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National Health Account s (Expenditure on Health Care in Poland)

National Health Account s (Expenditure on Health Care in Poland). National Health Account. 200 0 -2002 - the first pilot national health account i n Poland ( data for 1999 ) . It was drawn by a group of national and foreign experts on the basis of the OECD methodology

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National Health Account s (Expenditure on Health Care in Poland)

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  1. National Health Accounts(Expenditure on Health Care in Poland) Central Statistical Office of Poland

  2. National Health Account • 2000-2002 - the first pilot national health account in Poland (data for 1999).It was drawn by a group of national and foreign experts on the basis of the OECD methodology • Changes in the system of health care and in the national budget classification • September 2004-June 2005 - the health account realised in cooperation with the ICON Institute (data for 2002, 2003). Central Statistical Office of Poland

  3. Health care financing sources (1) Health care financing sources Public expenditures Private expenditures Rest of the world Central Statistical Office of Poland

  4. Health care financing sources (2)public expenditures General government HF.1 Social security funds HF.1.2 Central government HF.1.1.1 National Health Fund State and local government HF.1.1.2 and HF.1.1.3 Social insurance institutions Central Statistical Office of Poland

  5. Health care financing sources (3) Central government HF.1.1.1 Ministry of Health Ministry of Justice Budgets of voivods Ministry of Internal Affairs and Administration Ministry of National Defence Ministry of Social Policy Central Statistical Office of Poland

  6. Health care financing sources (4) Private sector HF.2 Private social insurance HF.2.1 Households’ out-of-pocket payments HF.2.3 Corporations HF.2.5 Non-profit institutions HF.2.4 Quasi-insurance sector Occupational health care Central Statistical Office of Poland

  7. Data sources (1) Public expenditures Reports: • Realisation of the state budget and budgets of local self-government units • Realisation of the financial plan of the National Health Fund • Social Insurance Institution • Technical and financial plan of the Agricultural Social Insurance Fund Central Statistical Office of Poland

  8. Data sources (2) Private sector • Private health care insurance - statistical report on insurance activity of insurance institutions • Private household out-of-pocket payments – households’ budgets survey/ modul survey „Health care in households” • Non-profit organisations –periodic survey • Corporations – experts estimations on the basis of available reports on occupational medicine and recognition of the quasi-insurance sector Central Statistical Office of Poland

  9. Data sources (3) Private health care insurance • No private health insurance in the form of a separate kind • Insurance institutions operating on the basis of the Law of 22 May 2003 on the Insurance Activities • Quasi-insurance sector not included here (included in „corporations” group) Central Statistical Office of Poland

  10. Data sources (4) Private households out-of-pocket payments Central Statistical Office of Poland

  11. Data sources (5) Non-profit organisations serving households • fundations, associations, other social organisations • cyclical survey carried out by the CSO • last survey 2002 (data for 2001) • estimations for 2003 Central Statistical Office of Poland

  12. Data sources (6) Corporations • Law on Occupational Medicine • Organisational units of occupational medicine: basic units and voivodship occupational medicine centres • „medical insurance packages” – quasi insurance institutions Central Statistical Office of Poland

  13. Analysis of results Central Statistical Office of Poland

  14. Figure 1. Expenditures on health care by financing sector Central Statistical Office of Poland

  15. Figure 2 Total health expenditure by financing agent (Total = 100) 1999 2003 Public 71,2% Private 28,8% Public 70,0% Private 30,0% Central Statistical Office of Poland

  16. Figure 3 Current health expenditure by provider (Total current = 100) 1999 2003 Central Statistical Office of Poland

  17. Figure 4 Total health expenditure by function (Total = 100) 1999 2003 Public 97,3% Private 2,7% Public 82,0% Private 18,0% Public 39,9% Private 60,1% Public 34,3% Private 65,7% Central Statistical Office of Poland

  18. Conclusions data availability - differences public expenditure – almost complete data private expenditures – problems (corporations, occupational medicine) rest of the world – not well recognised Central Statistical Office of Poland

  19. Conclusions need for improving information sources public expenditures (health care in prisons, social welfare homes) private expenditures (corporations, insurance institutions) lower classification level Central Statistical Office of Poland

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