Assessing the quality of cause of death data in six high-income countries: Australia, Canada, Denmark, Germany, Japan and Switzerland.

Objectives: To assess the policy utility of national cause of death (COD) data of six high-income countries with highly developed health information systems.Methods: National COD data sets from Australia, Canada, Denmark, Germany, Japan and Switzerland for 2015 or 2016 were assessed by applying the...

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Publicado en:International Journal of Public Health (Springer Nature) Vol. 65; no. 1; pp. 17 - 29
Autores principales: Mikkelsen, Lene, Iburg, Kim Moesgaard, Adair, Tim, Fürst, Thomas, Hegnauer, Michael, von der Lippe, Elena, Moran, Lauren, Nomura, Shuhei, Sakamoto, Haruka, Shibuya, Kenji, Wengler, Annelene, Willbond, Stephanie, Wood, Patricia, Lopez, Alan D.
Formato: research Journal Article
Publicado: Springer Nature Jan2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2020
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        10.1007/s00038-019-01325-x
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        atl: Assessing the quality of cause of death data in six high-income countries: Australia, Canada, Denmark, Germany, Japan and Switzerland.
      aug:
        au:
          Mikkelsen, Lene
          Iburg, Kim Moesgaard
          Adair, Tim
          Fürst, Thomas
          Hegnauer, Michael
          von der Lippe, Elena
          Moran, Lauren
          Nomura, Shuhei
          Sakamoto, Haruka
          Shibuya, Kenji
          Wengler, Annelene
          Willbond, Stephanie
          Wood, Patricia
          Lopez, Alan D.
        affil: Bloomberg Data for Health Initiative, University of Melbourne, Melbourne, Australia
      sug:
        subj:
          Data Collection
          Cause of Death
          Developed Countries
          Mortality
          Germany
          Aged, 80 and Over
          Male
          Denmark
          Canada
          Aged
          Japan
          Switzerland
          Human
          Adult
          Australia
          Middle Age
          Female
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Ferrans and Powers Quality of Life Index
          Aged, 80 & over
          Aged: 65+ years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objectives: To assess the policy utility of national cause of death (COD) data of six high-income countries with highly developed health information systems.Methods: National COD data sets from Australia, Canada, Denmark, Germany, Japan and Switzerland for 2015 or 2016 were assessed by applying the ANACONDA software tool. Levels, patterns and distributions of unusable and insufficiently specified "garbage" codes were analysed.Results: The average proportion of unusable COD was 18% across the six countries, ranging from 14% in Australia and Canada to 25% in Japan. Insufficiently specified codes accounted for a further 8% of deaths, on average, varying from 6% in Switzerland to 11% in Japan. The most commonly used garbage codes were Other ill-defined and unspecified deaths (R99), Heart failure (I50.9) and Senility (R54).Conclusions: COD certification errors are common, even in countries with very advanced health information systems, greatly reducing the policy value of mortality data. All countries should routinely provide certification training for hospital interns and raise awareness among doctors of their public health responsibility to certify deaths correctly and usefully for public health policy.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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