OECD HEALTH DATA 2012 DISSEMINATION AND RESULTS. Marie-Clémence Canaud OECD Health Data National Correspondents Meeting October 12, 2012

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OECD HEALTH DATA 2012 DISSEMINATION AND RESULTS Marie-Clémence Canaud OECD Health Data National Correspondents Meeting October 12, 2012

Release of OECD Health Data 2012 Released as planned, June 28 Dissemination on OECD.Stat OECD website for press release, country notes, Frequently Requested Data 2

OECD Health Data 2012 Organisation One database: OECD Health Data Drawing from 4 Questionnaires: OECD Health Data: Health Status, Non-Medical Determinants of Health, Health Care Utilisation, Pharmaceutical Market, Long-Term Care Resources and Utilisation, Social Protection Joint Questionnaire on Non-Monetary Health Care Statistics: Health Care Resources, Health Care Utilisation (starting in 2013) Joint Health Accounts: Health Expenditure and Financing Health Care Quality Indicators (every 2 years) Dissemination online exclusively in OECD.Stat 3

4

OECD.Stat - Access Access mostly free for all users: Public use database (70% of the full content) accessed via OECD.Stat.Extracts Subscribers can access the complete database via ilibrary (including data on long-term care, pharmaceutical consumption and social protection, as well as additional disaggregation) Council decision to make 100% of OECD data free by mid-2015 Login/password for all correspondents to access the full database (i.e. including the restricted data sets) via OECD.Stat at http://stats.oecd.org/index.aspx Enter the following information: Login: ELS_HDACCESS Password: healthdata2012access 5

OECD.Stat Usage stats Data set Health Status 4 th most viewed of all OECD data sets Dataset Unique page views % Health Status Health Expenditure and Financing Health Care Resources Health Care Utilisation Non-Medical Determinants of Health Demographic References Economic References Health Care Quality Indicators Pharmaceutical Market Social Protection Long-Term Care Resources and Utilisation HEALTH_STAT 197,467 45% SHA 101,494 23% HEALTH_REAC 56,085 13% HEALTH_PROC 26,648 6% HEALTH_LVNG 16,661 4% HEALTH_DEMR 11,289 3% HEALTH_ECOR 9,284 2% HCQI_STAND 8,900 2% HEALTH_PHMC 3,964 1% HEALTH_PROT 2,746 1% HEALTH_LTCR 1,667 0.4% TOTAL 436,205 100% Period 28 June 2011 to 10 October 2012 6

OECD Health Data website http://www.oecd.org/health/healthdata Press release Country-specific notes (several languages) Frequently Requested Data file (Excel) User s Guide for OECD.Stat Complete list of indicators 7

OECD Health Data Dissemination (1/2) OECD website: Improve core data accessibility Improve Sources and Methods visibility Better use of social media: OECD http://twitter.com/oecd and OECD_Social https://twitter.com/oecd_social 8

OECD Health Data Dissemination (2/2) Improve the country notes Consider following Australian approach: chart showing country ranking and progression over time, for selected indicators May start with G-7 countries and progressively include more countries Life expectancy All persons at birth Males at birth Females at birth Males at 65 Females at 65 Mortality All causes Cancer Coronary heart disease Stroke Transport accidents Suicide Infant mortality Morbidity Cancer incidence Self-rated health Risk factors Tobacco Alcohol Obesity Australia Worst third Middle third Best third 2000 2010 9

Changes in content of OECD Health Data Only 2 amendments/additions in 2012: OECD population structure for agestandardisation updated (for Causes of Mortality data) Generic market share data collection added in Pharmaceutical Market (discussed in joint session) 10

Why change the population structure Old population structure dated back to 1980 Only 25 countries included, 34 OECD members now Population ageing in OECD countries over past 30 years Used only to standardise crude death rates (total and by causes) 11

Comparison between the 1980 and 2010 OECD population structures Age group 2010 OECD standard population (34 countries) 1980 OECD standard population (25 countries) 85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 0 0.01 0.02 0.03 0.04 0.05 0.06 0.07 0.08 0.09 Weight Source: UNDP, World Population prospects: The 2010 Revision 12

Age-standardised mortality rates (all causes) have increased in all countries due to greater weights assigned to older age groups Rate per 100 000 population 1980 Standard Population 2010 Standard Population 1400 1200 1000 800 600 400 200 0 Source: OECD Health Data 2012 (deaths count extracted from WHO Mortality Database) 13

Country ranking mostly not affected by change of population Age-standardised rates for all causes, 2010 or latest year Rank 1980 Standard population Rate 2010 Standard population Rate 1 Japan 318 Japan 622 2 Switzerland 350 Australia 678 3 Spain 351 Spain 704 4 Australia 353 Switzerland 713 5 Italy 357 France 713 6 Iceland 361 Canada 714 7 Sweden 365 Israel 720 8 Israel 368 Italy 723 9 France 377 Iceland 749 10 Canada 384 Sweden 757 11 Norway 385 Norway 775 12 Ireland 395 Ireland 775 13 Netherlands 397 Korea 779 14 Luxembourg 399 Luxembourg 785 15 Austria 400 Austria 786 16 Greece 403 Netherlands 790 17 Korea 409 United Kingdom 796 18 United Kingdom 414 New Zealand 801 19 New Zealand 414 Germany 811 20 Germany 418 Finland 815 21 Finland 424 Chile 848 22 Portugal 430 Greece 850 23 Belgium 444 Slovenia 852 24 Slovenia 453 Belgium 859 25 Chile 485 United States 868 26 United States 498 Portugal 870 27 Denmark 520 Denmark 967 28 Czech Republic 552 Mexico 1019 29 Mexico 594 Czech Republic 1026 30 Poland 606 Poland 1059 31 Estonia 631 Estonia 1090 32 Slovakia 667 Slovakia 1189 33 Hungary 730 Hungary 1232 Source: OECD Health Data 2011 and 2012 (deaths count extracted from WHO Mortality Database)

OECD Health Data Questionnaire - Priorities for 2013 Extend data collection on inequalities in health status (item 8) Possible collection of small dataset on waiting times (item 6) Improve data availability on pharmaceutical consumption (joint session) Move data collection on Health Care Activities into the joint questionnaire 15

OECD Health Data Questionnaire Tips for correspondents to improve reporting: Read the Guidelines Revise the Sources and Methods Use the automatic checks in the Excel data files (do not alter format) Carefully check all content before returning the updated information 16

OECD Health Data Questionnaire - Timeline Electronic questionnaire sent out mid-december Deadline for return of all updated information: February 25, 2013 Data validation process: March to end-may 2013 Strict deadlines due to production of Health at a Glance 2013 Release date: week of June 24 th, 2013 17

Issues for discussion Comment on data dissemination (e.g., OECD.Stat) Comment on any issue faced in filling in the OECD Health Data questionnaire in 2012 18