INDICATORS

Main problems: International survey data and national administrative data sources
provide considerable differences for the same indicator (e.g. incidence and prevalence
of diabetes or stroke). The problem is choosing the more valid source. Mortality
data quality is deteriorating because decreasing number of autopsies. Primary care
privatisation causes data quality to deteriorate. The funding is limited, which is the
number one problem.
Ongoing and/or expected improvements: Legal basis for record linkage is in
preparation.
Possible solutions for implementation: Responsibilities are clear, the structure exists.
Methodological problems, concerning calculation of indicators from different sources,
need to be solved. Data flow system for some data (e.g. surgeries) should be established.
If the funding can be arranged, Ministry of Health is to make decisions, and the actual
implementation work would be done in LSIC.
Country Report, data availability
ECHIM Survey, data availability
Health Status
Health Determinants
Health Care
Record linkage, present
Record linkage, future
Implementation prerequisites
Main problem: Complex administration
Main improvement: Record linkage in preparation
Main solution: Methodology of indicator calculation
181