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Methodological challenges in international performance measurement using patient-level administrative data


  • Kiivet, Raul
  • Sund, Reijo
  • Linna, Miika
  • Silverman, Barbara
  • Pisarev, Heti
  • Friedman, Nurit


We conducted this case study in order to test how health system performance could be compared using the existing national administrative health databases containing individual data. In this comparative analysis we used national data set from three countries, Estonia, Israel and Finland to follow the medical history, treatment outcome and resource use of patients with a chronic disease (diabetes) for 8 years after medical treatment was initiated.

Suggested Citation

  • Kiivet, Raul & Sund, Reijo & Linna, Miika & Silverman, Barbara & Pisarev, Heti & Friedman, Nurit, 2013. "Methodological challenges in international performance measurement using patient-level administrative data," Health Policy, Elsevier, vol. 112(1), pages 110-121.
  • Handle: RePEc:eee:hepoli:v:112:y:2013:i:1:p:110-121
    DOI: 10.1016/j.healthpol.2013.05.011

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    References listed on IDEAS

    1. Roos, Leslie L. & Menec, Verena & Currie, R. J., 2004. "Policy analysis in an information-rich environment," Social Science & Medicine, Elsevier, vol. 58(11), pages 2231-2241, June.
    2. Miika Linna & Unto Häkkinen & Mikko Peltola & Jon Magnussen & Kjartan Anthun & Sverre Kittelsen & Annette Roed & Kim Olsen & Emma Medin & Clas Rehnberg, 2010. "Measuring cost efficiency in the Nordic Hospitals—a cross-sectional comparison of public hospitals in 2002," Health Care Management Science, Springer, vol. 13(4), pages 346-357, December.
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