1. System of Health Accounts in Ireland
Ciara O’Shea, Central Statistics Office
Health Accounts Seminar
Royal College of Physicians
10 November 2016

2. Overview Headline results What is the System of Health Accounts?
Detailed Results 2014
including international comparison.
Possible developments.

3. Headline results
Health expenditure for 2013 and 2014 under new methodology.
2013
2014
Current Health Expenditure (€ bn)
18.8
19.1
Current Health Expenditure % GDP
10.5
10.1
Current Health Expenditure % GNI
12.3
11.7

4. Headline results

5. What is the System of Health Accounts?
Format for reporting health care expenditure agreed between OECD, WHO, Eurostat
Extension of core National Accounts
Answers 3 main questions
Where does the money to finance the health system come from?
Who does the money go to?
What kind of (functionally defined) services are performed and what type of goods are purchased?

6. What’s new?
First detailed profile of Irish current health expenditure in accordance with System of Health Accounts, 2011 (SHA)
Previously only high level estimates
Total
Public / private
Current / capital
Now detailed breakdown of current spending by 3 classifications – financing, provider, function

7. Boundary of health care
Functional classification (ICHA-HC) is key to defining the boundary of health care
Excludes social care – difficult in practice
Review of Irish data has led to inclusion of wider range of services as health care than previously reported
Main changes – more long-term care for older people and people with a disability now included

8. Detailed Results 2014 .

9. Who finances health care in Ireland?

11. Who provides health care in Ireland?

13. What kind of health care is funded in Ireland?

15. Cross-Classifying

16. 1.Who provides what kind of care?

17. 2.Who funds which type of care?

18. 3.Who funds which providers?

19. Possible Developments
More granularity – analyse Providers and Services at 3-digit level.
Public v Private Providers
Application of classification to non-expenditure data
Quality improvements
Preventative Care
Review of Boundary – Health v Social Care
Non-Profit Sector

20. Public and Private Hospital Provision in Ireland, 2014

24. For data and further information CSO Publication Ireland’s System of Health Accounts, Annual Results 2013 (Preliminary) International Data OECD: see health expenditure and financing under Health theme Eurostat: - Please refer to the following methodological papers on the CSO’s website Mapping of Health Care Services in Ireland to the Functions Classification (ICHA – HC) within the System of Health Accounts Mapping of the Structure of Health Care Financing in Ireland to the Health Care Financing Scheme Classification (ICHA – HF) within the System of Health Accounts Mapping of Health Care Providers in Ireland to the Provider Classification (ICHA – HP) within the System of Health Accounts Contact us: