1. PARIS 2005Central Statistical Office of Poland1 National Health Accounts (Expenditure on Health Care in Poland)

2. PARIS 2005Central Statistical Office of Poland2 National Health Account 2000-2002 - the first pilot national health account in Poland (data for 1999). It was drawn by a group of national and foreign experts on the basis of the OECD methodology Changes in the system of health care and in the national budget classification September 2004-June 2005 - the health account realised in cooperation with the ICON Institute (data for 2002, 2003).

3. PARIS 2005Central Statistical Office of Poland3 Health care financing sources (1) Health care financing sources Public expenditures Private expenditures Rest of the world

4. PARIS 2005Central Statistical Office of Poland4 Health care financing sources (2) public expenditures General government HF.1 Central government HF.1.1.1 State and local government HF.1.1.2 and HF.1.1.3 Social insurance institutions National Health Fund Social security funds HF.1.2

5. PARIS 2005Central Statistical Office of Poland5 Health care financing sources (3) Central government HF.1.1.1 Ministry of Social Policy Ministry of Health Ministry of Internal Affairs and Administration Budgets of voivods Ministry of National Defence Ministry of Justice

6. PARIS 2005Central Statistical Office of Poland6 Health care financing sources (4) Private sector HF.2 Households’ out-of-pocket payments HF.2.3 Occupational health care Non-profit institutions HF.2.4 Private social insurance HF.2.1 Quasi-insurance sector Corporations HF.2.5

7. PARIS 2005Central Statistical Office of Poland7 Data sources (1) Public expenditures Reports: –Realisation of the state budget and budgets of local self-government units –Realisation of the financial plan of the National Health Fund –Social Insurance Institution –Technical and financial plan of the Agricultural Social Insurance Fund

8. PARIS 2005Central Statistical Office of Poland8 Data sources (2) Private sector 1.Private health care insurance - statistical report on insurance activity of insurance institutions 2.Private household out-of-pocket payments – households’ budgets survey/ modul survey „Health care in households” 3.Non-profit organisations – periodic survey 4.Corporations – experts estimations on the basis of available reports on occupational medicine and recognition of the quasi-insurance sector

9. PARIS 2005Central Statistical Office of Poland9 Data sources (3) Private health care insurance -No private health insurance in the form of a separate kind -Insurance institutions operating on the basis of the Law of 22 May 2003 on the Insurance Activities -Quasi-insurance sector not included here (included in „corporations” group)

10. PARIS 2005Central Statistical Office of Poland10 Data sources (4) Private households out-of-pocket payments HBS Modular survey Sample size ca. 32 thous of households ca. 4 thous of households Method filling in the diaries questions about the past Periodicitycontinuous cyclical (every 3-5 years) ClassificationCOICOP/HBSICHA

11. PARIS 2005Central Statistical Office of Poland11 Data sources (5) Non-profit organisations serving households -fundations, associations, other social organisations -cyclical survey carried out by the CSO -last survey 2002 (data for 2001) -estimations for 2003

12. PARIS 2005Central Statistical Office of Poland12 Data sources (6) Corporations –Law on Occupational Medicine –Organisational units of occupational medicine: basic units and voivodship occupational medicine centres –„medical insurance packages” – quasi insurance institutions

13. Central Statistical Office of Poland 13 PARIS 2005 Analysis of results

14. PARIS 2005Central Statistical Office of Poland14 Figure 1. Expenditures on health care by financing sector

15. PARIS 2005Central Statistical Office of Poland15 Figure 2 Total health expenditure by financing agent (Total = 100) Public 71,2% Private 28,8% 1999 Public 70,0% Private 30,0% 2003

16. PARIS 2005Central Statistical Office of Poland16 Figure 3 Current health expenditure by provider (Total current = 100) 19992003

17. PARIS 2005Central Statistical Office of Poland17 Figure 4 Total health expenditure by function (Total = 100) 19992003 Public 97,3% Private 2,7% Public 34,3% Private 65,7 % Public 82,0% Private 18,0% Public 39,9% Private 60,1%

18. Central Statistical Office of Poland 18 PARIS 2005 Conclusions data availability - differences data availability - differences – public expenditure – almost complete data – private expenditures – problems (corporations, occupational medicine) – rest of the world – not well recognised

19. Central Statistical Office of Poland 19 PARIS 2005 Conclusions need for improving information sources need for improving information sources – public expenditures (health care in prisons, social welfare homes) – private expenditures (corporations, insurance institutions) – lower classification level