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

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THANK YOU FOR THANK YOU FOR YOUR ATTENTIONYOUR ATTENTION

Contact:Phone number 011 241 29 22, ext. 237

ivana.lalic@stat.gov.rs