second issue of euro-healthy's newsletter

15
September 2016: SECOND ISSUE EURO-HEALTHY NEWSLETTER čęęĕǣȀȀĜ Ĝ ĜǤĊĚėĔ-č ĊĆđęč ĞǤĊĚȀ EURO-HEALTHY project has received funding from the European Union’s Horizon ϮϬϮϬƌĞƐĞĂƌĐŚĂŶĚŝŶŶŽǀ ĂƟŽŶƉƌŽŐƌĂŵ ŵ ĞƵŶĚĞƌ ' ƌĂŶƚŐƌĞĞŵ ĞŶƚE Žϲ ϰϯ ϯ ϵ ϴ͘ Figure 1. Map of Euro-, ĞĂůƚŚLJƉĂƌƟĐŝƉĂŶƚĐŝƟĞƐ͕ ĐŽƵƌƚĞƐLJŽĨŽŶƌĂĚ Franke, Beuth University

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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

2

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

3

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

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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