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Fresher - FoResight and Modelling for European HEalth Policy and Regulation Project 

Horizon 2020

  Horizon 2020

About Euro-Healthy


Health inequities have been increasing in Europe, particularly in a context of an ageing society and economic and social crisis. In countries with different levels of infrastructures and health system preparedness, health inequities create significant policy challenges. Addressing this challenge, the EU funded project EURO-HEALTHY (Shaping EUROpean policies to promote HEALTH equitY), over the past two and a half years has worked to identify and understand key factors that affect European population health and to advance knowledge as to which policies have the highest potential to enhance health and health equity across 269 European regions. For this reason the project has developed tools – based on a Population Health Index (PHI) – to evaluate and monitor overall health as well as interactions between health and multiple dimensions at different geographical levels. The PHI is used to foresee (using scenario analyses) and discuss the impact of multi-level policies and combinations of policies to promote population health and health equity across European regions with more emphasis on two case studies (Lisbon and Turin).


EURO-HEALTHY has brought together 15 multidisciplinary institutions from 12 European countries assuring a multi-sectoral approach required to employ cross-cutting determinants of population health. This highly collaborative partnership enhanced the capacity of all involved researchers to conduct transdisciplinary and interdisciplinary research by integrating a variety of disciplines to achieve a common objective.

The project is supported by the Project Advisory Board which comprises of Alec Morton from University of Strathclyde Business School, UK (decision analysis and management science), Ana Diez-Roux from Drexel University School of Public Health, USA (multilevel determinants of population health and conceptual approach of health outcomes), Patricia O´Campo from Dalla Lana School of Public Health Sciences, and University of Toronto, Canada (multilevel modelling and monitoring methods on links between the socio-economic attributes of neighbourhoods and health), and Pedro Pita Barros from Nova School of Business and Economics, New University of Lisbon, Portugal (health economic and policy).


The project has progressively involved 96 stakeholders and 56 experts to actively engage them into multiple research activities related with the process of building the EURO-HEALTHY PHI, population health scenarios and two case studies (Lisbon and Turin). The involvement of stakeholders was designed to strengthen their understanding of the impact that different policies can have on health promotion and health equity, thus maximizing the project’s influence on the public debate.


The EURO-HEALTHY PHI is informed by evidence on the relationship between multiple determinants (economic conditions, social protection and security, education, demographic change, lifestyle and health behaviours, physical environment, built environment, road safety, healthcare resources and expenditure, healthcare performance) and health outcomes. The Index structure is based on a multi-criteria model that follows a socio-technical approach, integrating the technical elements of a multi-criteria value model and the social elements of interdisciplinary and participatory processes that collected the views of experts and stakeholders on what factors contribute to the European population health. The results of the EURO-HEALTHY PHI will contribute to the evidence on what is keeping European regions healthy or making them sick and how the opportunity for good health differs between and within European countries.