Please use this identifier to cite or link to this item:
https://hdl.handle.net/10316/107520
Title: | Indicators for evaluating European population health: a Delphi selection process | Authors: | Freitas, Ângela Santana, Paula Oliveira, Mónica D. Almendra, Ricardo Bana E Costa, João C. Bana E Costa, Carlos A. |
Keywords: | Population health; European regions; Indicators; Participatory approach; Web Delphi; Expert opinion; Group agreement | Issue Date: | 27-Apr-2018 | Publisher: | Springer Nature | Project: | EURO-HEALTHY project (Shaping EUROpean policies to promote HEALTH equity) and has received funding from the European Union’s Horizon 2020 research and innovation programme under Grant Agreement No 643398 | Serial title, monograph or event: | BMC Public Health | Volume: | 18 | Issue: | 1 | Abstract: | Background: Indicators are essential instruments for monitoring and evaluating population health. The selection of a multidimensional set of indicators should not only reflect the scientific evidence on health outcomes and health determinants, but also the views of health experts and stakeholders. The aim of this study is to describe the Delphi selection process designed to promote agreement on indicators considered relevant to evaluate population health at the European regional level. Methods: Indicators were selected in a Delphi survey conducted using a web-platform designed to implement and monitor participatory processes. It involved a panel of 51 experts and 30 stakeholders from different areas of knowledge and geographies. In three consecutive rounds the panel indicated their level of agreement or disagreement with indicator’s relevance for evaluating population health in Europe. Inferential statistics were applied to draw conclusions on observed level of agreement (Scott’s Pi interrater reliability coefficient) and opinion change (McNemar Chi-square test). Multivariate analysis of variance was conducted to check if the field of expertise influenced the panellist responses (Wilk’s Lambda test). Results: The panel participated extensively in the study (overall response rate: 80%). Eighty indicators reached group agreement for selection in the areas of: economic and social environment (12); demographic change (5); lifestyle and health behaviours (8); physical environment (6); built environment (12); healthcare services (11) and health outcomes (26). Higher convergence of group opinion towards agreement on the relevance of indicators was seen for lifestyle and health behaviours, healthcare services, and health outcomes. The panellists’ field of expertise influenced responses: statistically significant differences were found for economic and social environment (p < 0.05 in round 1 and 2), physical environment (p < 0.01 in round 1) and health outcomes (p < 0.01 in round 3). Conclusions: The high levels of participation observed in this study, by involving experts and stakeholders and ascertaining their views, underpinned the added value of using a transparent Web-Delphi process to promote agreement on what indicators are relevant to appraise population health. | URI: | https://hdl.handle.net/10316/107520 | ISSN: | 1471-2458 | DOI: | 10.1186/s12889-018-5463-0 | Rights: | openAccess |
Appears in Collections: | I&D CEGOT - Artigos em Revistas Internacionais |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Indicators-for-evaluating-European-population-health-A-Delphi-selection-processBMC-Public-Health.pdf | 1.76 MB | Adobe PDF | View/Open |
SCOPUSTM
Citations
38
checked on Apr 22, 2024
WEB OF SCIENCETM
Citations
37
checked on Apr 2, 2024
Page view(s)
65
checked on Apr 23, 2024
Download(s)
40
checked on Apr 23, 2024
Google ScholarTM
Check
Altmetric
Altmetric
This item is licensed under a Creative Commons License