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Republic of the Philippines
Solid Responsive World-Class. . Philippine Statistics Authority
PHILIPPINE NATIONAL HEALTH ACCOUNTSPrimer
October 2021PHILIPPINE STATISTICS AUTHORITY
16 Floor ETON Centris Cyberpod ThreeEDSA corner Quezon Avenue, Quezon City
Philippines 1100
th
Graphics from freepik and flaticon
Website: http://www.psa.gov.phEmail addresses: [email protected]
[email protected] no.: (02) 8462 6600
locals 839, 833 and 834
For further inquiries, write, call, or visit:
Sources of Data
Philippine Statistics Authority
Commission on Audit
Department of Budget and Management
Department of Finance
Department of Health
Government Service Insurance System
Association of Health Maintenance Organization of the Philippines
National Economic and Development Authority
Insurance Commission
Philippine Amusement and Gaming Corporation
Philippine Charity Sweepstakes Office
Philippine Health Insurance Corporation
Securities and Exchange Commission
Social Security System
COMPILATION OF PNHA
FinancingAgencies
Healthcare Provision
Beneficiaries
Financing Sources is howFinancing Agents raise
revenues
Providers require factor inputs to deliver health
services
Financing Schemes
Healthcare services(Functions)
Health expenditure in the PNHA is compiled by Financing Agent (or a part of a Financing Agent).
The PNHA is aligned with the concepts and definitions of the 2011 System of Health Accounts (SHA 2011).
There is a standard procedure for the estimation of health spending of each financing agent.
Financing Sources
Factors of Provision
(Provision)
(Revenues)
Reference: System of Health Accounts 2011
HEALTH CARE FUNCTIONS (HC)
BENEFICIARY CHARACTERISTICS
Types of goods and services provided and activities performed within the health accounts boundary
What type of healthcare was delivered?
Attributes of those who receive health care goods and services or benefit from health activities.
Curative Care
Preventive Care
Rehabilitative Care
Ancillary Services
Medical Goods
Who received health care?
Disease Age-Sex Income Quintile Region
Health care goodsand services
Pharmaceuticals
Infrastructure Machineriesand equipment
Intellectualproperty products
Employees’ compensation
PHILIPPINE NATIONAL HEALTH ACCOUNTS (PNHA)
As one of the satellite accounts being released by the Philippine Statistics Authority, PNHA provides details on the total health expenditure of the country. It presents data on the country’s health spending, health financing, and health management over a defined period of time.
HISTORICAL DEVELOPMENT OF THE PNHA
SYSTEM OF HEALTH ACCOUNTS (SHA) 2011
PNHA framework was developed by the Health Finance Development Project (HFDP) and the NHA Technical Working Group
NHA training of technical staff and preparation of the PNHA series was undertaken
NSCB Board Resolution No. 8 Series of 2011 (currently referred to as PSA Board Resolution No. 01 Series of 2017-170) was approved
Official release of the 2014-2016 PNHA estimates following the SHA 2011 recommendations
Overall revision of the PNHA series from 2014 to 2018
The SHA 2011 was adopted by the PSA for health accounts
compilation
Official release of the PNHA forCY 1991 – 1997
WHO completed the revised SHA 2011 edition and recommended its adoption by the member states of the
United Nations
First PNHA CY 1991 was reported by the HFDP
Early 90s
1993
1995-1997
2011
2016
2017
2020
1999
TWO MAIN AGGREGATES
Current Health Expenditure (CHE)
Health Capital Formation (HK)
refers to the final consumption of health care goods and services by households, government, and non-profit institutions
refers to the demand of capital goods by health providers
REVENUES OF HEALTH FINANCINGSCHEMES (FS)
INSTITUTIONAL UNITS PROVIDING REVENUES TO FINANCING SCHEMES (FS.RI)
FINANCING AGENTS (FA)
HEALTH CARE PROVIDERS (HP)
FACTORS OF HEALTH CAREPROVISIONS (FP)
CAPITAL FORMATION (HK)
SHA 2011 provides guidance and methodological support in compiling and classifying health expenditure according to the three (3) axes of consumption, provision, and financing.
Functions; andBeneficiary characteristics
Providers;Factors of provision; and Capital formation
Financing Sources;Institution Units
of Financing Sources;Financing Schemes; and
Financing AgentsSHA
AccountingFramework
HealthcareConsumption
ServiceProvision
HealthFinancing
Revenues of health financing schemes received or collected through specific contribution mechanisms
FINANCING SCHEMES (HF)Component of a country’s financial system that channel revenues received and use those funds to pay for, or purchase, the activities inside the health accounts boundary
Entities that receive money in exchange for or in anticipation of producing the activities inside the health accounts boundary
Types of inputs used in producing the goods and services or activities conducted inside the health accounts boundary
Institutional units that manage health financing schemes
Institutional units that provide revenues to health financing scheme
Hospitals
Retailers and other providers of medical goods
Providers of preventive
care
Mental Health and Substance Abuse
Facilities
Providers of ancillary services
Unspecified healthcare providers
(n.e.c.)
Providers of health care system administration
and financing
Providers of ambulatory health care
Who provided healthcare?
Compensation of employees
Materials and services used
Consumptionof fixed capital
Unspecified factors of health care provision (n.e.c.)
What type of inputs were used?
Government Corporations Households Rest of the World Unspecified institutional units
Which institutional units raised fund?
Transfers from government
domestic revenue
Transfers distributed by government from
foreign origin
Voluntary pre-payment(individual, households)
Social insurance contributions
Other domestic revenues, n.e.c.
How were revenues being raised?
Government schemes and compulsory contributory health
care financing schemes
Voluntary health care payment schemes
Household
Out-of-Pocket Payment
How was health care financed?
Types of the assets that health providers have acquired during the accounting and that are used repeatedly or continuously for more than one year in the production of health services; memorandum items (HKR) reported under the capital formation account include health research and training
How much were invested?
Infrastructure Intellectual property products
Machineries and equipment
Who paid for healthcare?
General Government
Insurance Companies
HouseholdsCorporations