MONICA Manual, Part II: Annual Statistics


Section 2: Health services data component

November 1990


To assess the contribution of health services to the trends in cardiovascular disease, standardized information is required on trends in available medical care resources and acute coronary and stroke care. In this section the procedures for collecting data on medical care resources are described.

Contents

Forms


© Copyright World Health Organization (WHO) 1999. All rights reserved.

Queries/comments on this section should be addressed to:

Professor Michael S.T. Hobbs
Department of Public Health
University of Western Australia
Western Australia 6907
Fax: 61 8 9380 1188
Email: mikeh@dph.uwa.edu.au

Introduction

The medical care reporting forms described below are intended to provide information to monitor for individual Reporting Units, the provision and levels of treatment of coronary heart disease that could influence coronary event rates. There are two components to this:

  1. Facilities and Services. This form provides information about the availability of and access to hospital emergency departments, specialist cardiology services, cardiovascular surgery, ambulance services and specified diagnostic or therapeutic procedures. The data are mainly qualitative but the coding system adopted allows for some indication of the degree of restriction in use that may apply in individual reporting units. The nature of these data is such that they can be supplied by all MONICA Collaborating Centres. The Medical care reporting form - facilities and services (Form UA), the procedures for providing the data and the instructions for completing the form are appended to this section.
  2. Hospital Admissions and Cardiac Procedures (Forms UB, UC and UD). These forms provide information to monitor levels of hospital treatment and specified cardiac procedures used in the treatment of coronary heart disease. In general the information is to be obtained from routinely collected hospital statistics (hospital morbidity data) although information about procedures could also be provided from special procedure registers where these exist. Provision of Part B information is obviously limited to MONICA Centres in countries in which such data are collected. However this applies to a majority of MONICA Collaborating Centres. The following forms, the procedures for providing the data and the instructions for completing the forms are appended to this section: