National Health Accounts

1. National Health Accounts Belgrade May13, 2014 Group for Satellite Accounts

2. INTRODUCTION • National Health Accounts • Survey • Pilot Survey • Joint Health AccountsQuestionnaire

3. DEFINITION National Health Accounts(NHA) is a set of tables that show the flow of funds in the health sistem, and shows the costs and financing of the health system of a country

4. AIM OF NATIONAL HEALTH ACCOUNTS COMPILATION • Review of the sources, use and flows of resources within the health care system HEALTH CARE SYSTEM USES FLOWS SOURCES

5. CRITERIA FOR NHA COMPILATION 1. Coverage 2. Consistency 3. International Comparability 4. Timeliness and accuracy 5. Flexibility

6. PURPOSE OF NHA COMPILATION • Where does the money come from? (source of funding) • Where does the money go to? (provider of health care services and goods) • What kind of (functionally-defined) services are performed and what types of goods are purchased?

7. PURPOSE OF NHA COMPILATION (con’t) • Analysis of the consumption for health care • Recording of expenditures in the health care sector • Monitoring of the movements in the health care consumption • Health care system reform • International comparability of the data

8. DATA SOURCES • Statistical surveys • Complex annual survey on budgetary users • Annual financial statements • Annual report on investments in fixed assets  • Household budget survey • Household final consumption

9. DATA SOURCES(con’t) • Administrative sources • The Ministry of Health • The Ministry of Finance • The Business Registers Agency • Republic Health Insurance Fund • Institute of public health of Serbia “Dr Milan Jovanovic – Batut”

10. PURPOSE OF THE SURVEY • The main purpose of the NHA is to collect reliable, systematized and internationally comparable data on the impact of the health on overall economic activity • Monitoring of the movements in the health care consumption (public and private sector)

11. AIM OF THE SURVEY • Data collection on: • Income and expenditure of the health care institutions and entrepreneurs • Income of pharmacies and legal entities which salemedical and technical aids • Households expenditure for health care

12. COVERAGE • Public Sector (hospitals, day hospital, dental offices, pharmacies, technical aids sellers) • Private Sectors (hospitals, specialised health care/medical stations, dental offices, pharmacies, technical aids sellers) • Households (one - person ormulti – person households)

13. SURVEY ACTIVITIES • Development of the methodology • Questionnaires design • Units of observation selection • Selection and training of the staff • Management of the activities • Results publishing

14. DATA COLLECTION TOOLS • Register • Questionnaires • Methodological manual • Organisational manual • Auxilary tools

15. METHODS OF DATA COLLECTION • Reporting method • Interview

16. SURVEY PARTICIPANTS • Institution responsible for survey conduction • Project leaders • Supervisors • Controllers • Interviewers

17. DUTIES AND RESPONSIBILITIES OF SUPERVISORS • Study of the methodological and organisational manuals • Selection of controllers and interviewers • Organisation of interviewers training • Delivery of the material to the controllers and interviewers • Day to day monitoring of the controllers and interviewers work • Spot on problem solving • Reception and delivery of the material from the field to the Statistical Office of the Republic of Serbia • Other activities

18. DUTIES AND RESPONSIBILITIES OF CONTROLLERS • Study of the methodological and organisational manuals • Participation on the training • Day to day monitoring of the interviewers work • Checking of the survey forms • Problems solution as necessary • Delivery of the material to the interviewers • Delivery of the properly filled in questionnaires to the supervisors • Other activities

19. DUTIES AND RESPONSIBILITIES OF INTERVIEWERS • Study of the methodological and organisational manuals • Participation on the training • Carrying out the interview following the provided households list as well as legal entities list • Permanent communication with the controller • Professional and on time conduction of the interviews • Delivery of the properly filled in questionnaires to the controllers • Obligation to respect the principle of confidentiality

20. PILOT SURVEY • Based on the international methodology for health care accounts (A System of Health Accounts 2011- OECD, ЕUROSTAT andWorld Health Organization) • Carried out from16-20 December 2013

21. PILOT SURVEY(con’t) Survey on the operational income of the health care institutions Survey on households expenditure for health care

22. AIM OF PILOT SURVEY • Testing of the survey methodology • Testing of the survey organization • Combination of the above approaches

23. PILOT SURVEY ACTIVITIES • Development of the methodology • Questionnaires design • Units of observation selection • Selection and training of the staff • Management of the activities

24. PILOT SURVEY TOOLS • Register • Questionnaires • Organizational – methodological manual • Authorization for interviewers/ controllers • Note of interviewers arrival • Note (hospitals, day hospitals, dental offices, specialized medical stations, pharmacies, technical aids sellers)

25. QUESTIONNAIRES • Listofhousehold members, Form ZDR1 • Healthcareexpenditures, Form ZDR2 • Incomestructureforpharmacies, Form ZDR3 • Incomestructureforprivate pharmacies, Form ZDR4

26. QUESTIONNAIRES(con’t) • Incomefromsalesofmedicalandtechnicalaids, Form ZDR5 • Income structureformedicalinstitutions, Form ZDR6 • Income structureforprivatemedical institutionsandunincorporatedenterprises, Form ZDR7

27. Joint Health Accounts Questionnaire • Health care total expenditures classified according to the System of Health Accounts methodology (SHA) • ОЕCD, WHO, Еurostat • Еurostat • 2007-2011data

28. THANK YOU FOR YOUR ATTENTION Contact: Phone number 011 241 29 22, ext. 237 ivana.lalic@stat.gov.rs