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Statistical Office of the Republic of Serbia
National Health AccountsNational Health Accounts
BelgradeMay 13, 2014
Group for Satellite Accounts
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National Health Accounts
Survey
Pilot Survey
Joint Health Accounts Questionnaire
INTRODUCTIONINTRODUCTION
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DEFINITIONDEFINITION
National Health Accounts (NHA) is a set of tables that show the flow of funds in the health sistem, and shows the costs and financing of the health system of a country
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AIM OF NATIONAL HEALTH ACCOUNTS AIM OF NATIONAL HEALTH ACCOUNTS COMPILATIONCOMPILATION
• Review of the sources, use and flows of resources within the health care system
SOURCES FLOWS USES
HEALTH CARE SYSTEM
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CRITERIA FOR NHA COMPILATIONCRITERIA FOR NHA COMPILATION
1. Coverage
2. Consistency
3. International Comparability
4. Timeliness and accuracy
5. Flexibility
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PURPOSE OF NHA COMPILATIONPURPOSE OF NHA COMPILATION
Where does the money come from? (source of funding)
Where does the money go to? (provider of health care services and goods)
What kind of (functionally-defined) services are performed and what types of goods are purchased?
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PURPOSE OF NHA COMPILATION PURPOSE OF NHA COMPILATION (con’t)(con’t)
Analysis of the consumption for health care Recording of expenditures in the health care
sector Monitoring of the movements in the health care
consumption Health care system reform International comparability of the data
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DATA SOURCESDATA SOURCES
Statistical surveys• Complex annual survey on budgetary users• Annual financial statements• Annual report on investments in fixed assets • Household budget survey• Household final consumption
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DATA SOURCESDATA SOURCES (con’t)(con’t)
Administrative sources
• The Ministry of Health
• The Ministry of Finance
• The Business Registers Agency
• Republic Health Insurance Fund
• Institute of public health of Serbia “Dr Milan Jovanovic – Batut”
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PURPOSE OF THE SURVEYPURPOSE OF THE SURVEY
• The main purpose of the NHA is to collect reliable, systematized and internationally comparable data on the impact of the health on overall economic activity
• Monitoring of the movements in the health care consumption (public and private sector)
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AIM OF THE SURVEYAIM OF THE SURVEY
• Income and expenditure of the health care institutions and entrepreneurs
• Income of pharmacies and legal entities which sale medical and technical aids
• Households expenditure for health care
Data collection on:
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COVERAGECOVERAGE
Public Sector(hospitals, day hospital, dental offices, pharmacies, technical aids sellers)
Private Sectors(hospitals, specialised health care/medical stations, dental offices, pharmacies, technical aids sellers)
Households(one - person or multi – person households)
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SURVEY ACTIVITIESSURVEY ACTIVITIES
Development of the methodology Questionnaires design Units of observation selection Selection and training of the staff Management of the activities Results publishing
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DATA COLLECTION TOOLSDATA COLLECTION TOOLS
Register
Questionnaires
Methodological manual
Organisational manual
Auxilary tools
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METHODS OF DATA COLLECTION
Reporting method
Interview
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SURVEY PARTICIPANTS
Institution responsible for survey conduction
Project leaders
Supervisors
Controllers
Interviewers
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DUTIES AND RESPONSIBILITIES OF SUPERVISORS
Study of the methodological and organisational manuals Selection of controllers and interviewers Organisation of interviewers training Delivery of the material to the controllers and interviewers Day to day monitoring of the controllers and interviewers work
Spot on problem solving Reception and delivery of the material from the field to the Statistical Office of the Republic of Serbia
Other activities
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DUTIES AND RESPONSIBILITIES OF DUTIES AND RESPONSIBILITIES OF CONTROLLERSCONTROLLERS
Study of the methodological and organisational manuals Participation on the training Day to day monitoring of the interviewers work Checking of the survey forms Problems solution as necessary Delivery of the material to the interviewers Delivery of the properly filled in questionnaires to the supervisors
Other activities
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DUTIES AND RESPONSIBILITIES OF DUTIES AND RESPONSIBILITIES OF INTERVIEWERSINTERVIEWERS
Study of the methodological and organisational manuals Participation on the training Carrying out the interview following the provided households list as well as legal entities list
Permanent communication with the controller Professional and on time conduction of the interviews Delivery of the properly filled in questionnaires to the controllers
Obligation to respect the principle of confidentiality
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PILOT SURVEYPILOT SURVEY
Based on the international methodology for health care accounts (A System of Health Accounts 2011- OECD, ЕUROSTAT and World Health Organization)
Carried out from 16-20 December 2013
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PILOT SURVEYPILOT SURVEY (con’t)(con’t)
1. Survey on the operational income of the health care institutions
2. Survey on households expenditure for health care
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AIM OF PILOT SURVEYAIM OF PILOT SURVEY
Testing of the survey methodology
Testing of the survey organization
Combination of the above approaches
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PILOT SURVEY ACTIVITIESPILOT SURVEY ACTIVITIES
Development of the methodology
Questionnaires design
Units of observation selection
Selection and training of the staff
Management of the activities
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PILOT SURVEY TOOLSPILOT SURVEY TOOLS
Register Questionnaires Organizational – methodological manual Authorization for interviewers/ controllers Note of interviewers arrival Note (hospitals, day hospitals, dental offices, specialized medical stations, pharmacies, technical aids sellers)
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QUESTIONNAIRESQUESTIONNAIRES
List of household members, Form ZDR1 Health care expenditures, Form ZDR2 Income structure for pharmacies, Form ZDR3 Income structure for private pharmacies, Form ZDR4
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QUESTIONNAIRESQUESTIONNAIRES (con’t)(con’t)
Income from sales of medical and technical aids, Form ZDR5 Income structure for medical institutions, Form ZDR6 Income structure for private medical institutions and unincorporated enterprises, Form ZDR7
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Joint Health Accounts QuestionnaireJoint Health Accounts Questionnaire
Health care total expenditures classified according to the System of Health Accounts methodology (SHA) ОЕCD, WHO, Еurostat Еurostat 2007-2011data