Evaluation of DG SANCO Data Management Practices
Final Report
RAND Health Quarterly, 2011; 1 (3): 11
Final Report
RAND Health Quarterly, 2011; 1 (3): 11
RAND Health Quarterly is an online-only journal dedicated to showcasing the breadth of health research and policy analysis conducted RAND-wide.
More in this issueThe European Commission Health and Consumer Protection Directorate-General (DG SANCO) commissioned RAND Europe to provide support in developing a comprehensive data strategy for DG SANCO that meets the needs of increasingly evidence-based policymaking in the future. This work builds on previous work by RAND Europe conducted for DG SANCO, mapping out international good practice of data management. The work described in this study had two aims: to assess the current data management practices within DG SANCO that relate to the four specific issues identified by DG SANCO: data needs, DG SANCO data sources, key partnerships on data, and data quality; and to develop, on the basis of this review, recommendations for improving DG SANCO's current data management and the definition of DG SANCO's Good Practice Model for Data Strategy. This article presents the findings of RAND Europe's analysis.
RAND Europe was asked by DG SANCO to assess the current data management practice within DG SANCO. Data management in this definition comprises the use of data in policy making in its wider meaning. This study maps current practice, identifies perceived strength and weaknesses and develops recommendations to address them. The context of this work is the desire of DG SANCO to develop a comprehensive data strategy to meet the increasing needs of evidence-based policy making. Such a strategy would seek to establish good practice in how data are identified, collected, stored, analysed, used and communicated.
The analysis contained in this study relies to a large extent on key informant interviews and thus resembles a perception audit of what a subset of DG SANCO staff see as current practice, its strengths and its weaknesses. In addition internal documentation obtained from DG SANCO was reviewed, and the research team analysed a sample of documents produced during the different stages of the policy process. This study focuses mostly on areas of improvement, though it was clear from the interview findings that current practice in DG SANCO had many strengths. Therefore, DG SANCO starts from a position of strength in data management. In other areas more substantial changes are required, in the opinion of staff.
DG SANCO staff use a relatively wide definition of data, including not only quantitative statistical data, but also more qualitative sources of data. The data needs between directorates differ substantially in terms of type and content of data; in general there appears to be little overlap in data needs between directorates, often even between units. Both (perceived) data needs and actual use of data differ substantially between policy stages. The impact assessment stage is currently the most data-heavy stage of the policy process, using the widest range of data types and sources; while enforcement and evaluation are the stages with the most comprehensive use of statistical information, often collected by DG SANCO or submitted by Member States.
DG SANCO produces some of its own data, but in the early stages of the policy process it mostly relies on the use of external data sources such as Eurostat, and the use of external contractors is widespread. For enforcement purposes, however, DG SANCO mostly relies on self-generated data obtained through alert systems (e.g. RAPEX) or reporting requirements for Member States.
DG SANCO has access to a substantial amount of data that it requests from Member States, but these most of these data are deposited in a large number of different databases or even not stored in an electronic format. Overall, data storage is decentralised and fragmented. Data sharing and collaboration are taking place between colleagues at DG SANCO informally but there is a lack of formal knowledge about what staff are doing across units and directorates.
Data analysis tends to be descriptive and qualitative rather than statistical in nature, assessing context and problems rather than evaluating and projecting. There is a lack of quantitative data analysis and in-house specialist skills (i.e. those of economists and statisticians) to deal with data outside the specialist units, which is partially compensated for by the widespread use of contractors to analyse data.
DG SANCO staff currently conduct, for the most part, pragmatic assessments of the quality of data they use. The two main means by which staff assess data quality are (1) checking that the data source is reliable and (2) assessing the comparability of the data. There are no formal guidelines on how to assess the quality of data.
The perception of current strengths and weaknesses in using data for policy making differs between directorates and experience in data use, with staff from information units and Directorates D, E and F the most positive about current strengths and weaknesses. This points to pockets of good practice that should be extended to improve the overall performance of DG SANCO. Key issues mentioned both as strengths and weaknesses include the following:
High-level recommendations focus mostly on the shift in organisation and culture which will be required for the development of a comprehensive data strategy. Therefore, they are likely to represent changes that it may be difficult to implement and that require a long time horizon to embed. They focus on the following.
Specific recommendations are closely linked to the weaknesses identified by staff, and this relationship is shown in Table 1.
Table 1
Linking Recommendations to the Issues Identified
Weakness Mentioned |
Recommendation |
---|---|
Lack of specialist skills in-house |
Produce a map of data management specific skills of DG SANCO staff |
Provide basic training on data use and management for DG SANCO staff |
|
Establish a central survey unit |
|
Some of the data within DG SANCO are either not used at all or not well used |
Conduct a data inventory |
Create a central knowledge base or information hub on available data sources, both internal and external |
Harmonisation issues with data obtained from Member States |
Current data management practices are reactive and crisis driven |
Develop methods to define data needs systematically |
Access to data is sometimes an issue, as well as how data are used |
Develop basic guidance on the use of data in day-to-day policy work |
Develop guidance on how to assess and ensure data quality |
|
Policy is not sufficiently data led |
Plan and discuss data needs as early as possible in the policy making process |
Make data use more visible |
|
Timeliness is an issue in data management |
Be prepared for ad-hoc data needs |
Problems with collaboration in data collection and analysis |
Become more concise in contracting out research |
Strengthen external collaboration on data collection |
|
No unified approach to data across DG SANCO |
Create decentralised support structures |
Additional tools to enable DG SANCO to develop and implement a comprehensive data strategy include a reflection on how to develop the high-level macroindicators that DG SANCO should use, some practical tips for staff, and indicators to help understand the effectiveness of a data management strategy. For the high-level indicators, the study proposes using a “theory of change” approach, whereby DG SANCO examines its logics of intervention or how it produces impacts. The indicators are then developed on the basis of how DG SANCO achieves these impacts. In terms of practical tips, the study identified a number of key diagnostic questions for use by DG SANCO staff at each stage of the data management framework. These were identified on the basis of the interviews and offer a checklist for staff to help them improve data management. Finally, the impact of a data strategy has to be evaluated once changes have been made. This requires DG SANCO to establish a baseline and then look ex-post at how data management has become embedded and what its impact has been.
RAND Health Quarterly is produced by the RAND Corporation. ISSN 2162-8254.
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