Peter SchererHead, Health Division

7th Meeting of Health Accounts Experts and Correspondents for Health Expenditure Data

Paris, 29 - 30 September 2005

Recent developments on health work at the OECD relevant to SHA implementation

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Overview of presentation

Brief overview of 2005-2006 OECD health work programme

Main purposes of SHA work at OECD

Progress in co-ordinating health data collection at the international level (with EUROSTAT and WHO)

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Management of 2005-2006 OECD work programme on health

In January 2005, the OECD Council established a Group on Health to direct and oversee the new work programme on health

A new Health Division (within DELSA) was created to administer the work programme

Increased funding from OECD regular budget (notably for the annual health data collection) and voluntary contributions from 24 countries

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2005-2006 work programme of OECD Health Division

Main components: Health data and indicators

– OECD Health Data– SHA implementation and methodological development– Health care quality indicators project

Health policy analysis projects– Efficiency in health care delivery– Pharmaceutical pricing policy– Disability trends among elderly populations and implications

on costs of care

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2005-06 OECD work programme (cont’d)

– Economics of prevention (analysing the cost effectiveness of prevention initiatives)

OECD review of national health system performance:

- released earlier in 2005: Mexico

- to be released later in 2005: Finland

- to be completed in 2006 (jointly with WHO):

Switzerland

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Main purposes of SHA work at OECD

To provide policy-relevant, comparative data and analysis on health expenditure

To facilitate harmonisation across national health accounting practice

To further develop health accounting methodology

To provide data sources for research

To make country-specific SHA data and analysis more widely available

Success of this work depends primarily on contributions by member countries

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Disseminating the SHA implementation experiences of OECD countries to a wider audience

SHA web-page (SHA tables, OECD Health Technical Papers, materials of the Meeting of Health Accounts Experts, link to national sources, etc.)

Publications (forthcoming OECD Health Technical Papers: Norway, Poland)

SHA database

Participation in international and national meeting– US National Health Account Conference – Fourth Global National Health Accounts (NHA) Symposium– Regional Technical Consultation: Harmonisation of the

Accounts of health and the SNA in Countries of the Americas

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Disseminating the SHA implementation experiences of OECD countries to a wider audience (cont.)

Training program Seminar organised by the OECD and the Joint Vienna

Institute for transitional economies (November 21-25, 2005) – Topic: Sustainable financing for health care: improving

information and regulation for (focusing on SHA)– Lecturers: Secretariat and experts from OECD countries

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Strengthening international co-ordination on health data work

Following up on exchange of letters between OECD Chief Statistician and Director-General of Eurostat in Summer 2004, agreeing in principle on joint strategy for health data collection

WHO also involved in the process

Aim is to reduce data collection burden

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OECD/Eurostat/WHO meetings

November 2004: Agreement to start first by common data collection of health spending (based on SHA); initial discussion on practical arrangements

January 2005: Agreement in principle to harmonise shortlist of diagnostic groups for data collection on hospital discharges (agenda item for this meeting)

June 2005: Advance discussion on arrangements for joint SHA-based data collection; initial discussion on other potential areas for coordinated data collection

September 2005: Finalise proposal for content and arrangements for joint SHA data collection

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Next steps

Report on health accounting work to the Group on Health

Preparation of proposals for health accounting work in the 2007-2008 work programme

Clarifying priority areas and working arrangements for strengthening international co-operation on SHA developmental work

Assessment of experience of the 2006 joint data collection with involvement of experts in participating countries

Assessment of the effects of joint data collection on OECD Health Data

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OECD health-related websites

Health Division: www.oecd.org/els/health

OECD Health Data: www.oecd.org/health/healthdata

System of Health Accounts: www.oecd.org/health/sha

OECD-wide health page: www.oecd.org/health