1. Classification of Functions C. van Mosseveld Statistics Netherlands

2. Problem Classification of Functions OECD SHA National varieties Links between the 3 classifications Need for harmonisation Need for supplement

3. Underlying cause Basic prerequisite: –1 to 1 link between activities and functions Implications Classification of Functions: –Health care system independent –Health care provider independent –Type of care independent

4. Classification of Functions HC1: Cure HC2: Rehabilitation HC3: Dependency care HC4: Ancillary services HC5: Medical goods HC6: Prevention HC7: Administration

5. Classification of Functions Problems: what items? HC1: Cure HC2: Rehabilitation HC3: Dependency care HC4: Ancillary services HC5: Medical goods HC6: Prevention HC7: Administration

6. Classification of Functions Problems: what items? HC1: CureSocial care HC2: RehabilitationOther activities HC3: Dependency care HC4: Ancillary services HC5: Medical goods HC6: Prevention HC7: Administration

7. Classification of Functions HC1 HC2 HC3 HC4 HC5 HC6 HC7 HC1 HC2 HC3 HC4 HC5 HC6 HC7 National OECDOECD

8. Classification of Functions HC1 HC2 HC3 HC4 HC5 HC6 HC7 HC1 HC2 HC3 HC4 HC5 HC6 HC7 OECDOECD National

9. Example: Consequence Hospital: Receipts€ 1000 OECD HC1:Cure€ 700 HC2:Rehab€ 300

10. Example: Consequence Hospital: Receipts€ 1000 OECD SHA NL HC1:Cure€ 700€ 600 HC2:Rehab€ 300€ 250 HC4:Ancil€ 0€ 150

11. Differences: OECD v. NL; Functions

12. Differences: OECD v. NL; classifications

13. Possible solution HC1 HC2 HC3 HC4 HC5 HC1 HC2 HC3 linked HC3 dependency HC4 linked HC4 independent HC5 linked HC5 independent.

14. Possible solution HC1 HC2 HC3 HC4 HC5 HC1 HC2 HC3 linked HC3 dependency HC4 linked HC4 independent HC5 linked HC5 independent social care + other activ.