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The European Journal of Public Health 2003 13(Supplement 1):15-19; doi:10.1093/eurpub/13.suppl_1.15
© 2003 by European Journal of Public Health
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Assessing comparability of dressing disability in different countries by response conversion

S. van Buuren1,*, S. Eyres2, A. Tennant2 and M. Hopman-Rock1

1 TNO Prevention and Health, Leiden, The Netherlands 2 Psychometric Laboratory for Care Outcomes Measurement, University of Leeds, UK

Background: Comparability of health data is a major challenge within the context of the Health Monitoring Programme of the European Commission. A common problem in surveys is that many variations of essentially the same question exist. Methods: Response conversion is a new method for improving comparability by scaling the data onto a common scale. Comparisons between member states can then be made in terms of the common scale. A first step is the construction of a conversion key. This is a relatively complex activity, but needs to be done only once. The second step is the actual data transformation. This is simple, and can be repeatedly done on a routine basis as new information arrives. Construction of the key is only possible if enough overlapping information can be found. Results: The method is illustrated for dressing disability from five European countries. Differences occur between countries, between sexes and between age groups. These were similar in magnitude. Conclusion: Response conversion is a new method for enhancing comparability among existing data. Conversion can only be done if a key is available. More work is needed to establish the technique. Future implications within the Health Monitoring Programme are discussed.

Keywords: dressing disability, comparability, item response theory, response conversion, post-harmonization


* Correspondence: Stef van Buuren, PhD, Department of Statistics, TNO Prevention and Health, P.O. Box 2215, 2301 CE Leiden, The Netherlands, Voice: +31 71 5181802, fax +31 71 5181920, e-mail: S.vanBuuren{at}pg.tno.nl


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