EUROPEAN COMMISSION EUROSTAT Directorate F: Social Statistics and Information Society Unit F-5: Health and food safety statistics Doc. ESTAT/F5/05/HEA/05-1 WORKING GROUP ON PUBLIC HEALTH STATISTICS Luxembourg 28-29 November 2005 Item 7 of the agenda Statistics on health care (CARE) 7.2 Main project finalised or with important achievements in 2005 Annex I Classifications used in the Common Questionnaire based on the OECD manual on the System of Health Accounts (SHA) and the WHO Guide to Producing National Health Accounts (PG) Prepared by: Cor Van Mosseveld Eurostat F/5 Commission européenne, L-2920 Luxembourg. Telephone: (352)43011. Office: BECH D2/728. Telephone: direct line (352)4301 35452. Fax: (352)4301 35399. http://europa.eu.int/comm/eurostat/
Classifications used: 1: International Classifications for Health Accounts, Classification of Functions (ICHA-HC): HC.1 Services of curative care HC.1.1 In-patient curative care HC.1.2 Day cases of curative care HC.1.3 Out-patient curative care HC.1.3.1 Basic medical and diagnostic services HC.1.3.2 Out-patient dental care HC.1.3.3 All other specialised health care HC.1.3.9 All other out-patient curative care HC.1.4 Services of curative home care HC.2 Services of rehabilitative care HC.2.1 In-patient rehabilitative care HC.2.2 Day cases of rehabilitative care HC.2.3 Out-patient rehabilitative care HC.2.4 Services of rehabilitative home care Or alternatively fill in the following lines on the aggregated HC.1 and HC.2 functions: HC.1; HC.2 Services of curative and rehabilitative care HC.1.1; HC.2.1 In-patient curative and rehabilitative care HC.1.2; HC.2.2 Day cases of curative and rehabilitative care HC.1.3; HC.2.3 Out-patient curative and rehabilitative care HC.1.3.1 Basic medical and diagnostic services HC.1.3.2 Out-patient dental care HC.1.3.3 All other specialised health care HC.1.3.9 All other out-patient curative care HC.1.4; HC.2.4 Services of curative home and rehabilitative home care HC.3 Services of long-term nursing care HC.3.1 In-patient long-term nursing care HC.3.2 Day cases of long-term nursing care HC.3.3 Long-term nursing care: home care HC.4 Ancillary services to health care HC.4.1 Clinical laboratory HC.4.2 Diagnostic imaging HC.4.3 Patient transport and emergency rescue HC.4.9 All other miscellaneous ancillary services HC.5 Medical goods dispensed to out-patients HC.5.1 Pharmaceutical and other medical non-durables HC.5.1.1 Prescribed medicines HC.5.1.2 Over-the-counter medicines HC.5.1.3 Other medical non-durables HC.5.2 Therapeutic appliances and other medical durables HC.5.2.1 Glasses and other vision products HC.5.2.2 Orthopaedic appliances and other prosthetics HC.5.2.3 Hearing aids HC.5.2.4 Medico-technical devices, including wheelchairs HC.5.2.9 All other miscellaneous medical durables 1
HC.6 HC.7 HC.9 HC.6.1 HC.6.2 HC.6.3 HC.6.4 HC.6.5 HC.6.9 HC.7.1 HC.7.1.1 HC.7.1.2 HC.7.2 HC.7.2.1 HC.7.2.2 Prevention and public health services Maternal and child health; family planning and counselling School health services Prevention of communicable diseases Prevention of non-communicable diseases Occupational health care All other misc. public health services Health administration and health insurance General government administration of health General government administration of health (except social security) Administration, operation and support activities of social security funds Health administration and health insurance: private Health administration and health insurance: social insurance Health administration and health insurance: other private Not specified by kind Total current expenditure HC.1-HC.9 HC.R.1 HC.R.2 HC.R.3 HC.R.4 HC.R.5 HC.R.6 HC.R.6.1 HC.R.6.9 HC.R.7 Memorandum items: Capital formation of health care provider institutions Total expenditure HC.1-HC.9; HC.R.1 Education and training of health personnel Research and development in health Food, hygiene and drinking water control Environmental health Administration and provision of social services in kind to assist living with disease and impairment Expenditure on Long Term Care (other than HC.3) All other HC.R.6 expenditure Administration and provision of health related cash-benefits Expenditure on Social Care Activities of health care providers Expenditure on Other Activities of health care providers Expenditure on non-health care activities of health care providers Total pharmaceutical expenditure (including in-patient) Total expenditure on ancillary services (including in-patient) 2
2. International Classifications for Health Accounts, Classification of Providers (ICHA-HP): HP.1 Hospitals HP.1.1 General hospitals HP.1.2 Mental health and substance abuse hospitals HP.1.3 Speciality (other then mental health and substance abuse hospitals) HP.2 Nursing and residential care facilities HP.2.1 Nursing care facilities HP.2.2 Residential mental retardation, mental health and substance abuse facilities HP.2.3 Community care facilities for the elderly HP.2.9 All other residential care facilities HP.3 Providers of ambulatory health care HP.3.1 Offices of physicians HP.3.2 Offices of dentists HP.3.3 Offices of other health practitioners HP.3.4 Out-patient care centres HP.3.5 Medical and diagnostic laboratories HP.3.6 Providers of home health care services HP.3.9 Other providers of ambulatory health care HP.3.9.1 Ambulance services HP.3.9.2 Blood and organ banks HP.3.9.9 Providers of all other ambulatory health care services HP.4 Retail sale and other providers of medical goods HP.4.1 Dispensing chemists = Pharmacies HP.4.2 Retail sale and other suppliers of optical glasses and other vision products HP.4.3 Retail sale and other suppliers of hearing aids HP.4.4-HP.4.9 Retail sale and other suppliers of medical appliances; All other miscellaneous sale and other suppliers of pharmaceuticals and medical goods HP.5 Provision and administration of public health programs HP.6 General health administration and insurance HP.6.1 Government administration of health HP.6.2 Social security funds HP.6.3 Other social insurance HP.6.4 Other (private) insurance HP.6.3-HP.6.4 Providers of private insurance HP.6.9 All other providers of health administration HP.7 Other industries (rest of the economy) HP.7.1 Establishments as providers of occupational health care services HP.7.1.1 General government as provider of occupational health care HP.7.1.2 Private corporations as provider of occupational health care HP.7.2 Private households as providers of home care HP.7.9 All other industries as secondary producers of health care HP.9 Rest of the word Total expenditure HP.1-HP.9 HP.HCR.2-7 Health care related activities providers n.e.m. (not investment) 3
3. International Classifications for Health Accounts, Classification of Financing Agents / Schemes (ICHA-HF): HF.1. HF.2. HF.3. HF.1.1. HF.1.1.1. HF.1.1.1.1 HF.1.1.1.2 HF.1.1.2. HF.1.1.3 HF.1.2. HF.2.1. HF.2.2. HF.2.1-HF.2.2 HF.2.3. HF.2.3.1 HF.2.3.2- HF.2.3.5 HF.2.3.6- HF.2.3.7 HF.2.3.9 HF.2.4. HF.2.5. General government General government (excl. social security) = Territorial government Central government Ministry of Health Other Ministries State / provincial government Local / municipal government Social security funds Private sector Private social insurance Private insurance (other than social insurance) Private insurance Private households out-of-pocket exp. out-of-pocket excluding cost-sharing Cost-sharing: central government; state / provincial government; Local / municipal government; Social security funds Cost-sharing: Private insurance All other cost-sharing Non-profit institutions serving households Corporations (other than health insurance) Rest of the world Total expenditure HF.1-HF.3 Memorandum items: HF.2.2.A HF.2.2.B Private insurance - Compulsory Private insurance - Voluntary 4
4. Classification of Financing Sources (FS): (based on the PG) FS.1 FS.2 FS.3 FS.2.2 Public funds Private funds Household funds rest of the world funds Total expenditure FS.1-FS.3 5. Classification of Human Resource Costs (RC): (based on the PG) RC.1.1 RC.1.1.1, RC.1.1.2 RC.1.1.3 Human resources (employed and self-employed) compensation of employees self-employed income 5