System of Health Accounts in Ireland
System of Health Accounts in Ireland is a comprehensive framework for analyzing health expenditure, financing, and services. The data from 2014 provides insights into health expenditure trends, funding sources, and types of healthcare services. The system allows for international comparisons and potential developments in healthcare financing and provision. Explore detailed results, headline figures, and the boundary of healthcare as defined by the ICHA-HC functional classification. Discover who finances healthcare in Ireland and how the data is reported in alignment with OECD, WHO, and Eurostat standards.
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Presentation Transcript
System of Health Accounts in Ireland Ciara O Shea, Central Statistics Office Health Accounts Seminar Royal College of Physicians 10 November 2016 www.cso.ie 1
Overview Headline results What is the System of Health Accounts? Detailed Results 2014 including international comparison. Possible developments. www.cso.ie 2
Headline results Health expenditure for 2013 and 2014 under new methodology. 2013 18.8 10.5 12.3 2014 19.1 10.1 11.7 Current Health Expenditure ( bn) Current Health Expenditure % GDP Current Health Expenditure % GNI www.cso.ie 3
Headline results www.cso.ie 4
What is the System of Health Accounts? Format for reporting health care expenditure agreed between OECD, WHO, Eurostat Extension of core National Accounts Answers 3 main questions Where does the money to finance the health system come from? Who does the money go to? What kind of (functionally defined) services are performed and what type of goods are purchased? www.cso.ie 5
Whats new? First detailed profile of Irish current health expenditure in accordance with System of Health Accounts, 2011 (SHA) Previously only high level estimates Total Public / private Current / capital Now detailed breakdown of current spending by 3 classifications financing, provider, function www.cso.ie 6
Boundary of health care Functional classification (ICHA-HC) is key to defining the boundary of health care Excludes social care difficult in practice Review of Irish data has led to inclusion of wider range of services as health care than previously reported Main changes more long-term care for older people and people with a disability now included www.cso.ie 7
Detailed Results 2014 www.cso.ie 8
Who finances health care in Ireland? www.cso.ie 9
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Who provides health care in Ireland? Health Care Expenditure by Provider, 2014 ( m) Hospitals 6,648 Long-Term Residential Facilities 3,640 Ambulatory Health Care Provider 3,842 Ancillary Health Care Provider 278 Retailer of Medical Goods 2,716 Other Providers 2,024 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 www.cso.ie 11
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What kind of health care is funded in Ireland? Health Care Expenditure by Function, 2014 ( m) Curative and Rehabilitative Care 10,291 Long-Term Care (Health) 4,263 Ancillary Services 548 Medical Goods (Non-Specified by Function) 2,838 Other Health Care Functions 1,208 0 2,000 4,000 6,000 8,000 10,000 12,000 www.cso.ie 13
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Cross-Classifying www.cso.ie 15
1.Who provides what kind of care? Type of Provider by Type of Service, 2014 Curative and Rehabilitative Care Long-term care (health) Medical Goods Other Services Hospitals 94% 4% Residential Facilities 17% 83% Ambulatory Providers 87% 10% Medical Goods Retailers 99.7% Other Providers 32% 61% www.cso.ie 16
2.Who funds which type of care? Health Care Function by Financing, 2014 Curative and Rehabilitative 68% 19% 13% Long-term care (health) 79% 19% Medical Goods 68% 32% 0 2,000 4,000 6,000 8,000 10,000 12,000 m Government Voluntary Payments Out-of-Pocket www.cso.ie 17
3.Who funds which providers? Type of Provider by Financing, 2014 Hospitals 70% 28% Residential Facilities 73% 23% Ambulatory Provider 66% 30% Medical Goods Retailers 71% 29% Other Providers 64% 34% 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 m Government Voluntary Payment Out-of-Pocket www.cso.ie 18
Possible Developments More granularity analyse Providers and Services at 3-digit level. Public v Private Providers Application of classification to non- expenditure data Quality improvements Preventative Care Review of Boundary Health v Social Care Non-Profit Sector www.cso.ie 19
Public and Private Hospital Provision in Ireland, 2014 www.cso.ie 20
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For data and further information CSO Publication Ireland s System of Health Accounts, Annual Results 2013 (Preliminary) http://www.cso.ie/en/releasesandpublications/er/sha/systemofhealthaccounts2014/ International Data OECD: - http://stats.oecd.org/ - see health expenditure and financing under Health theme Eurostat: -http://ec.europa.eu/eurostat/web/health/health-care/data/database Please refer to the following methodological papers on the CSO s website http://www.cso.ie/en/surveysandmethodology/nationalaccounts/ Mapping of Health Care Services in Ireland to the Functions Classification (ICHA HC) within the System of Health Accounts Mapping of the Structure of Health Care Financing in Ireland to the Health Care Financing Scheme Classification (ICHA HF) within the System of Health Accounts Mapping of Health Care Providers in Ireland to the Provider Classification (ICHA HP) within the System of Health Accounts Contact us: sha@cso.ie www.cso.ie 24
