[EQ] Consultation process for the System of Health Accounts

Consultation process for the System of Health Accounts (SHA) Manual 2.0

 

 

WHO website: http://www.who.int/nha/methods/en/index.html

 

“….Given the importance of global standards for health accounting, OECD, EUROSTAT and WHO have agreed to collaborate on the further development of methodologies for health accounts, culminating in the revision of the System of Health Accounts (SHA) manual. The purpose of the revision is to make the methodology suitable to be the global standard accounting framework for statistics on health expenditure and financing.

 

OECD, Eurostat and WHO all have in their work programme the revision of the health accounts methodology and a draft of the SHA Manual Version 2.0 by the end of 2009.

 

OECD Website: http://www.oecd.org/health/sha/revision

 

What is the System of Health Accounts?
Over recent decades, there has been a growing need of health policy analysts to address such questions as:

                               What are the main drivers accounting for health expenditure growth?

                               What factors explain the observed differences between countries?

                               What are the main structural differences in health spending between countries?

                               How are changes in the structure of health spending and performance of health systems related?

To answer those questions, a common international system of statistical reporting rules was needed.
The System of Health Accounts (SHA) establishes a set of common concepts, definitions, classifications
and accounting rules to enable comparability of health spending data over time and across countries.
The System of Health Accounts (SHA) addresses three basic questions:

                               Where does the money come from?

                               Where does the money go to?

                               What kind of services are performed and what types of goods are purchased?

Why revise? There are unresolved issues in SHA methodology. These include:

                               a lack of adequate methods for output and price measurement;

                               the definition of the boundary between health and long-term care; and

                               the boundary of public health.

The revised SHA Manual aims to provide a refined conceptual framework and a revised and expanded version
of the International Classification for Health Accounts in order to:

                               improve the comparability of health expenditure data across countries and over time;

                               provide better information for assessing the performance of health systems; and

                               provide better information on the role of the health sector within the national economy.

Progress: http://www.oecd.org/document/15/0,3343,en_40045874_40037563_41680143_1_1_1_1,00.html

 

FRAMEWORK FOR THE CONSULTATION PROCESS RELATED TO THE REVISION OF
THE SYSTEM OF HEALTH ACCOUNTS (SHA)

PDF:  http://www.oecd.org/dataoecd/46/53/40439697.pdf

 

The revision of the System of Health Accounts (SHA) requires an agreed programme of work and a framework for co-operation between OECD, Eurostat and WHO and a wider consultation process involving other international and national organisations, networks and individual experts engaged in producing and utilising national health accounts. Three documents, including this one, are being prepared to guide the revision process.

These documents are:

1. Terms of reference for the International Health Accounts Team (IHAT),

2. Framework for the consultation process related to revising the SHA,

3. Programme of Work for the SHA revision.

 

 

 

 

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