washington city group ottawa 9.-10. january 20031 implementation of mehm-items in his in denmark...
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Washington City Group
Ottawa 9.-10. January 2003 1
Implementation of MEHM-items in HIS in Denmark
(MEHM=Minimum European Health Module)
Niels Kr. Rasmussen
Washington City Group
Ottawa 9.-10. January 2003 2
• Implementation of MEHM-items in HIS in Denmark
(MEHM=Minimum European Health Module)
• Aim– To analyse concurrent validity of MEHM-questions
• Data– Danish National Health Interview Surveys
• 1987: sample size 5000• 1994: sample size 5000• 2000: sample size 17000
– Linkage with registries (inpatient and cause of death registry)
Washington City Group
Ottawa 9.-10. January 2003 3
MEHM rates Denmark 1987-2000
1987 1994 2000
Global activity restriction
4,5 6,3 6,7
Longstanding illness
32.4 37.6 41.1
Good perceived health
78,1 79,1 77,9
Washington City Group
Ottawa 9.-10. January 2003 4
Longstanding illness, Denmark
19 24 39 5325 27 42 5328 34 44 59
16-24 years 25-44 years 45-66 years 67+ years
Males
1987 1994 2000
17 22 44 5726 29 47 6431 33 45 610
10
20
30
40
50
60
70
16-24 years 25-44 years 45-66 years 67+ years
Females
1987 1994 2000%
Washington City Group
Ottawa 9.-10. January 2003 5
Good perceived health, Denmark
94 89 71 5994 89 78 6291 86 75 63
16-24 years 25-44 years 45-66 years 67+ years
Males
1987 1994 2000
93 88 66 5191 84 70 5388 85 73 560
102030405060708090
100
16-24 years 25-44 years 45-66 years 67+ years
Females
1987 1994 2000%
Washington City Group
Ottawa 9.-10. January 2003 6
Global activity restriction, Denmark
1 3 5 71 3 6 112 3 6 11
16-24 years 25-44 years 45-66 years 67+ years
Males
1987 1994 2000
3 2 7 82 5 10 142 6 9 140
2
4
6
8
10
12
14
16
16-24 years 25-44 years 45-66 years 67+ years
Females
1987 1994 2000%
Washington City Group
Ottawa 9.-10. January 2003 7
Percentage with longstanding illness, females, 2000
0
10
20
30
40
50
60
70
80
90
100
16-24 25-44 45-66 67-79
With global act. restr Without
Washington City Group
Ottawa 9.-10. January 2003 8
Percentage with longstanding illness, males, 2000
0
10
20
30
40
50
60
70
80
90
100
16-24 25-44 45-66 67-79
With global act. restr. Without
Washington City Group
Ottawa 9.-10. January 2003 9
Good perceived health, females, 2000
0
10
20
30
40
50
60
70
80
90
100
24-44 45-66 67-79
With global act. restr. Without global act. restr.
Washington City Group
Ottawa 9.-10. January 2003 10
Good perceived health, males, 2000
0
10
20
30
40
50
60
70
80
90
100
24-44 45-66 67-79
With global act. restr. Without global act. restr.
Washington City Group
Ottawa 9.-10. January 2003 11
Global activity restriction and climbing stairs, males, 1987
0
5
10
15
20
25
30
35
40
45
50
without diff little diff much diff cannot at all
45-66
67+
Washington City Group
Ottawa 9.-10. January 2003 12
Global activity restriction and climbing stairs, females, 1987
0
5
10
15
20
25
30
35
without diff little diff much diff cannot at all
45-66
67+
Washington City Group
Ottawa 9.-10. January 2003 13
10-year mortality rate, all causes, males, baseline 1987
0
10
20
30
40
50
60
70
80
90
100
25-44 45-66 67+
Global act restr (longterm) Shortterm None
Washington City Group
Ottawa 9.-10. January 2003 14
10-year mortality rate, all causes, females, baseline 1987
0
10
20
30
40
50
60
70
80
90
100
25-44 45-66 67+
Global act. rest. long term Shortterm none
Washington City Group
Ottawa 9.-10. January 2003 15
10-year mortality rate, all causes, males, baseline 1987
0
10
20
30
40
50
60
70
80
90
25-44 45-66 67+
Very good Good Intermediate Bad
Washington City Group
Ottawa 9.-10. January 2003 16
10-year mortality rate, all causes, females, baseline 1987
0
10
20
30
40
50
60
70
80
90
25-44 45-66 67+
Very good Good Intermediate Bad
Washington City Group
Ottawa 9.-10. January 2003 17
10-year mortality rate, all causes, males, baseline 1987
0
10
20
30
40
50
60
70
80
25-44 45-66 67+
Without longstanding illness With longstanding illness
Washington City Group
Ottawa 9.-10. January 2003 18
10-year mortality rate, all causes, females, baseline 1987
0
10
20
30
40
50
60
70
80
25-44 45-66 67+
Without longstanding illness With longstanding illness
Washington City Group
Ottawa 9.-10. January 2003 19
3-year admission rate (all causes), females, baseline 1994
0
10
20
30
40
50
60
70
80
90
16-24 25-44 45-66 67+
Global act. restr. longterm shortterm none
Washington City Group
Ottawa 9.-10. January 2003 20
3-year admission rate (all causes), males, baseline 1994
0
10
20
30
40
50
60
70
80
90
16-24 25-44 45-66 67+
Global act. restri., long term shortterm none
Washington City Group
Ottawa 9.-10. January 2003 21
3-year admission rate (all causes), males, baseline 1994
0
10
20
30
40
50
60
70
80
90
16-24 25-44 45-66 67+
None longstanding illness 1 longstanding illn 2 longstanding illn.
Washington City Group
Ottawa 9.-10. January 2003 22
3-year admission rate (all causes), females, baseline 1994
0
10
20
30
40
50
60
70
80
90
16-24 25-44 45-66 67+
None longstanding illness 1 longstanding illn 2 longstanding illn.
Washington City Group
Ottawa 9.-10. January 2003 23
3-year admission rate (all causes), males, baseline 1994
0
10
20
30
40
50
60
70
80
90
16-24 25-44 45-66 67+
Really good Good Intermediate Poor
Washington City Group
Ottawa 9.-10. January 2003 24
3-year admission rate (all causes), females, baseline1994
0
10
20
30
40
50
60
70
80
90
16-24 25-44 45-66 67+
Really good Good Intermediate Poor
Washington City Group
Ottawa 9.-10. January 2003 25
Conclusion
• Expected correlations• Good concurrent validity• MEHM questions capture different dimensions