Document

Report
Healthy Life Expectancy
and
EU Policy
Clare Siddall
European Commission
Directorate General for Health and Consumer Protection
Health Strategy Unit
AHEAD Final Conference
Brussels, 28-29 June 2006
1
Taskforce on Health
Expectancies
Aim – to discuss the methodology and use of
the Healthy Life Years indicator (and other
developments in the field of structural health
indicators)
Commission, MS and experts meet several
times per year
Led by the EHEMU project – European Health
Expectancy Monitoring Unit
More information: www.ec.europa.eu,
www.ehemu.eu
2
The Healthy Life Years
Indicator (HLY)
Used to distinguish between years of life
free of any activity limitation and years
experienced with at least one activity
limitation
Measured using the Sullivan method
Introduced as a Lisbon Indicator in
2005
3
The Lisbon Strategy
European Council Conclusions, Lisbon 2000:
‘the most competitive and dynamic knowledgebased economy in the world’
‘capable of sustainable economic growth with
more and better jobs and greater social cohesion’
‘Investing in people and developing an active
and dynamic welfare state will be crucial both to
Europe’s place in the knowledge economy…
…and for ensuring that the emergence of this new
economy does not compound the existing
social problems of unemployment, social
exclusion and poverty’
4
Health Means Wealth
5
Source: M. Suhrcke, M. McKee, R. Sauto Arce, S. Tsolova, J. Mortensen The contribution of health to the
economy in the EU, Brussels 2005
Health Means Wealth
Healthier citizens reduce strain on healthcare
systems – Health systems account for 9% of GDP
in the EU Member States
But also:
Healthy Adults:
more likely to be in the workforce
more productive
work and live longer and save more for retirement
Healthy Children:
better schooling outcomes and education
less school absenteeism and early drop-out

a more competitive economy
6
HLY and Public
Spending
Due to ageing, health care spending is
expected to rise between 1 and 2% GDP in
most Member States.
However, if healthy life years increase at
the same rate as life expectancy, this cost
could be cut by 50%.
(ECFIN)
7
Increases in life expectancy at birth (male)
90
85
80
75
70
65
60
55
50
BE CZ DK DE EE GR ES FR IE
2003
IT CY LA
2025
LI LU HU M T NL AU PL PT SK SL
2050
FI SW UK
HLY - 2003
8
Disability free life expectancy at birth in percentage of total
life expectancy, (Selected EU countries, Source: Eurostat)
90
80
70
60
be
cz
dk
de
es
fr
ie
it
cy
hu
mt
nl
at
pl
pt
fi
se
uk
1995 1996 1997 1998 1999 2000 2001 2002 2003
9
Current European Health Potential - (males 2003)
80,00
75,00
70,00
65,00
60,00
55,00
50,00
45,00
40,00
AT
BE
CY
Lowest HLY
CZ
DE
DK
ES
Highest HLY
FI
FR
GR
HU
IE
IT
MT
NL
Average exit rate labour market
PL
PT
SE
UK
HLY at birth
10
Health Policy 1: Promotion
and Prevention Across the
Lifecycle
The Commission supports work specifically
on ageing e.g. through funding projects and
sharing best practice
But, poor health in old age is often the result of
a lifetime of poor nutrition, smoking, lack of
physical activity etc – we need a lifecycle
approach
Examples of action –
•European Platform for Action on Diet and Physical Activity –
involving public, private and voluntary sector
•EU level Strategies on Nutrition, Alcohol, Mental Health
•Tobacco HELP! campaign increasing awareness of risks
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Health Policy 2: Health
Services Initiative
A new initiative to develop an EU framework for safe,
high quality and efficient health services – due to be
adopted later in 2007
2 pillars: - improving legal certainty about application
of Community law on health services
- support for Member States in areas
where EU action can add value to
national action
Effective Investment can increase Healthy Life
Years – but governments need reliable evidence
to support action
12
Health Policy 3:
Health In All Policies
Making health a strong partner in key
cross-cutting EU policies
“Health is Wealth”
Emphasising the economic benefits of health can be a
key means of engaging with other policies
Lisbon Agenda - inclusion of Healthy Life Years indicator
- health addressed in some Member States’
National Lisbon Programmes
Structural Funds – more funding of health-related projects
Sustainable Development Strategy – greater health focus
(previously mainly environmentally focused)
Demographic Change – links between health, social and
economic policies
13
Healthy Ageing in all
Policies
Research
FPs
Employment
Policies
Economic Policy
(Lisbon Agenda)
Innovation and
E-health
Healthy Ageing
Policies
Pensions
Education
Sustainable
Development
Regional
Development
14
Evaluating the Uptake of the
HLY indicator
Rand Europe evaluation December 2006
Survey of awareness and use of HLY
indicator since 2005
Findings – limited awareness and use in
non-health sectors at EU and national
level
Recommendations – further work on
HIAP including in forthcoming Health
Strategy
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European Community Health
Strategy
Aims:
Coherent framework with clear
objectives for health policy at EU level
Renewed approach to
-Key issues where EU can offer
added value
-Health in all Policies
-Global Health
Structured implementation and
monitoring mechanism
Adoption planned for autumn 2007
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Conclusions
EU policies need to be
supported by solid research and
comparable data
HLY will be used to measure
progress of the Strategy
Commission welcomes
continued work on health
expectancies in cooperation with
the Taskforce
17

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