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Explore harmonisation progress with SHA, data availability, main aggregates, and future reporting for health expenditure data in OECD countries. Get insights on long-term care and total health expenditure. Discuss priorities for 2005.
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OECD Health Data 2005- Health Expenditure and Financing - 6th Meeting of Health Accounts Experts and Correspondents for Health Expenditure Data 30 September - 1 October 2004
OECD Health Data 2004- overview • Harmonisation with SHA • Status and progress in HD2004 • Key comparability issues • Data availability in Health Data 2004 • Main aggregates • Sub-set of core variables • Health Data 2005 • Priorities • Other issues
OECD Health Data 2004- harmonisation with SHA • 14 countries SHA-based reporting to HD2004 • Plus “SHA-Based Health Accounts in 13 OECD Countries” • Further 12 undergoing/considering SHA pilot • Main progress in HD2004: • SHA-based data for Turkey 1999-2000 • Revised series for Canada from 1998 • Reclassification of German govt. reimbursement expenditure • Improvement in function reporting for Sweden
OECD Health Data 2004- harmonisation with SHA • Key comparability issues • Long-term care • Time-series breaks • Future reporting of SHA Tables • Collect as part of HD reporting in February • Separate reporting in April/May • Presentation of SHA Tables • Link from Sources and Methods to SHA Tables • SHA Implementation webpage www.oecd.org/health/sha
Total Health Expenditure (26 countries) Total Current Health Expenditure (23) Total Investment on Medical Facilities (23) Expenditure on Personal Health Care (18) Expenditure on Collective Health Care (17) Expenditure on Medical Goods (18) Expenditure on Medical Services (18) OECD Health Data 2004- data availability † Early Sept 2004
OECD Health Data 2004- data availability Progress • Breakdown into functions and modes of production • Availability by provider category • Sources and Methods Further work • Major aggregates • Reporting on private investment (ICHA project) • Core variables (sub-set)
OECD Health Data 2005- future tasks Priorities • Availability of sub-set of core variables • Out-of-pocket payments, in-patient, pharmaceutical • Inclusion of curative-rehabilitative, LTC • LTC – country-by-country basis Ongoing • Sources and methods • Hospital versus In-patient expenditure • Day care, home care & ancillary services
OECD Health Data 2005- other issues Questionnaire • No change to structure • Decision to retain in CD-ROM dependant on response • Exp. by age/gender, day-care, education/training, etc Health at a Glance • 2003 data – indication of timing, preliminary estimates European Union – new members • Main health expenditure indicators under “Get more data”
OECD Health Data 2005- Discussion Delegates and Correspondents are invited to comment on: • Experiences with harmonising data reporting • Projects and plans for future reporting • Priorities and tasks for 2005