Health accounts from past to present for a political arithmetic

Rathe, Magdalena; Hernández, Patricia; Mosseveld, Cornelis Van; Pescetto, Claudia; Maele, Nathalie Van de

doi:10.26633/rpsp.2018.89

Cited by 5 publications

(6 citation statements)

References 13 publications

(13 reference statements)

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Section: The Development Of the Oecd's System Of Health Accountsmentioning

confidence: 99%

“…More than 100 countries have created Health Accounts under the global standard, contributing to better understanding of health spending and financial flows (Rathe et al, 2018). However, although these accounting developments are key to monitoring progress towards WHO goals such as Universal Health Coverage, remaining challenges include improving data sources (Rathe et al, 2018). Bui et al (2015), in a systematic review of National Health Accounts (NHA) reports between 1996 and 2010 covering 117 countries, found that Health Expenditure data were often incomplete and, in some cases, of questionable quality.…”

Section: The Development Of the Oecd's System Of Health Accountsmentioning

confidence: 99%

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How does Irish Healthcare Expenditure compare internationally?

Wren¹,

Fitzpatrick²

2020

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The mission of the Economic and Social Research Institute is to advance evidencebased policymaking that supports economic sustainability and social progress in Ireland. ESRI researchers apply the highest standards of academic excellence to challenges facing policymakers, focusing on 12 areas of critical importance to 21st century Ireland. The Institute was founded in 1960 by a group of senior civil servants led by Dr T.K. Whitaker, who identified the need for independent and in-depth research analysis to provide a robust evidence base for policymaking in Ireland. Since then, the Institute has remained committed to independent research and its work is free of any expressed ideology or political position. The Institute publishes all research reaching the appropriate academic standard, irrespective of its findings or who funds the research. The quality of its research output is guaranteed by a rigorous peer review process. ESRI researchers are experts in their fields and are committed to producing work that meets the highest academic standards and practices. The work of the Institute is disseminated widely in books, journal articles and reports. ESRI publications are available to download, free of charge, from its website. Additionally, ESRI staff communicate research findings at regular conferences and seminars. The ESRI is a company limited by guarantee, answerable to its members and governed by a Council, comprising 14 members who represent a cross-section of ESRI members from academia, civil services, state agencies, businesses and civil society. The Institute receives an annual grant-in-aid from the Department of Public Expenditure and Reform to support the scientific and public interest elements of the Institute's activities; the grant accounted for an average of 30 per cent of the Institute's income over the lifetime of the last Research Strategy. The remaining funding comes from research programmes supported by government departments and agencies, public bodies and competitive research programmes.

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Section: The Development Of the Oecd's System Of Health Accountsmentioning

confidence: 99%

Section: The Development Of the Oecd's System Of Health Accountsmentioning

confidence: 99%

How does Irish Healthcare Expenditure compare internationally?

Wren¹,

Fitzpatrick²

2020

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“…National Health Accounts are used by national and international policymakers and researchers to understand the flow of expenditures for healthcare services and providers to make course corrections and set national and global goals, such as the Sustainable Development Goals and reaching Universal Health Coverage. 32 33 Unfortunately, no single resource has compiled these country-reported health expenditures, let alone attempted to estimate the admittedly large amount of missing data. This research sought out and collated 1662 country-years of health expenditure estimates from country-reported health accounts categorised into HC and HP.…”

Section: Discussionmentioning

confidence: 99%

Health expenditures by services and providers for 195 countries, 2000–2017

et al. 2021

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IntroductionNational Health Accounts are a significant source of health expenditure data, designed to be comprehensive and comparable across countries. However, there is currently no single repository of this data and even when compiled major gaps persist. This research aims to provide policymakers and researchers with a single repository of available national health expenditures by healthcare functions (ie, services) and providers of such services. Leveraging these data within statistical methods, a complete set of detailed health expenditures is estimated.MethodsA methodical compilation and synthesis of all available national health expenditure reports including disaggregation by healthcare functions and providers was conducted. Using these data, a Bayesian multivariate regression analysis was implemented to estimate national-level health expenditures by the cross-classification of functions and providers for 195 countries, from 2000 to 2017.ResultsThis research used 1662 country-years and 110 070 data points of health expenditures from existing National Health Accounts. The most detailed country-year had 52% of the categories of interest reported. Of all health functions, curative care and medical goods were estimated to make up 51.4% (uncertainty interval (UI) 33.2% to 59.4%) and 17.5% (UI 13.0% to 26.9%) of total global health expenditures in 2017, respectively. Three-quarters of the global health expenditures are allocated to three categories of providers: hospital providers (35.4%, UI 30.3% to 38.9%), providers of ambulatory care (25.5%, UI 21.1% to 28.8%) and retailers of medical goods (14.4%, UI 12.4% to 16.3%). As gross domestic product increases, countries spend more on long-term care and less on preventive care.ConclusionDisaggregated estimates of health expenditures are often unavailable and unable to provide policymakers and researchers a holistic understanding of how expenditures are used. This research aggregates reported data and provides a complete time-series of estimates, with uncertainty, of health expenditures by health functions and providers between 2000 and 2017 for 195 countries.

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“…In the article on health accounts, a link is made between financial accounting as a way to keep track of investments in health and policies to increase fiscal space (7). The work done on out-of-pocket expenditures in Peru shows the determinants that affect the poorest people and underscores the importance of redirecting financial protection policies to increase public expenditure (8).…”

mentioning

confidence: 99%

Fiscal space for sustainable financing of health systems and universal health

Cid¹,

Pagano²,

Pescetto³

et al. 2019

Rev Panam Salud Publica

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The articles published in this series show that it is possible to create fiscal space for health in countries. This requires specific decisions since economic growth is not enough to generate the additional resources needed. The studies analyze the benefits of reviewing tax expenditures to identify exemptions, which are generally outdated and of low benefit for the countries; arguments in favor of increasing taxes on products harmful to health; and credits and donations, which do not result in a viable source of income for governments. Fiscal efforts must be accompanied by an improvement in efficiency, and the progressive creation of new revenues is key to improving equity. It is necessary to improve the collection of fiscal resources. It is necessary to develop a research and action agenda that includes the analysis of fiscal space within the processes of health system transformation and reform, including technical aspects not yet addressed and studies of the social efficiency of fiscal space for major development objectives such as the Sustainable Development Goals 2030. In the countries of the Region of the Americas it is essential to have efficient management to do more and better with more resources, even during adverse economic cycles. This should be evident at all levels, including solidarity for achieving better health outcomes, the strategic purchase of goods and services for health, and the strengthening of budget planning systems.

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Health accounts from past to present for a political arithmetic

Cited by 5 publications

References 13 publications

How does Irish Healthcare Expenditure compare internationally?

How does Irish Healthcare Expenditure compare internationally?

Health expenditures by services and providers for 195 countries, 2000–2017

Fiscal space for sustainable financing of health systems and universal health

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