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National health accounts data from 1996 to 2010: a systematic review.

Bui AL, Lavado RF, Johnson EK, Brooks BP, Freeman MK, Graves CM, Haakenstad A, Shoemaker B, Hanlon M, Dieleman JL - Bull. World Health Organ. (2015)

Bottom Line: Most countries did not provide complete health expenditure data: only 252 of the 872 reports contained data in all four types.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Institute for Health Metrics and Evaluation, University of Washington, 2301 5th Avenue, Suite 600, Seattle, WA 98121, United States of America (USA).

ABSTRACT

Objective: To collect, compile and evaluate publicly available national health accounts (NHA) reports produced worldwide between 1996 and 2010.

Methods: We downloaded country-generated NHA reports from the World Health Organization global health expenditure database and the Organisation for Economic Co-operation and Development (OECD) StatExtract website. We also obtained reports from Abt Associates, through contacts in individual countries and through an online search. We compiled data in the four main types used in these reports: (i) financing source; (ii) financing agent; (iii) health function; and (iv) health provider. We combined and adjusted data to conform with OECD's first edition of A system of health accounts manual, (2000).

Findings: We identified 872 NHA reports from 117 countries containing a total of 2936 matrices for the four data types. Most countries did not provide complete health expenditure data: only 252 of the 872 reports contained data in all four types. Thirty-eight countries reported an average not-specified-by-kind value greater than 20% for all data types and years. Some countries reported substantial year-on-year changes in both the level and composition of health expenditure that were probably produced by data-generation processes. All study data are publicly available at http://vizhub.healthdata.org/nha/.

Conclusion: Data from NHA reports on health expenditure are often incomplete and, in some cases, of questionable quality. Better data would help finance ministries allocate resources to health systems, assist health ministries in allocating capital within the health sector and enable researchers to make accurate comparisons between health systems.

No MeSH data available.


Health expenditure in the United Kingdom of Great Britain and Northern Ireland,a categorized by health function, 1996–2010
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Figure 9: Health expenditure in the United Kingdom of Great Britain and Northern Ireland,a categorized by health function, 1996–2010

Mentions: On occasion, we observed jumps in expenditure for individual NHA components greater than 50% between one year and the next. For financing sources, the year-on-year change in the monetary value of expenditure by private funds exceeded 10% for 32% (71/222) of all observations. Moreover, the year-on-year changes in expenditure by both private and public funds exceeded 50% for 9% (20/222) of all observations. Large variations in the level of expenditure by different financing agents were also seen, as illustrated in Fig. 8 for Zambia. When we examined the year-on-year change in the share of total health expenditure that went to hospitals in all NHAs, we found that it was 10% or higher for 26% (134/516) of all observations. Similarly, the year-on-year change in the share that went to health administration and health insurance, as health providers, was 50% or higher for 10% (49/482) of observations. For expenditure on curative, rehabilitative and nursing care, as a health function, we found that the year-on-year change was 10% or higher for 20% (103/510) of observations. Fig. 9 shows how expenditure on health function categories changed dramatically over time in the United Kingdom of Great Britain and Northern Ireland, probably due to delayed implementation of the SHA framework.


National health accounts data from 1996 to 2010: a systematic review.

Bui AL, Lavado RF, Johnson EK, Brooks BP, Freeman MK, Graves CM, Haakenstad A, Shoemaker B, Hanlon M, Dieleman JL - Bull. World Health Organ. (2015)

Health expenditure in the United Kingdom of Great Britain and Northern Ireland,a categorized by health function, 1996–2010
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4581653&req=5

Figure 9: Health expenditure in the United Kingdom of Great Britain and Northern Ireland,a categorized by health function, 1996–2010
Mentions: On occasion, we observed jumps in expenditure for individual NHA components greater than 50% between one year and the next. For financing sources, the year-on-year change in the monetary value of expenditure by private funds exceeded 10% for 32% (71/222) of all observations. Moreover, the year-on-year changes in expenditure by both private and public funds exceeded 50% for 9% (20/222) of all observations. Large variations in the level of expenditure by different financing agents were also seen, as illustrated in Fig. 8 for Zambia. When we examined the year-on-year change in the share of total health expenditure that went to hospitals in all NHAs, we found that it was 10% or higher for 26% (134/516) of all observations. Similarly, the year-on-year change in the share that went to health administration and health insurance, as health providers, was 50% or higher for 10% (49/482) of observations. For expenditure on curative, rehabilitative and nursing care, as a health function, we found that the year-on-year change was 10% or higher for 20% (103/510) of observations. Fig. 9 shows how expenditure on health function categories changed dramatically over time in the United Kingdom of Great Britain and Northern Ireland, probably due to delayed implementation of the SHA framework.

Bottom Line: Most countries did not provide complete health expenditure data: only 252 of the 872 reports contained data in all four types.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Institute for Health Metrics and Evaluation, University of Washington, 2301 5th Avenue, Suite 600, Seattle, WA 98121, United States of America (USA).

ABSTRACT

Objective: To collect, compile and evaluate publicly available national health accounts (NHA) reports produced worldwide between 1996 and 2010.

Methods: We downloaded country-generated NHA reports from the World Health Organization global health expenditure database and the Organisation for Economic Co-operation and Development (OECD) StatExtract website. We also obtained reports from Abt Associates, through contacts in individual countries and through an online search. We compiled data in the four main types used in these reports: (i) financing source; (ii) financing agent; (iii) health function; and (iv) health provider. We combined and adjusted data to conform with OECD's first edition of A system of health accounts manual, (2000).

Findings: We identified 872 NHA reports from 117 countries containing a total of 2936 matrices for the four data types. Most countries did not provide complete health expenditure data: only 252 of the 872 reports contained data in all four types. Thirty-eight countries reported an average not-specified-by-kind value greater than 20% for all data types and years. Some countries reported substantial year-on-year changes in both the level and composition of health expenditure that were probably produced by data-generation processes. All study data are publicly available at http://vizhub.healthdata.org/nha/.

Conclusion: Data from NHA reports on health expenditure are often incomplete and, in some cases, of questionable quality. Better data would help finance ministries allocate resources to health systems, assist health ministries in allocating capital within the health sector and enable researchers to make accurate comparisons between health systems.

No MeSH data available.