HealthDataNavigator Assess available data on different performance domains across various settings

Assessment tables - International

 


 

The Eurobarometer survey was established in 1973. With this survey, the European Union (EU) monitors the evolution of public opinion in member states towards several national issues. The surveys address the main subjects of EU membership including enlargement, social situation, health, culture, information technology, environment, the Euro, defence and many others.

Governance
Access to Database
Coverage
  • All member states of the European Union (27 countries).
  • Standard survey data is available since 1973 onwards.
  • The survey covers diverse data on health since the first survey that dealt specifically with health in 1988. Since then, there are 16 surveys that have referred to health issues.
  • The database covers a widespread of information concerning public opinion, satisfaction and other health issues.
  • Survey Table
Data Quality
  • Surveys based on representative samples of the population, usually over 1000 people covering European citizens aged 15 and over.
  • Harmonized collection of data based on basic bilingual questionnaires with back translation control.
  • Face to face interviews with data validated by internal working groups of Eurobarometer.
Strength and Weaknesses + One of the rare surveys providing information on patients’ perception of health care system quality, in particular on system responsiveness.
- The data is not continuous, one-off surveys that only allows for cross-country comparisons but not through time.
- Internet site is very complicated and difficult to find the information. The survey reference and year are needed in order to find the appropriate data.

 


 

Eurostat was established in 1953 for the Coal and Steel Community and expanded under the European Economic Community and the EU. Eurostat currently collects data on general subjects including health: the Eurostat database features a portal on health and contains health specific indicators. Furthermore, the database provides statistics on an extensive array of subjects, organised by theme: General and Regional Statistics, Economy and Finance, Population and Social Conditions, Industry, Trade and Services, Agriculture and Fisheries, External Trade, Transport, Environment and Energy and Science and Technology.

Governance
Access to Database
  • Access to the database is free through under Population and Social conditions in the Eurostat statistics page.
  • Recent publications and information are available in the publications tab.
  • Individual level data is provided for research purposes freely for a number of European surveys. Conditions of access are provided in Micro data Page.
  • The database, definitions, sources and methods are available in English, French and German.
Coverage
  • Short term, structural, theme-specific and other indicators on the EU-27 and the Euro-zone, the member state and their partners.
  • Data available at the regional level for some indicators.
  • Data on 9 broad statistical categories with 37sub-themes.
  • Eurostat Indicator Table
Data Quality
  • Information and definitions of each indicator are provided in the database online.
  • The data is collected from national institutions and checked by the Eurostat for coherence.
Strength and Weaknesses + This is the only database providing regional level health data in Europe.
+ Data on unmet needs and perceived health status are original.
+ Missing information is flagged according to the nature of the missing data.
- Gaps in data are common in some indicators.
- Health related data is very limited and refer to general aspects.

 


 

The Global Health Data Exchange (GHDX) facilitates access to rigorous and comparable measurement of the world's most important health problems and evaluates the strategies used to address them. Data is provided by the Institute for Health Metrics and Evaluation (IHME), an independent global health research center at the University of Washington. IHME makes this information freely available through GHDX so that policymakers have the evidence they need to make informed decisions about how to allocate resources to best improve population health.

Governance
Access to Database
  • Access to all databases is free through the Global Health Data Exchange page http://www.healthmetricsandevaluation.org/ghdx
  • Many possible entries but information is not easy to find and not systematically organized
  • Definition, sources and methods are available only in English.
Coverage
  • There are over 1000 series in the database covering almost all countries in the world
  • Surveys, country reports, disease registries, vital statistics...
  • GHDX Indicator Table
Data Quality
  • Producers and governance for each source are provided in the database online.
  • The data is mostly provided by national institutions and UN institutions
Strength and Weaknesses + The main strengh of the IHME is the estimations they produce to fill gaps in existing data series
+ The compilation in one platform of national disease registries and reports
+ Interactive data visualizations - Information is not clearly organized and requires a lot of browsing time - There is no clear indication of which data is produced by IHME and which is external

 


 

The OECD Health Database was created in the early 1990s with the objective to provide comparable and comprehensive health data on its member countries for describing and evaluating their health systems. The database is designed to improve the knowledge on health inputs and throughputs as well as quantifying non-medical health related factors.

Governance
  • OECD Health Division
  • For any enquiries contact: This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
Coverage
  • There are over 1200 series in the database with most of them being available from 1960.
  • Provides data for member states of the OECD (34 countries in 2012) but data coverage varies widely for different indicators and between countries.
  • OECD Indicator Table
Data Quality
  • Information and definitions of each indicator are provided in the database online.
  • The data is provided by national institutions and checked by the OECD for coherence.
  • Data sources and methodologies are presented alongside the data.
Strength and Weaknesses + The OECD Health Data offers a comprehensive source of comparable statistics on health and health systems across OECD countries.
+ Information on quality of care with recently integrated indicators from HCQI project is unique
+ The breaks in the series for a country are clearly indicated.
- Gaps in data are common and there are numerous tables with only a few observations across countries and time.
- Lack of appropriate price index for comparing health expenditures across countries is a problem for using detailed series provided through national health accounts.

 


 

The SHARE project was launched in 2004, as a response to a demand from the European Commission to establish a European Longitudinal Ageing Survey. It is a multidisciplinary and cross-national micro database on health, socio-economic status and family networks. The objective is to collect uniform data that characterizes the ageing process from a health, social and economic perspective for cross-country comparisons.

Governance
  • Munich Centre for the Economics of Ageing
  • For further information on SHARE contact This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
  • Database is free to download but requires registering in the Data Centre page.
  • Data is only available in English but Questionnaires and methodological information is available in several languages.
Coverage
  • 4 Questionnaire waves from 2004 onwards.
  • SHARE Indicator Table
  • Increasing number of countries per wave from 11 countries to 19 countries: Austria, Belgium, Czech Republic, Denmark, Estonia, France, Greece, Hungary, Ireland, Israel, Italy, Luxembourg, Netherlands, Poland, Portugal, Spain, Sweden and Switzerland.
  • Self-reported health, physical and cognitive functions, health behaviour and use of health care.
  • Economic variables and social support.
Data Quality
  • Data collected in a face to face survey with a harmonized methodology and identical tools.
  • Internal validation process for coherence, comparability and consistency across countries.
  • Information on questionnaires and methodologies is transparently published.
Strength and Weaknesses + Rare micro-level survey data comparable across countries that is freely and easily accessible for the research community. + Unique information on health utilisation patterns and experience with the health care systems on population 50 years and over. - Small sample sizes in some countries can be problematic - Lack of sustainable funding has placed the project in risk to be stopped.

 


 

USAID Health Systems 20/20 seeks to strengthen health care systems across the world. Their objective is to improve the financing, governance and operations of the health care system. The database provides information and seeks to improve health decision making.

Governance
  • USAID
  • For any enquiries contact: info(at)healthsystems2020.org
Access to Database
Coverage
  • Over 50 indicators for all UN countries since 2000 onwards.
  • Data may be presented in maps, charts and country reports.
  • Key health indicators may be presented by country or corresponding peer groups.
Data Quality
  • Information and definitions of each indicator are provided in the database online.
  • The data is collected from other international organizations, UNAIDS and publicly available surveys.
  • No information concerning data validation.
  • Health systems 20/20 Indicator Table
Strength and Weaknesses

+ Unique information concerning health information systems and delays in reporting.

+ Largely complete information.

+ Allows comparison of peer groups.

+ Data may be presented in charts, maps and graphs.

- No indicators for patient safety, equity and patient centeredness.

- The internet site suffers from some malfunctions especially with more recent data.

 


 

 

The WHO's Global Health Expenditure Database provides international comparable figures on national health expenditures collected and annually updated in a unique collection. Data is compiled from national sources (ministerial reports, national statistics' offices...) and is revalidated by national authorities prior to publication. Alongside general health expenditure, tables provide disease-specific expenditure data. Moreover, some health data from the Global Health Observatory is included to put expenditure in relation with population health data.

Governance
  • Under the responsibility of the Department of Health Financing, WHO Headquarters
  • For further information contact Veneta Cherilova This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
Coverage
  • 193 countries
  • Timeframe : from 1995 to 2010 included
  • 20 macroeconomic health expenditure indicators
  • 11 indicators describing financing sources and agents
  • 6 macroeconomic indicators used as denominators for ratio indicators specifying
  • 6 indicators taken from the Global Health Observatory to enable linkages between spending and health results
  • GHED Indicator Table
Data Quality
  • Complete expenditure time series for 16 years
  • Information on data sources and definitions of each indicator are provided in the database online.
  • In the case of estimations, methodologies used are specified
  • All underlying national sources and methodologies are included in the documentation centre section
Strength and Weaknesses

+ The GHE data repository compiles in a single collection data previously only available via individual WHO country-specific reports and is the primary source for the World Bank, the Millennium Challenge Corporation (MCC) and the  United Nation Development Programme (UNDP)

Underlying national sources and methodologies are well explained

+ User friendly preset templates: enable easy comparison between countries and also individual specific overviews  

+ Inclusion of GHO data to assess healthcare system efficiency

- Disease area specific expenditure data has many gaps (dependent upon changing national agendas)

Work in progress: the documentation centre is incomplete and the help desk is under construction.

 


 

 

The WHO's Global Health Observatory Data Repository groups all the data collected by the WHO in a unique platform. It contains a wide range of data organised by WHO’s priority themes: health related millennium development goals, environmental health, health equity, substance use, infectious diseases and violence and injuries.

 

Governance
  • Global Health Observatory
  • For further information contact This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
Coverage
  • The GHO provides access to over 50 datasets on selected health topics with some data series going back to 1920.
  • Data available for all members of the UN (194 countries in 2011) but coverage of different indicators varies across countries.
  • GHO Indicator Table
Data Quality
  • Information on data sources and definitions of each indicator are provided in the database online.
  • Some data is provided by national institutions while other datasets represents the best estimates of the WHO. The datasets are updated as more recent or revised data becomes available or when there are changes to the methodology used.
  • Data sources and methodologies are explained in the Indicator and Measurement registry.
Strength and Weaknesses

+The GHO data repository offers datasets across all UN countries and for a wide range of subject of interest.

+ Metadata is available online and it is easy to download.

+ The new Internet platform is rich and user friendly.

- Gaps are common for many indicators and information may be available only for few countries or time periods.

No information is available on care quality; very limited dataon health care utilization.

 


 

The WHO's European Health for All Database (HFA-DB) provides a selection of core health statistics covering basic demographics, health status, health determinants and risk factors, and health-care resources, utilization and expenditure in the 53 countries in the WHO European Region. It allows queries for country, intercountry and regional analyses, and displays the results in tables, graphs or maps, which can be exported for further use.

Governance
  • Under the responsibility of the World Health Organization
    Regional Office for Europe in Copenhagen
  • For further information contact Health Information unit
    Tel.: +45 39 17 14 82 or + 45 39 17 15 96 This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
  • Access to the database is free and easy through the browser tool
  • An online version and a downloadable version for frequent users to use offline
  • A user-friendly downloadable instructions manual and online help pages
  • The browser tool automatically creates pre-set tables and graphs formats and generates precise definitions
  • Languages : English and Russian
Coverage
  • The database includes data for all 53 WHO Member States in the European Region
  • The database covers the period from 1970 to the present, or to the latest year for which data are available
  • A total of 603 indicators on the following themes: demographic and socioeconomic statistics; mortality-based indicators; morbidity, disability and hospital discharges; lifestyles; environment; health care resources; health care utilization and costs; maternal and child health.
  • HFA-DB Indicator Table 
Data Quality
  • The data for mortality-related indicators are probably the most complete and comparable.
  • Data comparability is however limited, owing to differences in definitions and/or time periods, incomplete registration in some countries or other national specificities in data recording and processing.
  • The time-series for mortality indicators of the CIS countries starts later than others, from 1981 and later in some cases.
  • Severe socio-economic difficulties and armed conflicts in some countries like the central Asian republics (particularly Tajikistan), the Caucasus countries (particularly Georgia), some countries in the Balkans region (particularly Albania and Bosnia and Herzegovina) have created gaps in data collecting.
Strength and Weaknesses + Very user-friendly browser with preset tables, graphs, maps and clear definitions
+ Underlying national sources and methodologies are well explained
+ Numerous indicators that cover most dimensions of healthcare systems
+ Automatically generated maps covering the whole WHO European Region

 


 

 

The World DataBank is part of the open data initiative from the World Bank. The World databank seeks to make access to data and information easier. Data is available on Agricultural and Rural Development, Aid Effectiveness, Economic Policy and External Debts, Education, Energy and Mining, Environment, Financial Sector, Health, Infrastructure, Social and Labour Protection, Poverty, Private Sector, Public Sector, Science and Technology, Social Development and finally Urban Development.

 

Governance
  • World Bank
  • For any enquiries contact This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
  • Access to the database is free through the World dataBank
  • Definition, sources and methods are available only in English.
Coverage
  • Access to over 8000 indicators from 1960 onwards.
  • All members of the World Bank (245 in 2012).
  • Data coverage varies widely for different indicators and between countries.
  • World dataBank Indicator Table
Data Quality
  • Information and definitions of each indicator are provided in the database online.
  • The data is collected from national institutions and checked for coherence by the World Bank.
  • Data sources and methodologies are transparently explained in the database guide.
Strength and Weaknesses + Comprehensive and internationally comparable data on diverse subjects.+ Coverage for all member countries as well as long time periods.+ User-friendly database.- Data breaks are not clearly indicated.- Different collection frequencies for each country leading to some information gaps.- Health data is limited; no information is available on health care quality.

 


 

 

CISID presents the incidence of infectious diseases throughout the world and is developed by the WHO. 

Governance
  • WHO Regional European Office
  • For information contact This email address is being protected from spambots. You need JavaScript enabled to view it. .
Access to Database
  • Access to the database is free from the CISID Homepage
  • Definitions and methodologies are only available in English.
Coverage
  • UN member countries.
  • Information on infectious diseases from 1980 onwards.
  • Diseases covered : HIV/AIDS, sexually transmitted infections (STI), tuberculosis, malaria, poliomyelitis (acute flaccid paralysis, poliomyelitis laboratory), measles, rubella, congenital rubella syndrome, diphtheria, hepatitis B, haemophilus influenzae b
  • CISID Indicator Table
Data Quality
  • Data collected from international and local organizations of epidemiological monitoring.
  • Information concerning the collection methodology and validation is available in the project website.
Strength and Weaknesses + Database contains a wide range of indicators of incidence, prevalence, screenings, hospitalisations and immunisation for infectious diseases. - Information gaps are an important; great variation between countries and time periods.

 


 

Diabetes Atlas is developed by the International Diabetes Federation (IDF). Although not properly a database, it is a book where several indicators are available for the last four years. IDF groups over 160 national diabetes organisations. It promotes diabetes care, both prevention and treatment around the world. One of its tasks is to represent and quantify the data concerning diabetes.

Governance
  • International Diabetes Federation
  • For information contact This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
  • The different atlas can be downloaded from the Publications Page
  • Methodologies and definitions only available in English.
Coverage
  • Complete information on country members of IDF (Over 160 countries).
  • Information is available from 2006 onwards.
  • Diabetes Indicator Table
Data Quality
  • Data is collected from the national diabetes federations and checked by the IDF for coherence.
  • Information about definition and collection methodologies is found in the internet page.
Strength and Weaknesses + Complete information without gaps from 2006 onwards. + Uniquely collected information. - Small amount of information not covering other dimensions of performance.

 


 

EuroCARE is a project developed for the study of the survival rate of patients with cancer. The project started in 1989 with 14 health institutes in Europe. The number has increased since then and nowadays a unique international database of cancer survival rates is available. The EuroCARE data is divided according to the time period. The objective is to provide information on the survival and care of cancer patients in Europe.

Governance
  • Instituto Superiore de Sanita
  • For information contact This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
  • Database is of free access and can be done through the EuroCARE Data page.
  • Definitions and methodologies are only available in English.
Coverage
  • 20 Countries members of the European Union, some regional information is also available.
  • Data for cancer diagnosis between 1990 and 1999 for 45 types of cancer.
  • EuroCARE Indicator Table
Data Quality
  • Data is collected from national cancer registries and checked by EuroCARE for coherence.
  • Definitions and information on collection methodology can be found online.
Strength and Weaknesses + Complete information on cancer. + Information concerning quality of care for Cancer. - Sources of information are not the same for each country. - No information is available on patient safety, patient centeredness, equity and inputs. - No information after 2002.

 


 

The IARC provides a comprehensive set of databases concerning cancer for UN member countries. There are five main datasets available: GLOBOCAN, CI5, ACCIS, ECO and NORDCAN. Most of the data provided by the IARC is based on population based registries that may cover entire national populations or smaller subnational areas; or other national organizations 

Governance
  • IARC
  • For more information contact This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
  • Access to databases is free and can be done online through the Cancer Statistics website.
  • Definitions and methodologies are only available in English.
Coverage
  • GLOBOCAN: Information on 2008 incidence and mortality rates for 184 UN countries.
  • CI5: Incidence rates for UN member countries from 1953 to 2002.
  • ACCISS: Incidence and survival rates for countries having cancer registries from 1968 to 2000.
  • ECO: Provides information 2006/2007 screening rates for European UN member countries.
  • NORDCAN: Estimated mortality, prevalence and incidence rates from 1960 onwards for Denmark, Faroe Islands, Finland, Iceland, Norway and Sweden.
  • IARC Indicator Table
Data Quality
  • Data collection from population-based cancer registries, national institutions or estimates calculated by the IARC.
  • Indicator definition and collection methodologies are clearly explained in the each database website.
  • Internal validation process to ensure reliability, consistency and comparability across countries.
Strength and Weaknesses + Overall a comprehensive set of data is available on cancer, especially for Nordic countries. - Significant gaps in the information between the databases and only a small amount of indicators in each dataset. - No information is provided for inputs, outputs, access to effective care, patient centeredness, patient safety, equity and non-medical determinants of health care. - The sources of data are evolving therefore estimates may not be truly comparable overtime.

 


 

   

Mindful was a 2 year project developed by THL in 2004 with the objective of improving the existing information on mental illness in Europe. The project finished in 2006 but grouped information for a larger period of time. The database contains information only on mental health and has been praised as exemplary at the WHO Helsinki conference on mental health.

Governance
  • National Institute for Health and Welfare
  • For information contact This email address is being protected from spambots. You need JavaScript enabled to view it.
Access to Database
  • Access to the database is free and available in the Mindful Database Page
  • Definition and methodologies are only available in English.
Coverage
  • 37 Indicators on mental health are available from 1990 until 2005 for the member countries of the European Union.
  • Mindful Indicator Table
Data Quality
  • Information is collected from international databases, national statistics offices, surveys, reports and published scientific articles. No information concerning data validation is offered.
Strength and Weaknesses + Unique database for mental health. - Information presents is collected from published studies or reports, not an established collection methodology. - No continuity, information is only available until 2005.