reconciling health expenditure estimates in sha and sna
DESCRIPTION
Reconciling Health Expenditure Estimates in SHA and SNA. by Astolfi Roberto 13TH MEETING OF HEALTH ACCOUNTS EXPERTS AND CORRESPONDENTS FOR HEALTH EXPENDITURE DATA Paris, 4-5 October, 2011. Project objectives. Weight for the PPP’s calculation New output-based methodology Transparency - PowerPoint PPT PresentationTRANSCRIPT
Reconciling Health Expenditure Estimates
in SHA and SNA
byAstolfi Roberto
13TH MEETING OF HEALTH ACCOUNTS EXPERTS AND CORRESPONDENTS FOR HEALTH
EXPENDITURE DATA
Paris, 4-5 October, 2011
Project objectives
• Weight for the PPP’s calculationNew output-based methodology
• TransparencySpell-out differences
Weight for the new PPP’s
Functions
Providers FinancingAgents/Scheme
WeightsHealth
expenditure
Prices Reconciling
Totals &Structure
New PPP's
Input -based
Old PPP's
Output -based prices
PPP's Questionnnaire SHA
Expenditure On Personal Health Care in 2008*
based on the 2011 JHAQ**
PPPsQuestionnaire
SHA JHAQHCxHF
&HPxHC
COICOP
COPNI
COFOG
Note: *or latest year available** or latest JHAQ available
Possible sources of discrepancy:
• Boundaries
•Insured population vs. resident population•LTC•Products (e.g. OTC non-health products )•Services• Non-health services (e.g. dental whitening)• Secondary activities (e.g. research in hospitals) •Transfers to hospitals (included in SHA excl. in SNA)
• Classifications
• Data Source Different data samples used for the same aggregate
• Estimation methods
Top-down vs. Bottom-upInput vs. output approach Supply-Demand reconciliation
• Revision Schedules
SHA-SNA differences
(Expenditure On Personal Health Care,2008)Luxembourg
NetherlandsSwitzerland
LithuaniaNorway
GermanyDenmark
FranceAustralia
FinlandCzech Republic
PolandSpain
New ZealandLatvia
CyprusAustriaSweden
KoreaPortugal
CanadaSlovenia
Slovak RepublicIceland
BulgariaEstonia
HungaryUnited States
JapanBelgium
-20% -10% 0% 10% 20% 30%
Group 2:10%<diffSHA-SNA=<15%
Group 1:diffSHA-SNA>15%
Group 3:5%<diffSHA-SNA=<10%
Group 4:diffSHA-SNA=<5%
Conclusions