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Overarching notion definition4/17/2023 A European HIS, means in this article a system at the overarching European level irrespective of the individual member state composition of the organization, i.e. This article addresses the question whether we can achieve a comprehensive European HIS and the roles which international organizations and the member states could play in this. ![]() In addition, countries have data delivery agreements or obligations for often more than one of these systems, depending on their membership. All three systems are comprehensive, producing a lot of health intelligence that is useful for informing national policy-making. Of these, those of the European Commission (EC), respectively Eurostat as the statistical office of the European Union, OECD and WHO-Euro are among the most relevant ones for European countries. In Europe, various international organizations run an HIS. 3 From international HISs to an overarching European HIS Differences in the political and administrative organization of the member states affect the availability, comparability and reliability of national data used for international comparisons. Second, they support cross-country learning through international comparisons and sharing of information about effective policy actions. Health for All 2000, Health 2020, Sustainable Development Goals), and to assess the impact of implemented policies and interventions. First, they aim to inform the agenda of the organizations that run the HISs, to monitor progress towards internationally agreed targets (e.g. The aim and relevance of international HIS is twofold. HIS exist on national (sometimes also sub-national) level as well as on international level. ![]() Population health monitoring multi-step model The current momentum created by EU-level developments and networks like the European Health Information Initiative of WHO-Euro provide an opportunity for taking the overarching European HIS to a next level. A pragmatic, bottom-up approach, instead of technically and strategically complex and comprehensive solutions, seems the best way forward. In addition, important barriers hampering further progress are the current semantic confusion about what constitutes a(n international) HIS, and inadequate coordination of national positions across various technical and political platforms of the international organizations. Yet there is enough common ground to build on. ![]() The working environment is complex, and differences between the (scope of the) health information activities of the three international organizations must be accepted. ![]() Although progress has been made, most notably in relation to joint data collections on monetary and non-monetary healthcare statistics, there is still room for improvement, both in relation to the harmonization of indicators and their underlying data collections, and the better coordination of reporting and research and development work. This paper focuses on this ‘supra-international’ collaboration. Collaboration between the major stakeholders, most importantly the World Health Organization Regional Office for Europe (WHO-Euro), the European Commission and OECD, is important for member states, as this will contribute to better and more efficiently produced health intelligence. In addition, it informs international policy agendas. A European health information system (HIS) supports mutual learning between member states through international comparisons.
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