Zeitlin Jennifer, Wildman Katherine, Bréart Gérard, Alexander Sophie, Barros Henrique, Blondel Béatrice, Buitendijk Simone, Gissler Mika, Macfarlane Alison
Epidemiological Research Unit on Perinatal and Women's Health, U149 INSERM, Paris, France.
Eur J Public Health. 2003 Sep;13(3 Suppl):29-37. doi: 10.1093/eurpub/13.suppl_1.29.
The PERISTAT project aimed to develop an indicator set for monitoring and describing perinatal health in Europe. The challenge was to define indicators that cover common concerns and have the same meaning within the different European health care systems.
PERISTAT included i) a review of existing recommendations on perinatal health indicators, ii) a DELPHI consensus process with a scientific advisory committee composed of a clinician and an epidemiologist or statistician from each European member state as well as with a panel of midwives, and iii) a study of the availability of national statistics to construct recommended indicators. This article describes the first two components.
The review identified 10 international and 13 national recommended indicator sets. It also included indicators routinely compiled by WHO, EUROSTAT and OECD. Because of the methodological limits to using existing indicators for European comparisons, a high priority was placed on improving indicators already collected. Using the DELPHI method based on the results of the review, the scientific committee achieved a consensus on ten core and 23 recommended indicators, including 12 requiring further development.
The PERISTAT project was successful in identifying a set of indicators, which drew on and consolidated previous work. Consensus was not achieved on precise indicators in areas where uncertainty about appropriate indicators was high, although areas were targeted for future development. Finally, the feasibility study, which is in progress, is an essential part of the project, since it will enable member states to evaluate their capacity to produce these indicators.
围产期健康指标统计（PERISTAT）项目旨在制定一套用于监测和描述欧洲围产期健康状况的指标体系。面临的挑战是定义出能涵盖共同关注问题且在不同欧洲医疗体系中具有相同含义的指标。
围产期健康指标统计项目包括：i）对围产期健康指标现有建议的审查；ii）与由来自每个欧洲成员国的一名临床医生和一名流行病学家或统计学家组成的科学咨询委员会以及一组助产士进行的德尔菲共识达成过程；iii）对构建推荐指标所需国家统计数据可用性的研究。本文描述了前两个部分。
审查确定了10套国际推荐指标和13套国家推荐指标。还包括世界卫生组织、欧盟统计局和经济合作与发展组织常规汇编的指标。由于使用现有指标进行欧洲范围内比较存在方法上的局限性，因此高度重视改进已收集的指标。基于审查结果采用德尔菲法，科学委员会就10项核心指标和23项推荐指标达成了共识，其中包括需进一步完善的12项指标。
围产期健康指标统计项目成功确定了一套借鉴并整合了以往工作的指标体系。在合适指标不确定性较高的领域，未就精确指标达成共识，不过已确定了未来的发展方向。最后，正在进行的可行性研究是该项目的重要组成部分，因为它将使成员国能够评估自身生成这些指标的能力。
