Workflow
Healthcare Accounting
icon
Search documents
卫生账户制度化的最佳实践:学习13个经合组织国家的经验
OECD· 2025-06-09 04:10
Investment Rating - The report does not explicitly provide an investment rating for the industry Core Insights - Health accounts are essential for systematically monitoring financial resources allocated to health and informing evidence-based policy making. They track health spending across three core dimensions: financing, provision, and services, with many countries also examining subnational health financing and spending breakdowns by age, gender, and disease [25][28] - The institutionalization of health accounts is crucial for ensuring the regular production of high-quality health expenditure data. This involves governance, technical production processes, and dissemination strategies to enhance policy use [28][39] - There is no "one size fits all" approach to institutionalizing health accounts, as various factors such as health system characteristics and administrative cultures influence the best practices for each country [29][30] Summary by Sections Implementation of Health Accounts in OECD Countries - Nearly all OECD countries have implemented "A System of Health Accounts" (SHA 2011) and produce internationally comparable data on health expenditure and financing annually, with the exception of New Zealand [60][61] - Most OECD countries report data on health financing, healthcare services, and health providers, with over three-quarters able to identify revenues of financing schemes [61][62] - Countries like Australia and Canada provide detailed national analyses that go beyond standard reporting, including breakdowns by age, gender, and disease [62][66] Components of Institutionalization of Health Accounts - Governance structures for health accounts vary, with some countries placing responsibility within the Ministry of Health, while others use National Statistical Institutes or independent health agencies [30][31] - A legal mandate for health accounts production exists in most surveyed countries, which helps ensure sustainable financing and stakeholder engagement [31] - Establishing expert groups for health accounts can enhance the quality and legitimacy of the data produced [34] Technical Production Process - The technical process for producing health accounts varies widely, but best practices include clear operational procedures, sufficient staffing, and adequate IT infrastructure [35][36] - Quality assurance and comprehensive documentation of the production process are vital for maintaining capacity and improving future production rounds [36] Dissemination Strategy and Data Use - Developing effective dissemination strategies is crucial for maximizing the impact of health accounts on policy use. This includes producing various outputs tailored to different audiences [37][38] - Engaging with stakeholders such as health ministries, parliamentarians, and civil society can enhance the policy relevance and use of health accounts data [38][39] Conclusion - The report emphasizes the importance of adapting health accounts to meet changing information needs and maintaining their relevance for policy making [39][40]