Title of statistical activity: Health care (until 2016)

Code of statistical activity: 40604

  1. Contact
  2. Metadata update
  3. Statistical presentation
  4. Unit of measure
  5. Reference period
  6. Institutional mandate
  7. Confidentiality
  8. Release policy
  9. Frequency of dissemination
  10. Accessibility and clarity
  11. Quality management
  12. Relevance
  13. Accuracy and reliability
  14. Timeliness and punctuality
  15. Coherence and comparability
  16. Cost and burden
  17. Data revision
  18. Statistical processing
  19. Comments

1. Contact Individual or organisational contact points for the data or metadata, including information on how to reach the contact points.

1.1. Contact organisation The name of the organisation of the contact points for the data or metadata.

Statistics Estonia

1.2. Contact organisation unit An addressable subdivision of an organisation.

Methodology and Analysis Department

1.3. Contact name The name of the contact points for the data or metadata.

Riina Leinbock

1.4. Contact person function The area of technical responsibility of the contact, such as "methodology", "database management" or "dissemination".

Analyst

1.5. Contact mail address The postal address of the contact points for the data or metadata.

51 Tatari Str, 10134 Tallinn, Estonia

1.6. Contact email address E-mail address of the contact points for the data or metadata.

riina.leinbock@stat.ee

1.7. Contact phone number The telephone number of the contact points for the data or metadata.

+372 625 9367

2. Metadata update The date on which the metadata element was inserted or modified in the database.

2.1. Metadata last certified Date of the latest certification provided by the domain manager to confirm that the metadata posted are still up-to-date, even if the content has not been amended.

23/03/2016

2.2. Metadata last update Date of last update of the content of the metadata.

23/03/2016

3. Statistical presentation

3.1. Data description Main characteristics of the data set described in an easily understandable manner, referring to the data and indicators disseminated.

Number of hospitals (incl. private hospitals) by county; number of hospital beds (incl. in private hospitals) by county; day-care beds.

Physicians (excl. dentists), dentists, physicians of private medicine, medium-level medical personnel, nurses, midwives, assistant doctors, assistant doctors-midwives, pharmacists (with higher academic education), pharmacists (with higher professional education).

Emergency aid stations and wards, physicians of emergency aid, medium-level medical personnel of emergency aid, emergency calls total, emergency calls in case of accidents, fulfilled emergency calls, persons who received aid, persons who received outpatient aid.

Blood service, blood donors (incl. for the first time), blood donations.

Outpatient and inpatient medical care (incl. by county).

Visits to dentist (incl. by county).

Home visits of physicians (incl. by county).

New cases of active tuberculosis, persons with active tuberculosis at end-year.

Mental and behavioural disorders.

Malignant neoplasms.

Cases of infectious diseases.

3.2. Classification system Arrangement or division of objects into groups based on characteristics which the objects have in common.

Classification of Estonian administrative units and settlements (EHAK)

International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10)

3.3. Sector coverage Main economic or other sectors covered by the statistics.

Health care institutions, health care personnel, health care services, morbidity

3.4. Statistical concepts and definitions Statistical characteristics of statistical observations.

Bed day – 24 hours during which a hospitalized patient has received treatment.

Blood service – timely supply of hospitals with high quality blood components.

Health care personnel – personnel with special education who are directly related to provision of health care services.

Hospital – residential establishment equipped with in-patient facilities for 24-hour care, staffed with professionally trained health care personnel.

Hospital admission – hospitalization of a patient in an in-patient facility normally involving a stay of at least 24 hours (admitted patient).

Out-patient care – health care service when a patient’s visit to health care institution is confined only to a few hours and overnight accommodation in an in-patient facility is not needed.

Out-patient visit – general term to the out-patient contact, including an out-patient visit in a physician’s office and home visits, excl. contacts by phone.

Out-patient visit in doctor’s office – out-patient contact of a person who needs medical consultation in the doctor’s working time.

3.5. Statistical unit Entity for which information is sought and for which statistics are ultimately compiled.

Health care institution

Health worker

Health care service

Diseased person

3.6. Statistical population The total membership or population or "universe" of a defined class of people, objects or events.

Health care institutions and family physicians with practice lists

FRAME

All health care institutions, health care personnel, health care services and morbidity in the given year

3.7. Reference area The country or geographic area to which the measured statistical phenomenon relates.

Estonia as a whole

Counties

3.8. Time coverage The length of time for which data are available.

1940–…

3.9. Base period The period of time used as the base of an index number, or to which a constant series refers.

Not applicable.

4. Unit of measure The unit in which the data values are measured.

Number of health care institutions

Number of health care personnel

Number of health care services

Number of diseased persons

5. Reference period The period of time or point in time to which the measured observation is intended to refer.

Year

6. Institutional mandate

6.1. Legal acts and other agreements Legal acts or other formal or informal agreements that assign responsibility as well as the authority to an agency for the collection, processing, and dissemination of statistics.

DIRECTLY APPLICABLE LEGAL ACT

Not available.

OTHER LEGAL ACTS

Regulation (EC) No 1338/2008 of the European Parliament and of the Council of 16 December 2008 on Community statistics on public health and health and safety at work

Personal Data Protection Act

OTHER AGREEMENTS

United Nations Statistics Division (UNSD)

7. Confidentiality A property of data indicating the extent to which their unauthorised disclosure could be prejudicial or harmful to the interest of the source or other relevant parties.

7.1. Confidentiality - policy Legislative measures or other formal procedures which prevent unauthorised disclosure of data that identify a person or economic entity either directly or indirectly.

The dissemination of data collected for the purpose of producing official statistics is guided by the requirements provided for in § 34 and § 35 of the Official Statistics Act.

7.2. Confidentiality - data treatment Rules applied for treating the data set to ensure statistical confidentiality and prevent unauthorised disclosure.

The treatment of confidential data is regulated by the Procedure for Protection of Data Collected and Processed by Statistics Estonia: https://www.stat.ee/66485.

8. Release policy Rules for disseminating statistical data to interested parties.

8.1. Release calendar The schedule of statistical release dates.

Notifications about the dissemination of statistics are published in the release calendar, which is available on the website. On 1 October each year, the release times of the Statistical Database, news releases, main indicators by IMF SDDS and publications are announced in the release calendar (in case of publications – the release month).

8.2. Release calendar access Access to the release calendar information.

https://www.stat.ee/release-calendar

8.3. User access The policy for release of the data to users, the scope of dissemination (e.g. to the public, to selected users), how users are informed that the data are being released, and whether the policy determines the dissemination of statistical data to all users.

All users have been granted an equal access to official statistics: this means that the dissemination dates of official statistics have to be announced in advance and no user category (incl. Eurostat, state authorities and mass media) can have access to the official statistics (results of official statistical surveys) before other users. Statistical information is first published in the Statistical Database. In case a news release is published based on the same data, the information provided in the relevant news release is simultaneously published in the Statistical Database. Official statistics are available on the website at 8.00 a.m. on the date announced in the release calendar.

9. Frequency of dissemination The time interval at which the statistics are disseminated over a given time period.

Year

10. Accessibility and clarity

10.1. News release Regular or ad-hoc press releases linked to the data.

Not published.

10.2. Publications Regular or ad-hoc publications in which the data are made available to the public.

„Eesti statistika aastaraamat. Statistical Yearbook of Estonia”

„Minifacts about Estonia”

10.3. Online database Information about on-line databases in which the disseminated data can be accessed.

Data are published under the heading „Social life/ Health” in the Statistical Database in http://pub.stat.ee.

10.4. Microdata access Information on whether micro-data are also disseminated.

The dissemination of data collected for the purpose of producing official statistics is guided by the requirements provided for in § 34, § 35, § 36, § 37, § 38 of the Official Statistics Act. Access to micro-data and anonymisation of micro-data are regulated by Statistics Estonia’s „Procedure for dissemination of confidential data for scientific purposes”: https://www.stat.ee/dokumendid/51669.

10.5. Other References to the most important other data dissemination done.

Data serve as input for statistical activities 21401 „Annual national accounts”, 21407 „Sector accounts" and 50101 „Estonian regional development”.

National Institute for Health Development

http://pxweb.tai.ee/esf/pxweb2008/dialog/statfile1.asp

10.6. Documentation on methodology Descriptive text and references to methodological documents available.

Tervishoiutöötajate statistika kogumise uuendamine. Tervise Arengu Instituut (2012)

https://intra.tai.ee/images/prints/documents/135513133361_Arstide%20pilootuuring.pdf

10.7. Quality documentation Documentation on procedures applied for quality management and quality assessment.

Tervishoiutöötajate statistika võrdlus Tervishoiutöötajate ja Tervishoiuteenuse osutamise tegevuslubade riiklike registritega arstide andmete põhjal. Tervise Arengu Instituut (2013)

http://www.tai.ee/images/PDF/Metoodika/tai_ta_analyys.pdf

11. Quality management Systems and frameworks in place within an organisation to manage the quality of statistical products and processes.

11.1. Quality assurance All systematic activities implemented that can be demonstrated to provide confidence that the processes will fulfil the requirements for the statistical output.

To assure the quality of processes and products, Statistics Estonia applies the EFQM Excellence Model, EU Statistics Code of Practice and the ESS Quality Assurance Framework (QAF). Statistics Estonia is also guided by the requirements provided for in § 7. „Principles and quality criteria of producing official statistics” of the Official Statistics Act.

11.2. Quality assessment Overall assessment of data quality, based on standard quality criteria.

Statistics Estonia performs all statistical activities according to an international model (Generic Statistical Business Process Model – GSBPM). According to the GSBPM, the final phase of statistical activities is overall evaluation using information gathered in each phase or sub-process (this information includes, among other things, feedback from users, process metadata, system metrics and suggestions from employees). This information is used to prepare the evaluation report which outlines all the quality problems related to the specific statistical activity and serves as input for improvement actions.

12. Relevance The degree to which statistical information meet current and potential needs of the users.

12.1. User needs Description of users and their respective needs with respect to the statistical data.

Ministry of Social Affairs

Ministry of the Interior

Estonian Institute for Population Studies

National Institute for Health Development

Users’ suggestions and information about taking them into account are available on the SE website https://www.stat.ee/statistikatood.

12.2. User satisfaction Measures to determine user satisfaction.

Since 1996 Statistics Estonia conducts reputation surveys and user surveys.

All results are available on the website https://www.stat.ee/user-surveys.

12.3. Completeness The extent to which all statistics that are needed are available.

In compliance with the rules (regulations).

13. Accuracy and reliability Accuracy: closeness of computations or estimates to the exact or true values that the statistics were intended to measure.
Reliability: closeness of the initial estimated value to the subsequent estimated value.

13.1. Overall accuracy Assessment of accuracy, linked to a certain data set or domain, which is summarising the various components.

The type of survey and the data collection methods ensure sufficient coverage and timeliness.

13.2. Sampling error That part of the difference between a population value and an estimate thereof, derived from a random sample, which is due to the fact that only a subset of the population is enumerated.

Not applicable.

13.3. Non-sampling error Error in survey estimates which cannot be attributed to sampling fluctuations.

Not measured.

14. Timeliness and punctuality

14.1. Timeliness Length of time between data availability and the event or phenomenon they describe.

The data are published 520 days after the end of the reference year (T+520).

Starting from 2015 data, the data are published at least 335 days after the end of the reference year (T+335).

The data are published in two stages.

14.2. Punctuality Time lag between the actual delivery of the data and the target date when it should have been delivered.

The data have been published at the time announced in the release calendar.

15. Coherence and comparability

15.1. Comparability - geographical The extent to which statistics are comparable between geographical areas.

The data are internationally comparable.

15.2. Comparability - over time The extent to which statistics are comparable or reconcilable over time.

The data are comparable across time.

15.3. Coherence - cross domain The extent to which statistics are reconcilable with those obtained through other data sources or statistical domains.

Information about health is collected on the same basis as about other sectors and the cross-sectoral analysis is possible.

15.4. Coherence - internal The extent to which statistics are consistent within a given data set.

The outputs of the statistical activity are coherent.

16. Cost and burden Cost associated with the collection and production of a statistical product and burden on respondents.

17. Data revision Any change in a value of a statistic released to the public.

17.1. Data revision - policy Policy aimed at ensuring the transparency of disseminated data, whereby preliminary data are compiled that are later revised.

The data revision policy and notification of corrections are described in the dissemination policy of Statistics Estonia https://www.stat.ee/dissemination-policy.

17.2. Data revision - practice Information on the data revision practice.

Not applicable.

18. Statistical processing

18.1. Source data Characteristics and components of the raw statistical data used for compiling statistical aggregates.

SURVEY DATA

Not used.

ADMINISTRATIVE DATA

Data on health care services provided to permanent residents of Estonia are received from the National Institute for Health Development.

DATA FROM OTHER STATISTICAL ACTIVITIES

Data from statistical activity 30101 „Population” are used (to calculate the rates).

18.2. Frequency of data collection Frequency with which the source data are collected.

Year

18.3. Data collection Systematic process of gathering data for official statistics.

The data to produce health care statistics is collected from all institutions providing health care services which hold a relevant activity licence and from family doctors working with practice lists. The data of health are collected and processed by the National Institute for Health Development. The data of Blood Centres also are collected by the National Institute for Health Development. Domain-specific data are collected by the units of the National Institute for Health Development – Estonian Cancer Register and Tuberculosis Database. The data of infectious diseases and emergency care are collected by the Health Board.

The National Institute for the Health Development transmits processed data electronically to the Statistical Office.

18.4. Data validation Process of monitoring the results of data compilation and ensuring the quality of statistical results.

Arithmetic and qualitative controls are used in the validation process, including comparison with other data.

18.5. Data compilation Operations performed on data to derive new information according to a given set of rules.

All computations are performed by National Institute for Health Development.

18.6. Adjustment The set of procedures employed to modify statistical data to enable it to conform to national or international standards or to address data quality differences when compiling specific data sets.

Not applicable.

19. Comments Supplementary descriptive text which can be attached to data or metadata.

Not available.