Kramers Pieter G N
RIVM, National Institute of Public Health and the Environment, The Netherlands.
Eur J Public Health. 2003 Sep;13(3 Suppl):101-6. doi: 10.1093/eurpub/13.suppl_1.101.
Within the EU Health Monitoring Programme (HMP), the ECHI project has proposed a comprehensive list of 'European Community Health Indicators'.
In the design of the indicator set, a set of explicit criteria was applied. These included: i) be comprehensive and coherent, i.e. cover all domains of the public health field; ii) take account of earlier work, especially that by WHO-Europe, OECD and Eurostat; and iii) cover the priority areas that Member States and Community health policies currently pursue. Flexibility is an important characteristic of the present proposal. In ECHI, this has been emphasized by the definition of 'user-windows'. These are subsets from the overall indicator list, each of which should reflect a specific user's requirement or interest.
The proposed indicators are, in most cases, defined as generic indicators, i.e. their actual operational definitions have not yet been attempted. This work has been, and is being carried out to a large part by other projects financed under the HMP, which cover specific areas of public health or areas of data collection. Apart from indicators covered by regularly available data, indicators (or issues) have been proposed for which data are currently difficult to collect but which from a policy point of view would be needed.
All this points to the fact that establishing an indicator list which is actually used by Member States is a continuously developing process. This process is now continued by the first strand of the new EU Public Health Action Programme.
在欧盟健康监测计划（HMP）范围内，ECHI项目提出了一份“欧洲共同体健康指标”的综合清单。
在指标集的设计中，应用了一套明确的标准。这些标准包括：i）全面且连贯，即涵盖公共卫生领域的所有方面；ii）考虑到早期的工作，特别是世界卫生组织欧洲区域办事处、经济合作与发展组织（经合组织）和欧盟统计局所做的工作；iii）涵盖成员国和共同体当前健康政策所追求的优先领域。灵活性是本提案的一个重要特征。在ECHI中，这一点通过“用户窗口”的定义得到了强调。这些是总体指标清单的子集，每个子集应反映特定用户的需求或兴趣。
在大多数情况下，所提议的指标被定义为通用指标，即尚未尝试其实际操作定义。这项工作已经并且正在很大程度上由HMP资助的其他项目开展，这些项目涵盖公共卫生的特定领域或数据收集领域。除了常规可得数据涵盖的指标外，还提出了一些目前难以收集数据但从政策角度来看又需要的数据指标（或问题）。
所有这些都表明，建立一份成员国实际使用的指标清单是一个不断发展的过程。这一过程现在由新的欧盟公共卫生行动计划的第一部分继续推进。
