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Statistični sosvet za zdravje, Ljubljana 4. junija 2009

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1 Statistični sosvet za zdravje, Ljubljana 4. junija 2009
Izdatki in financiranje zdravstvenega varstva - Zdravstveni računi - informacija o stanju mag. Stane Marn Statistični sosvet za zdravje, Ljubljana 4. junija 2009

2 Table 1. System of Health Accounts (SHA) Joint OECD, Eurostat, and WHO Data Collection (2008)

3 Revizija SHA 2000 Vključene OECD, WHO, Eurostat in zunanji eksperti
Prilagoditi potrebam zdravstvene politike, raziskovalcem in SNA 18 poglavij, prispevki za 9 poglavij Dileme: - ali temeljito spremeniti (razširitev na tabele ponudbe in porabe), ali ohraniti sedanji okvir (izdatki) - obravnava dolgotrajne oskrbe - obravnava tradicionalne in dopolnilne medicine - nega na domu - klasifikacija zdravstvenih obravnav (akutne/kronične) - klasifikacije sistemov financiranja ICHA-HF (obvezno/prostovoljno in solidarno/brez prelivanja) itd. - klasifikacija finančnih virov

4 11. poglavje: Klasifikacija prejemnikov zdravstvenih storitev (spol, starost in MKB10)
OECD projekt v 2008 (novo poglavje v SHA) Testiranje izvedljivosti predloga metodologije Sodelovalo šest držav (tudi SURS v sodelovanju z IVZ) Predlog metodologije na splošno sprejemlljiv, specifični problemi Za Slovenijo: - nimamo podatkov za ključe za razčlembo zobozdravstvenih storitev, prodajo zdravil brez recepta, prevoz bolnikov, slikovno diagnostiko, laboratorijske preiskave, MTP idr. - zdravila izdana na recept ne po glavni diagnozi temveč po ATC klasifikaciji - uporabili manj primerne posredne podatke za ključe (B metodo) - razvili povezavo med ATC in MKB 10 klasifikacijo - izločili izdatke za določene zdravstvene storitve in medicinsko blago iz obravnave

5 Ekonomsko breme po kategorijah bolezni in zdravstvenih obravnavah, Slovenija 2006 (1000 EUR)

6 JQ 2009 in projekti WHO, Eurostat in OECD JQ
- v zaključni fazi, Sodelovanje v projektu OECD:Assessment of the feasibility of Output-based health-specific Purchasing Power Parities methodology

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