Zahnärztliche Kontrolluntersuchungen tragen wesentlich zur Verringerung der oralen Krankheitslast bei. Dieser Beitrag untersucht erstmals für Deutschland die Inanspruchnahme zahnärztlicher Kontrolluntersuchungen durch Erwachsene ab 20 Jahren auf der Basis von Routinedaten. Für die Analysen wurden die vertragszahnärztlichen Abrechnungsdaten gemäß BEMA (Einheitlicher Bewertungsmaßstab für zahnärztliche Leistungen) der Kassenzahnärztlichen Bundesvereinigung verwendet. Eine Inanspruchnahme zahnärztlicher Kontrolluntersuchung wurde angenommen, wenn mindestens eine Abrechnung der BEMA 01, 151, 152, 153, 154 oder 155 im Kalenderjahr dokumentiert war. Die Schätzung der Inanspruchnahme erfolgte bezogen auf alle gesetzlich Versicherten gemäß KM6-Statistik für die Jahre 2015 bis 2024 stratifiziert nach Geschlecht, Alter und Region in einem querschnittlichen Studiendesign. Die Quote der Inanspruchnahme zahnärztlicher Kontrolluntersuchungen verlief bis 2019 mit rund 64

INTRODUCTION:Dental check-ups contribute significantly to reducing the burden of oral disease. This article examines for the first time in Germany the utilisation of dental check-ups by adults aged 20 years and older based on routine data. METHODS:The analyses were based on the outpatient dental claims data in accordance with BEMA (Uniform Assessment Scale for Dental Services) of the National Association of Statutory Health Insurance Dentists. A dental check-up was assumed to have been performed if at least one billing of BEMA 01, 151, 152, 153, 154 or 155 was documented in a calendar year. The utilisation was estimated as a proportion of all persons with statutory health insurance according to the KM6 statistics for the years 2015 to 2024, stratified by sex, age and region in a cross-sectional study design. RESULTS:The rate of utilisation of dental check-ups remained relatively constant at around 64% until 2019, with a decline in the first year of the COVID-19 pandemic in 2020 (62.1%) and a gradual increase in the subsequent years to the initial level in 2024. Compared to the overall rate, men, young and early middle-aged adults, the very old and people in western Germany had a lower utilisation rate. Over time, the east-west differences in the utilisation rate in Germany have decreased. DISCUSSION:More than one in three persons did not have a dental check-up in 2024. The results therefore highlight the need for preventive measures. For Germany, there had previously been no analyses of the utilisation of dental check-ups based on routine data. This article therefore fills a research gap.

Children and adolescents with special support needs, i. e. with disabilities, special educational needs and impairments, are a heterogeneous group with different health situations and needs. This article examines to what extent these health-related needs are reflected in the self-reported utilisation of dental and medical care, also in comparison to children and adolescents without special support needs.The database for this work is the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 2, 2014-2017). The following utilisation indicators were used for the analyses: dental check-up, orthodontic treatment, dental services overall, pediatrics, internal medicine, ophthalmology, otolaryngology, orthopedics, as well as psychiatric, psychotherapeutic and psychological services. Prevalences, univariable and multivariable prevalence ratios were calculated, which were controlled for sex, age and socioeconomic status of the family, as well as p-values from Poisson regressions.The analyses were based on data of 779 children and adolescents with and 9,943 children and adolescents without special support needs. Children and adolescents with special support needs showed lower utilisation of dental services compared to children and adolescents without special support needs (e. g. dental check-ups: 72.8% and 79.4%, respectively; univariable p=0.011), although the differences did not persist in the multivariable model (p>0.05). In contrast, children and adolescents with special support needs were significantly more likely to receive specialist somatic (e. g. ophthalmology: 43,6% and 32.1%, respectively), psychiatric (18.7% and 4.2%, respectively) and psychological care (13.0% and 2.5%, respectively) compared to children and adolescents without special support needs (p<0.001).Among children and adolescents with special support needs, the utilisation of medical care was significantly higher than among children and adolescents without special support needs, while there were hardly any differences in the utilisation of dental services. In order to improve the oral health of children and adolescents with special support needs, target group-specific health care and support services in close interdisciplinary co-operation seem to be necessary.

Background: Self-perceived oral health reflects the individual’s point of view. Both subjective (e.g. pain, aesthetic aspects) and objective criteria (e.g. oral diseases, functional limitations) are included in the assessment. Oral diseases interact with noncommunicable diseases such as diabetes mellitus. Method: Data basis is the study German Health Update (GEDA 2019/2020-EHIS). In the telephone interview, respondents were asked about the presence of diabetes in the last 12 months and the state of their teeth and gums. Prevalences, prevalence ratios (PR) and p-values from Poisson regressions were calculated for people aged 18 years and older (N = 22,613). Results: People with diabetes were more likely to rate their oral health as fair to very poor than people without diabetes (41.2 % vs. 27.5 %). The association between diabetes and fair to very poor self-perceived oral health persisted after statistical control for sociodemographic and behavioural characteristics (PR 1.22, p < 0.001). This applies to both women and men. Discussion: Based on a population-representative sample, it was shown for the first time for Germany that there is an association between diabetes and oral health in adulthood. These results support international research findings. Greater interdisciplinary cooperation between physician groups who treat people with diabetes and dentists is required.

Background:The European Core Health Indicators (ECHI) are a set of 88 indicators that provide a compact overview of the extensive field of European public health and healthcare. The ECHI set adds value to European Union health information systems (HIS) for both Member States and EU-associated countries and the European Commission by providing a solid, comparable information base on national public health and healthcare trends and developments. The indicators allow for learning by comparison and the list supports the organisation of national health information systems. As the ECHI set was defined more than ten years ago, it is time to review its current needs and readiness for the future. Methods:In this article, we reflect on the sustainability of the ECHI set and explore directions for improving future use, based on the activities in the Joint Action on Health Information (2018 - 2021). There, we looked into ECHI governance and reviewed the set's metadata, content and link with other indicator sets in the wider European health information landscape. Conclusions:We conclude that in order to remain relevant and keep up with technical and policy developments, the ECHI set needs maintenance and updates. This cannot be achieved in a non-systematic project-based manner; it requires sustainable funding, governance and formalised activities in a permanent structure. We call on the European Commission, Member States, research networks and individual users of the ECHI to take action in this.

Background:National health systems in Europe are facing similar challenges - demographic change, a rising burden of disease due to chronic non-communicable diseases, and health inequalities. Comparable health data and knowledge sharing between countries are therefore an important basis for policy decision-making. However, health information in the European Union (EU) is fragmented and approaches to establishing a comprehensive system are largely project-based. Methods:This contribution describes the European projects BRIDGE Health (2015 - 2017), InfAct (Information for Action, 2018 - 2021) and PHIRI (Population Health Information Research Infrastructure, 2020 - 2023), which aimed at developing a sustainable health information infrastructure. Results:The projects, which build on one another, laid the groundwork for an EU-wide health information system. For example, a health information portal was established, a federated research infrastructure was implemented, handouts were created and training on capacity building was provided. Conclusions:An integrated EU-wide health information system is an important basis for policy decision-making and a prerequisite for a rapid and coordinated response to health crises. A sustainable structure or institution with a mandate for non-communicable diseases (NCD) and their determinants at the EU level would be desirable.

BackgroundImpairments and disabilities can have a negative impact on oral health. However, studies on the oral health of people with impairments and disabilities are rare. This article examines the 12-month prevalence of dental utilization among adults with and without impairments and disabilities in Germany.MethodsAnalyses are based on data from 23,372 persons aged 18 years and older with permanent residency in Germany from the GEDA 2014/2015-EHIS study. Participants were asked when they last visited a dentist or orthodontist on their own behalf - "less than 6 months ago," "6 to less than 12 months ago," "12 months ago or longer," or "never." For the analyses, the first two and the last two response options were combined, giving the 12-month prevalence of dental utilization.ResultsAdults with impairments and disabilities were slightly more likely not to have visited a dental practice in the year prior to the survey than adults without impairments and disabilities (21.5% and 18.4%, respectively; p = 0.002). However, the association between the presence of impairments and disabilities and lower dental utilization did not persist after controlling for age, gender, partnership, and socioeconomic status.DiscussionThere are hardly any differences in the dental utilization between persons with and without impairments and disabilities. However, due to their poorer oral health on average, it is necessary to consider how the dental care of this very heterogeneous group can be further improved. The analyses point to the need for care and prevention potentials.

Background Preventive home visits are characterized by an outreach individual case counselling of older people in the domestic area. Internationally, they are already an implemented concept and used for the early detection of risk factors of care dependency as well as chronic diseases. This enables a targeted health influence of lifestyle characteristics, the living situation and the environment. This low-threshold counselling and support concept for older people was developed, tested and evaluated as part of the cooperation project "At home-in Emlichheim". Methods The project was based on the intervention of four consultations within 10 months, which were carried out by an academically prepared nurse. The concept included the recommendations and instruments available from the literature. The accompanying research analyzed the effect on the health status of the study participants and the acceptance of the offer using a mixed-method design. Results There was a huge interest of the people living in the project region to participate. Previous topics of the counseling sessions were "movement", "nutrition" and "social participation". In particular, these sessions improved mental health and triggered positive effects of the study participants, like the process of empowerment, wellbeing and satisfaction. The nurse was accepted as a contact person on site and her high level of professionalism created trust. Conclusion Preventive home visits enable older people a self-determined life in their familiar environment, because increased knowledge about preventive behavior and increased motivation to implement it extend their autonomy. This offer for the sensitization with regard to health promotion and health maintenance should not only be accessible for all citizens by services of the social security code, but rather be implemented.

Da Gruppenarbeit die Kompetenz- und Qualifikationsentwicklung bei Lernenden fördern kann, wird sie zur Stärkung beruflicher Handlungs-, Personal- und Methodenkompetenz eingesetzt. Die zunehmende Digitalisierung bringt jedoch Herausforderungen für Gruppenarbeit im Online-Format mit sich. Zurzeit werden für deren Umsetzung häufig Videokonferenztools verwendet. Dabei steigt mit der Entwicklung von Consumer-freundlicher VR-Hardware das Interesse an Virtual Reality (VR) in der Bildung, da Motivation und Engagement der Lernenden gesteigert werden können, ressourcenschonende Lehre möglich ist und seltene oder gefährliche Situationen beliebig oft wiederholt und eingeübt werden können. Trotz der Vorteile, die das Lernen mit VR mit sich bringt, wird das Medium in der Lehre selten verwendet. Gründe dafür könnten die aufwendige Einarbeitung in die noch neue Technologie sein sowie die Einbindung ins Curriculum ohne eine etablierte didaktische Grundlage mitzudenken. Um die Einbindung zu erleichtern, soll in diesem Beitrag ein Implementierungsbeispiel für eine Mehrpersonen-VR-Anwendung vorgestellt und Ergebnisse einer ersten Erprobung im hochschulischen Lehrkontext aufgeführt werden. Die Anwendung wurde verwendet, um Pflege-Studierenden eine Möglichkeit zur multiperspektivischen Besprechung eines Fallbeispiels zu geben. Während das Feedback der Studierenden zur Nutzung der Anwendung überwiegend positiv ausfiel, zeigt der erhöhte Implementierungsaufwand die Notwendigkeit eines Implementierungs- und (Fach)-Didaktik-Konzeptes, um den Aufwand für den Einsatz von VR in der Lehre zu minimieren.

Zusammenfassung Hintergrund Beeinträchtigungen und Behinderungen können sich nachteilig auf die Mundgesundheit auswirken. Studien zur Mundgesundheit von Menschen mit Beeinträchtigungen und Behinderungen gibt es jedoch nur wenige. Dieser Beitrag untersucht die 12-Monats-Prävalenz der Inanspruchnahme zahnmedizinischer Versorgung von Erwachsenen mit und ohne Beeinträchtigungen und Behinderungen in Deutschland. Methoden Die Analysen basieren auf Daten von 23.372 Personen ab 18 Jahren mit ständigem Wohnsitz in Deutschland der Studie GEDA 2014/2015-EHIS. Die Teilnehmenden wurden gefragt, wann sie zuletzt bei einem Zahnarzt, Kieferorthopäden oder einem anderen zahnmedizinischen Spezialisten waren, um sich selbst beraten, untersuchen oder behandeln zu lassen – „vor weniger als 6 Monaten“, „vor 6 bis weniger als 12 Monaten“, „vor 12 Monaten oder länger“ oder „nie“. Für die Analysen wurden die ersten und letzten beiden Antwortoptionen zusammengefasst, um die 12-Monats-Prävalenz der Inanspruchnahme zahnmedizinischer Leistungen zu erhalten. Ergebnisse Erwachsene mit Beeinträchtigungen und Behinderungen haben im Jahr vor der Befragung etwas häufiger keine zahnmedizinische Praxis aufgesucht als Erwachsene ohne Beeinträchtigungen und Behinderungen (21,5 % vs. 18,4 %; p = 0,002). Der Zusammenhang zwischen dem Vorliegen von Beeinträchtigungen und Behinderungen und einer geringeren Inanspruchnahme zahnmedizinischer Versorgung blieb aber nach Kontrolle für Alter, Geschlecht, Partnerschaft und sozioökonomischen Status nicht bestehen. Diskussion Es zeigen sich kaum Unterschiede in der Inanspruchnahme zahnmedizinischer Leistungen zwischen Personen mit und ohne Beeinträchtigungen und Behinderungen. Dennoch ist aufgrund ihrer im Mittel schlechteren Mundgesundheit zu überlegen, wie die zahnmedizinische Versorgung dieser sehr heterogenen Gruppe weiter verbessert werden kann. Die Auswertungen zeigen Versorgungsbedarfe und Präventionspotenziale auf.

ObjectiveThe aim of this study was to investigate acceptance of preventive home visits (PHVs) for older adults in rural Germany. DesignQualitative descriptive approach. SampleWe investigated the personal, individual perspective of adults aged 65 to 85, who were not yet eligible for benefits from the long-term care insurance, were able to understand and speak German, and who lived in the municipality under study. MeasurementsFifteen semi-structured interviews were conducted between 02/2019 and 08/2020. They were transcribed, coded using MAXQDA, and content analyzed. Ethical approval was obtained. ResultsThe acceptance of PHVs was extremely high and characterized by five main effects: very close relationship with the nurse, well-being, empowerment, satisfaction, ambivalence. Participants wish to receive PHVs in the future and would recommend it to others. Even those with a healthy or health-promoting lifestyle are thankful to be able to refer to the counselling sessions if life circumstances should deteriorate. Those who became care-dependent wish to continue and perceive it as a valuable addition to their care. ConclusionFrom the participants' point of view, this low-threshold counselling-and-support approach should be maintained in the future. PHVs can support health and independence in older adults and therefore prevent them from becoming care-dependent.

Aims and Objectives Preventive home visits are a low-threshold counselling and support approach. They have been reported to achieve heterogeneous effects. However, preventive home visits have the potential to reduce the risk of becoming dependent on long-term care. The aim of this study is to investigate the effect of preventive home visits as a nursing intervention on health-related quality of life of older people in a longitudinal survey and to develop recommendations for which target groups preventive home visits have the highest benefit. The sample consisted of 75 people, aged between 65 and 85, who were able to understand and speak German, had not yet been eligible for benefits from the long-term care insurance and lived in the municipality under study.Methodological Design and Justification A quantitative longitudinal study in order to investigate the effects of preventive home visits.Ethical Issues and Approval There were no ethical concerns. Accordingly, ethical approval was granted.Research Methods, Results and Conclusions The health-related quality of life was recorded four times between 01/2017 and 08/2020 with the Short-Form-Health-Survey-12 and analysed using descriptive statistics. Results reveal that the physical health status cannot be easily influenced over a short period of time. The main effect, however, is that preventive home visits have a significant positive effect on the mental health status. The main topics during the home visits were mobility, nutrition and social participation. Increased knowledge and motivation for preventive behaviour extended the autonomy of older people. Accordingly, preventive home visits can support a self-determined life in a familiar environment. The results of the present study show that preventive home visits as a nursing intervention in rural areas are successful. In Germany, preventive home visits have not yet been implemented on a regular basis. In order to do so, a general definition of the concept is needed. Preventive home visits should be officially included in the regular health care services in Germany.

Background Oral well-being is an important component of general well-being and quality of life, as it is greatly influenced by the ability to chew and speak, and thus by central factors of social interaction. Because quality of life and participation are important factors for health in older age, the aim of this article was to examine the chewing ability, including associated factors, for the older population in Germany on the basis of a nationally representative sample. Methods Database is the German Health Update (GEDA 2019/2020-EHIS), a population based cross-sectional survey of the Robert Koch Institute. In the telephone interview, participants aged 55 years and older were asked: “Do you have difficulty biting and chewing on hard foods such as a firm apple? Would you say ‘no difficulty’, ‘some difficulty’, ‘a lot of difficulty’ or ‘cannot do at all/ unable to do’?” Prevalences and multivariate prevalence ratios (PR) were calculated with 95% confidence intervals (95% CI) from log-Poisson regressions. Sociodemographic, health-, behavioral- and care-related characteristics were investigated as associated factors. Results The analyses were based on data from 12,944 participants (7,079 women, 5,865 men). The proportion of people with reduced chewing ability was 20.0%; 14.5% had minor difficulty, 5.5% had major difficulty. There were no differences between women and men. The most important associated factors for reduced chewing ability were old age (PR 1.8, 95% CI 1.5–2.1), low socioeconomic status (PR 2.0, 95% CI 1.7–2.5), limitations to usual activities due to health problems (PR 1.9, 1.6–2.2), depressive symptoms (PR 1.7, 1.5–2.1), daily smoking (PR 1.6, 95% CI 1.3–1.8), low dental utilization (PR 1.6, 95% CI 1.4–1.9), and perceived unmet needs for dental care (PR 1.7, 95% CI 1.5–2.1). Conclusions One fifth of adults from 55 years of age reported reduced chewing ability. Thus, this is a very common functional limitation in older age. Reduced chewing ability was associated with almost all investigated characteristics. Therefore, its prevention requires a holistic view in the living environment and health care context of older people. Given that chewing ability influences quality of life and social participation, maintaining or improving chewing ability is important for healthy aging.

Background In Europe, data on population health is fragmented, difficult to access, project-based and prone to health information inequalities in terms of availability, accessibility and especially in quality between and within countries. This situation is further exacerbated and exposed by the recent COVID-19 pandemic. The Joint Action on Health Information (InfAct) that builds on previous works of the BRIDGE Health project, carried out collaborative action to set up a sustainable infrastructure for health information in the European Union (EU). The aim of this paper is to present InfAct’s proposal for a sustainable research infrastructure, the Distributed Infrastructure on Population Health (DIPoH), which includes the setup of a Health Information Portal on population health to be maintained beyond InfAct’s time span. Methods The strategy for the proposal was based on three components: scientific initiatives and proposals to improve Health Information Systems (HIS), exploration of technical acceptability and feasibility, and finally obtaining high-level political support.. The technical exploration (Technical Dialogues—TD) was assumed by technical experts proposed by the countries, and political guidance was provided by the Assembly of Members (AoM), which gathered representatives from Ministries of Health and Science of EU/EEA countries. The results from the AoM and the TD were integrated in the sustainability plan compiling all the major outputs of InfAct. Results The InfAct sustainability plan was organized in three main sections: a proposal of a new research infrastructure on population health (the DIPoH), new health information tools and innovative proposals for HIS, and a comprehensive capacity building programme. These activities were carried out in InfAct and are being further developed in the Population Health Information Research Infrastructure (PHIRI). PHIRI is a practical rollout of DIPoH facilitating and generating the best available evidence for research on health and wellbeing of populations as impacted by COVID-19. Conclusions The sustainability plan received wide support from Member States and was recognized to have an added value at EU level. Nevertheless, there were several aspects which still need to be considered for the near future such as: (i) a commitment of stable financial and political support by Member States (MSs), (ii) the availability of resources at regional, national and European level to deal with innovations, and (iii) a more direct involvement from EU and international institutions such as the European Centre for Disease Prevention and Control (ECDC), the World Health Organization (WHO) and the Organisation for Economic Cooperation and Development OECD for providing support and sustainable contributions.

BACKGROUND:Health-related data are collected from a variety of sources for different purposes, including secondary use for population health monitoring (HM) and health system performance assessment (HSPA). Most of these data sources are not included in databases of international organizations (e.g., WHO, OECD, Eurostat), limiting their use for research activities and policy making. This study aims at identifying and describing collection methods, quality assessment procedures, availability and accessibility of health data across EU Member States (MS) for HM and HSPA.METHODS:A structured questionnaire was developed and administered through an online platform to partners of the InfAct consortium form EU MS to investigate data collections applied in HM and HSPA projects, as well as their methods and procedures. A descriptive analysis of the questionnaire results was performed.RESULTS:Information on 91 projects from 18 EU MS was collected. In these projects, data were mainly collected through administrative sources, population health interview or health examination surveys and from electronic medical records. Tools and methods used for data collection were mostly mandatory reports, self-administered questionnaires, or record linkage of various data sources. One-third of the projects shared data with EU research networks and less than one-third performed quality assessment of their data collection procedures using international standardized criteria. Macrodata were accessible via open access and reusable in 22 projects. Microdata were accessible upon specific request and reusable in 15 projects based on data usage licenses. Metadata was available for the majority of the projects, but followed reporting standards only in 29 projects. Overall, compliance to FAIR Data principles (Findable, Accessible, Interoperable, and Reusable) was not optimal across the EU projects.CONCLUSIONS:Data collection and exchange procedures differ across EU MS and research data are not always available, accessible, comparable or reusable for further research and evidence-based policy making. There is a need for an EU-level health information infrastructure and governance to promote and facilitate sharing and dissemination of standardized and comparable health data, following FAIR Data principles, across the EU.

Objective: This paper outlines the core needs of older adults in their everyday use of technology. The background is the development of nurse-driven educational management to promote e-Health literacy among older adults.Methods: Based on a qualitative research framework by Flick (1996), episodic interviews (n=11) with older adults (65 years and older) were conducted. The corresponding data was subjected to multilevel thematic content analysis. Results: We mapped the participants’ life circumstances and attitudes toward technology in short descriptions. In addition, the four main categories subjective understanding of technology, appropriation and usage experiences, experiences handling of technology, and e-Health are presented in detail. The results show that learning prerequisites and learning dispositions are highly individual. Older adults experience, among other things, identity-forming spaces, autonomy gains, and emancipatory potential through technology use.Conclusions: Findings are contrasted with current e-Health literacy literature. This study meets the requirements for qualitative studies that include life circumstances. The technology stories provide a basis for developing suitable educational programs that take biographical aspects and individual perceptions of technology into account. This approach is necessary to reduce inhibitions in a targeted manner. The results expose the need to look closer at the development potentials of age and aging in the context of technology use.

Digital and virtual support in the hermeneutic case-based learning in health professional education: A systematic review Abstract. Background: Nowadays, the digitization dominates almost all aspects of our lives, especially in the nursing field. The medial-supported teaching design program helps learners to be prepared for the digital challenges of their professional field. In addition, the concept of hermeneutic casework provides nurses with an expertise that can be applied individually and case-related. Virtual simulations can represent a realistic case scenario and extend the conventional concept of casework with modern technology. Aim: The aim of the review is, to identify national and international used types of virtual and digital medias in connection with the method of hermeneutic casework and describe its usefulness in health education. Methods: A literature review according to the design of a systematic review in the databases CINAHL, MEDLINE via PubMed, Cochrane and Springer Link has been conducted and complemented by the snowball principle. Results: Eleven publications were analysed. The results show predominantly positive effects, which can be divide into eleven areas. Conclusion: The use of virtual patients is considered in both empirical and media-didactic research as an effective and an efficient learning arrangement. In a positive and a negative sense, the results depend from the didactic and methodological preparation, the design of the learning modules and the quality of the medium as well as the teaching.

Background Health information (HI) strategies exist in several EU Member States, however, they mainly focus on technical issues and improving governance rather than on content-related priority setting. There is also little research available about national prioritization processes underlying HI development for policy support in the EU. The aim of this study was to broaden the knowledge base on HI prioritization strategies and to encourage expert exchange towards good practice models. A specific focus was put on HI produced for national health reporting, this being a crucial tool for policy advice . Methods We conducted a literature search to identify published and grey literature on national HI prioritization. This was followed by a two-round Policy Delphi study, where we explored which processes and methods exist in EU Member States and associated countries for the prioritization of HI collection. In the first round, information about these processes was gathered in semi-structured questions; in the second round, participants were asked to rank the identified approaches for desirability and feasibility. The survey was conducted online; participants were recruited from the membership of the Joint Action on Health Information (InfAct – Information for Action). Results 119 experts were contacted, representing 40 InfAct partner institutions in 28 EU Member States and associated countries. Of these, 28 experts responded fully or partially to the first round, and six to the second round. In the first round, more than half of the respondents reported the existence of structured HI prioritization processes in their countries. To prioritize HI, a clear preference was given in the second round for a formal, horizontal process which includes different experts and stakeholders. National public health institutes were named desirable key stakeholders in this process, and also desirable and feasible coordinators for stakeholder coordination. Conclusion Health information prioritization methods and procedures reflect the heterogeneity of national public health systems in European countries. Mapping, sharing and ranking prioritization methods and procedures for “good practices” provides a meaningful basis for expert knowledge exchange on HI development. We recommend to make this process part of a future sustainable EU health information system and to use the information gathered in this project to initiate the development of a guidance “Good Practice HI Prioritization” among EU Member States and associated countries.