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Infectious

The prevelance of infectious diseases in Europe is low compared to the prevalance in most low and middle income countries (5-15 % of total disease burden versus 35% globally). However, there are important infectious diseases which also have a high burden in Europe, e.g. lower respiratory infections (including influenza), HIV/AIDS, meningitis and hepatitis B/C, and sexually transmissible diseases (such as chlamydia).  

Source: The global burden of disease: 2010 update

 

Health Status

Aggregate data

  • Austria: Statistics Austria reports on causes of death (according to ICD-10-Codes since 1970), cancer incidence (per year by localization and sex since 1983) and health status, all by region
  • Austria: The Ministry of Health maintains a register of notifiable communicable diseases containing annual data by region since 1990 and monthly data for the current year [in German only].
  • Estonia: The Health Statistics and Health Research Database Collects and provides aggregate data on disease incidence and prevalence according to diagnosis, gender and age
  • Finland:Causes of death register: Statistics Finland collects and files causes of death (according to ICD-10-Codes) for all citizens in Finland. pfeil zu
  • Finland: KELASTO database maintained by the Social insurance institution provides annual data on drug reimbursements, sickness leave, rehabilitation and other allowances. pfeil zu
  • FranceRéseau Sentinelles : compilation of large epidemiological data on communicable diseases, with anonymous individual description of cases for surveillance and research. Provide prevalence of a variety of communicable diseases that are subject to particular scrutiny by the health authorities such as measles, mumps, influenza-like illnesses, and hepatitis but also asthma. This network is currently constituted of approximately 1300 volunteers general practitioners (GPs), working throughout the metropolitan regions of France (2% of the total GPs in these regions). Data is presented on a weekly basis and by local administrative unit. Available in English.
  • France: Institut de Veille Sanitaire (InVS), the agency responsible for epidemiological surveillance and disease control, holds several registries for pathologies such as measlesmeningitistuberculosisHIV/AIDS.
  • France: CépiDc, data on death causes from 1979 to 2010 is presented according to ICD code or chapter ("code CIM" in "Données détaillées" or "chapitre" in "Interrogation des indicateurs"); reported by the national medical research center network INSERM.
  • France: Ecosanté IRDES : diseases prevalence. National longitudinal datasets from 1950 to 2010. There also exists a regional version of the same datasets which breaks down information local administrative units from 1968 onwards.
  • Germany:Federal Bureau of Statistics- demographic data on birth and fertility rates, mortality, life expectancy and population-related data on the causes of death.
  • Germany:Federal Health Reporting System- data on health status and health-relevant behaviour such as diseases, traffic accidents, work place injuries, smoking behaviour, drugs, alcohol and other risk behaviours.
  • Germany: Robert Koch Institute- federal epidemiological centre for infectious diseases; collects epidemiological data on a number of notifiable infectious diseases. The Epidemiological Bulletin publishes weekly data reports since 1997. The SurvStat , a simplified online database, contains current prevalence data for infectious diseases such as measles, tuberculosis, hepatitis and etc. Yearly published Epidemiological Yearbooks contain summarized data analysis for each year since 2001.
  • Israel: Central bureau of statistics, mortality and cause of death data – Aggregated data on adjusted and crude mortality rates by causes of death such as Intestinal infectious diseases, Tuberculosis, Septicaemia, Viral Hepatitis, Human Immunodeficiency Virus (HIV) disease, and Remainder of infectious and parasitic diseases . Causes of death derived from death certificates completed by the physician reporting the death and are coded according to ICD-10.
  • Israel: Central bureau of statistics, 2009 Health survey data – Aggregated data on influenza vaccination and newly reported cases of AIDS.
  • Israel: Israel Center for Disease Control, communicable disease monitoring - weekly reports, since January 2008, on influenza like illness surveillance.
  • Luxembourg: STATEC - information on life expectancy, healthy life expectancy, diseases and causes of mortality like infectious diseases.
  • Luxembourg: Ministry of Health - since 1967, information on death for the entire population, by age and by causes of death like infectious diseases.
  • United Kingdom: The Office for National Statistics (ONS) contains demographic data on mortality rates, life-expectancy, healthy life expectancy, causes of death, disability and self-reported health, conditions and diseases, including infectious diseases.

Individual level data

  • Finland: Statistics Finland maintains records on the causes of death and mortality data, including infectious diseases pfeil zu
  • Finland: THL hosts a database for a defined set of communicable diseases, reporting is mandatory for health care professionals
  • France: Health, Healthcare and Insurance Survey (ESPS), hosted by IRDES. Self-reported health indicators (Mini European module) since 2004 and morbidity. pfeil zu
  • Israel: Cause of death registry – Person level data on causes of death such as Intestinal infectious diseases, Tuberculosis, Septicaemia, Viral Hepatitis, Human Immunodeficiency Virus (HIV) disease, and Remainder of infectious and parasitic diseases. Causes of death derived from death certificates completed by the physician reporting the death and are coded according to ICD-10. pfeil zu 
  • Israel: Individual HMO administrative data – Person level data are collected by four HMOs and covers all Israeli citizens. Data elements are linked by unique identifier, and include information on hospital services, pharmacy purchases, physician visits and laboratory tests and demographic data. pfeil zu
  • Israel: National hospital services data – Include reports of all hospital encounters, including admissions, emergency room, outpatient clinic visits and day hospitalizations. Data fields include encrypted patient identity number, provider, date of admission and discharge, procedures, and diagnosis of infectious diseases. pfeil zu
  • Israel: 2009 Health survey – The health survey is one of seven health surveys that has been conducted in 1977, 1981, 1993, 1996/97, 1999/2000 and 2003/04. The surveys based on a sample of Israeli households contain data on influenza vaccination. In these surveys there are also data on absence from work because of illness or accident, primary and secondary physician visits, referral to paramedical therapists or alternative medicine practitioners, waiting for surgical operation, health insurance, HMOs membership etc. pfeil zu
  • Israel: National immunization Registry - Data from 120 well-baby clinics since 2010, collected and managed by Israel Ministry of Health, National Disease Control Center. pfeil zu   

Quality (valued outcomes)

Aggregate data

  • France: ICALIN provides composite indicators at hospital-level on safety process and nosocomial infections.
  • France: PLATINES provides data, at hospital-level, on a set of safety and quality indicators (nosocomial infections, patient information, safety measures) and enables comparison between hospitals.
  • Israel: Israel ministry of Health, Department of Medical Services Research - The Department develops and implements measurements of quality of care in general hospitals in Israel, with an emphasis on clinical outcomes such as nosocomial infections, postoperative complications, mortality and re-hospitalizations.
  • Israel: Israel national program for measuring care quality in the community [Hebrew] - The program has developed 69 routinely measures of care quality in the clinical areas such as immunizations, diabetes, diseases of the heart and circulatory system, asthma, cancer screening and paediatric medicine.

Individual level data

  • Estonia: Individual administrative health service utilization data are collected by the Health Insurance Fund since 2000 and it covers all population. Data elements are linked by unique identifier, and include information on hospital stays, physician visits, pharmacy purchases and all health care services provided as well as costs related to these services. Certain service quality indicators can be developed from the existing data.
  • Finland: Finnish Cancer Registry maintained by THL contains information on diagnoses and mortality pfeil zu
  • Finland: The Waiting list reporting system in THL contains information on observed waiting times and the persons waiting in elective operations
  • Finland: The national discharge register provides patient information including diagnoses and treatments for adverse effects, and deaths within a hospital or institution giving inpatient tretment. pfeil zu
  • Finland: The Finnish Patient Insurance Centre handles the compensation procedures for patient injuries that occur in Finland and maintain a database which includes all these incidents.
  • France: Baromètre santé surveys, by the National agency for health promotion and hazards prevention (INPES) since 1992. Focus on individual behaviors (vaccinationssexual behavior, STDs). pfeil zu
  • Germany: Quality assurance with routine data (QSR) measures quality of stationary care using anonymous administrative and hospital routine data of patients. QSR is a mutual project of AOK statutory health Insurance and HELIOS clinics, therefore only data of AOK insured patients are considered. pfeil zu
  • Germany: Patient Satisfaction Survey is a representative study in the outpatient care in Germany conducted by WINEG (Wissenschaftliches Institut der TK). pfeil zu
  • Germany: Europe survey (Europabefragung) conducted by WINEG in 2009, 2010 and 2012 on patient satisfaction with quality of cross-border outpatient care for German population. pfeil zu
  • Israel: Individual HMO administrative data - Person level data are collected by four HMOs and covers all Israeli citizens. Data elements are linked by unique identifier, and include information on hospital services, pharmacy purchases, physician visits and laboratory tests and demographic data. Quality measurements can be derived from the linked files. pfeil zu
  • Israel: 2009 Health survey – The health survey is one of seven health surveys that been conducted in 1977, 1981, 1993, 1996/97, 1999/2000 and 2003/04. The surveys based on a sample of Israeli households contain data on services from which quality measurements can be derived. In these surveys there is also data on absence of work because of illness or accident, primary and secondary physician visits, referral to paramedical therapists or alternative medicine practitioners, waiting for surgical operation, health insurance, HMOs membership etc. pfeil zu
  • Israel: Israel national immunization Registry - Data from 120 well-baby clinics since 2010, collected and managed by Israel Ministry of Health, National Disease Control Center. pfeil zu
  • United Kingdom: The NHS Information Centre provides data on immunisation programmes.

Efficiency / Economy

Physical Inputs (infrastructure)

Aggregate data

  • Estonia: The Health Statistics and Health Research Database Collects and provides aggregate data on health care resources, providers, personnel and expenditure
  • France: Eco Santé IRDES data on healthcare supply, available at the national and regional levels: health professionals, pharmaceutical industry, community pharmacies, private and public hospitals, long term and nursing care and expensive technical equipment.
  • France: The INSEE website has a variety of studies and statistics available on ambulatory healthcare professionals' demographics, hospitals and equipment.
  • France: STATISS presents regional level data on hospital and primary healthcare capacity, with preset tables enabling easy benchmarking between regions. Hosted by the Ministry of Health.
  • France: Statistique Annuelle des Etablissements, which is a complete census of public and private (for profit and not for profit) hospitals since 2004, provided by the Ministry of Health. The primary data source for hospital infrastructure and equipment. pfeil zu

Individual level data

  • Estonia: Individual administrative health service utilization data are collected by the Health Insurance Fund since 2000 and it covers all population. Data elements are linked by unique identifier, and include information on hospital stays, physician visits, pharmacy purchases and all health care services provided as well as costs related to these services. 
  • France: PLATINES ward-level information on hospitals, capacity and equipment. Hosted by the Ministry of Health.
  • France: STATISS presents local level data on hospital and primary healthcare capacity. Hosted by the Ministry of Health.

Activity/Utilization

Aggregate data

  • Estonia: The Health Statistics and Health Research Database collects and provides aggregate data on vaccination
  • Finland: KELASTO database provides provides annual data on drug reimbursements, sickness leave, rehabilitation and other allowances
  • Finland: Hospital benchmarking database (THL) (hospitals in figures): hospital, hospital specialty unit and regional level data is available for various indicators for activity/utilization: DRGs, bed-days, discharges, outpatient visits can be grouped according to infectious diseases. pfeil zu
  • France: Eco Santé IRDES at the national and regional levels: detailed information on hospital and outpatient activity (procedures, doctor visits, number of hospital admissions, average lengths of stay…).
  • United Kingdom: The Office for National Statistics (ONS) provides data on aggregated consultation rates and vaccinations for flu season.

Individual level data

  • Estonia: Individual administrative health service utilization data are collected by the Health Insurance Fund since 2000 and it covers all population. Data elements are linked by unique identifier, and include information on hospital stays, physician visits, pharmacy purchases and all health care services provided as well as costs related to these services.
  • Finland: The national discharge register and the hospital benchmarking database (THL) contain key inpatient and outpatient data abstractions from the operative systems in hospitals (length of stay, in which ward etc.), patient (age, gender etc.) and medical data (main and additional diagnoses, selected treatments). pfeil zu
  • Finland: AVOHILMO (THL) provides data for all patient encounters within the publicly provided primary care (primary health care centers) in Finland since 2011. Diagnosis codes ICD-10/ICPC can be used to select contacts due to infectious diseases. pfeil zu
  • France: Health, Healthcare and Insurance Survey (ESPS), contains detailed questions on healthcare utilization, health insurance, forgone care, etc. by socio-economic status pfeil zu
  • France: SNIIR-AM reimbursement database of the National Health Insurance Fund. Exhaustive data on ambulatory care consumption (consultations, diagnostic tests, technical procedures, pharmaceuticals) and private hospitals' activity. Consumptions in public hospitals are in since 2006. pfeil zu
  • France: PMSI hospital database maintained by ATIH (Technical Agency for Hospital Information). Data on hospitals' activity by case mix (DRG system). Data is available from 1996 for medical wards — MCO database "médecine, chirurgie, obstétrique"; also provides data since 2008 for hospital at home —"hospitalisation à domicile", HAD. pfeil zu
  • Israel: Individual HMO administrative data – Person level data are collected by four HMOs and covers all Israeli citizens. Data elements are linked by unique identifier, and include utilization data on hospital services, pharmacy purchases, physician visits and laboratory tests and demographic data. pfeil zu
  • United Kingdom: HES database contains details of all admissions to NHS hospitals in England which includes admissions due to infectious diseases. pfeil zu  

Cost and Expenditure

Aggregate data

  • Estonia: The Health Statistics and Health Research Database collects and provides aggregate data on health care resources, providers, personnel and expenditure
  • Finland: KELASTO database reports the payments for reimbursed drugs, rehabilitation, private health care services,sickness absence day and other special benefits reimbursed by the social security. pfeil zu
  • Finland: The hospital benchmarking database (THL) contains hospital and hospital specialty level total operating costs. Disease based 'burden of illness' estimates can be obtained. pfeil zu
  • Germany: G-DRG-Report Browser is a free database with detailed calculation results per MDC (major diagnostic category) and DRG in 2010/2012 on number of cases, length of stay, costs, age and gender breakdown, etc. The database is provided by Institut für das Entgeltsystem im Krankenhaus (The Institute for Hospital Remuneration System). pfeil zu
  • France: Eco Santé IRDES at the national and regional levels : fees for practitioners in ambulatory sector, providers' income, macro-level expenditure data by source of funding and by setting and provider
  • France: National Health Accounts are published every year by the research and statistics branch of Ministry (DREES) : macrolevel data on main sources of healthcare financing and expenditure areas

Individual level data

  • Estonia: Individual administrative health service utilization data are collected by the Health Insurance Fund since 2000 and it covers all population. Data elements are linked by unique identifier, and include information on hospital stays, physician visits, pharmacy purchases and all health care services provided as well as costs related to these services.
  • Finland: The hospital benchmarking database (THL) contains patient level bottom-up based cost accounting data for c. 30% all hospital inpatient and outpatient care in the country. National DRG cost weights are based on these data. pfeil zu
  • France: Etude Nationale des Coûts (National Costs Study): patient level cost data from about 90 volunteer public and private hospitals. It is used to calculate DRG cost-weights. pfeil zu
  • France: SNIIR-AM reimbursement database of the National Health Insurance Fund. Public expenditure in the ambulatory setting and in private hospitals (fee for service payments), excluding private out-of-pockets payments pfeil zu
  • Israel: Individual HMO administrative data – Person level data are collected by four HMOs and covers all Israeli citizens. Data elements are linked by unique identifier, and include data on cost of hospital services, pharmacy purchases, physician visits and laboratory tests and demographic data. pfeil zu 

Access/Equity 

Aggregate data

Individual level data

Health System Design and Context

Austria | Estonia | Finland | France | Germany | Israel | Luxembourg | United Kingdom

International Projects & Data

Data

CISID pfeil zu | Global Health Data Exchange pfeil zu | WHO Global Health Data Observatory pfeil zu | OECD pfeil zu  SHARE pfeil zu