Reference metadata describe statistical concepts and methodologies used for the collection and generation of data. They provide information on data quality and, since they are strongly content-oriented, assist users in interpreting the data. Reference metadata, unlike structural metadata, can be decoupled from the data.
National Agency for Public Health (NAPH) of the Republic of Moldova
1.2. Contact organisation unit
National Health Accounts Section
1.3. Contact name
Confidential because of GDPR
1.4. Contact person function
Confidential because of GDPR
1.5. Contact mail address
3 A.Cosmescu Street, MD-2009, Chisinau, Republic of Moldova
1.6. Contact email address
Confidential because of GDPR
1.7. Contact phone number
Confidential because of GDPR
1.8. Contact fax number
Confidential because of GDPR
2.1. Metadata last certified
23 June 2025
2.2. Metadata last posted
23 June 2025
2.3. Metadata last update
23 June 2025
3.1. Data description
Statistics on healthcare expenditure provide information on economic resources dedicated to health functions, which mainly refer to healthcare goods and services that are consumed by resident units, irrespective of where that consumption takes place or who is paying for it and excluding capital investments and exports of healthcare goods and services (to non-resident units).
Health care expenditure data provide information on expenditure in the functionally defined area of health distinct by provider category (e.g. hospitals, general practitioners), function category (e.g. services of curative care, rehabilitative care, patient transport, clinical laboratory, prescribed medicines) and financing scheme (e.g. social security, household).
Health expenditure and financing data refer to the calendar year (1 January to 31 December). Data are provided in millions of national currency.
Data are based mainly on administrative records. Household Budget Survey (HBS) provides the necessary information on household expenditures for health acccording to the Classification of Individual Consumption by Purpose (COICOP).
3.2. Classification system
Healthcare expenditure is recorded in relation to the international classification for health accounts (ICHA) defining:
healthcare expenditure by financing schemes (ICHA-HF) — which classifies the types of financing arrangements through which people obtain health services; health care financing schemes include direct payments by households for services and goods and third-party financing arrangements;
healthcare expenditure by function (ICHA-HC) — which details the split in healthcare expenditure following the purpose of healthcare activities — such as, curative care, rehabilitative care, long-term care, or preventive care;
healthcare expenditure by provider (ICHA-HP) — which classifies units contributing to the provision of healthcare goods and services — such as hospitals, ambulatory health care services, ancillary services or retailers of medical goods;
revenues of health care financing schemes (ICHA-FS) - which details the sources from which the financing arrangements get their revenues.
3.3. Coverage - sector
Public Health
3.4. Statistical concepts and definitions
SHA concept is the consumption of health care goods and services.
Health care expenditure describe the process of providing and financing health care by referring to health care goods and services, its providers and financing. For the collection of the data on health care expenditure the System of Health Accounts (SHA) and its related set of International Classification for the Health Accounts (ICHA) is used. SHA is a tri-axial system in which the financing, provision and consumption dimensions are covered by the ICHA (International Classification for Health Accounts): Health Care Functions (HC), Health Care Providers (HP), Health Care Financing Schemes (HF).
Data are presented in 3 summary (one-dimensional) tables and 3 cross-classification tables (2-dimensional tables).
Summary tables provide data on:
Current expenditure by provider (ICHA-HP)
Current expenditure by function (ICHA-HC)
Current expenditure by financing scheme (ICHA-HF)
Revenues of health care financing schemes (ICHA-FS)
Cross-classification tables refer to:
HC x HP: Health care expenditure by function and provider: data on which type of health care goods and services are supplied by which health care provider;
HC x HF: Health care expenditure by function and by financing scheme: data on how are the different types of services and goods financed;
HP x HF: Health care expenditure by provider and by financing scheme: data on from which health care provider and under which particular financing scheme are the services and goods purchased;
HF x FS: Revenues of health care financing schemes by health care financing scheme: data on the sources of revenues for each financing scheme.
The classifications and definitions presented in the SHA 2011 manual are used.
3.5. Statistical unit
Administrative data sources refer usually to institutional units active in providing health (care) services to the population. The units mainly refer to those involved in the process of paying for the services delivered for consumption. Expenditure refers to the payments related to final consumption of all goods and services by the domestic population.
Household Budget Survey: the household.
3.6. Statistical population
The data aim at providing a complete overview of expenditure on health care goods and services consumed by the resident population, regardless of where the consumption takes place, and produced by health care providers, irrespective of the source of financing.
Statistical population for Household Budget Survey covers all households/individuals – citizens of the Republic of Moldova who have their permanent residence in the selected survey centers: all members of the selected households, including people who are absent for a long period (over 1 year), if they maintain family relationships with the household. The survey does not cover people who live permanently in the following facilities/common living units: jails, residential institutions for children, old people, people with disabilities, students’ dormitories.
3.7. Reference area
Data do not include the data on districts from the left side of the river Nistru and municipality Bender.
3.8. Coverage - Time
Data are available under the SHA 2011 methodology, for the period 2022-2023.
3.9. Base period
Not applicable
Data are provided in millions of national currency.
Health care expenditure data are annual data, corresponding to the calendar year.
The metadata covers the following reference years: 2022-2023.
6.1. Institutional Mandate - legal acts and other agreements
Association Agreement between the European Union and the European Atomic Energy Community and their Member States, of the one part, and the Republic of Moldova of the other part (in force from 2016), Title IV, Chapter 6 „Statistics”, art. 42 (b) provides for „progressive alignment of the statistical system of the Republic of Moldova with the European Statistical System”;
The Law on Official Statistics No. 93 from 26 May 2017 and other legislative and normative acts. The Law on Official Statistics regulates the organization and functioning of the system of official statistics and sets the legal framework for the development, production, dissemination and coordination of official statistics (art.1).
Art. 5 of the Law provides that the production of statistical information is based on respecting the following principles: impartiality, objectiveness, relevance, transparency, confidentiality, cost-efficiency etc. The National Bureau of Statistics as a central authority in the field of statistics, is an independent institutional and professional administrative authority, created by the Government in order to coordinate the national statistical system on the development and production of official statistics.
The legislative and normative acts governing the activity of the NBS are available on its official website, under the 'About' section.
6.2. Institutional Mandate - data sharing
Joint Questionnaire of Eurostat, the World Health Organisation (WHO) and the Organization of Economic Co-operation and Development (OECD).
7.1. Confidentiality - policy
National normative act regarding confidentiality in statistics: Law No.93 from 26 May 2017 on Official Statistics (in romanian).
According to art. 19 of the Law on Official Statistics, producers of official statistics shall take all regulatory, administrative, technical and organizational measures to protect confidential data and prevent their disclosure. Chapter VII of the above-mentioned law stipulates that data collected, processed and stored for the production of statistical information are confidential if they allow the direct or indirect identification of the respondents.
The following shall not be considered confidential:
data that can be obtained from publicly accessible sources according to the legislation;
individual data referring to address, telephone, name, type of activity, number of employees of legal entities and individual entrepreneurs;
data referring to public enterprises, institutions and organizations funded from the budget, submitted at the request of the public administration authorities.
According to art. 20, access to confidential information is granted to the persons who, according to their official functions, participate in the production of statistical information having access to the extent that individual data is required to produce this information.
The same article stipulates that, the access to individual data, which do not allow the direct identification of respondents, can be offered for scientific survey projects, whose expected results do not refer to identifiable individual units, under the regulation approved by the central statistical authority.
7.2. Confidentiality - data treatment
The Health Expenditure Accounts uses aggregated and public available data (healthcare units and survey data) and no personal information is used thus no confidentiality procedures are applied.
8.1. Release calendar
Annually the data Release calendar is developed by NBS. Aggregated data on household expenditures for health are disseminated by NBS in statistical publications such us: Aspects of the standard o living of population and Statistical database, according to the Release calendar.
Other data from administrative sources provided through the JHAQ are not yet disseminated by the NAPH and NBS.
8.2. Release calendar access
The Release calendar of the NBS is available on the NBS official page.
The NAPH has not yet developed a Release calendar.
According to the Law No. 93 of 26 May 2017, Article 23:
a) Producers of official statistics are required to disseminate statistical information within the deadlines specified in the statistical work program and the Release calendar.
b) The dissemination of statistical information provided in the Statistical Work Program (SWP) to all categories of users is free of charge and ensures equal access in terms of volume, quality, and dissemination timing.
Access to published data and metadata is free under the Creative Commons Attribution 4.0 International license.
All news releases and statistical publications produced by NBS are available on its official website. The NBS website and the Statistical Database represent the most important sources of information, ensuring user access to various statistical data and transparency regarding NBS activities.
News releases are sent to all subscribers, including government institutions and the media. Non-standard tables that are not included in the SWP can be obtained for a fee covering the additional processing required to generate the data.
Annual
10.1. Dissemination format - News release
News-releases containing statistical data on health care expenditure of the households are published on the official page of NBS under the Media/News Releases section according to the Release calendar.
10.2. Dissemination format - Publications
Publications developed by NBS containing statistical data on health care expenditure of the households: Aspects of the standard o living of population and Statistical database, statistical pocket-book "Moldova in figures", Statistical Yearbook.
The data available in official statistics are provided by the National Agency for Public Health in aggregated form, so there are no microdata to be offered to researchers upon request.
10.5. Dissemination format - other
Data are provided on demand to users besides those available in the statistical publications, news releases in accordance with the Law on Official Statistics. Requests can be sent personally, by post, by e-mail or via online web form, under the Products and services / Statistical data request section. Statistical data are provided based on legal acts or on demand to Eurostat and other international organisations (WHO, OECD, UN, national statistical institutes etc.)
10.6. Documentation on methodology
Apart from this report no further documentation is available.
The Single Integrated Metadata Structure (SIMS), which is the standard for quality reporting, is published in the Eurostat Database for every variable pertaining to the Joint Questionnaire.
11.1. Quality assurance
The quality of statistical data is ensured by adhering to the Fundamental Principles of Official Statistics adopted by the UN General Assembly on 29 January 2014, as well as those established in the national Law on Official Statistics no. 93 of 26 May 2017.
NBS approved the Quality Policy through Order No.52/a of July 10, 2017.
As the data on Health care expenditure statistics are derived mainly from administrative data sources, the quality of data collection, processing is under the responsibility of the data owner - the National Agency for Public Health. This is complemented by NBS through consistency and integrity checks of the data to ensure that the output quality standard is reached.
11.2. Quality management - assessment
The following quality criteria are applied to the Health care expenditure statistics: relevance, accessibility and clarity, timeliness and punctuality, coherence, comparability and accuracy.
The main users of statistical information are State authorities and agencies involved in decision making, international organisations, the media, academia, whose needs are to use data for developing and implementing strategies and policies on health.
12.2. Relevance - User Satisfaction
Currently, there is no specific user satisfaction survey on health care expenditures statistics carried out by NAPH, nevertheless methodological support to all users requesting data is provided.
User satisfaction surveys are carried out by NBS every 2-3 years.
Below are the information regarding the completeness of Moldova SHA data.
Description
Deviations from SHA definitions or missing data
Explanations
HF. 1.1
Government schemes
Deviation from SHA definition
The amounts of grants from GAVI and the Global Fund are not reflected, and the general administrative costs for administering projects/grants are reflected in HC.7.1 and HC.7.2.
HF.1.2.2
Compulsory private insurance schemes
Category does not exist
HF.1.3
Compulsory Medical Savings Accounts (CMSA)
Category does not exist
HF.2.1
Voluntary health insurance schemes
Partially missing (data is partially not available)
Administration costs for health private insurance could not be identified.
HF.2.2
NPISH financing schemes
Deviation from SHA definition
Data are underestimated, included are expenditure of the main non-profit organisations for which financial and non-financial reports were available giving the posibility of identiffying health care related data.
HF.3.2
Cost-sharing with third-party payers
Category does not exist
HF.4
Rest of the world financing schemes (non-resident)
Category does not exist
HC.1.1
Inpatient curative care
Deviation from SHA definition
Data include social health insurance scheme expenditures on day care, inpatient and outpatient rehabilitation and inpatient long-term care.
HC.1.2
Day curative care
Partially missing (data is partially not available)
Day curative care has been included under inpatient care.
HC.2.2
Day rehabilitative care
Missing (data not available)
HC.2.4
Home-based rehabilitative care
Missing (data not available)
HC.3
Long-term care (health)
Missing (data not available)
HC.4.1
Laboratory services
Deviation from SHA definition
Out-of-pocket (OOP) expenditures are included under in HC.4.2, which leads to an understatement of HC.4.1.
HC.4.2
Imaging services
Deviation from SHA definition
Out-of-pocket (OOP) expenditures are included under in HC.4.2, which leads to an understatement of HC.4.1.
HC.6.1
Information, education and counseling programmes
Missing (category reported elsewhere)
All costs related to prevention are included in HC 6.3.
HC.6.2
Immunisation programmes
Missing (category reported elsewhere)
The expenses for immunization are included in HC.6.3
HC.6.3
Early disease detection programmes
Deviation from SHA definition
The expenses are overestimated, because they also include the expenses for immunization and other preventive care costs.
HC.6.4
Healthy condition monitoring programmes
Missing (category reported elsewhere)
All costs related to prevention are included in HC 6.3.
HC.6.5
Epidemiological surveillance and risk and disease control
Missing (category reported elsewhere)
All costs related to prevention are included in HC 6.3.
HC.6.6
Preparing for disaster and emergency response programmes
Missing (category reported elsewhere)
All costs related to prevention are included in HC 6.3.
HC.7.1
Governance and health system administration
Missing (data not available)
HC.RI.1
Total pharmaceutical expenditure (TPE)
Missing (data not available)
HC.RI.2
Traditional, Complementary and Alternative Medicines (TCAM)
Missing (data not available)
HCR.1
Long-term care (Social)
Missing (data not available)
HCR.2
Health promotion with multisectoral approach
Missing (data not available)
HP.2.9
Other residential long-term care facilities
Missing (data not available)
HP.3.1
Medical practices
Missing (data not available)
HP.3.3
Other health care practitioners
Missing (data not available)
HP.3.4
Ambulatory health care centres
Deviation from SHA definition
Some ambulatory healthcare centers are mapped under HP.4.2.
HP.4.2
Medical and diagnostic laboratories
Deviation from SHA definition
Some ambulatory healthcare centers are mapped under HP.4.2.
HP.4.9
Other providers of ancillary services
Deviation from SHA definition
In 2022 Border Police Department is mapped under HP.4.9.
HP.7.1
Government health administration agencies
Missing (data not available)
HP.7.3
Private health insurance administration agencies
Category does not exist
HP.7.9
Other administration agencies
Missing (data not available)
HP.8
Rest of the economy
Missing (data not available)
HP.9
Rest of the world
Missing (data not available)
FS.1.3
Subsidies
Category does not exist
FS.1.4
Other transfers from government domestic revenue
Category does not exist
FS.3.2
Social insurance contributions from employers
Category does not exist
FS.3.4
Other social insurance contributions
Category does not exist
FS.4
Compulsory prepayment (other than FS.3)
Category does not exist
FS.5.2
Voluntary prepayment from employers
Category does not exist
FS.5.3
Other voluntary prepaid revenues
Category does not exist
HK.1.1
Gross fixed capital formation
Partially missing (data is partially not available)
All capital costs are presented in aggregate form due to the unavailability of detailed data.
13.1. Accuracy - overall
The accuracy of the Health care expenditure statistics is mainly affected by problems of coverage as the main possible source of errors, namely the geographical coverage of the whole country and in some specific cases the full coverage of NPISH.
The accuracy of data depends on the accuracy of the data received from National Agency for Public Health. This is complemented by the NBS through consistency and integrity checks to ensure that the output quality standard is reached.
13.2. Sampling error
Not applicable for administrative data. In case of Household Budget Survey sampling errors are determined for overall incomes and overall expenditure, as well as on their types.
At national level, the confidence intervals for the level of 95% for 2023 are estimated at 4248,4±219,2 lei for consumption expenditure per person.
13.3. Non-sampling error
Concerning non-sampling errors there can be some limitations in data coverage and some measurement errors.
14.1. Timeliness
Data on Health care statistics for the calendar year N, are transmitted by National Agency for Public Health to NBS by 29 April of the year N+1 (120 days after the end of reference year).
Dissemination of Household health expenditure statistics by NBS takes place strictly in accordance with published release dates, following the NBS Release calendar, which is available online and provides 12 months’ advance notice of release dates.
If there are any changes to the pre-announced release calendar, user's attention will be drawn to the change and the reasons for the change will be explained fully at the same time.
15.1. Comparability - geographical
Data do not include the data on districts from the left side of the river Nistru and municipality Bender.
15.2. Comparability - over time
Data according to SHA 2011 is available for the years 2022–2023 and comparable over this time frame.
15.3. Coherence - cross domain
Health care statistics are reconcilable with those obtained from other statistical domains, as long as they refer to the same definitions.
15.4. Coherence - internal
Coherence between figures is being ensured during the data validation process.
The use of administrative data allows to minimise cost and burden. However, health accounts are compiled only by 1 employee while financial data are collected from different owners thus the work of compiling and identifying useful data is time consuming and depends on the availability of data providers and the quality of their databases. Although steps have been made in the health system to improve transparency, health data by type of service and type of provider are difficult to identify, especially for the private sector and those outside of the health insurance system.
17.1. Data revision - policy
Revisions to previously submitted data will be submitted with the data for the reporting year. Revisions will be made if new data sources are identified, previously aggregated data can be separated into categories that more closely follow the definitions, recoding of items, or revisions to the data source are made.
The Household Budget Survey data are revised is in accordance with data revision policy approved by NBS Order No. 35 of 30 August 2022.
17.2. Data revision - practice
Revisions to previously submitted data by NAPH will be submitted with the data for the reporting year.
18.1. Source data
The National Agency for Public Health collects information from both administrative data sources and statistical Household Budget Survey (HBS).
The HBS is carried out by the National Bureau of Statistics.
Data used from administrative sources are received from:
Ministry of Finance (Annual report on the execution of the state and local budget);
National Commission for Financial Markets (Annual reports on the activity of health insurance companies);
National Medical Insurance Company (Annual reports on activities and expenses, information on the utilization of the prophylaxis and development funds);
National Office of Social Insurance (Annual reports on costs associated with the provision of treatment referrals);
National Agency for Public Health (Annual reports of medical institutions on all types of incomes, Administrative data based on Annex No.1 to the statistical report No.30-san „Statistical report on in-patient activity of the medical-sanitary institution” and statistical report No.12-săn „Statistical report on number of diseases registered with patients living on the territory served by the curative institutions”).
18.2. Frequency of data collection
Annual
18.3. Data collection
Data are collected by NAPH based mainly on administrative data sources. Aggregated data are annually received in electronic format directly from the responsible authorities for producing statistical data on health accounts. NAPH centralizes the data on health accounts.
18.4. Data validation
Before publishing the data, consistent validation checks are performed by NAPH. In general, the values indicated must be positive. The process of validation is based mostly on the verification of:
Consistency of the data between tables;
This step checks if the totals reported in each table of the JHAQ are consistent across all tables. For example, for each function (HC), the total across all financing schemes (HF) in the HCxHF table has to be equal to the total across all providers (HP) in the HCxHP table, i.e. the values in the column “All HF” in the HCxHF table have to be equal to the values in the column “All HP” in the HCxHP table.
Consistency of the data within tables;
This step checks if the internal consistency within the table is ensured using arithmetical checks to verify whether the total is not equal to the sum of its subcomponents.
The presence of atypical entries;
The atypical entries check provides information whether the data tables contain values in cells which are atypical for health accounting. In the data tables, any cell containing an atypical entry is highlighted for data providers and assessed whether the accounting rules of SHA have been correctly applied. A short description of the nature of the transactions is included in the Annex under “II.3. Atypical entries”. If the transactions are not recorded correctly, then they are adjusted in the concerned tables. In case the transactions recorded in a cell do not belong to the boundaries of SHA (e.g. they refer to intermediate consumption) the value of the respective cell is deleted (and all cells that are affected by this change adjusted accordingly). In case the transactions are misreported and another category of the ICHA classification is more appropriate, the value of the cell is transferred to the correct cell of the table.
The plausibility test;
The growth rates are checked against the previous year on aggregated level, if the expenses for a certain benefit have increased significantly compared to the previous year, then additional verification actions are taken.
Availability test;
The availability/completeness of the quantitative data is checked, if certain data for a certain cell of the quantitative data collection template is missing. If data for a certain benefit is not reported, the main reason is requested from the data provider. (Is the benefit no longer provided? Is it no longer relevant?)
Other tests;
At the same time, the data from the health accounts system are compared with the data from the health insurance fund and the data from the national public budget. If significant differences occur, the differences are clarified in cooperation with the data providing institutions.
18.5. Data compilation
The compilation of health expenditure statistics data is carried out by the National Agency for Public Health by centralizing information from questionnaires/reports submitted by administrative data sources while the compilation of households expenditures is performed by the National Bureau of Statistics by carrying out HBS survey.
SHA data is compiled both by a bottom-up approach as well as by a top-down approach, depending on the data source. Compilation is done by financing schemes and by different health care functions/task areas. The results of the several calculations are then aggregated.
To gain the differentiation between the different SHA-dimensions (especially HC and HP) pro-rating/utilisation key are used to allocate expenditures by type of services and service providers, especially in case of primary data on: household expenditures, voluntary health insurance, number of morbidity cases and consultations.
18.6. Adjustment
Data refer to calendar year, no seasonal adjustment or other adjustment methods are applied.
Statistics on healthcare expenditure provide information on economic resources dedicated to health functions, which mainly refer to healthcare goods and services that are consumed by resident units, irrespective of where that consumption takes place or who is paying for it and excluding capital investments and exports of healthcare goods and services (to non-resident units).
Health care expenditure data provide information on expenditure in the functionally defined area of health distinct by provider category (e.g. hospitals, general practitioners), function category (e.g. services of curative care, rehabilitative care, patient transport, clinical laboratory, prescribed medicines) and financing scheme (e.g. social security, household).
Health expenditure and financing data refer to the calendar year (1 January to 31 December). Data are provided in millions of national currency.
Data are based mainly on administrative records. Household Budget Survey (HBS) provides the necessary information on household expenditures for health acccording to the Classification of Individual Consumption by Purpose (COICOP).
23 June 2025
SHA concept is the consumption of health care goods and services.
Health care expenditure describe the process of providing and financing health care by referring to health care goods and services, its providers and financing. For the collection of the data on health care expenditure the System of Health Accounts (SHA) and its related set of International Classification for the Health Accounts (ICHA) is used. SHA is a tri-axial system in which the financing, provision and consumption dimensions are covered by the ICHA (International Classification for Health Accounts): Health Care Functions (HC), Health Care Providers (HP), Health Care Financing Schemes (HF).
Data are presented in 3 summary (one-dimensional) tables and 3 cross-classification tables (2-dimensional tables).
Summary tables provide data on:
Current expenditure by provider (ICHA-HP)
Current expenditure by function (ICHA-HC)
Current expenditure by financing scheme (ICHA-HF)
Revenues of health care financing schemes (ICHA-FS)
Cross-classification tables refer to:
HC x HP: Health care expenditure by function and provider: data on which type of health care goods and services are supplied by which health care provider;
HC x HF: Health care expenditure by function and by financing scheme: data on how are the different types of services and goods financed;
HP x HF: Health care expenditure by provider and by financing scheme: data on from which health care provider and under which particular financing scheme are the services and goods purchased;
HF x FS: Revenues of health care financing schemes by health care financing scheme: data on the sources of revenues for each financing scheme.
The classifications and definitions presented in the SHA 2011 manual are used.
Administrative data sources refer usually to institutional units active in providing health (care) services to the population. The units mainly refer to those involved in the process of paying for the services delivered for consumption. Expenditure refers to the payments related to final consumption of all goods and services by the domestic population.
Household Budget Survey: the household.
The data aim at providing a complete overview of expenditure on health care goods and services consumed by the resident population, regardless of where the consumption takes place, and produced by health care providers, irrespective of the source of financing.
Statistical population for Household Budget Survey covers all households/individuals – citizens of the Republic of Moldova who have their permanent residence in the selected survey centers: all members of the selected households, including people who are absent for a long period (over 1 year), if they maintain family relationships with the household. The survey does not cover people who live permanently in the following facilities/common living units: jails, residential institutions for children, old people, people with disabilities, students’ dormitories.
Data do not include the data on districts from the left side of the river Nistru and municipality Bender.
Health care expenditure data are annual data, corresponding to the calendar year.
The metadata covers the following reference years: 2022-2023.
The accuracy of the Health care expenditure statistics is mainly affected by problems of coverage as the main possible source of errors, namely the geographical coverage of the whole country and in some specific cases the full coverage of NPISH.
The accuracy of data depends on the accuracy of the data received from National Agency for Public Health. This is complemented by the NBS through consistency and integrity checks to ensure that the output quality standard is reached.
Data are provided in millions of national currency.
The compilation of health expenditure statistics data is carried out by the National Agency for Public Health by centralizing information from questionnaires/reports submitted by administrative data sources while the compilation of households expenditures is performed by the National Bureau of Statistics by carrying out HBS survey.
SHA data is compiled both by a bottom-up approach as well as by a top-down approach, depending on the data source. Compilation is done by financing schemes and by different health care functions/task areas. The results of the several calculations are then aggregated.
To gain the differentiation between the different SHA-dimensions (especially HC and HP) pro-rating/utilisation key are used to allocate expenditures by type of services and service providers, especially in case of primary data on: household expenditures, voluntary health insurance, number of morbidity cases and consultations.
The National Agency for Public Health collects information from both administrative data sources and statistical Household Budget Survey (HBS).
The HBS is carried out by the National Bureau of Statistics.
Data used from administrative sources are received from:
Ministry of Finance (Annual report on the execution of the state and local budget);
National Commission for Financial Markets (Annual reports on the activity of health insurance companies);
National Medical Insurance Company (Annual reports on activities and expenses, information on the utilization of the prophylaxis and development funds);
National Office of Social Insurance (Annual reports on costs associated with the provision of treatment referrals);
National Agency for Public Health (Annual reports of medical institutions on all types of incomes, Administrative data based on Annex No.1 to the statistical report No.30-san „Statistical report on in-patient activity of the medical-sanitary institution” and statistical report No.12-săn „Statistical report on number of diseases registered with patients living on the territory served by the curative institutions”).
Annual
Data on Health care statistics for the calendar year N, are transmitted by National Agency for Public Health to NBS by 29 April of the year N+1 (120 days after the end of reference year).
