Changing analytical approaches in European epidemiology -- a short comment on a recent article

Eur J Epidemiol. 2005;20(8):737; author reply 738. doi: 10.1007/s10654-005-2065-9.


Multilevel analysis is today considered a more appropriate way to monitor health care performance, as it allows a less biased estimation of uncertainty, and can also separate and quantify contextual (as opposed to individual) effects. Multilevel analysis should be applied as the standard methodology for hospital comparisons. A greater awareness of this question in future Journal articles may be in order.

Publication types

  • Comment
  • Letter

MeSH terms

  • Adult
  • Delivery, Obstetric*
  • Diagnosis-Related Groups
  • Female
  • Health Services Accessibility
  • Humans
  • Infant Mortality*
  • Infant, Newborn
  • Pregnancy
  • Pregnancy, High-Risk*
  • Regional Medical Programs*
  • Registries
  • Sweden / epidemiology