Health interview Survey concerning persons aged 65 and over

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Health interview Survey concerning persons aged
65 and over
Gezondheidsenquête en de 65 - plussers
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Table of contents

• Research team - Sponsor Constituent Steering
  Committee
• Research proposal
• Operational planning
• International Seminar
• Website

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1. Research team

• Coordinator/promotor

Guido Van Hal Promotors Jef Breda Maurits
Vandewoude Herman Van Oyen University
of Antwerp Hospital Network Antwerp
Scientific Institute of Public Health
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Research team

• Scientific researchers

Joanna Geerts Sarah Hoeck University of
Antwerp
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Constituent
Federal Public Service Social Security Contact
Koen Vleminckx
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Sponsor
Belgian Science Policy Contact Naji Aziz
Research Programmes Unit
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Steering Committee

• Federal Public Service Social Security
• T. Auwers
• M. Goemans
• H. Larmuseau
• K. Vleminckx

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Steering Committee

• Externals
• R. De Ridder (RIZIV)
• G. Verpooten (RIZIV)
• M.- J. Festjens (Planbureau)
• P. Willemé (Planbureau)
• H. Page (RUG)
• K. De Gaucquier (IMA)
• C. De Coster (FOD Volksgezondheid)
• D. Ramaekers (KCE)

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2. Research Proposal

• Goals of the project
• Explorative analysis of the potential of the data
  from the HIS 2004 concerning the 65
• Formulation of concrete proposals for further
  research

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Research proposal

• Goal one 3 tasks
• (1) Exploration of potential of the data from HIS
  2004 for constructing set of health indicators

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Research proposal

• Goal one 3 tasks
• (2) Exploration of possibilities for analysing
  the data from the HIS 2004
• Screening of surveys of the elderly in other
  European countries
• Focus group meetings with representatives from
  policy, practice and the research community
• Identifying research needs

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Research proposal

• Goal one 3 tasks
• (3) Exploration of potential of the HIS 2004 as a
  source of information for the planning of elderly
  care

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Research proposal

• 5 analysis topics Introduction
• Each of these topics shall be further elucidated
  in terms of content
• - theoretical perspective, problem definition
• - methodology
• One project selected as a pilot scheme

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Research proposal

• 5 analysis topics first topic
• Analysis of clustering of symptoms suggestive of
  certain syndromes (frailty, depression) and
  identification of risk factors for use of health
  care provisions

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Research proposal

• 5 analysis topics second topic
• Analysis of the effect of social and economic
  characteristics on the use of health care
  provisions by the elderly

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Research proposal

• 5 analysis topics third topic
• Analysis of the effect of spatial supply
  characteristics on social care use by the elderly

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Research proposal

• 5 analysis topics fourth topic
• Further development of tools for geriatric
  practice

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Research proposal

• 5 analysis topics fifth topic
• Development of tools for care planning

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3. Operational planning

• 1. Exploration of the possibility to develop
  health indicators on the basis of the HIS 2004
• Timing 1 September 06 1 March 07

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Operational planning

• 2. First meeting of the Steering Committee
• Presentation and discussion of the research
  plannning
• Timing mid September 06 (started in October)

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Operational planning

• 3. International seminar
• Frailty, disability and public health.
  International experiences and longitudinal
  studies in elderly people.
• October 9th, 2006

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Operational planning

• 4. Exploration of analysis opportunities offered
  by the HIS 2004
• Focus group meetings (January March 07)
• Goal to identify research needs, testing and
  adjustement of analysis proposals
• Selection of the pilot project
• Timing September 06 September 07

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Operational planning

• 5. Second meeting of the Steering Committee
• - Presentation of interim research results
• - Discussion of the pilot project
• - Timing June 07
• 6. Implementation of the pilot project
• - Timing 1 September 07 1 August 07

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Operational planning

• 7. Third meeting of the Steering Committee
• Presentation and discussion of draft final report
• Timing end of June 07
• 8. Closing conference
• Timing July 08

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4. International Seminar

• 1. In identifying trends, what are disadvantages
  of working with cross-sectional data instead of
  longitudinal data?
• Cross sectional data
• Subsequent cross-sections are very useful
• Prevalence and trends in health behaviours
• Insuitable for explanations of changes
• Hard to infer cause and effect
• No good idea of transitions (what has happened
  before institutionalisation?)
• Problem of different sampling frames (with or
  without institutionalised elderly)

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International Seminar

• 1. In identifying trends, what are disadvantages
  of working with cross-sectional data instead of
  longitudinal data?
• Longitudinal data
• You see process, what has happened before
• Ex possible to tie changes in smoking to changes
  in disease

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International Seminar

• 2. What is the limitation of using general
  surveys?
• General surveys ok if sample is large
• Some questions need the use of specific samples
  in specific area

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International Seminar

• 3. How to connect survey data and administrative
  data?
• Tying survey data to administrative data
• Ex. using data from Geographic Information
  Systems to answer the question why physical
  activity is low in urban environments, you can
  look at the presence of parks
• Registry data postal code availability of
  services, parks, SES of neighbourhood

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International Seminar

• 4. Implications research project
• The idea of longitudinal survey is not under
  discussion with commissioners
• Purpose of the current project is to work with
  existing data, but we are asked to make
  suggestions for the future

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International Seminar

• 5. Can we check data of the HIS with the data of
  SHARE?
• We will be measuring different things (grip
  strength is perhaps less important for daily
  activities)
• You need other things ex. walking ability

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International Seminar

• 6. Determinants of institutionalisations why
  people end up in institutions?
• Important variables ADL disability, household
  situations (partner)
• Most important variable cognitive impairment
• Cognitive impairment not in HIS!

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International Seminar

• Implications for the research team
• Work with what exists data are not longitudinal
• Feedback on data from international colleagues
  (we have sent the questionnaires to international
  colleagues)
• Feedback from the steering committee

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4. Website
www.agora65.be Web page designer Hamid
Nafez ESOC Universiteit Antwerpen