
developing different types of policies. Furthermore,
we expect that experts and stakeholders will be using
the outputs of the EURO-HEALTHY project in the fu-
ture.
Will the EURO-HEALTHY Delphi process contribute
towards ensuring rigor in future research using simi-
lar techniques?
The fact the three processes are so different, with
ƐŽŵĞŵĂŶLJĚŝǀ ĞƌŐŝŶŐĐŚĂůůĞŶŐĞƐĂŶĚƉĂƌƟĐƵůĂƌŝƟĞƐ
has been very demanding in terms of research, but
has been providing us with valuable first-hand experi-
ences. As I said before, the literature is scarce on this
subject, and a discussion around the validity of these
ƉƌŽĐĞƐƐĞƐďĂƐĞĚŽŶĂĐƌŝƟĐĂůƵŶĚĞƌƐƚĂŶĚŝŶŐŽĨƚŚĞ
Delphi method, through the analysis of data stability,
Ğǀ ĞŶƚƵĂůŽƉŝŶŝŽŶĐŚĂŶŐĞĂŶĚďĞŚĂǀ ŝŽƵƌĂůĂŶĚŵŽƟͲ
ǀ ĂƟŽŶĂůŝŶŇƵĞŶĐĞƐŽŶǁ ĞŝŐŚƚũƵĚŐĞŵĞŶƚƐ ŝƐƉĂƌƟĐƵͲ
larly missing. In the coming months we will prepare a
ƌĞƉŽƌƚǁ ŝƚŚƌĞĐŽŵŵĞŶĚĂƟŽŶƐŽŶƚŚĞƵƐĞŽĨƉĂƌƟĐŝƉĂͲ
tory processes within the EURO-HEALTHY project to
disseminate the knowledge that we have been gaining
ĨƌŽŵŽƵƌƉƌĂĐƟĐĂůĞdžƉĞƌŝĞŶĐĞƐŽƚŚĂƚŽƚŚĞƌƐĐĂŶďĞŶͲ
efit from our insights.
6
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
INDICATORS AND DATA COLLECTION
Under the Delphi process to select the key indicators of
the Population Health Index (PHI), EURO-HEALTHY pan-
el of experts and stakeholders reached consensus on 80
indicators, both determinants and outcomes, consid-
ered relevant to include in the multicriteria model. They
integrate the following areas of concern: i) Economic
and Social Environment; ii) Demographic Change; iii)
Health Behaviours; iv) Physical Environment; v) Built
Environment; vi) Healthcare Services and vii) Health
Outcomes.
ŌĞƌƚŚŝƐƉƌŽĐĞƐƐ ĚĂƚĂĐŽůůĞĐƟŽŶŽĨƚŚŽƐĞŝŶĚŝĐĂƚŽƌƐ
started for the European regional level (NUTS 2) and for
the 10 metropolitan areas (Athens, Barcelona, Brussels,
Berlin, Lisbon, London, Paris, Prague, Turin and Stock-
holm). This phase revealed many constraints related
with data availability (temporal and geographical dis-
ĂŐŐƌĞŐĂƟŽŶͿĂŶĚĚĂƚĂƋƵĂůŝƚLJ
For the regional PHI, it was considered feasible by the
PSG members to integrate only 42 indicators, taking
into account principles of data availability, measurabil-
ity, relevance, non-ƌĞĚƵŶĚĂŶĐLJĂŶĚĂŶĂůLJƟĐĂůƐŽƵŶĚͲ
ŶĞƐƐ ŽŶĐĞƌŶŝŶŐĚĂƚĂĐŽůůĞĐƟŽŶĂƚŵĞƚƌŽƉŽůŝƚĂŶůĞǀ Ğů
a survey was sent to the 10 focal points asking for the
temporal and geographical availability of the 80 select-
ed indicators. Based on the answers on data availability,
66 indicators were chosen to be collected by the focal
points at municipal level.
All data collected has been uploaded by each focal
point on a web-ďĂƐĞĚĚĂƚĂƉůĂƞŽƌŵ ĚĞǀ ĞůŽƉĞĚďLJt Wϱ
ƚĞĂŵ;hͿdŽƐƵƉƉŽƌƚƚŚĞĚĂƚĂĐŽůůĞĐƟŽŶ t Wϱ;ǁ ŝƚŚ
support of WP2, 3 and 4) also produced a manual defin-
ing the rules that focal points need to follow in order to
collect, build and upload the indicators on the web-
ďĂƐĞĚĚĂƚĂƉůĂƞŽƌŵ
^ƵĐĐĞƐƐŽĨĚĂƚĂĐŽůůĞĐƟŽŶƉƌŽĐĞƐƐƌĞƋƵŝƌĞĚŝŶƚĞŶƐĞ
ŝŶƚĞƌĂĐƟŽŶďĞƚǁ ĞĞŶĨŽĐĂůƉŽŝŶƚƐĂƐǁ ĞůůĂƐĞī ĞĐƟǀ Ğ
ĐŽŵŵƵŶŝĐĂƟŽŶ ĐĐŽƌĚŝŶŐůLJƐĞǀ ĞƌĂůŵĞĞƟŶŐƐǁ ĞƌĞ
held, during the last year to discuss the relevance,
data quality and availability of health determinants
and outcomes indicators. Figure 5 illustrates one of
ƚŚĞŵĞĞƟŶŐƐŚĞůĚŽŶWƵďůŝĐ, ĞĂůƚŚŶŐůĂŶĚ;W, Ϳ
London, between WP5 and WP3 leaders.
&ŝŐƵƌĞϱ D ĞĞƟŶŐǁ ŝƚŚW, ĂŶĚh> KĐƚŽďĞƌ>ŽŶĚŽŶ
7
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
1ST ANNUAL MEETING IN BARCELONA,
FEBRUARY 2016The 1st Annual Meeting took place in Barcelona, be-
tween the 3rd and 4th February 2016 (Figure 6). The
meeting was divided into three separate sessions. Two
parallel sessions took place on the 3rd of February
(detailed below) and a further session took place on
the following day for all partners.
On the 3rd, two meetings were held in parallel sessions:
1) Project Steering Group (PSG) session
2) Focal Points session
The PSG meeting aimed to discuss relevant issues re-
garding the methodology to construct the Population
Health Index, experts and stakeholders panel for partic-
ipatory processes and the project glossary content.
Forthcoming meetings and conference participation
such as the upcoming European Public Health confer-
ence, held in Vienna, were discussed.
Regarding the Focal Points meeting, which took place
as a parallel session, participants attending were repre-
sentatives of the 10 metropolitan areas included in the
Euro-Healthy project. The meeting focused on provid-
ing an update on data identification, availability and
different stages of collection for each of the focal
points involved. Specifically, each focal point presented
their metropolitan area and concerns and constraints
on collecting the data.
On the 4th ŽĨ&ĞďƌƵĂƌLJƚŚĞŵĂŝŶĂůůƉĂƌƚŶĞƌƐŵĞĞƟŶŐ
ǁ ĂƐŚĞůĚĂŶĚĂƩĞŶĚĞĚďLJĂůůƵƌŽ-Healthy members.
Each work package included in the project presented
ƚŚĞŝƌƉƌŽŐƌĞƐƐƌĞǀ ŝĞǁ ŽĨƚĂƐŬƐĂŶĚĨŽƌƚŚĐŽŵŝŶŐĂĐƟǀ ŝͲ
ƟĞƐ dŚĞŽǀ ĞƌĂůůƉƌŽũĞĐƚƉƌŽŐƌĞƐƐĂŶĚŶĞdžƚƐƚĞƉƐŝŶͲ
ǀ Žůǀ ŝŶŐƚŚĞƉĂƌƟĐŝƉĂƟŽŶŽĨĂůůĞdžƉĞƌƚƐǁ ĞƌĞĚĞŵŽŶͲ
strated and discussed. Photographs below in Figure 6
ƐŚŽǁ ĂƉƌĞƐĞŶƚĂƟŽŶĚƵƌŝŶŐƚŚĞŵĂŝŶŵĞĞƟŶŐĂŶĚ
partners enjoying a coffee break while discussing some
of the most relevant issues presented during the ses-
sions.
Figure 6. Photographs showing the 1st AnnualD ĞĞƟŶŐĂƌĐĞůŽŶĂ, February 2016
8
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
FURTHER PARTNER MEETINGS
ŵĞĞƟŶŐƚŽŽŬƉůĂĐĞǁ ŝƚŚhZK -HEALTHY partner EU-
BA in Kosice and Paula Santana at the University of
ĐŽŶŽŵŝĐƐŝŶƌĂƟƐůĂǀ Ă &ĂĐƵůƚLJŽĨƵƐŝŶĞƐƐĐŽŶŽŵŝĐƐ
in Kosice 23-26 April. This included the team of profes-
ƐŽƌD ŝĐŚĂůdŬĄēĂŶĚ>ƵĐŝĂŽƐĄŬŽǀ Ą &ƵƌƚŚĞƌŵĞĞƟŶŐƐ
that took place were at Pavol Jozef Safarik University in
Kosice, Medical faculty, Department of Health Psychol-
ogy (Team of professor Andrea Madarasova Geckova) -
as seen in the photo (Figure 7).
&ƵƌƚŚĞƌŵĞĞƟŶŐƐǁ ŚŝĐŚƚŽŽŬƉůĂĐĞŝŶĐůƵĚĞĚĂǁ ŽƌŬͲ
ƐŚŽƉŽŶŐŽŽĚƉƌĂĐƟĐĞŝŶƉƵďůŝĐƉŽůŝĐŝĞƐƚŽƌĞĚƵĐĞ
health inequality on the 6th of July 2016. The work-
ƐŚŽƉĨĞůůƵŶĚĞƌt Wϳ dŚĞƉƌŽũĞĐƚƉĂƌƚŶĞƌŵĞĞƟŶŐ
which included work on WP7 and WP 5 took place at
the Maastricht University Campus in Brussels. The
ŵĞĞƟŶŐŚĂĚĂĨŽĐƵƐŽŶŵŝŐƌĂƟŽŶĂŶĚĞŶǀ ŝƌŽŶŵĞŶƚĂů
policy analysis. On the 7th of July 2016, representa-
Ɵǀ ĞƐŽĨt WϱĂŶĚϳ ƉĂƌƟĐŝƉĂƚĞĚŝŶƚŚĞ' ůŽďĂů, ĞĂůƚŚ
Policy Forum at the European Commission in Brussels,
Belgium (Figure 8). The focus of the policy forum was
on informed policy making on environmental determi-
ŶĂŶƚƐŽĨŚĞĂůƚŚĂŶĚŚŽǁ ƚŽďƌŝĚŐĞƉŽůŝĐLJŝŶƚŽƉƌĂĐƟĐĞ
with an special focus on Non-communicable diseases.
WĂƌƟĐŝƉĂƟŽŶŽĨt Wϳ ƌĞƉƌĞƐĞŶƚĂƟǀ ĞƐƚŽŽŬƉůĂĐĞĂƚƚŚĞ
WĂƌŝƐϮϭƌŽƐƐZĞŐŝŽŶĂů&ŽƌƵŵ ^ŚĂƉŝŶŐ^ƵďŶĂƟŽŶĂů
^ƚĂƟƐƟĐĂů LJƐƚĞŵƐƚŽŵĞĞƚƌĞƋƵŝƌĞŵĞŶƚƐŽĨƚŚĞ ' Ɛ
at the OECD Conference Centre Paris, France, 17-18
May 2016. Euro-Healthy project members were part of
ƚŚĞ/ŶƚĞƌŶĂƟŽŶĂůW<ŶŽǁ ůĞĚŐĞ—Transfer Confer-
ĞŶĐĞŽŶhƌďĂŶĞǀ ĞůŽƉŵĞŶƚĨŽƌ, ĞĂůƚŚŝĞƌŝƟĞƐ
cross-ĐƵƫ ŶŐƉƉƌŽĂĐŚƚŽ/ŶŶŽǀ ĂƟǀ Ğ>ŽĐĂů' Žǀ ĞƌŶĂŶĐĞ
during 13-14 June 2016.
&ŝŐƵƌĞϳ D ĞĞƟŶŐǁ ŝƚŚhZK -HEALTHY partner EUBA,ƌĂƟƐůĂǀ Ă ƉƌŝůϮϬϭϲ
Figure 8. Global Health Policy Forum, Brussels, July2016
9
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
EXPERT POLICY FORUM AT 9TH EUROPEAN
PUBLIC HEALTH CONFERENCE
Maastricht University, Faculty of Health, Medicine, and
>ŝĨĞƐĐŝĞŶĐĞƐ hW, ĞĐƟŽŶŽŶWƵďůŝĐŚĞĂůƚŚƉƌĂĐƟĐĞ
and policy and Euro-HEALTHY project have organised a
pre-conference workshop at the 9th EPH conference
which will take place in Vienna, Austria during 9-12 of
November.
The main goal of the pre-conference is to advance
ŬŶŽǁ ůĞĚŐĞŽŶƉŽůŝĐŝĞƐĂŶĚĞŶŚĂŶĐĞŝŶƚĞƌĂĐƟŽŶŽĨƉŽůŝͲ
cy makers and stakeholders to discuss policies with
ŚŝŐŚĞƐƚƉŽƚĞŶƟĂůƚŽĞŶŚĂŶĐĞŚĞĂůƚŚĂŶĚŚĞĂůƚŚĞƋƵŝƚLJ
ĂĐƌŽƐƐƵƌŽƉĞĂŶƌĞŐŝŽŶƐǁ ŝƚŚƉĂƌƟĐƵůĂƌĨŽĐƵƐŽŶŵĞƚͲ
ropolitan areas.
dŚĞƐĞƐƐŝŽŶƐǁ ŝůůƐƚĂƌƚǁ ŝƚŚĂŶŝŶƚƌŽĚƵĐƟŽŶĂŶĚƐƟŵƵͲ
ůĂƟŶŐƚĂůŬĨŽůůŽǁ ĞĚďLJĂƉƌĞƐĞŶƚĂƟŽŶŽĨƚŚĞƉŽƉƵůĂƟŽŶ
ŚĞĂůƚŚŝŶĚĞdžƚŽŽůĂŶĚŝƚƐŝŵƉůŝĐĂƟŽŶŝŶĨŽƌĞƐĞĞŝŶŐƚŚĞ
ŝŵƉĂĐƚŽĨŵƵůƟůĞǀ ĞůƉŽůŝĐŝĞƐ ďĞŶĞĮ ƚƐĂŶĚĐŚĂůůĞŶŐĞƐ
will be discussed with policy makers, stakeholders and
ƐĐŝĞŶƟƐƚ dŚĞĂƌĞĂŽĨŝŶĞƋƵĂůŝƚLJĂŶĚŵŽƌƚĂůŝƚLJǁ ŝůůŚŝŐŚͲ
light examples of policies tackling socioeconomic ine-
quality looking at policy challenges and evidence for
policy making. The selected areas of concern physical
environment and health will be an example area for
discussing with policy makers selected policies and
ƚŚĞŝƌŝŵƉůŝĐĂƟŽŶƐĂƐǁ ĞůůĂƐƚŚĞĞǀ ŝĚĞŶĐĞ-to-policy pro-
cess. Urban health will have a separate session to high-
light the specific need for tools and policies tackling
health challenges at the urban scale.
Each session will be set up with 4-5 policy makers, ad-
ǀ ŽĐĂƚĞƐŽƌE ' K ƐƚŽƉƌĞƐĞŶƚĂƉŽůŝĐLJŝŵƉůĞŵĞŶƚĂƟŽŶ
and related challenges. Sessions will be followed by a
ŵŽĚĞƌĂƚĞĚƋƵĞƐƟŽŶĂŶĚĂŶƐǁ ĞƌĚŝĂůŽŐƵĞ
Addressing health inequities across Europe: from
evidence to policy
10
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
PRE-CONFERENCE WORKSHOP AT 9TH
EUROPEAN PUBLIC HEALTH CONFERENCE
Preliminary programme Wednesday 9 November
13:30 – ϭϰ ϬϬ ĞƐƐŝŽŶϭKƉĞŶŝŶŐĂŶĚŝŶƚƌŽĚƵĐƟŽŶ dŚŽŵĂƐ<ƌĂŏ <ĂŝD ŝĐŚĞůƐĞŶ D ĂĂƐƚƌŝĐŚƚhŶŝǀ ĞƌƐŝƚLJdŚĞEĞƚŚͲ
erlands, and Paula Santana, University of Coimbra, Portugal
14:00 – 15:00 Session 2 Urban Health: Gerard Salem, University Paris Ouest, France
15:00– 15:30 Coffee Break
15:30 – ϭϲ ϭϱ ĞƐƐŝŽŶϯ/ŶĞƋƵĂůŝƟĞƐŝŶD ŽƌƚĂůŝƚLJĂƌŵĞŽƌƌĞůůŐĞŶĐŝĂĚĞ ĂůƵĚWƵďůŝĐĂĚĞĂƌĐĞůŽŶĂ ƉĂŝŶ
16:15 – ϭϳ ϬϬ ĞƐƐŝŽŶϰŶǀ ŝƌŽŶŵĞŶƚĂŶĚ, ĞĂůƚŚ ŽƌƟƐs ĂƌĚŽƵůĂŬŝƐ ĞƌŶĚŐŐĞŶ WƵďůŝĐ, ĞĂůƚŚŶŐůĂŶĚ hŶŝƚĞĚ
Kingdom
18:00 Social Event Buffet Dinner - Drinks
Preliminary programme Thursday 10 November
09:00 – ϭϬϬϬ ĞƐƐŝŽŶϱWŽƉƵůĂƟŽŶ, ĞĂůƚŚ/ŶĚĞdžĂƌůŽƐĂŶĂĞŽƐƚĂ hŶŝǀ ĞƌƐŝƚLJŽĨ>ŝƐďŽŶ WŽƌƚƵŐĂů
10:00 – 10:30 Coffee Break
10:30 – ϭϭ ϭϱ ĞƐƐŝŽŶϲZŽƵŶĚƚĂďůĞ dŚŽŵĂƐ<ƌĂŏ <ĂŝD ŝĐŚĞůƐĞŶ WĂƵůĂ ĂŶƚĂŶĂĂŶĚ&Z , ZƉƌŽũĞĐƚƌĞƉƌĞͲ
ƐĞŶƚĂƟǀ Ğ
11:15 – 12:00 Closing – Wrap up
12:00-13:00 Network lunch
ZĞŐŝƐƚƌĂƟŽŶ&ĞĞ
&ŽƌƚŚŝƐŝŶǀ ŝƚĂƟŽŶĂůƉƌĞĐŽŶĨĞƌĞŶĐĞƚŚĞƌĞŝƐĂůŝŵŝƚĞĚŶƵŵďĞƌŽĨϯϬƐĞĂƚƐĂǀ ĂŝůĂďůĞdŚĞƌĞŐŝƐƚƌĂƟŽŶĨĞĞŝƐΦϭϰϬwhich includes buffet lunch and refreshments, not included is the social event.
11
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
ADVISORY BOARD
Anna Diez Roux is in-
ternationally known
for her research on the
social determinants of
population health and
the study of how
neighbourhoods affect
health.
Her research areas in-
clude social epidemiolo-
gy and health disparities, environmental health effects,
urban health, psychosocial factors in health, cardiovas-
cular disease epidemiology, and the use of multilevel
methods. Recent areas of work include social environ-
ment-gene interactions and the use of complex systems
approaches in population health. She has been a mem-
ber of the MacArthur Network on Socioeconomic Fac-
tors and Health and was Co-Director of the Network on
Inequality, Complexity and Health and has served on
numerous editorial boards, review panels and advisory
committees including most recently the Environmen-
tal Protection Agency.
Pedro Pita Barros is Pro-
fessor of Economics at
Universidade Nova de Lis-
boa where he teaches in-
dustrial organization and
health economics. He is
also a research fellow at
the Centre for Economic
Policy Research (London).
His research focuses on
issues on health economics and on regulation and com-
petition policy. His work has covered different topics
including: health expenditure determinants, waiting
lists, bargaining in health care, competition policy in
Portugal and in the European Union, among others. His
research has appeared in many academic journals (such
as the Journal of Health Economics, Health Economics,
Economic Journal, European Economic Review, Journal
of Industrial Economics, Journal of Economics and Man-
agement Strategy, among others).
Anna V Diez Roux
Drexel University School of Public Health, USA
Pedro Pita Barros
Nova School of Business and Economics, NewUniversity of Lisbon, Portugal
12
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚ/
ADVISORY BOARD
Patricia O’Campo is
Professor at University
of Toronto where she
conducts research on
the Centre for Re-
search on Inner City
Health.
Her research focusses
on social epidemiolo-
ŐLJŝŶƚĞƌƐĞĐƚŽƌĂůĂĐƟŽŶ
ĂŶĚƉŽůŝĐŝĞƐĨŽƌĂĚĚƌĞƐƐŝŶŐŝŶĞƋƵŝƟĞƐ ƉŽůŝĐLJĐŽŵŵƵͲ
ŶŝƚLJƉĂƌƚŶĞƌĞĚƌĞƐĞĂƌĐŚ ŝŶƟŵĂƚĞƉĂƌƚŶĞƌǀ ŝŽůĞŶĐĞĂŶĚ
neighbourhoods and health.
^ƉĞĐŝĮ ĐĂƌĞĂƐŽĨƌĞƐĞĂƌĐŚŝŶĐůƵĚĞ ŝŶƟŵĂƚĞƉĂƌƚŶĞƌǀ ŝŽͲ
lence, neighbourhoods and health, mental health,
ǁ ŽŵĞŶΖƐŚĞĂůƚŚ Ğǀ ĂůƵĂƟŽŶŽĨĐŽŵƉůĞdžƐŽĐŝĂůŝŶƚĞƌǀ ĞŶͲ
ƟŽŶƐ ĐŚŝůĚƌĞŶΖƐŚĞĂůƚŚĂŶĚĚĞǀ ĞůŽƉŵĞŶƚ
Recent areas of work include the application of multi-
level modelling to understand residential and work-
place contexts on women’s and children’s health, the
application of concept mapping to increase under-
standing of how residential neighbourhoods influence
well-being and on the development of monitoring
methods for rare health events in small geographic are-
as.
Alec Morton has
worked for Singapore
ŝƌůŝŶĞƐ ƚŚĞEĂƟŽŶĂů
University of Singa-
pore, and the London
School of Economics,
ŚĂƐŚĞůĚǀ ŝƐŝƟŶŐƉŽƐŝͲ
ƟŽŶƐ Ăƚ ĂƌŶĞŐŝĞ
Mellon University in
WŝƩ ƐďƵƌŐŚ ĂůƚŽhŶŝͲ
versity in Helsinki, and the University of Science and
Technology of China (USTC) in Hefei, and has been on
ƐĞĐŽŶĚŵĞŶƚĂƚƚŚĞEĂƟŽŶĂůƵĚŝƚK ĸ ĐĞ, ŝƐŵĂŝŶŝŶͲ
terests are in decision analysis and health economics.
, ĞŚĂƐďĞĞŶĂĐƟǀ ĞŝŶƚŚĞ/E&KZD ^ĞĐŝƐŝŽŶŶĂůLJƐŝƐ
Society and the OR Society. He is on the Editorial Board
of Decision Analysis and is an Associate Editor for the
hZK:ŽƵƌŶĂůŽŶĞĐŝƐŝŽŶWƌŽĐĞƐƐĞƐ ƚŚĞdƌĂŶƐĂĐƟŽŶƐ
ŽĨƚŚĞ/ŶƐƟƚƵƚĞŽĨ/ŶĚƵƐƚƌŝĂůŶŐŝŶĞĞƌƐ ĂŶĚKZ ƉĞĐͲ
ƚƌƵŵ WĂƐƚĐŽŶƐƵůƟŶŐĐůŝĞŶƚƐŝŶĐůƵĚĞƚŚĞEĂƟŽŶĂůƵĚŝƚ
Office, the Department of Health, the Environment
Agency, the Nuclear Decommissioning Authority and
the Global Fund to Fight AIDS, Tuberculosis and Malar-
ia.
Patricia O’Campo
Dalla Lana School of Public Health Sciences,University of Toronto, Canada
Alec Morton
Management Science, University of Strathclyde,United Kingdom
13
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
DISSEMINATION
Bana e Costa C (2015). Agreeing a way forward
with MACBETH. Seminar of the Consensus Building
/ŶƐƟƚƵƚĞĂƚD /d Boston. June.
Bana e Costa C (2015). ƌŝƟĐĂůD ŝƐƚĂŬĞƐŝŶD ƵůͲ
ƟĐƌŝƚĞƌŝĂǀ ĂůƵĂƟŽŶ džĂŵƉůĞƐǁ ŝƚŚ, ĞĂůƚŚ/ŶĚŝĐĂͲ
tors /&;/ŶƚĞƌŶĂƟŽŶĂůĞĐŝƐŝŽŶŽŶĨĞƌĞŶĐŝŶŐ&ŽͲ
ƌƵŵͿD ĞĞƟŶŐt ĂƐŚŝŶŐƚŽŶ :ƵŶĞ
Dimitroulopoulou S, Vardoulakis S, Heaviside C,
Katsouyanni K, Samoli E, Santana P (2015).
Development of environmental public health
indicators in Europe ϭϴƚŚ/ŶƚĞƌŶĂƟŽŶĂů LJŵƉŽƐŝƵŵ
ŽŶŶǀ ŝƌŽŶŵĞŶƚĂůWŽůůƵƟŽŶĂŶĚŝƚƐ/ŵƉĂĐƚŽŶ>ŝĨĞŝŶ
the Mediterranean Region. Crete. September.
Forte H, Oliveira M, Nicola P, Bana e Costa C, Lucas
de Freitas C (2015). t ŚĂƚĚĞƚĞƌŵŝŶĞƐƉŽƉƵůĂƟŽŶ
health? Making the best use of literature to
ƐƚƌƵĐƚƵƌĞĂŵƵůƟĐƌŝƚĞƌŝĂƉŽƉƵůĂƟŽŶŚĞĂůƚŚŝŶĚĞdž.
14th ŽŶĨĞƌĞŶĐĞŽĨƚŚĞWŽƌƚƵŐƵĞƐĞƐƐŽĐŝĂƟŽŶŽĨ
Health Economics. Lisbon. October.
Henriques F, Alvarenga A, Oliveira M, Bana e Costa
C, Nicola P (2015). A new methodology for
ŝŶĨŽƌŵŝŶŐŚĞĂůƚŚƉŽůŝĐLJďƵŝůĚŝŶŐƉŽƉƵůĂƟŽŶŚĞĂůƚŚ
scenarios for Portugal. 14th Conference of the Por-
ƚƵŐƵĞƐĞƐƐŽĐŝĂƟŽŶŽĨ, ĞĂůƚŚĐŽŶŽŵŝĐƐ >ŝƐďŽŶ
October.
Lopes D, Bana e Costa C, Oliveira M (2015).
ĞƐŝŐŶŝŶŐĂD d, ĂŐŐƌĞŐĂƟŽŶ ĚŝƐĂŐŐƌĞŐĂƟŽŶ
ŵŽĚĞů ƚŽ ďƵŝůĚ Ă ƉŽƉƵůĂƟŽŶ ŚĞĂůƚŚ ŝŶĚĞdž.
14th ŽŶĨĞƌĞŶĐĞŽĨƚŚĞWŽƌƚƵŐƵĞƐĞƐƐŽĐŝĂƟŽŶŽĨ
Health Economics. Lisbon. October.
Luís G, Oliveira M, Bana e Costa C, Cardoso T,
Nicola P (2015). ǀ ĂůƵĂƟŶŐƉŽůŝĐŝĞƐǁ ŝƚŚƚŚĞŚŝŐŚĞƐƚ
ƉŽƚĞŶƟĂůƚŽŝŵƉƌŽǀ ĞŚĞĂůƚŚĂŶĚƌĞĚƵĐĞŚĞĂůƚŚŝŶĞƋͲ
ƵŝƟĞƐŝŶƵƌŽƉĞƚŚƌŽƵŐŚŵƵůƟĐƌŝƚĞƌŝĂƌĞƐŽƵƌĐĞĂůůŽͲ
ĐĂƟŽŶ Ϯϳ ƚŚƵƌŽƉĞĂŶŽŶĨĞƌĞŶĐĞŽŶKƉĞƌĂƟŽŶĂů
Research. Glasgow. July.
Oliveira M, Luís G, Bana e Costa C, Cardoso T,
Nicola P, Santana P (2015). Which policies have
ƚŚĞ ŚŝŐŚĞƐƚ ƉŽƚĞŶƟĂů ƚŽ ŝŵƉƌŽǀ Ğ ŚĞĂůƚŚ ĂŶĚ
health equity across European regions? ŵƵůƟ-
ŵĞƚŚŽĚŽůŽŐLJĐŽŵďŝŶŝŶŐĐůƵƐƚĞƌŝŶŐǁ ŝƚŚƉŽƌƞŽůŝŽ
decision analysis methods. 14th Conference of the
WŽƌƚƵŐƵĞƐĞƐƐŽĐŝĂƟŽŶŽĨ, ĞĂůƚŚĐŽŶŽŵŝĐƐ >ŝƐͲ
bon. October.
Oliveira M, Bana e Costa C, Lopes D, Forte
H, Lucas de Freitas C, Nicola P (2015). What
ĚĞƚĞƌŵŝŶĞƐƉŽƉƵůĂƟŽŶŚĞĂůƚŚ From structuring
ƚŚĞŵƵůƟĚŝŵĞŶƐŝŽŶĂůƉŽƉƵůĂƟŽŶŚĞĂůƚŚĐŽŶĐĞƉƚ
towards designing a MACBETH model to evaluate
ƉŽƉƵůĂƟŽŶŚĞĂůƚŚ. 27th European Conference on
KƉĞƌĂƟŽŶĂůZĞƐĞĂƌĐŚ ' ůĂƐŐŽǁ :ƵůLJ
Pilot E, Sholtes B, Wang L, Freitas Â, Stefanik I,
<ƌĂŏ d ĂŶƚĂŶĂW;ϮϬϭϱͿ' ŽŽĚWƌĂĐƟĐĞƐŝŶƵƌŽͲ
ƉĞĂŶWƵďůŝĐWŽůŝĐŝĞƐƚŽƌĞĚƵĐĞ, ĞĂůƚŚ/ŶĞƋƵŝƟĞƐ-
ĂŵƵůƟůĞǀ ĞůƉŽůŝĐŝĞƐƌĞǀ ŝĞǁ /ŶƚĞƌŶĂƟŽŶĂů' ĞŽͲ
graphical Union Regional Conference (IGU 2015).
Moscow. August.
Rodrigues T, Bana e Costa C, Bana e Costa J, De
Corte J-M, Vansnick J-C (2015). M-MACBETH for
D ƵůƟĐƌŝƚĞƌŝĂZĞƐŽƵƌĐĞůůŽĐĂƟŽŶ. 27th European
ŽŶĨĞƌĞŶĐĞŽŶKƉĞƌĂƟŽŶĂůZĞƐĞĂƌĐŚ ' ůĂƐŐŽǁ
July.
Santana P, Oliveira M, Freitas  (2015).
WŽƉƵůĂƟŽŶ, ĞĂůƚŚ/ŶĚĞdžƚŽŽůĨŽƌƵƌŽƉĞĂŶ
policy dialogue. IMGS 2015 - ϭϲƚŚ/ŶƚĞƌŶĂƟŽŶĂů
Medical Geography Symposium. Vancouver. July.
Santana P, Freitas  (2015). ƌĞĂƟŶŐ, ĞĂůƚŚLJ
ŽŵŵƵŶŝƟĞƐƚŚƌŽƵŐŚĂWŽƉƵůĂƟŽŶ, ĞĂůƚŚ/ŶĚĞdž
in Europe /ŶƚĞƌŶĂƟŽŶĂůŽŶĨĞƌĞŶĐĞ ZŝƐŬ&ĂĐƚŽƌƐ
in Regional and Local Development”. Paris. Sep-
tember. Lisbon, Portugal.
WƌĞƐĞŶƚĂƟŽŶƐĂƚĐŽŶĨĞƌĞŶĐĞƐ;ϮϬϭϱͿ
14
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
DISSEMINATIONWƌĞƐĞŶƚĂƟŽŶƐĂƚĐŽŶĨĞƌĞŶĐĞƐ;ϮϬϭϲͿ
Costa C, Stefanik I, Freitas Â, Santana P (2016).
Challenges and Constraints measuring and
ŵŽŶŝƚŽƌŝŶŐWŽƉƵůĂƟŽŶ, ĞĂůƚŚŽĨƵƌŽƉĞĂŶZĞŐŝŽŶƐ.
ϮϬϭϲ ƚĂŶĚŝŶŐŽŵŵŝƩ ĞĞŽŶZĞŐŝŽŶĂůĂŶĚhƌďĂŶ
^ƚĂƟƐƟĐƐ;^KZh^ͿŽŶĨĞƌĞŶĐĞ>ŝƐďŽŶ :ƵŶĞ
Costa C, Freitas Â, Santana P (2016). Health
determinants and outcomes across European
regions. EURO-HEALTHY' Preliminary results, 9th
European Public Health Conference 2016 (EPHA
2016). Vienna. November.
Costa C, Stefanik I, Freitas Â; Leal C, Santana P
(2016). ĞƚĞĐƟŶŐŚĞĂůƚŚ ŝŶĞƋƵŝƟĞƐ ŝŶƵƌŽƉĞĂŶ
regions, Pre-conference on Shaping Geographies of
Health, Health Care and Environment, 33rd
/ŶƚĞƌŶĂƟŽŶĂů ' ĞŽŐƌĂƉŚŝĐĂůŽŶŐƌĞƐƐ ;/' ϮϬϭϲͿ
Xi’an. August.
Franke C, Santana P, Costa C, Schweikart J (2016).
Euro-Healthy INSPIRE’s. INSPIRE-ŝƌĞŬƟǀ ĞŶ ŝŵ
Kontext eines EU-Projekts. Geoinfo.Potsdam 2016.
Potsdam. June.
Santana P (2016). ĞƐĂĮ ŽƐĞĨĂƚŽƌĞƐĐƌşƟĐŽƐƉĂƌĂĂ
ƉĂƌƟĐŝƉĂĕĆŽĞŵƉƌŽũĞĐƚŽƐ ĂƷĚĞ, ϮϬϮϬ. INFODAY
Oportunidade de financiamento H2020 “Saúde,
alterações demográficas e bem-estar”. Lisbon.
June.
Santana P, Freitas  (2016). A redução das
desigualdades em saúde, da evidência à ação
ƉŽůşƟĐĂ. 4º Congresso Regional Envelhecimento
Ɵǀ ŽĞ ĂƵĚĄǀ ĞůŐĞŝŶŐŽŝŵďƌĂ ŽŝŵďƌĂ D ĂLJ
Santana P, Freitas Â, Costa C, Stefanik I (2016).
WŽƉƵůĂƟŽŶ , ĞĂůƚŚ /ŶĚĞdž ƚŽŽů ĨŽƌ ŝĚĞŶƟĨLJŝŶŐ
ŐĞŽŐƌĂƉŚŝĐĂůŚĞĂůƚŚŝŶĞƋƵĂůŝƟĞƐ ϭϯƚŚ/ŶƚĞƌŶĂƟŽŶĂů
Conference on Urban Health (ICUH 2016). San
Francisco. April.
Santana P, Costa C, Almendra R, Freitas  (2016).
The impact of preventable mortality on life
expectancy at birth in Portugal: changes in the last
Ϯϱ LJĞĂƌƐ ĂŶĚ ŚĞĂůƚŚ ƉƌŽŵŽƟŽŶ ŶĞĞĚĞĚ
complimentary insight. 9th European Public Health
Conference 2016 (EPHA 2016). Vienna. November.
Santana P, Freitas Â, Costa C, Stefanik I (2016).
Improving the understanding of policymakers
ƌĞŐĂƌĚŝŶŐƚŚĞŵĂũŽƌĨĂĐƚŽƌƐĂī ĞĐƟŶŐƉŽƉƵůĂƟŽŶ
health, 9th European Public Health Conference
2016 (EPHA 2016). Vienna. November.
Santana P, Freitas Â, Costa C, Stefanik I, ; Bana e
Costa J (2016). Which indicators are considered
ƌĞůĞǀ ĂŶƚ ĨŽƌ ƚŚĞ Ğǀ ĂůƵĂƟŽŶ ŽĨ ƚŚĞ ƵƌŽƉĞĂŶ
ƉŽƉƵůĂƟŽŶ Ɛ ŚĞĂůƚŚ ϯϯƌĚ /ŶƚĞƌŶĂƟŽŶĂů
Geographical Congress (IGC 2016). Beijing. August.
Rodopoulou S, Samoli E, Dimitroulopoulou S,
Mitsakou C, Heaviside C, Vardoulakis S, Santana P,
Katsouyanni K (2016). Health impact of selected
environmental indicators in Athens, Greece. 28th
ŶŶƵĂů/ŶƚĞƌŶĂƟŽŶĂů ŽĐŝĞƚLJĨŽƌŶǀ ŝƌŽŶŵĞŶƚĂů
Epidemiology (ISEE) Conference. Rome. Septem-
ber.
Vardoulakis S, Dimitroulopoulou S, Mitsakou C,
Heaviside C, Katsouyanni K, Samoli E, Santana P
(2016). Developing environmental public health
indicators for European metropolitan areas. ICUR
2016 Conference. Lisbon. July.
Vieira CA, Bana e Costa C, Bana e Costa J, Oliveira
M, Santana, P (2016). ŶŝŶŶŽǀ ĂƟǀ Ğt Ğď-Delphi on
ǁ ĞŝŐŚƚƐƚŽŝŶĨŽƌŵƚŚĞĐŽŶƐƚƌƵĐƟŽŶŽĨĂhZK -
, >d, zƉŽƉƵůĂƟŽŶŚĞĂůƚŚ ŝŶĚĞdž. 42nd annual
ŵĞĞƟŶŐ ŽĨ ƚŚĞ hZK t ŽƌŬŝŶŐ ' ƌŽƵƉ ŽŶ
KƉĞƌĂƟŽŶĂůZĞƐĞĂƌĐŚƉƉůŝĞĚƚŽ, ĞĂůƚŚ^Ğƌǀ ŝĐĞƐ
Pamplona. July.
Costa C, Stefanik I, Bana e Costa J (2016). ^ĞůĞĐƟŶŐ
ŝŶĚŝĐĂƚŽƌƐ ĨŽƌ ƚŚĞ Ğǀ ĂůƵĂƟŽŶ ŽĨ ƵƌŽƉĞĂŶ
ƉŽƉƵůĂƟŽŶŚĞĂůƚŚ ĞůƉŚŝĐŽŶƐĞŶƐƵƐƐƚƵĚLJ, 9th
European Public Health Conference (EPHA 2016).
Vienna. November.
15
č ęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ
FORTHCOMING EVENTS
D ĞĞƟŶŐƐ
Decision conferencing process to develop Euro-
, ĞĂůƚŚLJƐƉŽƉƵůĂƟŽŶŚĞĂůƚŚŝŶĚĞdžϮϰKĐƚŽďĞƌϮϬϭϲ
Lisbon, Portugal
Euro-, ĞĂůƚŚLJĂůůƉĂƌƚŶĞƌŵĞĞƟŶŐϮϱ-26 October
2016, Lisbon, Portugal
/ŶƚĞƌŶĂƟŽŶĂůĐŽŶĨĞƌĞŶĐĞƐ
/s /ŶƚĞƌŶĂƟŽŶĂůŽŶĨĞƌĞŶĐĞŽĨƚŚĞ ƉĂŶŝƐŚƐƐŽĐŝĂͲ
ƟŽŶŽĨŽŵŵƵŶŝƚLJE ƵƌƐŝŶŐϱ-7 October 2016, Bur-
gos, Spain
ŐŝŶŐĂŶĚ ŽĐŝĞƚLJ ŝdžƚŚ/ŶƚĞƌŶĂƟŽŶĂůŽŶĨĞƌĞŶĐĞϲ-
7 October 2016. Norrköping, Sweden
Public Health Research in Real-ůŝĨĞ Ğƫ ŶŐƐ Ϯϰ-25
October 2016. Wageningen, The Netherlands
^Ğǀ ĞŶƚŚƵƌŽƉĞĂŶ ŽĐŝĞƚLJĨŽƌWƌĞǀ ĞŶƟŽŶZĞƐĞĂƌĐŚ
ŽŶĨĞƌĞŶĐĞĂŶĚD ĞŵďĞƌƐ D ĞĞƟŶŐϯϭOctober
2016 - 2 November 2016, Berlin, Germany
Maastricht University Health Care Leadership
Course. 2 - 5 November 2016. Maastricht, The Neth-
erlands
Euro-Healthy pre-conference workshop, 9th Euro-
pean Public Health conference. 9 November 2016,
Vienna, Austria
The 9th European Public Health conference. 9-12
November 2016, Vienna, Austria
13th Annual Health Policy and Management Fall
/ŶƐƟƚƵƚĞϳ -26 November 2016, Barcelona, Spain
15th World Congress on Public Health. 3-7 April
2017, Melbourne, Australia
The 21st IEA World Congress of Epidemiology. 20-22
August 2017, Saitama, Japan
ϭϰƚŚ/ŶƚĞƌŶĂƟŽŶĂůŽŶĨĞƌĞŶĐĞŽŶhƌďĂŶ, ĞĂůƚŚ /ŶͲ
ƚĞƌŶĂƟŽŶĂů ŽĐŝĞƚLJĨŽƌhƌďĂŶ, ĞĂůƚŚ Ϯϲ-29 Septem-
ber 2017, Coimbra, Portugal
Figure 9. 15th World Congress on Public Health, 2017