1

OECD Experience from SHA Collection

7th Meeting of Health Accounts Experts and Correspondents for Health Expenditure Data

Paris, 29-30 September, 2005

2

Overview

Main purpose of SHA work

Background to OECD SHA activities

Results from 2005 Pilot SHA Questionnaire

SHA Database development

Dissemination of SHA Tables

3

Main purpose of SHA work

To provide policy-relevant and comparative health expenditure data

To harmonise national health accounting practices To further develop SHA methodology To provide data sources for research on health

expenditure To make country-specific SHA data and metadata more

widely available

4

SHA activity at OECD

2000 – publication of A System of Health Accounts 2000-2003 – SHA tables collected on an occasional basis

for presentation at the annual experts meeting 2003/4 - Proposal for SHA project accepted and Working

Paper and 13 Technical Papers published Dec 2004 – pilot 2005 SHA questionnaire sent to all

OECD countries 2005 – agreement on joint OECD-EUROSTAT-WHO SHA

questionnaire for 2006 collection

5

2005 SHA Questionnaire

Sent to all countries in Dec 2005

Consisted of modified Tables 2, 3, 4 and 5 from SHA manual plus methodological questionnaire (sources, deviations, etc.)

Comments from country experts, Eurostat and WHO incorporated

Updated tables received from 10 member countries

6

Status Report on SHA Data

Australia 2002 1998-2001 ReceivedAustria 2002Belgium 2003Canada 2004 1998-2002 ReceivedCzech Republic 2003Denmark 2003 1999Finland 2003 2000France 2003 2002 ReceivedGermany 2003 1992-2002 ReceivedGreece 2003Hungary* 2003 1998-2001Iceland 2003Ireland 2003Italy 2004Japan 2002 1999-2000, 2002 ReceivedKorea 2003 1998-2002 ReceivedLuxembourg 2003Mexico 2003 1999-2003 ReceivedNetherlands 2003 1998-2001New Zealand 2003Norway 2004 2002 ReceivedPoland 2003 1999, 2002-2003 ReceivedPortugal 2003 2000Slovak Republic 2003Spain 2003 1999-2001Sweden* 2003Switzerland 2003 1999-2003 ReceivedTurkey 2003 1999-2000United Kingdom 2002 1999United States 2003 1997

*/ Expenditure data for HD2005 received for the internet update

For those countries shaded grey, SHA-based health accounts serve for regular data reporting.

CountryLatest available expenditure data in

HD2005SHA Tables provided to OECD 2005 SHA Questionnaire received

7

Results from 2005 SHA data collection

Important input to development of joint questionnaire A standard set of tables for each country and a set of

transparent methodological tables Total health expenditure consistent with SHA boundaries

Varying levels of detail of HC classification reported Gaps exist in private expenditure and private investment Lack of information on health-related expenditures Large variations in expenditure on administration

8

SHA Database Development

Increasing number of countries and time series means storing in Excel is increasingly inefficient

Need for SHA database to validate, store and eventually disseminate SHA data

StatWorks– part of the OECD Statistical Information System (SIS)– allows importing, validation and updating of data– linking to stored methodological information– output to OECD.Stat for dissemination via web and for

printed publications

9

SHA Database - StatWorks

Allows import of Tables from Excel questionnaire

10

SHA Database - StatWorks

Flexibility to display, validate and update SHA data

11

Dissemination of SHA Tables

Continuing bi-lateral discussions of outstanding issues

Validated SHA Tables will be added to SHA Implementation webpage as Excel files

www.oecd.org/health/sha

With the development of the SHA database, the Statistical Information System (SIS) will allow more flexible and interactive dissemination on-line