Robine Jean-Marie, Jagger Carol
Equipe INSERM Démographie et Santé, Centre Val d'Aurelle, Parc Euromédecine, Montpellier, France.
Eur J Public Health. 2003 Sep;13(3 Suppl):6-14. doi: 10.1093/eurpub/13.suppl_1.6.
The Euro-REVES 2 project, 'Setting up of a coherent set of health expectancies for the European Union', was begun in 1998 under the European Health Monitoring Programme with the aim of selecting a concise set of instruments to simultaneously monitor mortality and the different facets of health. An in-depth analysis of the current health survey instruments in Europe together with a review of past research, found that, although harmonization in instruments appeared to exist superficially, major differences existed. Four instruments have been recommended (where necessary using existing instruments with modifications suggested by the research literature) covering physical and sensory functional limitations, activity restriction, self-perceived health and mental health. Additionally a new global activity limitation indicator (GALI) has been developed. These instruments are firmly anchored to past research and the health concepts behind the indicators and their relevance to policy and guidelines for implementation are explicitly made. The second phase of the project will recommend further instruments, leading to health expectancies that cover all the conceptual framework of population health measurement. This will allow assessment of health inequalities between the European Union countries, an appreciation of the causes and the production of profiles for each country in terms of the various facets of health.
“欧洲健康期望寿命研究与评价体系（Euro - REVES）2项目——‘为欧盟建立一套连贯的健康期望指标’”于1998年在欧洲健康监测项目下启动，旨在挑选一套简洁的工具，以同时监测死亡率和健康的不同方面。对欧洲当前健康调查工具进行的深入分析以及对过往研究的回顾发现，尽管工具表面上似乎存在一致性，但仍存在重大差异。已推荐了四种工具（必要时使用现有工具，并根据研究文献提出的修改建议进行调整），涵盖身体和感官功能限制、活动受限、自我感知健康和心理健康。此外，还开发了一个新的全球活动受限指标（GALI）。这些工具牢牢扎根于过往研究以及指标背后的健康概念，并明确阐述了它们与实施政策和指南的相关性。该项目的第二阶段将推荐更多工具，从而得出涵盖人口健康测量所有概念框架的健康期望指标。这将有助于评估欧盟国家之间的健康不平等状况，了解其成因，并针对每个国家在健康的各个方面生成概况。
