Aromaa Arpo, Koponen Päivikki, Tafforeau Jean, Vermeire Claudine
National Public Health Institute, Helsinki, Finland.
Eur J Public Health. 2003 Sep;13(3 Suppl):67-72. doi: 10.1093/eurpub/13.suppl_1.67.
The project 'Health surveys in the EU: HIS and HIS/HES evaluations and models' aims to assess the coverage of specific health and health-related areas in national and international surveys by reviewing and evaluating surveys, their methods and comparability, and by recommending appropriate survey designs and methods.
As basis for the evaluation, the project developed a health survey database. At present, Health Interview Surveys (HIS) and Health Examination Surveys (HES) from 18 Western European countries as well as from Canada, Australia and the USA are included.
National HISs have been carried out regularly in almost all Western European countries. The HIS may consist of short health sections or modules within multi-purpose surveys or lengthy health interviews with several questionnaires. National HESs with a comprehensive focus have been conducted at regular or irregular intervals in five countries. The HES may comprise an interview and a few measurements or a comprehensive health examination. Sampling frames, fieldwork, quality control procedures and response rates vary greatly. Differences between measurement instruments used, in the wording of questions and in examination protocols reduce the comparability of many findings.
The Internet based HIS/HES database allows for a quick reference and comparison of methods and instruments used in national health surveys. It illustrates the need for improving comparability. Collaboration and co-ordination is needed to promote comprehensive health monitoring supporting the development of national and European-level health policy.
“欧盟健康调查：健康访谈调查（HIS）以及HIS/HES评估与模型”项目旨在通过审查和评估调查、其方法及可比性，并推荐合适的调查设计和方法，来评估国家及国际调查中特定健康及与健康相关领域的覆盖情况。
作为评估的基础，该项目开发了一个健康调查数据库。目前，数据库纳入了来自18个西欧国家以及加拿大、澳大利亚和美国的健康访谈调查（HIS）和健康检查调查（HES）。
几乎所有西欧国家都定期开展全国性的HIS。HIS可能由多用途调查中的简短健康部分或模块组成，或者是包含多份问卷的冗长健康访谈。五个国家定期或不定期地开展了全面的全国性HES。HES可能包括一次访谈和一些测量项目，或者是一次全面的健康检查。抽样框架、实地调查、质量控制程序和答复率差异很大。所使用的测量工具、问题措辞和检查方案之间的差异降低了许多调查结果的可比性。
基于互联网的HIS/HES数据库便于快速查阅和比较国家健康调查中使用的方法和工具。它表明了提高可比性的必要性。需要开展协作与协调，以促进全面的健康监测，支持国家和欧洲层面健康政策的制定。
