David Morgan, Organization for Economic Co-operation and Development (OECD) Health Division, 67th session of the WHO Regional Committee for Europe

1. COLLABORATION IN HEALTH
INFORMATION AND REPORTING
Technical Briefing
67th session of WHO RC for Europe
13th September 2017
David Morgan
OECD Health Division

2. European UnionWHO Europe
Recognising the different constituencies
OECD
Country coverage of the three international organisations
Colombia
Argentina
Peru
Costa Rica
Romania
BulgariaCroatia
Lithuania
Brazil

3. Work on health statistics remains a top
priority at OECD
• 2 major inputs shape the future of work of health
statistics at OECD
– OECD Health Ministerial Meeting (January 2017)
• New mandate for a new generation of health statistics
expected
– In-depth Evaluation of the Health Committee
• Recommendation: continue to strengthen indicators and their
comparability, to ensure policy impact
Action to be taken by OECD Secretariat
• Further development of existing data collections
• Expand data collections into new areas, particularly patient
reported indicators 3

4. OECD Policy Forum and Ministerial,
January 2017
Ministers
• Recommended the development of internationally comparable PROMs
and PREMS
• Called on the OECD to lead this effort with international partnerships
www.oecd.org/health/ministerial/
Strategic direction ---
People-centred health
services
 modernise delivery
 build knowledge &
capacity
 systematise patient-
reported measurement

5. 5
Data needs are driven by the
OECD framework for health systems
Source: OECD, 2006; Arah et al., 2006; RIVM, 2014 (Dutch HSPA framework)
Health status
Equity
Efficiency
Health system design, policy and context
Health care system performance
Quality Access Expenditure
Non-health care determinants of
health

6. • Released on June 30
– Time series on wide range of indicators on health and health systems
• Dissemination online in
• Key indicators published in Health at a Glance
• Frequently Requested Data and direct access to detailed
Sources and Methods available
6
OECD Health Statistics 2017
http://www.oecd.org/health/health-data.htm

7. Data collection from countries
Data validation by international organisations
(quality control)
Data calculation of various indicators (e.g.,
crude rates, age-standardised rates,
calculation of “avoidable mortality” based on
causes of death data)
Data reporting in various international
databases
International cooperation – from data
collection to publication
7

8. 8
 Reduce data collection burden on countries
 Promote consistent use of international standard
classifications (e.g., System of Health Accounts)
 Improve consistency of data reported by
international organisations
Aims of joint data collections

9. 9
Short-term
• Joint data collections (two examples: OECD/Eurostat/WHO
Joint Health Accounts Questionnaire and OECD/Eurostat/
WHO-Europe Joint Questionnaire on Non-Monetary Health
Care Statistics)
• Data sharing (“delegating” responsibility to one organisation
to collect the data from a certain group of countries, with
other organisations then simply extracting the relevant data)
Longer-term
• Explore IT developments to directly extract data from
national databases (probably starting first with the most
standardised/codified data: mortality data, hospital data)
Approaches to reduce data collection
burden on countries

10. For more information
Contact: david.morgan@oecd.org
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Website: www.oecd.org/health
Newsletter: http://www.oecd.org/health/oecd-health-update.htm