1. SHA Joint Questionnaire OECD-EUROSTAT-WHO HQ C. van Mosseveld EUROSTAT, F5

2. SHA Expert Meeting, Paris, 29-30 September 2005 2 Background Need for data on health care expenditure SHA data are important for all three organisations Co-operation and co-ordination necessary

3. SHA Expert Meeting, Paris, 29-30 September 2005 3 Goals Reducing the burden for suppliers Expand use of manual by users One number philosophy: –Every country for all three organisations one set of data on health care expenditure Increase the possibilities of national and international analysis based on identical data

4. SHA Expert Meeting, Paris, 29-30 September 2005 4 Requirements Completeness and consistency Accuracy and timely Coherent and comparable (space and time) Relevant (valuable and support by users) Deviations (from ICHA) need to be transparent

5. SHA Expert Meeting, Paris, 29-30 September 2005 5 Process Starting point: tables based on the classifications of the manual Compromise to be reached between the 3 organisations (September 2-3, 2005) Feedback from producers of data (TM care (21-22 Sept) and SHA Expert meeting) Final documents in November 2005

6. SHA Expert Meeting, Paris, 29-30 September 2005 6 Joint Questionnaire documents Package consists of: –Summary of the Practical Working Arrangements (OECD,EUROSTAT,WHO) –Set of tables, cross-tabulating the classifications –Set of methodological questions –Technical note explaining the structure of classifications and tables –Additional descriptions and definitions used in the memorandum items

7. SHA Expert Meeting, Paris, 29-30 September 2005 7 Joint Questionnaire: tables (1) Tables consist of health expenditure core set: –Financing agents / schemes by functions (HFxHC) –Providers by functions (HPxHC) –Providers by financing agents / schemes (HPxHF) Addtional tables: –Financing agents /schemes by financing sources (HFxFS) –Providers (aggregated) by human resources (HPxRC)

8. SHA Expert Meeting, Paris, 29-30 September 2005 8 Joint Questionnaire: tables (2) Tables are based on the original detailed sets of classifications of the manual Addtional items in HC: –HC.9: functions not specified in kind or not elsewhere mentioned –HC.R.6.1: health related social care services (not HC.3) of LTCare Additional item in HP: HP.X: Providers of HC.R goods

9. SHA Expert Meeting, Paris, 29-30 September 2005 9 Joint Questionnaire: tables (3) Additional information: Providers: distinction in public and private Initial version of 2 ‘new’ classification structures: –Sources of funding (to be used by financing agents / schemes in the process) –Human resources Memorandum items

10. SHA Expert Meeting, Paris, 29-30 September 2005 10 Structure of the Joint Questionnaire Source of funding Financing agents / schemes Providers of services Functions Human resources

11. SHA Expert Meeting, Paris, 29-30 September 2005 11 Joint Questionnaire: methodological notes I: Data sources II: Relations between ‘old’ national HC expenditure items and the ‘new’ SHA-tables III: Current state of SHA implementation: –Deviations of the national compilation from the SHA –Estimation procedures and adjustments

12. SHA Expert Meeting, Paris, 29-30 September 2005 12 Joint Questionnaire: Final documents Summary of Practical Working Arrangements Structure of the classifications Additional descriptions and definitions used in the joint questionnaire