Abstract
Abstract
Background
Health indicators are used to monitor the health status and determinants of health of the population and population sub-groups, identify existing or emerging health problems which would require prevention and health promotion activities, help to target health care resources in the most adequate way as well as for evaluation of the success of public health actions both at the national and international level. The quality and validity of the health indicator depends both on available data and used indicator definition. In this study we will evaluate existing knowledge about comparability of different data sources for definition of health indicators, compare how selected health indicators presented in different international databases possibly differ, and finally, present the results from a case study from Finland on comparability of health indicators derived from different data sources at national level.
Methods
For comparisons, four health indicators were selected that were commonly available in international databases and available for the Finnish case study. These were prevalence of obesity, hypertension, diabetes, and asthma in the adult populations. Our evaluation has three parts: 1) a scoping review of the latest literature, 2) comparison of the prevalences presented in different international databases, and 3) a case study using data from Finland.
Results
Literature shows that comparability of estimated outcomes for health indicators using different data sources such as self-reported questionnaire data from surveys, measured data from surveys or data from administrative health registers, varies between indicators. Also, the case study from Finland showed that diseases which require regular health care visits such as diabetes, comparability is high while for health outcomes which can remain asymptomatic for a long time such as hypertension, comparability is lower. In different international health related databases, country specific results differ due to variations in the used data sources but also due to differences in indicator definitions.
Conclusions
Reliable comparison of the health indicators over time and between regions within a country or across the countries requires common indicator definitions, similar data sources and standardized data collection methods.
Funder
Consumers, Health, Agriculture and Food Executive Agency
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference45 articles.
1. OECD/EU. Health at a Glance: Europe 2018: State of Health in the EU Cycle. Paris: OECD Publishing; 2018. Available at: https://doi.org/10.1787/health_glance_eur-2018-en
2. European Commission. ECHI – European Core health indicators. ECHI data tool. 2021. Available at: https://ec.europa.eu/health/indicators_data/indicators_en
3. World Health Assembly. Follow-up to the Political Declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases. WHA66.10, 2013. Available at: https://apps.who.int/gb/ebwha/pdf_files/WHA66/A66_R10-en.pdf?ua=1
4. World Health Organization. Global action plan for the prevention and control of NCDs 2013-2020. Geneva: WHO; 2013. Available at: https://apps.who.int/iris/bitstream/handle/10665/94384/9789241506236_eng.pdf;jsessionid=F048605A4B13217B86D7A71CE6FD567C?sequence=1
5. Tolonen H (Ed.) EHES Manual. Part C. European level collaboratoin. 2nd edition. National Institute for Health and Welfare. 2016. Geneva: Directions 2016_15. URN:ISBN:978–952–302-702-2 URL: http://urn.fi/URN:ISBN:978-952-302-702-2
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