HealthDataNavigator Assess available data on different performance domains across various settings

Mental Health

Mental health can be defined as a “state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community” (World Health Organization definition)

Mental, behavioral and neurological disorders are estimated to represent 16.6% of the total disease burden in Europe, including in particular the following: unipolar depressive disorders (4.6%), Alzheimer and other dementias (2.4%), anxiety disorders (1.8%), migraine (1.5%), alcohol use disorders (1.3%), and schizophrenia (0.6%).

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
  • Estonia: The Health Statistics and Health Research Database collects and provides aggregate data on health status, providers, personnel and expenditure
  • Finland: Statistics Finland reports on causes of death (according to ICD-10-Codes), life expectancy and selected indicators for health status. pfeil zu
  • FinlandSOTKAnet (THL) provides data on demographic variables and healthcare provision at regional level as well as epidemiological key themes (e.g. suicide rates, mortality, cancer incidence, self-reported health)
  • Finland:KELASTO database maintained by the Social insurance institution provides annual data on drug reimbursements, sickness leave, rehabilitation and other allowances. pfeil zu
  • 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 Health Reporting System provides aggregated data on population with psychiatric disorders and mental ilnesses.
  • 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 Mental and behavioural disorders due to psychoactive substance use.  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 persons who reported depression or anxiety. 
  • United Kingdom: The NHS Information Centre provides data on aggregate outcome measures of mental health, such as suicide mortality rates. 

Individual level data

  • Austria: The “Austrian Health Interview Survey 2006/07” provides detailed information on mental conditions such as tension, depression, feeling of happiness, exhaustion, fatigue and quality of life. It also provides data on self-perceived health, chronic diseases and life quality and health impairment. pfeil zu
  • Austria: GAP-DRG (General Approach for Patient oriented Outpatient-based DRG) is a research data base with reimbursement data for outpatient services of sickness funds (social insurance) and Federal Ministry of Health (hospital data) including mental health.pfeil zu
  • Estonia: Estonia Health Interview Survey describes the populations health status and provides quantitative information on health determinants and use of health services with regard to the sociodemographic and economic parameters.
  • Finland: Statistics Finland maintains records on the causes of death and mortality data pfeil zu
  • Finland: The “Finnish Health Interview Survey 2000/2011” administered by THL provides detailed information on self-perceived health, chronic diseases and mental conditions, life quality, health impairment in a periodically conducted survey.pfeil zu
  • France: Health, Healthcare and Insurance Survey (ESPS), hosted by IRDES. Self-reported health indicators (Mini European module) since 2004 and morbidity. pfeil zu
  • France: Enquête décennale de santé, carried out by the INSEE approximately every 10 years. Self-reported health and morbidity. pfeil zu
  • Germany: DAK Gesundheitsbarometer: regular surveys of people insured with DAK Health Insurance on various health determinants including mental health deterimnants, such as burn-out, alcohol consume, etc.
  • Germany: GEDA (German Health Update Survey) - a telephone health survey that took place in 2009, 2010 and 2012 and collected a wide range of data on health care status of the population, including data on mental health, mental disorders, emotional stress, ect. (Information in German only).
  • Israel: Cause of death registry – Person level data on causes of death such as Mental and behavioural disorders due to psychoactive substance use. 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 and outpatient clinic visits, day hospitalizations. Data fields include encrypted patient identity number, provider, date of admission and discharge, procedures and diagnosis of mental health diseases. 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 diagnoses such as depression and anxiety. In these surveys there is also data on absence of work because of accident or illness, primary and secondary physician visits, referral to paramedical therapists or alternative medicine practitioners, waiting for surgical operation, influenza vaccination, health insurance, HMOs membership etc. pfeil zu 

Quality (valued outcomes)

Aggregate data

  • Finland: SOTKAnet (THL) provides data on demographic variables and health care provision at regional levels as well as epidemiological key themes (e.g. suicide rates, mortality, cancer incidence, self-reported health). pfeil zu
  • 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. The information relates to mental health admissions in a general hospital and not to mental health hospital.

Individual level data

  • Austria: GAP-DRG (General Approach for Patient oriented Outpatient-based DRG) is a research data base with reimbursement data for outpatient services of sickness funds (social insurance) and Federal Ministry of Health (hospital data) including mental health. pfeil zu
  • Estonia: Individual administrative health service utilization data for any diagnosis 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: The national discharge register provides patient information including diagnoses and treatments for adverse effects, and deaths within a hospital or institution giving inpatient treatment. 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: Health, Healthcare and Insurance Survey (ESPS), contains a couple of questions on the experience of patients relative to the last visits to a GP/specialist (waiting time, responsiveness). 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 also for mental health diagnoses. pfeil zu 

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. Specific statistics on public and private mental wards
  • 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, including mental health infrastructure supply data pfeil zu
  • United Kingdom: The Office for National Statistics (ONS) has general data on hospitals and health care facilities as well as health care personnel and finance in the domain of mental health.

Individual level data 

  • 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 health care resources, providers, personnel and expenditure
  • Finland: SOTKAnet provides data on the frequency of consultations of primary care physicians and other personnel, hospital discharges and bed-days, the use of long-term care including average length of stay, all by region pfeil zu
  • Finland: KELASTO database provides provides annual data on drug reimbursements, sickness leave, rehabilitation and other allowances pfeil zu
  • 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 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 NHS Information Centre provides data on aggregate measures of inpatient stays due to mental health and referrals mental health care services.

Individual level data

  • Estonia: Individual administrative health service utilization data for any diagnosis 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 Finnish Health Interview Survey “TERVEYS 2000/2011” and the FinRISK survey administered by THL provides detailed information on self-perceived health, chronic diseases and mental conditions, life quality, health impairment. pfeil zu
  • 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.), including psychiatric speciality related to 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 can be used to select mental health related contacts in PHC. 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 for psychiatry since 2006 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 for patients suffering from mental health condition as well as demographic data. pfeil zu
  • United Kingdom: HES database contains details of all admissions to NHS hospitals in England. It contains aggregate and individual information of mental health on inpatient admissions, outpatient appointments, clinical information about diagnoses and operations with information about the patient such as time waited and date of admission, geographical information on where the patient was treated and the area in which they lived. 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: THL provides a table compatible with SHA tables showing main aggregates of private and public health expenditure and investment and publishes periodically the list of national reference (unit) prices of all important health and social services.
  • 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: SOTKAnet (hospitals in figures) provides data on costs by region. Data covers total costs and cost for primary care, hospital care and social care per capita. pfeil zu
  • Finland:The hospital benchmarking database (THL) contains hospital and hospital specialty level total operating costs. 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
  • Germany:  Federal Health Reporting System provides expenditure data on a number of mental health disorders and psychiatric diseases. 
  • United Kingdom: Data concerning number of mental health staff, staff earnings, staff turnover and vacancies are available at the NHS Information Centre.

Individual level data

  • Estonia: Individual administrative health service utilization data for any diagnosis 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 ca. 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 including those who suffer from mental health condition. 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

  • Austria: The “Austrian Health Interview Survey 2006/07” provides detailed information on socio-economic factors, such as income, occupation, education, citizenship and country of birth and detailed information on mental conditions. pfeil zu
  • France: Health, Healthcare and Insurance Survey (ESPS),contains information on the socio-economic background (education, occupation) and income. Allows assessing the distribution of health status and consumption. pfeil zu
  • France: Enquête décennale de santé provides information on socio-economic background and income. pfeil zu
  • United Kingdom: The Health Survey for England contains information on the socio-economic background (education, occupation and income). This allows evaluating the distribution of mental health. pfeil zu
  • United Kingdom: The General Household Survey (GHS) has information available on the socio-economic background as well as income and demographic characteristics that may be linked to mental health
  • United Kingdom: The English Longitudinal Study of Ageing (ELSA) has relevant questions concerning economic position, as well as other socio-economic characteristics that may be linked to mental health. pfeil zu

Health System Design and Context

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

International Projects  & Data

Projects

WMH Survey Initiative | EPSILON

Data 

Mindful pfeil zu

EuroBarometer pfeil zu | EUROSTAT pfeil zu |  OECD pfeil zu | SHARE pfeil zu | WHO pfeil zu