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. 2021 Aug 1;31(4):695–702. doi: 10.1093/eurpub/ckab117

Table 2.

The Health Information-Impact Index: 29 criteria to monitor the knowledge translation capacity of national health information systems

HI-Impact framework Number Evaluation criteria (Adapted from) % agreement
Domains
HI Evidence Quality Q1 Data meet high standards of reliability, transparency and completeness9,22

100%

Ref: selected by 60/98 participants

Q2 National health statistics are representative of the general population and subgroups9 95.0%
Q3 The official health statistics report is published annually12 91.7%
Q4 Data are stratified by clinically relevant subgroups (sex, age, socioeconomic status), and major geographical or administrative region as appropriate9 88.3%
Q5 The legislative framework supports the collection, processing and production of health informationa 86.7%
Q6 Data within a dataset are comparable over time9 83.3%
Q7 Country data in international databases are complete/all health and health system indicators requested by international data systems and agencies are provided (OECD, Eurostat, WHO)9 71.7%
Q8 Country publishes summary reports including information on a minimum set of core indicators12 68.3%
HIS Responsiveness R1 Access to public health data and evidence is not hindered by price and/or administrative burden9

100%

Ref : 60/86 participants

R2 Health information products are timely and available in routine (9,15) 98.3%
R3 (Public) health data are available for secondary analysisa 93.3%
R4 Health information products comply with the FAIR data principles (findable, accessible, interoperable, re-usable)9 85.0%
R5 Researchers and decision-makers have access to microdataa 85.0%
R6 Health information is widely disseminated using several communication channels9 68.3%
R7 Health information products provide actionable recommendations for decision makinga 66.7%
Stakeholder Engagement SE1 Health information is used in the planning and policy process at all levels (national, regional, districts)12

100%

Ref: 62/83 participants

SE2 National, regional or local decisions are informed by public health data and evidencea,16 93.5%
SE3 Health information is used to set resource allocation at all levels (national, regional, districts)12 82.3%
SE4 Health information is used by care providers for health service delivery management, continuous monitoring and periodic evaluation12 74.2%
SE5 Population-based data are included in the development of clinical guidelines9 74.2%
SE6 Health information is used at health administrative offices for local health service delivery management, continuous monitoring and periodic evaluation12 72.6%
SE7 Evidence is commissioned for reducing inequalities in health or healthcare9 67.7%
Knowledge Integration KI1 Government publishes an explicit plan for Health in all Policies (HiaP)b

100%

Ref: 67/82 participants

KI2 Public health agencies, ministries of health and research, regularly engage with other ministries and sectors9 97.0%
KI3 Health literacy is promoteda 86.6%
KI4 Health promotion initiatives are implemented in diverse settings (i.e. the workplace, schools, prisons and universities)a 86.6%
KI5 Health information and evidence is demonstrably used to impact on the social determinants of healtha 85.1%
KI6 Annual health reports are used to inform the allocation of resources in the health system and in other sectorsa 76.1%
KI7 Health and well-being messages are broadly disseminated in the media (including social media)9 71.6%
Additional comments ADD1 Please provide any additional comments you might have on the uptake of evidence in policy development and practice

Note: Health information products include official publications with data on population health status, the determinants of health, and service use. In this table, the % level of agreement was adjusted using the highest rated criteria in each domain as reference.

a

Criteria suggested by the HI-Impact Index Delphi panel in Round 1.

b

From the Migrant Integration Policy Index http://www.mipex.eu/methodology.