The University of Southampton
University of Southampton Institutional Repository

Using death certificate data to study place of death in 9 European countries: opportunities and weaknesses

Record type: Article

Background: Systematic and reliable epidemiological information at population level, preferably cross-national, is needed for an adequate planning of (end-of-life) health care policies, e.g. concerning place of death, but is currently lacking. This study illustrates opportunities and weaknesses of death certificate data to provide such information on place of death and associated factors in nine European countries (seven entire countries and five regions).
Methods: We investigated the possibility and modality of all partners in this international comparative study (BE, DK, IT, NL, NO, SE, UK) to negotiate a dataset containing all deaths of one year with their national/regional administration of mortality statistics, and analysed the availability of information about place of death as well as a number of clinical, socio-demographic, residential and healthcare system factors.
Results: All countries negotiated a dataset, but rules, procedures, and cost price to get the data varied strongly between countries. In total, about 1.1 million deaths were included. For four of the nine countries not all desired categories for place of death were available. Most desired clinical and socio-demographic information was available, be it sometimes via linkages with other population databases. Healthcare system factors could be made available by linking existing healthcare statistics to the residence of the deceased.
Conclusion: Death certificate data provide information on place of death and on possibly associated factors and confounders in all studied countries. Hence, death certificate data provide a unique opportunity for cross-national studying and monitoring of place of death. However, modifications of certain aspects of death certificate registration and rules of data-protection are perhaps required to make international monitoring of place of death more feasible and accurate.

PDF 1471-2458-7-283.pdf - Version of Record
Available under License Other.
Download (327kB)

Citation

Cohen, Joachim, Bilsen, Johan, Miccinesi, Guido, Löfmark, Rurik, Addington-Hall, Julia, Kaasa, Stein, Norup, Michael, van der Wal, Gerrit and Deliens, Luc (2007) Using death certificate data to study place of death in 9 European countries: opportunities and weaknesses BMC Public Health, 7, (283), pp. 1-9. (doi:10.1186/1471-2458-7-283).

More information

Published date: 8 October 2007
Keywords: death certificate, public health policy, healthcare

Identifiers

Local EPrints ID: 50530
URI: http://eprints.soton.ac.uk/id/eprint/50530
ISSN: 1471-2458
PURE UUID: 0c4a1347-8a74-453d-b346-7c698ab34859

Catalogue record

Date deposited: 26 Feb 2008
Last modified: 17 Jul 2017 14:52

Export record

Altmetrics

Contributors

Author: Joachim Cohen
Author: Johan Bilsen
Author: Guido Miccinesi
Author: Rurik Löfmark
Author: Stein Kaasa
Author: Michael Norup
Author: Gerrit van der Wal
Author: Luc Deliens

University divisions


Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×