Choice of Measurements for Comparisons between Counties and the Country

Abstract: The Swedish Association of Local Authorities and Regions (SALAR) and the Swedish National Board of Health and Welfare (NBHW) have published a yearly report called “Open Comparisons of Quality and Efficiency in Swedish Health Care –Regional Comparisons” since the year 2006 to compare medical outcomes, patient experience, availability and costs among hospitals and counties. In this paper, inspired by the region profiles attached to the report, we describe several possible measurement methods for comparing dichotomous data: Risk Difference (RD), Relative Risk (RR), Relative Risk Reduction (RRR) and Odds Ratio (OR), mainly by using a geometric approach as a basis for further discussion. A standard scores method is also presented as a means for more efficient comparisons.