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Bulletin of the World Health OrganizationVolume 93, Issue 8, 1 August 2015, Pages 566-576

National health accounts data from 1996 to 2010: A systematic review(Article)(Open Access)

[Données des comptes nationaux de la santé de 1996 à 2010: Examen systématique]

[Datos sobre las cuentas nacionales de salud desde 1996 hasta 2010: Una revisión systemática]

  • Bui, A.L.,
  • Lavado, R.F.,
  • Johnson, E.K.,
  • Brooks, B.P.C.,
  • Freeman, M.K.,
  • Graves, C.M.,
  • Haakenstad, A.,
  • Shoemaker, B.,
  • Hanlona, M.,
  • Dielemana, J.L.
  • View Correspondence (jump link)
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  • aInstitute for Health Metrics and Evaluation, University of Washington, 2301 5th Avenue, Suite 600, Seattle, WA 98121, United States
  • bThe World Bank, Washington, United States
  • cInformation School, University of Washington, Seattle, United States
  • dIndeed Corporation, Austin, United States

Abstract

Objective To collect, compile and evaluate publicly available national health accounts (NHA) reports produced worldwide between 1996 and 2010. Methods We downloaded country-generated NHA reports from the World Health Organization global health expenditure database and the Organisation for Economic Co-operation and Development (OECD) StatExtract website. We also obtained reports from Abt Associates, through contacts in individual countries and through an online search. We compiled data in the four main types used in these reports: (i) financing source; (ii) financing agent; (iii) health function; and (iv) health provider. We combined and adjusted data to conform with OECD's first edition of A system of health accounts manual, (2000). Findings We identified 872 NHA reports from 117 countries containing a total of 2936 matrices for the four data types. Most countries did not provide complete health expenditure data: only 252 of the 872 reports contained data in all four types. Thirty-eight countries reported an average not-specified-by-kind value greater than 20% for all data types and years. Some countries reported substantial year-on-year changes in both the level and composition of health expenditure that were probably produced by data-generation processes. All study data are publicly available at http://vizhub.healthdata.org/nha/. Conclusion Data from NHA reports on health expenditure are often incomplete and, in some cases, of questionable quality. Better data would help finance ministries allocate resources to health systems, assist health ministries in allocating capital within the health sector and enable researchers to make accurate comparisons between health systems. © 2015, World Health Organization. All Rights Reserved.

Indexed keywords

GEOBASE Subject Index:capital provisiondata acquisitiondatabasehealth expenditurehealth monitoringhealth policyhealth servicesOECDWorld Health Organization
EMTREE medical terms:Articledecision makinghealth care costhealth care managementhealth care systemhospitalhumanlowest income groupOrganisation for Economic Co-operation and Developmentpublic healthsystematic reviewworld health organizationfactual databaseglobal healthinformation processingproceduresstatistical analysisstatistics and numerical data
MeSH:Data CollectionData Interpretation, StatisticalDatabases, FactualGlobal HealthHealth ExpendituresHumansWorld Health Organization
  • ISSN: 00429686
  • CODEN: BWHOA
  • Source Type: Journal
  • Original language: English
  • DOI: 10.2471/BLT.14.145235
  • PubMed ID: 26478614
  • Document Type: Article
  • Publisher: World Health Organization

  Dielemana, J.L.; Institute for Health Metrics and Evaluation, University of Washington, 2301 5th Avenue, Suite 600, Seattle, WA, United States;
© Copyright 2021 Elsevier B.V., All rights reserved.

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