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

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Lene Mikkelsen, Bloomberg Data for Health Initiative, University of Melbourne
  • ,
  • Kim Moesgaard Iburg
  • Tim Adair, University of Melbourne
  • ,
  • Thomas Fürst, Swiss Tropical and Public Health Institute (Swiss TPH)
  • ,
  • Michael Hegnauer, Swiss Tropical and Public Health Institute (Swiss TPH)
  • ,
  • Elena von der Lippe, Robert Koch-Institut
  • ,
  • Lauren Moran, Australian Bureau of Statistics
  • ,
  • Shuhei Nomura, University of Tokyo
  • ,
  • Haruka Sakamoto, University of Tokyo
  • ,
  • Kenji Shibuya, King's College London
  • ,
  • Annelene Wengler, Robert Koch-Institut
  • ,
  • Stephanie Willbond, Statistics Canada
  • ,
  • Patricia Wood, Statistics Canada
  • ,
  • Alan D. Lopez, University of Melbourne

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.

OriginalsprogEngelsk
TidsskriftInternational Journal of Public Health
Vol/bind65
Nummer1
Sider (fra-til)17-28
Antal sider12
ISSN1661-8556
DOI
StatusUdgivet - 1 jan. 2020

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