European Commission - Public Health: healthindicators.org

DOCUMENTATION SHEET FOR:

Indicator: 69. Hospital day-cases as percentage of total patient population (in-patients & day-cases), selected diagnoses

SHORTLIST sub-division: D) Health interventions: health services

Status: implementation section

Date last modification documentation sheet: 23-08-2010

PDF version of documentation sheet

Operational indicators (Excel-file)

Definition

Hospital day-cases, for specific ICD-10 diagnosis groups, divided by the sum of number of in-patient discharges and the number of day-cases for the same diagnosis group. Calculated and presented for the following 25 categories of the International Shortlist for Hospital Morbidity Tabulation (ISHMT).

Calculation

The indicator is calculated as the total number of hospital day-cases from all hospitals during the given calendar year, divided by the sum of the number of hospital in-patient discharges from all hospitals and the number of hospital day-cases from all hospitals, for each of the diagnosis groups, during the given calendar year. The definition of hospitals (HP.1) follows the International Classification for Health Accounts– Providers of health care (ICHA-HP) of the System of Health Accounts. For the definition of a day case, an in-patient and a (hospital) discharge see remarks for indicators 67. Hospital in-patient discharges and 68. Hospital day-cases.

Relevant dimensions and subgroups

• Calendar year
• Country
• Region (according to ISARE recommendations; see data availability)
• Age groups: 0-64 and 65+
• Age group exceptions:
• dementia: no disaggregation according to age (not relevant for population below 65)
• asthma: 0-14 and 15+ (similar to asthma incidence indicator: nr 26; hospital admissions for asthma in particular relevant in children)
• injury and poisoning & certain other consequences of external causes: 0-14, 15-24, 25-64, and 65+ (similar to injury incidence indicators: nr 29, 30 and 31; injuries are an important cause of burden of disease particularly in children and young adults).

Preferred data type and data source

Preferred data type

Registers (administrative data sources, national hospital discharge registers)

Preferred data source

Eurostat

Data availability

This indicator is not readily available and needs to be calculated from the absolute numbers available in Eurostat for in-patient discharges by ISHMT code and hospital day case by ISHMT code (indicator 67. Hospital in-patient discharges and 68. Hospital day-cases). For both indicators data are not age-standardized but data are available for 5 year age groups and for total population.

Data periodicity

See indicator 67. Hospital in-patient discharges and 68. Hospital day-cases.

Rationale

Hospital day-cases as percentage of total patient population provides information on the situation and evolution of this mode of production in health care sector. By combining the information on hospital in-patient discharges and day cases, it provides extra insight in issues of quality of care, costs and efficiency.

Remarks

• ECHIM does not require disaggregation of this indicator by sex, and only by two age groups (0-64 and 65+) to reduce the number of operationalisations.
• See indicators 67. Hospital in-patient discharges and 68. Hospital day-cases for remarks on age standardization, availability of data by age, definitions of (hospital) discharge, day case, in-patient, discharges by diagnosis and total hospital beds, and on data sets and joint data collection.

References

See indicator 67. Hospital in-patient discharges and 68. Hospital day-cases for references

Work to do

See remarks for See indicator 67. Hospital in-patient discharges and 68. Hospital day-cases on age standardization and availability of data by age.