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Altijani Hussin, MA Manager – Health Economics Supreme Council of Health Qatar National Statistics Day 6 – 8 December, 2010 Doha – Qatar. Qatar National Health Accounts: The Evidence-Based for Allocating Health Funds. Advocating for the importance of the NHA as an Evidence Based approach

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Presentation Transcript

Altijani Hussin, MA

Manager – Health Economics

Supreme Council of Health

Qatar National Statistics Day

6 – 8 December, 2010

Doha – Qatar

Qatar National Health Accounts: The Evidence-Based for Allocating Health Funds


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


Introduction Based approach


Health Spending: Only One Component to a Population’s Health Outcomes

Sustainability of HC System

Accessibility to HC

Equity in HC

Intrinsic to HC

Effective and Efficient Health Spending

Quality of HC

GOOD HEALTH

OUTCOMES

Income Level

Empowerment of Women

Extrinsic to HC

Education

Access to Sanitation

Access to Nutritious Food

HC: Health Care


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)

What are National Health Accounts?


Flow of Funds in Qatar the health sector (Public and Private)

Financing

Sources

Financing Agencies

Health

Providers

SCH

MOEF

SCH

Facilities

Social Health

Insurance

Agency/Fund

Other

Organizations

Other Gov/

Non Gov Orgs

Private

Facilities

Private Health

Insurance

Households

Work Based

Clinics

Households

Current

Envisioned


Example of a question answered by nha

Per Capita Total Health Expenditure (PCTHE)? the health sector (Public and Private)

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

Example of A Question Answered by NHA


Why qatar needs national health accounts

Contribute to the health policy process the health sector (Public and Private)

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

Why Qatar Needs National Health Accounts?


How it will be done? the health sector (Public and Private)


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

QHA Strategic Plan


Who will manage it

The Steering Committee: Senior Government officials and sustainable NHA

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

Who Will Manage it?


What is needed? and sustainable NHA

Financing

Sources

Financing Agencies

Health

Providers

SCH

MOEF

SCH

Facilities

Social Health

Insurance

Agency/Fund

Other

Organizations

Other Gov/

Non Gov Orgs

Private

Facilities

Private Health

Insurance

Households

Work Based

Clinics

Households

Current

Envisioned


Financing and sustainable NHA

Sources

Financing Agencies

Health

Providers

SCH

MOEF

SCH

Facilities

Social Health

Insurance

Agency/Fund

Other

Organizations

Other Gov/

Non Gov Orgs

Private

Facilities

Private Health

Insurance

Households

Work Based

Clinics

Households

Current

Envisioned


Financing sources government

Responsible Parties: and sustainable NHA

MoEF

QSA

Needed Information: Health expenditure budget documents

Overall

By beneficiary

Financing Sources: Government


Financing sources non quasi government

Responsible Party: QSA and sustainable NHA

Needed Information:

Annual EMPLOYER health expenditure survey

Annual HOUSEHOLD health expenditure and utilization survey

Financing Sources: Non- & Quasi Government


Financing and sustainable NHA

Sources

Financing Agents

Health

Providers

SCH

MOEF

SCH

Facilities

Social Health

Insurance

Agency/Fund

Other

Organizations

Other Gov/

Non Gov Orgs

Private

Facilities

Private Health

Insurance

Households

Work Based

Clinics

Households

Current

Envisioned


Financing agents government

Responsible Party: and sustainable NHA

SCH

Armed Forces

MoI

QSA

Needed Information:

Health expenditures budget documents

Household Survey

Financing Agents: Government


Financing agents other government orgs

Responsible Party: SCH and sustainable NHA

Needed Information: Budget documents that include the health expenditure

Internships

Health Research

Others

Financing Agents: Other Government Orgs.


Financing agents non government

Responsible Party: QSA and sustainable NHA

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

Financing Agents: Non Government


Financing and sustainable NHA

Sources

Financing Agencies

Health Care

Providers

SCH

MOEF

SCH

Facilities

Social Health

Insurance

Agency/Fund

Other

Organizations

Other Gov/

Non Gov Orgs

Private

Facilities

Private Health

Insurance

Households

Work Based

Clinics

Households

Current

Envisioned


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

Healthcare Providers


Conclusion
Conclusion private)

  • Trace healthcare funds using

  • Evidence Based

  • Inclusive of the entire health sector

  • International standard

Resource mobilization

Capacity building

Effective partnership


The End private)


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