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This indicator presents data on the number of consultations patients have with doctors in a given year. Consultations with doctors can take place in doctors’ offices or clinics, in hospital outpatient departments or, in some cases, in patients’ own homes. Consultations with doctors refer to the number of contacts with physicians, both generalists and specialists. There are variations across countries in the coverage of different types of consultations, notably in outpatient departments of hospitals. The data come from administrative sources or surveys, depending on the country. This indicator is measured per capita.
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All OECD countries have established vaccination programmes based on their interpretation of the risks and benefits of each vaccine. There is strong evidence that vaccines provide safe and effective protection against diseases such as diphtheria, tetanus, pertussis (whooping cough), and measles. Childhood vaccination rates reflect the percentage of children that receive the respective vaccination in the recommended timeframe. The age of complete immunisation differs across countries due to different immunisation schedules. This indicator is presented for measles and for diphtheria, tetanus and pertussis. It is measured as a percentage of children at around age 1.
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Influenza is a common infectious disease that affects many people. Most people with influenza recover quickly, but elderly people and those with chronic medical conditions are at higher risk of complications and even death. Influenza vaccination rate refers to the number of people aged 65 and older who have received an annual influenza vaccination, divided by the total number of people over 65 years of age. This indicator is measured as a percentage of the population aged 65 and older who have received an annual influenza vaccine. The data come from administrative sources or surveys, depending on the country.
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The average length of stay in hospitals (ALOS) is often used as an indicator of efficiency. All other things being equal, a shorter stay will reduce the cost per discharge and shift care from inpatient to less expensive post-acute settings. The ALOS refers to the average number of days that patients spend in hospital. It is generally measured by dividing the total number of days stayed by all inpatients during a year by the number of admissions or discharges. Day cases are excluded. The indicator is presented both for all acute care cases and for childbirth without complications.
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Hospital discharge rates measure the number of patients who leave a hospital after receiving care. Hospital discharge is defined as the release of a patient who has stayed at least one night in hospital. It includes deaths in hospital following inpatient care. Same-day discharges are usually excluded. This indicator is measured per 100 000 inhabitants.
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Computed Tomography (CT) exams help physicians diagnose a range of conditions by producing images of internal organs and structures of the body. A CT scanner is an x-ray machine which combines many x-ray images with the aid of a computer to generate cross-sectional views and, if needed, three-dimensional images of the internal organs and structures of the body. The indicator is presented as a total and broken down between hospitals and ambulatory care providers. It is measured per 1 000 inhabitants.
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Magnetic Resonance Imaging (MRI) exams help physicians diagnose a range of conditions by producing images of internal organs and structures of the body. MRI is an imaging technique designed to visualise internal structures of the body using magnetic and electromagnetic fields which induce a resonance effect of hydrogen atoms. The electromagnetic emission created by these atoms is registered and processed by a dedicated computer to produce the images of the body structures. The indicator is presented as a total and broken down between hospitals and ambulatory care providers. It is measured per 1 000 inhabitants.
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This indicator shows the rate of caesarean sections per 1 000 live births. While caesarean delivery is required in some circumstances, the benefits of caesarean versus vaginal delivery for normal uncomplicated deliveries continue to be debated. Caesarean delivery continues to result in increased maternal mortality, maternal and infant morbidity, and increased complications for subsequent deliveries, as well as increased financial costs, raising questions about the appropriateness of some caesarean delivery that may not be medically required. This indicator is measured per 1 000 live births.
Health care use
The indicators of health care utilisation presented here cover preventive services (childhood vaccinations and influenza vaccinations among elderly people), the number of doctor consultations, hospital activities (length of hospital stay and hospital discharge rates) and selected diagnostic and surgical procedures (CT and MRI exams, and caesarean sections).
Also available in: French
Keywords: Influenza vaccination, Child vaccination, Computed tomography (CT) exams, Magnetic resonance imaging (MRI) exams, Caesarean sections, Length of hospital stay, Doctors' consultations, Hospital discharge rates
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