SHA Joint QuestionnaireOECD-EUROSTAT-WHO HQ

C. van Mosseveld

EUROSTAT, F5

SHA Expert Meeting, Paris, 29-30 September 2005

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Background

• Need for data on health care expenditure

• SHA data are important for all three organisations

• Co-operation and co-ordination necessary

SHA Expert Meeting, Paris, 29-30 September 2005

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Goals

• Reducing the burden for suppliers• Expand use of manual by users• One number philosophy:

– Every country for all three organisations one set of data on health care expenditure

• Increase the possibilities of national and international analysis based on identical data

SHA Expert Meeting, Paris, 29-30 September 2005

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Requirements

• Completeness and consistency

• Accuracy and timely

• Coherent and comparable (space and time)

• Relevant (valuable and support by users)

• Deviations (from ICHA) need to be transparent

SHA Expert Meeting, Paris, 29-30 September 2005

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Process

• Starting point: tables based on the classifications of the manual

• Compromise to be reached between the 3 organisations (September 2-3, 2005)

• Feedback from producers of data (TM care (21-22 Sept) and SHA Expert meeting)

• Final documents in November 2005

SHA Expert Meeting, Paris, 29-30 September 2005

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Joint Questionnaire documents

Package consists of:– Summary of the Practical Working

Arrangements (OECD,EUROSTAT,WHO)

– Set of tables, cross-tabulating the classifications– Set of methodological questions– Technical note explaining the structure of

classifications and tables– Additional descriptions and definitions used in

the memorandum items

SHA Expert Meeting, Paris, 29-30 September 2005

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Joint Questionnaire: tables (1)

• Tables consist of health expenditure core set:– Financing agents / schemes by functions (HFxHC)

– Providers by functions (HPxHC)

– Providers by financing agents / schemes (HPxHF)

• Addtional tables:– Financing agents /schemes by financing sources

(HFxFS)

– Providers (aggregated) by human resources (HPxRC)

SHA Expert Meeting, Paris, 29-30 September 2005

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Joint Questionnaire: tables (2)

• Tables are based on the original detailed sets of classifications of the manual

• Addtional items in HC:– HC.9: functions not specified in kind or not elsewhere

mentioned

– HC.R.6.1: health related social care services (not HC.3) of LTCare

• Additional item in HP: HP.X: Providers of HC.R goods

SHA Expert Meeting, Paris, 29-30 September 2005

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Joint Questionnaire: tables (3)

Additional information:• Providers: distinction in public and private • Initial version of 2 ‘new’ classification

structures:– Sources of funding (to be used by financing

agents / schemes in the process)– Human resources

• Memorandum items

SHA Expert Meeting, Paris, 29-30 September 2005

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Structure of the Joint Questionnaire

Source of funding

Financing agents / schemes

Providers of services Functions

Human resources

SHA Expert Meeting, Paris, 29-30 September 2005

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Joint Questionnaire: methodological notes

• I: Data sources

• II: Relations between ‘old’ national HC expenditure items and the ‘new’ SHA-tables

• III: Current state of SHA implementation:– Deviations of the national compilation from the

SHA – Estimation procedures and adjustments

SHA Expert Meeting, Paris, 29-30 September 2005

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Joint Questionnaire: Final documents

• Summary of Practical Working Arrangements

• Structure of the classifications

• Additional descriptions and definitions used in the joint questionnaire