220 likes | 352 Views
Methodological improvements of SHA: Examples of good practice. Markus Schneider Bruxelles, ONSS, Place Victor Horta, 20-21 septembre 2007 Organisé par Service public fédéral Sécurité sociale - SPP Politique scientifique - HIVA Katholieke Universiteit Leuven. Outline. Concept of SHA1.0 + PG
E N D
Methodological improvements of SHA: Examples of good practice Markus Schneider Bruxelles, ONSS, Place Victor Horta, 20-21 septembre 2007 Organisé par Service public fédéral Sécurité sociale - SPP Politique scientifique - HIVA Katholieke Universiteit Leuven
Outline • Concept of SHA1.0 + PG • Criteria of good practice and improvements • Examples: NL, PT, D, CZ, F • Tools • Requests on SHA2.0
Criteria of good practice • SHA1.0 Principles: • Comprehensiveness, Consistency (internal, over-time), Compatibility • Organisation of statistical process: Input, Throughput, Output (Metainformation, National Manual) • Transparency (Metainformation, Reporting Standards, National Manuals) • International comparability (external consistency)
Methodological Improvements • Related to the compilation of the SHA Cube Health care and non health care production (Netherlands)Integration of human resources and cost of illness (Germany, Czech Republic) • Related to the compatibility of SHACo-ordination with sectors of SNA (Portugal) • Related to international comparabilityConcept of relative unit cost,EUCOMP AC/CC, TOSHA • Related to the concept of SHAValue-added concept, Health-added concept, Financing concept
Example: NL • Objectives: internal consistency with other accounts SNA, ESSPROS, multiple use, • Responsibility: CBS, Health Statistics • Approach: Provider side (HC, HCR, NHC), reconsiliation with financing side, Including Social Care • Comprehensiveness: SHA Cube, Pilot compilations of Health personnel and Prices, Cost of Illness accounts (RIVM) • Timeliness: 1998-2005 • Issues: International comparability HF2.3, HC.3, HC5.2, Transparency (Non-health care),
Example: PT • Objectives: internal consistency with SNA, • Responsibility: INE, SNA department • Approach: Reconsiliation SNA + Provider side + reconsiliation financing side • Comprehensiveness: SHA Cube, Pilot compilations of Prices • Timeliness: 2000-2005 • Issues: International comparability: Outpatient care, Transparency of private provision, health consumption of tourists
PT: Consolidation with SNA Source: INE 2006
Example: DE • Objectives: indepence of other accounts, limited links with other accounts SNA, ESSPROS, • Responsibility: StBA, Health Statistics • Approach: Financing side + reconsiliation providers side • Comprehensiveness: SHA Cube, HLA account incl. Health Industries, Cost of Illness accounts, • Timeliness: SHA 1992-2005, HLA 1995-2005, COI 2000, 2002, 2004 • Issues: International comparability HF2.3, Transparency (press brochures instead comprehensive tables)
NHA HLA COIA Providers CFHMS-HP international national ICHA-HP WZ03 EuComp (Actors) DE: Linking German Health Accounting Systems Source: Cordes 2004, StBA
Example: CZ • Objectives: indepence of other accounts, limited links with SNA, • Responsibility: CZSU, Health Statistics • Approach: Financing side (Individual accounts) + reconsiliation providers side • Comprehensiveness: SHA Cube and Cost of Illness accounts, • Timeliness: SHA 2000-2005, COI 2000-2005 • Issues: International comparability HF2.3, HC.3; Transparency ?
Tools • Inventories: Actors, Activities and costing, Prices, Data • Software Metadata: EUCOMP: HP Actors,HLA 1 Accounts (linked to EUCOMP) • Software Accounts: TOSHA: SHA Cube, HLA 2 Accounts (linked to EUCOMP) • COI: Disease List, Age classification
IHAT Common Questionnaire TOSHA Output TOSHA Throughput TOSHA Input SHA 1.0 Software, License National Database Flexibility, Confidentiality, Interfaces
International Reconciliation:Relative unit costs of hospital care