Unit 2


Unit title in the SHA, 2.0 ("New" publication)


 2. GLOBAL BOUNDARIES OF HEALTH CARE (Click on the title to see the Programme of work for this chapter).

 

Reference text of the SHA, 1.0 ("Old" publication)


Chapter 3.

 

See also chapter 3 in WHO, (2003), Guide to producing national health accounts.

 

Key issues affecting this Unit


Key issues in determining the area under study deal with the definition of functional description (with respect to all variables) as opposed to the institutional description (on main activity principles) used in national accounts. A basic issue is the selection of the criteria to be used in the determination of the activities related to health care which are on the borderlines. In the creation of the health system the activities and products are a core criterion. In the next step, the production and consumption approach, the domestic versus national approach and the problems resulting form exports and imports need to be considered. Finally the system has to be designed to be useful for policy and be able to link to other statistical systems used in the economy.

 

The following areas need special attention in the SHA revision due to their policy importance and economic significance.

  • The mix and delineation of health and social care;
  • Long term care;
  • Health services produced at home;
  • Prevention and public health services;
  • Health goods and services exported and imported, as opposed to those produced and consumed domestically.

 

Coordinating organisation

 

EUROSTAT

 

Unit status and available drafts

 

Invitation to submit input documents  on this unit issued on 7 March 2008.

Documents can be submitted to sha.contact@oecd.org by 30 June, 2008.

 

 

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