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Accuracy and reliability

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Welfare and Health, Social Statistics
Jonas Kirchheiner-Rasmussen +45 39 17 34 93
+45 39 17 34 93

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Health Insurance Statistics

The registry has full coverage, and the data is of relatively high quality. Changes in agreements from year to year can make comparability over time challenging within relatively narrow areas. Danmarks Statistik manually categorizes services in the health insurance as contacts every year. This affects the calculation of the number of contacts and the number of individuals with contacts.

Overall accuracy

Since the information originates from the statutory administration, the accuracy is considered to be high.

In assessing whether a service should be included under contacts, there is an element of lack of accuracy.

Physiotherapy is often provided as group training, allowing each physiotherapist to train multiple individuals at once. The training for each individual is recorded as a contact. The same applies when a psychologist conducts group therapy.

The register also includes information about services given to persons without a valid civil registration number – typically foreigners. For these persons, it is not possible to break down on sex and age.

Sampling error

Not relevant for these statistics.

Non-sampling error

There may be measurement errors when assessing whether new services qualify as contacts or not, and if services appear in the registry that are not listed in the fee schedules.

Up to and including 1995, 0-15 year-old children did not have their own national health insurance card, but were registered under the accompanying adult’s civil registration number and given a special mark to indicate that the service was provided to a child. However, this has not been done in all instances. For this reason, the statistics include an unknown number of men and presumably even more women who should have been registered as children. Another issue that contributes to the underestimated number of children is the fact that an adult who has visited the physician with several children or with the same child on multiple occasions during the year, only appears as one person (one child). From 1996 onwards, all persons – except for unnamed new-born babies – have their own national health insurance card with their own civil registration number under which they should be registered. In spite of this, a minor group of children are still reported under the civil registration number of the accompanying adult. It implies a further risk of double counting of these children, as they may first have been registered under the civil registration number of an adult and subsequently under their own civil registration number.

Quality management

Statistics Denmark follows the recommendations on organisation and management of quality given in the Code of Practice for European Statistics (CoP) and the implementation guidelines given in the Quality Assurance Framework of the European Statistical System (QAF). A Working Group on Quality and a central quality assurance function have been established to continuously carry through control of products and processes.

Quality assurance

Statistics Denmark follows the principles in the Code of Practice for European Statistics (CoP) and uses the Quality Assurance Framework of the European Statistical System (QAF) for the implementation of the principles. This involves continuous decentralized and central control of products and processes based on documentation following international standards. The central quality assurance function reports to the Working Group on Quality. Reports include suggestions for improvement that are assessed, decided and subsequently implemented.

Quality assessment

Statistics Denmark estimates that data from LUNA is of high quality. Changes in the collective agreement services from one year to the next may imply some uncertainty in the calculation of contacts.

Data revision - policy

Statistics Denmark revises published figures in accordance with the Revision Policy for Statistics Denmark. The common procedures and principles of the Revision Policy are for some statistics supplemented by a specific revision practice.

Data revision practice

Only final figures are published. As an exception, Visits to physicians etc. 2014 has undergone revisions in socio-economic status from 2009 and income distribution from 2011 due to revision of the source.

In September 2022, the basic data (SSSY) was expanded with the variables registration time and treatment date, and the statistical tables for 2021 were reissued. This was due to minor changes in the statistical production: Individuals with invalid CPR numbers, individuals with child markings, and corrections (negative values for services) that cannot be associated with a registration in the respective fiscal year are deleted. The first registered gender and the first registered age are used for individuals appearing in the registry with multiple CPR numbers. Registrations where the variable 'SIKGRUP' (Health Insurance Group) has the value 9 (Deceased) are deleted.