Documentation sheet
Definition of indicator
Calculation (numerator, denominator)
Additional underlying concepts
Relevant dimensions (subgroups)
Preferred data sources
Rationale
Data availability, quality and periodicity
References
Work to do
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Hospital daycases, limited diagnoses Number of hospital daycases from all hospitals during the given calendar year, with the principal diagnosis falling into the ISHMT group of diseases, expressed per 100 000 population. Divided into categories of the International Shortlist for Hospital Morbidity Tabulation (ISHMT). |
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Calculation (numerator, denominator) Hospital daycases per 100 000 inhabitants = (Total number of hospital daycases from all hospitals during the given calendar year, with the principal diagnosis falling into the ISHMT group of diseases / total population as by July) * 100,000 Where: 1. NUMERATOR * A HOSPITAL DAYCASE: a patient who is formally admitted for day care. Day care comprises medical and paramedical services delivered to patients who are formally admitted for diagnosis, treatment or other types of health care with the intention of discharging the patient on the same day. Exclusion - An episode of care for a patient who is admitted as a day-care patient and subsequently stays overnight is classified as an overnight stay or other in-patient case. 2. DENOMINATOR TOTAL POPULATION as defined in indicator "Population by age/gender". |
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Additional underlying concepts Calculation details The International Shortlist for Hospital Morbidity Tabulation (ISHMT) was developed by the Hospital Data Project (HDP) of the European Union Health Monitoring Programme for statistical comparison of hospital activity analysis. It was adopted in 2005 by Eurostat, the OECD (Organisation for Economic Co-operation and Development) and the WHO-FIC (Family of International Classifications) Network. Rationale: For international comparisons, the simultaneous use of ICD-9 and ICD-10 has called for a comparable shortlist consisting of groups defined by both ICD-9 and ICD-10 codes for comparisons between countries using different ICD revisions and for developing time series statistics. The Hospital Data Project (HDP) of the European Union Health Monitoring Programme aimed at maximising the statistical comparability of hospital activity analysis. Within the HDP an Expert Group was asked to compile a shortlist of diagnoses that could be used for this purpose. Such a list was proposed in the Final Report of the HDP in June 2003. The proposed shortlist was later discussed with major providers of international hospital statistics such as Eurostat and OECD. After a few minor modifications it was adopted in 2005 by Eurostat, OECD and NOMESCO for data collection and presentation. At the WHO-FIC Network Meeting in October 2005 the list was also adopted by the WHO-FIC Network to be published on the WHO website as the International Shortlist for Hospital Morbidity Tabulation (ISHMT). Currently, Eurostat and OECD use this list for disseminating information in their respective health databases. International Shortlist for Hospital Morbidity Tabulation (2005)
To see the breakdown for each category and the definition for the items of this classification, please refers to -WHO Why the indicator is measured the chosen way? The number of daycases is a measure of the utilisation of out-patients hospital services. Elaborated data as rates per inhabitant are preferred to absolute number of discharges for the sake of meaningful comparisons. This elaborated data has a higher amount of information than raw data. Reasons for the preferred definition Eurostat currently provide the total number of hospital daycases, although no information on daycases is disseminated by OECD nor by WHO. Declared daycases are an available proxy to registered daycases that may be used to test trends and differences captured by registered daycases. |
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Relevant dimensions (subgroups) Country (also region), calendar year, gender, age group, sector: public, not-for-profit and private hospitals. |
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Eurostat. Eurostat and OECD, both institutions, are collecting the data from national sources with a common questionnaire (CARE, non-expenditure, which includes a common MDS on hospitals). |
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Non-expenditure health care data provide information on institutions producing health care in countries, on resources used and on output produced in the framework of health care provision. Data on health care form a major element of public health information as they describe the capacities available for different types of health care provision. The quantity and quality of health care services provided and the work sharing established between the different institutions are a subject of ongoing debate in all countries. Sustainability – continuously providing the necessary monetary and personal resources needed – and meeting the challenges of ageing societies are the primary perspectives used when analysing and using these data. Indicators based on hospital daycases from particular diseases provide information on the burden of these diseases on health services, complementing the information on hospital discharges. Besides, hospital daycases gives information on the situation and evolution of these modes of production in health care sector. |
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Data availability, quality and periodicity Eurostat currently provide, on a yearly basis, the total number of (registered) hospital daycases for ISHMT group of diseases by countries (23 out of 27), gender and in some cases by region. |
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What the indicator is meant to measure. If not unambiguous, all acceptable alternatives are to be listed in numbered preference order. The final decision on preference order/numbering is to be made by ECHIM coregroup.
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How to calculate the indicator (method, numerator, denominator, etc), in the same preference order as above if more than one alternative.
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Why the indicator is measured the chosen way (prevalence, incidence, mortality, absolute numbers etc.)? Also reasons for the preferred definition and calculation details can be included here.
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Should the indicator be stratified by e.g. age, gender, socio-economic status and area
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The type of data source; in the same preference order as above (typically either register data or HIS/HES).
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Why is this indicator important, from the public health point of view. (For example: size or dynamics of the problem/issue, evidence of the relevance of the issue in public health terms (for determinants) or evidence of intervention effectiveness (for prevention or care issues)).
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The recommended data source (e.g. Eurostat, OECD, WHO, national registers or HIS/HES, project databases etc.), in the same preference order as above; some notes on the quality and availability of the data for the indicator. Eventually, also information on the availability in coutries, as derived from the ECHIM survey.
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References to original publications, websites, EHIS-question/naire, PHP projects, etc.
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What should be done to improve and complete this sheet. Eventually, this cell should be blank.
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