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PERISTAT: indicators for monitoring and evaluating perinatal health in Europe
Jennifer Zeitlin1, Katherine Wildman, Gérard Bréart
1Epidemiological Research Unit on Perinatal and Women's Health, U149 INSERM, Paris, France. Zeitlin@cochin.inserm.fr
Insights
The PERISTAT project developed a core set of 10 perinatal health indicators for European monitoring. This initiative harmonizes definitions across diverse healthcare systems, improving data comparability for better public health outcomes.
Area of Science:
- Public Health
- Epidemiology
- Healthcare Management
Background:
- The PERISTAT project aimed to establish a standardized indicator set for monitoring and describing perinatal health across Europe.
- A key challenge was defining indicators with consistent meaning across diverse European healthcare systems.
Purpose of the Study:
- To develop a consensus-based set of perinatal health indicators for European monitoring.
- To address methodological limitations in existing indicators for cross-European comparisons.
Main Methods:
- Conducted a comprehensive review of existing international and national perinatal health indicator recommendations.
- Employed a DELPHI consensus process involving a scientific advisory committee and a panel of midwives from European member states.
Main Results:
- Identified 10 core and 23 recommended perinatal health indicators.
- Achieved consensus on indicators, prioritizing improvements to those already collected.
- Highlighted 12 indicators requiring further development for future implementation.
Conclusions:
- The PERISTAT project successfully identified a consolidated set of perinatal health indicators.
- Consensus was not reached on all indicators, with specific areas identified for future research and development.
- An ongoing feasibility study will assess member states' capacity to produce the recommended indicators.
Background:
The PERISTAT project aimed to develop an indicator set for monitoring and describing perinatal health in Europe. The challenge was to define indicators that cover common concerns and have the same meaning within the different European health care systems.
Methods:
PERISTAT included i) a review of existing recommendations on perinatal health indicators, ii) a DELPHI consensus process with a scientific advisory committee composed of a clinician and an epidemiologist or statistician from each European member state as well as with a panel of midwives, and iii) a study of the availability of national statistics to construct recommended indicators. This article describes the first two components.
Results:
The review identified 10 international and 13 national recommended indicator sets. It also included indicators routinely compiled by WHO, EUROSTAT and OECD. Because of the methodological limits to using existing indicators for European comparisons, a high priority was placed on improving indicators already collected. Using the DELPHI method based on the results of the review, the scientific committee achieved a consensus on ten core and 23 recommended indicators, including 12 requiring further development.
Conclusions:
The PERISTAT project was successful in identifying a set of indicators, which drew on and consolidated previous work. Consensus was not achieved on precise indicators in areas where uncertainty about appropriate indicators was high, although areas were targeted for future development. Finally, the feasibility study, which is in progress, is an essential part of the project, since it will enable member states to evaluate their capacity to produce these indicators.
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