Understanding Healthcare Expenditure: Challenges and Questions
Explore the significance of health accounts in measuring healthcare expenditure and the challenges in utilizing these statistics effectively. Discover key questions to consider for enhancing awareness and analysis of healthcare efficiency within the UK system.
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Co-funded by the European Union Health Accounts James Lewis James.Lewis@ons.gsi.gov.uk 8th July 2016 1
What are health accounts? Measure healthcare expenditure Analyse expenditure by: mode of financing (government, out-of-pocket, insurance ) provider organisation (hospital, residential home, ambulatory ) type of function (curative/rehabilitative, long-term, preventive, administration ) Standardised definitions (SHA 2011) OECD, Eurostat, WHO Now produced by all EEA and nearly all OECD member states, including the UK from May 2016 UK Heath Accounts currently at a whole UK-level Include health-related social care 2
Current healthcare expenditure as a % of GDP, 2014 18 16 14 12 10 8 6 4 2 0 United States Japan France Germany Canada United Kingdom (new SHA) Italy OECD simple average United Kingdom (old, 2013) 3
Challenges What are the challenges to getting these statistics used more widely? Accounts and awareness Inertia with definition of healthcare and terminology of analysis categories What have we done/will we do: Front-loading key information about statistics in publications to ensure they are understood Briefing in DH and devolved administrations Blogs BMJ and Health Foundation International comparisons Links to healthcare efficiency work Workshop with key stakeholders 4
Questions to consider Beyond the proposed actions, what else can be done to raise the profile of these statistics and ensure that relevant parties can understand their potential uses? Beyond our existing relationships, how can we open channels of communication with a wider group of users in order to help us understand how these statistics can be developed to serve their needs? How can the health accounts and productivity statistics be used in conjunction to help provide an analysis of the efficiency of the UK health system? Beyond the links with productivity, how can we establish and help to exploit statistical cross-overs where health accounts could be analysed in conjunction with other health statistics? 5
