altijani hussin, ma manager – health economics supreme council of health qatar national statistics...
TRANSCRIPT
Altijani Hussin, MAManager – Health Economics Supreme Council of Health
Qatar National Statistics Day6 – 8 December, 2010 Doha – Qatar
Qatar National Health Accounts: The Evidence-Based for Allocating Health Funds
SLIDE 2
•Advocating for the importance of the NHA as an Evidence Based approach
•Framework for implementing and using the NHA
–How it will be implemented?
–Who will do it?
–What is needed?
Purpose of This Presentation
SLIDE 3
Introduction
SLIDE 4
Health Spending: Only One Component to a Population’s Health Outcomes
GOOD HEALTH GOOD HEALTH OUTCOMESOUTCOMES
Income Level
Access to Sanitation
Education
Access to Nutritious Food
Empowerment of Women
Ext
rinsi
c to
HC
Sustainability of HC System
Quality of HC
Equity in HC
Accessibility to HC
Effective and Efficient Health
Spending
Intr
insi
c to
HC
HC: Health Care
SLIDE 5
What are National Health Accounts?
•A set of accounts that describe all expenditure flows within the health sector (Public and Private)
•A tool for policy formulation, monitoring, and evaluation: diagnose the financial information
•Answer the following questions:– Where does the money come from? (Sources of funding)– How are resources managed? (Financing agents)– Who provides what services? (Uses of funds)– Which patients receive what? (Beneficiaries of funds)
SLIDE 6
Flow of Funds in Qatar
SCHMOEF
Households
Financing Sources
Financing Agencies Health Providers
Households
Other Organizations
SCH Facilities
PrivateFacilities
Social Health Insurance
Agency/Fund
Private Health Insurance
Other Gov/Non Gov Orgs
Work Based Clinics
Current
Envisioned
SLIDE 7
Example of A Question Answered by NHA
•Per Capita Total Health Expenditure (PCTHE)?•PCTHE = Total Health Expenditure (THE)/Total Pop.
THE = (SCH + HMC + PHC + Other Public Funds) + (Private/Semi Private Orgs + OOP)
• Other Public Funds: Armed Forces, Police, QP, etc.• Private/Semi Private: QTel, Qatar Airways, etc.• OOP: Households
•WHO (estimates 2007): $3,416
SLIDE 8
Why Qatar Needs National Health Accounts?
•Contribute to the health policy process•Inclusive of all financing stakeholders•Monitor and evaluate the SHI Project•Compare health financing within the country and
with other countries•Informed health policy decisions and avoid potentially
adverse policy choices
SLIDE 9
How it will be done?
SLIDE 10
QHA Strategic Plan
•Offers effective institutional arrangement for consistent and sustainable NHA
•Ensures the NHA is a government-driven program•Fosters effective partnership among all stakeholders
– Training, data collection, analysis, and dissemination
•Strategic Needs– Environment for advocacy and consensus building – Capacity building of the producers and users of QHA– Resource mobilization
SLIDE 11
Who Will Manage it?
• The Steering Committee: Senior Government officials – SCH– Ministry of Economy and Finance– Ministry of Interior– Qatar Statistics Authority– Hamad Medical Corporation (HMC)– Qatar Chamber of Commerce and Industry
• The Technical Team: SCH
SCHMOEF
HouseholdsCurrent
Envisioned
Financing Sources
Financing Agencies Health Providers
Households
Other Organizations
SCH Facilities
PrivateFacilities
Social Health Insurance
Agency/Fund
Private Health Insurance
Other Gov/Non Gov Orgs
Work Based Clinics
What is needed?
SCHMOEF
HouseholdsCurrent
Envisioned
Financing Sources
Financing Agencies Health Providers
Households
Other Organizations
SCH Facilities
PrivateFacilities
Social Health Insurance
Agency/Fund
Private Health Insurance
Other Gov/Non Gov Orgs
Work Based Clinics
SLIDE 14
Financing Sources: Government
•Responsible Parties: – MoEF – QSA
•Needed Information: Health expenditure budget documents
– Overall – By beneficiary
SLIDE 15
Financing Sources: Non- & Quasi Government
•Responsible Party: QSA•Needed Information:
– Annual EMPLOYER health expenditure survey – Annual HOUSEHOLD health expenditure and utilization
survey
SCHMOEF
HouseholdsCurrent
Envisioned
Financing Sources
Financing Agents Health Providers
Households
Other Organizations
SCH Facilities
PrivateFacilities
Social Health Insurance
Agency/Fund
Private Health Insurance
Other Gov/Non Gov Orgs
Work Based Clinics
SLIDE 17
Financing Agents: Government
•Responsible Party: – SCH– Armed Forces– MoI– QSA
•Needed Information: – Health expenditures budget documents– Household Survey
SLIDE 18
Financing Agents: Other Government Orgs.
•Responsible Party: SCH•Needed Information: Budget documents that
include the health expenditure– Internships– Health Research– Others
SLIDE 19
Financing Agents: Non Government
•Responsible Party: QSA•Needed Information: Budget documents that
include the health expenditure– Annual EMPLOYER health expenditure survey – Annual HOUSEHOLD health expenditure and utilization
survey– Annual Private Health Insurance Survey
SCHMOEF
HouseholdsCurrent
Envisioned
Financing Sources
Financing Agencies Health CareProviders
Households
Other Organizations
SCH Facilities
PrivateFacilities
Social Health Insurance
Agency/Fund
Private Health Insurance
Other Gov/Non Gov Orgs
Work Based Clinics
SLIDE 21
Healthcare Providers
•Responsible Party: All health care providers (public and private)
•Needed Information: Budget documents that include the health expenditure
– Detailed health care functions– Detailed health care providers– Revenues, by source (premiums, co-payment, cash,
etc.)– Detailed health care burden of diseases– Detailed health care beneficiaries
SLIDE 22
Conclusion
Resource mobilization
Capacity building Effective partnership
• Trace healthcare funds using Evidence Based
• Inclusive of the entire health sector• International standard
SLIDE 23
The End