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New Development of SHA-Based NHA in Taiwan

附錄三. New Development of SHA-Based NHA in Taiwan. Chung-Fu Lan National Yang-Ming University Joint OECD/Korea RCHSP-APNHAN Meeting, Seoul; June 19, 2007. New Development of SHA/NHA. Objectives of the SHA/NHA Project. To develop & to institutionalize a SHA-based NHA system.

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New Development of SHA-Based NHA in Taiwan

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  1. 附錄三 New Development ofSHA-Based NHA in Taiwan Chung-Fu Lan National Yang-Ming University Joint OECD/Korea RCHSP-APNHAN Meeting, Seoul; June 19, 2007

  2. New Development of SHA/NHA

  3. Objectives of the SHA/NHA Project • To develop & to institutionalize a SHA-based NHA system. • To train the staffs for further refinement of the NHA system. • To study Medical Care Price Index (MCPI) & to adjust annual health expenditures for time series analysis. • To analyze related health policy issues, e.g., BOD, resource allocation, & priority setting.

  4. Basics of the Study & Time Frame • Based upon the OECD SHA methodology, revisions updates, & related publications & NHA outputs • Based upon the past & ongoing annual NHE & other health/economic statistics & experiences • Based upon national databases in periodical household income & expenditure surveys, the NHI, & other related surveys/studies • A collaborative study of the DOH & National Yang-Ming University • A three-year study project: from March 2007 to February 2009

  5. Study Methods • Conceptual/theoretical considerations • Methodological/technical considerations • Data collection, compilation, analysis, and/or estimation (including reliability & validity considerations) • Experts Opinions/consultations, Workshops, & Seminars • Taiwan’s SHA/NHA development • Related health policy analyses • International comparisons & communications

  6. Brief of NHE Statitics in Taiwan

  7. Government Sector Enterprise Households Non-profit Organization Financial Resource STEP 3 Government Public and private medical Institutions Bureau of National Health Insurance Out-of-Pocket STEP 2 Financial Agents Personal Health Care Public Health General Administration Capital formation STEP 1 Financial Allocation Flow of NHE Statistics

  8. NHE Growth in Taiwan, 1991-2005

  9. Ratio of NHE for Financial Agents to GDP

  10. Comparison of NHE per capita v.s. GDP per capitaBetween OECD Member States and Taiwan, 2003 Source: OECD Health Data 2005 Note: 1. Data of three countries are excluded (NHE/GDP): United States (15.0%), Switzerland (11.5%), and Luxembourg (6.1%); the GDP per capita is US$37,658, US$43,741, and US$48,219. 2.The estimated regression model: NHE per capita = 0.0997 × GDP per capita – 268.84, R2 = 0.9312.

  11. 10% 6% Comparison of NHE per capita v.s. GDP per capitaBetween OECD Member States and Taiwan, 2003 Note: The point of intersection of two axes is (27067,8.1) which is the median of all members.

  12. Flow of the Use of NHE in 2005

  13. 53.5% 14.9% 25.9% 56.9% 33.9% Flow of the Use of NHE in 2005(I)

  14. 46.8% 24.6% 13.5% 94％ Flow of the Use of NHE in 2005(II)

  15. 54％ Flow of the Use of NHE in 2005(III)

  16. 62.2% Flow of the Use of NHE in 2005(IV)

  17. Allocation of NHE by Purpose of Use NT$ 687.1 Billion NT$ 569.2 Billion NT$ 428.6 Billion

  18. Source of NHE

  19. Funding Sources of Personal Medical Care, 2005

  20. Thank You !!

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