Transcript Human health issues related to food safety New 2007 Task force

State of play at the international level
and ambitions of EUROSTAT
C. van Mosseveld, PhD
EUROSTAT
Unit F5: Health and Food Safety statistics
September 21
COSA: Health Accounts in Belgium
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Content
 EUROSTAT Health statistics
 OECD-WHO-EUROSTAT Joint Questionnaire on Health
Expenditure
 SHA Revision Process
 Problems and Comparability
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Health statistics in Eurostat
Unit F5
Public health
Food safety Health and safety at
work
Non-expenditure
COD
HIS
Morb
Physical data of
economic units
Manpower data
Expenditure
Joint Questionnaire
SHA Revision
September 21
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Joint OECD-WHO-EUROSTAT
Questionnaire
September 21
COSA: Health Accounts in Belgium
4
Background & Goals
 Need for data on SHA: WGPH decided to have SHA
implemented
 SHA data are important for OECD, EUROSTAT and WHOHQ
 Co-operation and co-ordination required
 Result: Joint Questionnaire SHA created in 2005
 Reducing the burden for suppliers
 Increase the possibilities of national and international
analysis of data
 Facilitate the use of the data by stakeholders
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Process
 Starting point: tables based on the classifications of the manual
(OECD, WHO PG)
 Each organisation informs its national counterparts
 Nomination of one focal point per country
 Only one data set to be returned
 Installation of IHAT responsible for communication with data
suppliers
 Validation by either of the 3 organisations within 2 months
 Information exchange on all steps of the validation process
 Dissemination free to chose by each of the 3 organisations
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Validation process
 For all 5 tables: internal consistency checked at all digit
levels
 For all 5 tables the consistency is checked between
identical variables at all levels of detail
 For every table the relative shares are presented
 Growth rates between 2 years can be checked
 Finally all data can be checked against the methodological
information
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Date of extraction: Thu, 20 Sep 07 04:13:27
Last update: Tue Aug 14 11:51:54 MEST 2007
Copyright © Eurostat. All Rights Reserved.
table
hf_sha
time
unit
hlth_sha2
Expenditure of selected health care functions (HC; types of goods and services
produced) by financing agents in health care (HF; entities paying for the purchase)
hf1hf3
All financing agents
2003a00
hf_sha
geo be
Belgium
hc_sha
hc1hc9hcr1
hc1hc9
hc1
hc5
hf_sha
time
unit
Health care expenditure
Current health care expenditure
Services of curative care
Medical goods dispensed to out-patients
unit
es
Spain
26730.6
61396.9
26730.6
59437.4
13447.6 :
5076.4
15517.6
fr
France
nl
Netherlands
173676.8
169051.6
0
36071.1
43580.9
41360.9
20877.7
7568.8
hf12
Social security funds
2003a00
Health care expenditure
Current health care expenditure
Services of curative care
Medical goods dispensed to out-patients
September 21
mio-eur
Millions of euro (from 1.1.1999)/ECU (up to 31.12.1998)
geo be
Belgium
hc_sha
hc1hc9hcr1
hc1hc9
hc1
hc5
Health care expenditure
Current health care expenditure
Services of curative care
Medical goods dispensed to out-patients
es
Spain
6541.1 14112.3
6541.1 14112.3
2447.5 :
2343.5
5280.4
fr
France
nl
Netherlands
12747.1 :
12747.1
3415.2
0
1218.6
6096.1
1974.8
(printed using Eden/Common Browser);"version";"TemplateForEden for Java release 1.0"
mio-eur
Millions of euro (from 1.1.1999)/ECU (up to 31.12.1998)
geo be
Belgium
hc_sha
hc1hc9hcr1
hc1hc9
hc1
hc5
time
mio-eur
Millions of euro (from 1.1.1999)/ECU (up to 31.12.1998)
hf23
Private household out-of-pocket expenditure
2003a00
es
Spain
16224.6
16224.6
9246.1 :
2594
3311.4
3200.4
465.7
fr
France
129335.7
124710.5
0
22199.9
nl
Netherlands
:
26226.1
13940.3
3914.1
8
SHA Revision
September 21
COSA: Health Accounts in Belgium
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Background
 2006 OECD, WHO and EUROSTAT: work together in SHA
revision
 Goal is global SHA standard, manual
 For this:
– IHAT (created for JQ) mandate revised
– Consultation process to be created
– Programme of work to be set up
 Membership: OECD, WHO and EUROSTAT
 Secretariat: OECD
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Reasons behind revision process
 SHA Manual is “pilot”, first draft
– Implementation started around 1999
– Now around 100 country experiences available
 Problems identified (consistency, boundary, etc.)
 Need for more flexibility and policy relevance
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First step: Problem Inventory
 WGPH 2006 requested EUROSTAT to take stock of the
problems MS face in the implementation of SHA and the
use of the manual
 OECD and WHO conducted similar processes
 All answers are used in the revision process
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Summary of Results of Problem Inventory
 Definitions and descriptions in manual are not clear
leading to misinterpretations
– Also requests for more examples
 Boundary problems e.g.:
– Production, financing, final use (functions)
 Additional classifications may be necessary e.g. for policy
needs
 More flexibility to respond to changes in data requests
 Links between SHA and SNA appreciated
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IHAT: responsibilities





Set up programme of work for SHA revision
Distribute the subjects into units
Provide the rationale behind each unit
Propose the key issues to be addressed in each unit
Facilitate and co-ordinate the consultation process
 IHAT decides based on consensus
 IHAT has to warrant overall consistency
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IHAT: steps in the Revision Process
 Invitation to produce “Input papers” and comments on
these
 Co-ordinating organisation produces “proposal for 1st
IHAT draft”
 IHAT discusses and produces “1st IHAT draft”
 Invite comments from the international community
 IHAT discusses and produces “2nd IHAT draft” in case of
consensus
 Lacking consensus: selected experts opinion and back to
IHAT: accepting or rejecting of proposal
 IHAT (at senior level) submits “Draft Manual” to decision
making bodies in three organisations
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Possible involvement, information provided
 Heads of statistical authorities of all OECD and EU member and
candidate and acceding countries.
 Ministries of Health.
 Experts serving as focal points for the Joint OECD-WHOEUROSTAT Health Accounts data collection.
 Health accounts networks.
 European Commission.
 UNSD, OECD Statistics Directorate.
 World Bank, Regional Development Banks, IMF.
 Private experts, ………., etc.
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Facilitation of Participation
 A tri-party website is introduced
 A tri-party EDG is installed
 Each of the 3 organisations adds its own formal and
informal processes:
– OECD: e.g. Health expert meeting
– WHO: e.g. regional networks in the world
– EUROSTAT: e.g. SHA Revision Development Group
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Expected results





Solutions for identified statistical problems
A sound statistical system
Backward comparability
Better links to SNA/ESA and its classifications
Possibilities to link to national classification systems
 Improved cross-country comparability
 Improved usability in framework of policy relevance
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Proposed work programme
 Introduction
 Part I:
Principles &
Concepts
September 21
 Reasons for revision, new
elements, overview
 Unit 1: Purposes & principles
 Unit 2: Global boundaries
 Unit 3: Key concepts &
definitions
 Unit 4: Expenditure dimensions
 Unit 5: Types of HA
 Unit 6: Relationships to other
statistical systems
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Proposed work programme (2)
 Part II:
ICHA
 Unit 7: ICHA-HC health care functional
classification
 Unit 8: ICHA-HP health care provider classification
 Unit 9: ICHA-FS financing sources classification
 Unit 10: ICHA-HF financing schemes classification
 Unit 11: ICHA-HB beneficiaries classification
 Unit 12: ICHA-RC resources mobilised in the
production of health goods and services
 Unit 13: ICHA-P health care products classification
 Unit 14: Human resources
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Proposed work programme (3)
 Part III:
Indicators,
tables &
compilation




Unit 15: Presentation of results
Unit 16: Basic accounting rules and guidelines
Unit 17: Possible compilation processes
Unit 18: Policy use
 Glossary
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Time frame & remarks
 Proposes finalisation date: End of 2009
 The new Manual should provide clear guidance for
migration from SHA 1.0 to SHA 2.0
 SHA revision should not discourage countries from
developing NHA based on current methodologies
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Comparability
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Problems & solutions
 Problems in cross-country comparability:
– 10-20 years ago already known that providers, products and
financing agents NOT comparable (even having the same
name).
– New approaches were needed
 For comparability goals the Functional Classification
was invented, evolved as a natural solution
 All problems solved?
 No, but much more comparability is reached by using the
ICHA; and much more expected by SHA II.
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