A gold mine, but still no Klondike : Nordic register data in health inequalities research

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http://hdl.handle.net/10138/305991

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Van Der Wel , K A , Östergren , O , Lundberg , O , Korhonen , K , Martikainen , P , Andersen , A-M N & Urhoj , S K 2019 , ' A gold mine, but still no Klondike : Nordic register data in health inequalities research ' , Scandinavian Journal of Public Health , vol. 47 , no. 6 , 1403494819858046 , pp. 618-630 . https://doi.org/10.1177/1403494819858046

Title: A gold mine, but still no Klondike : Nordic register data in health inequalities research
Author: Van Der Wel, Kjetil A.; Östergren, Olof; Lundberg, Olle; Korhonen, Kaarina; Martikainen, Pekka; Andersen, Anne-Marie Nybo; Urhoj, Stine Kjaer
Contributor: University of Helsinki, Center for Population, Health and Society
University of Helsinki, Sociology
Date: 2019-08-01
Language: eng
Number of pages: 13
Belongs to series: Scandinavian Journal of Public Health
ISSN: 1403-4948
URI: http://hdl.handle.net/10138/305991
Abstract: Aims: Future research on health inequality relies on data that cover life-course exposure, different birth cohorts and variation in policy contexts. Nordic register data have long been celebrated as a ?gold mine? for research, and fulfil many of these criteria. However, access to and use of such data are hampered by a number of hurdles and bottlenecks. We present and discuss the experiences of an ongoing Nordic consortium from the process of acquiring register data on socio-economic conditions and health in Denmark, Finland, Norway and Sweden. Methods: We compare experiences of data-acquisition processes from a researcher?s perspective in the four countries and discuss the comparability of register data and the modes of collaboration available to researchers, given the prevailing ethical and legal restrictions. Results: The application processes we experienced were time-consuming, and decision structures were often fragmented. We found substantial variation between the countries in terms of processing times, costs and the administrative burden of the researcher. Concerned agencies differed in policy and practice which influenced both how and when data were delivered. These discrepancies present a challenge to comparative research. Conclusions: We conclude that there are few signs of harmonisation, as called for by previous policy documents and research papers. Ethical vetting needs to be centralised both within and between countries in order to improve data access. Institutional factors that seem to facilitate access to register data at the national level include single storage environments for health and social data, simplified ethical vetting and user guidance.
Subject: 3142 Public health care science, environmental and occupational health
RegIII gamma
health inequality
Nordic countries
data
methodology
Danish nationwide registers
death certificates
population health
public-health
mortality
misclassification
quality
regimes
cancer
birth
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