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For any question on data and metadata, please contact: Eurostat user support |
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1.1. Contact organisation | Agency for Statistics of Bosnia and Herzegovina |
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1.2. Contact organisation unit | Department of Society Development Statistics |
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1.5. Contact mail address | Zelenih beretki 26, 71000 Sarajevo Bosnia and Herzegovina |
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2.1. Data description | |||
Health care expenditure quantifies the economic resources dedicated to health functions, excluding capital investment. Healthcare expenditure concerns itself primarily with healthcare goods and services that are consumed by resident units, irrespective of where that consumption takes place (it may be in the rest of the world) or who is paying for it. As such, exports of healthcare goods and services (to non-resident units) are excluded, whereas imports of healthcare goods and services for final use are included. It provides a set of revised classifications of health care functions, providers of health care goods and services and financing schemes. The SHA is currently used as a basis for a joint data collection by OECD, Eurostat and WHO on health care expenditure. The manual sets out in more detail the boundaries, the definitions and the concepts of health accounting – responding to health care systems around the globe with very different organisational and financing arrangements. Accounting period: Health expenditure and financing data pertain to the calendar year (1 January to 31 December). |
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2.2. Classification system | |||
Healthcare expenditure is recorded in relation to the international classification for health accounts (ICHA) defining:
In compilation of HA data, Bosnia and Herzegovina currently is using three above-mentioned classifications: HC, HF and HP. Additional classifications (FS, FP and HK) are not in used in BiH for now, due to the lack of experience in reporting on these classifications.
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2.3. Coverage - sector | |||
1. Household individual consumption on health, including the collective consumption with two exceptions: |
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2.4. Statistical concepts and definitions | |||
SHA concept is the consumption of health care goods and services. Summary tables provide data on:
Cross-classification tables refer to:
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2.5. Statistical unit | |||
Commission Regulation 2015/359 concerns the collection of data on "current expenditure on healthcare" which is defined as the "final consumption expenditure of resident units on health care goods and services". |
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2.6. Statistical population | |||
SHA focuses on the consumption of health care goods and services by the resident population irrespective of where this takes place. This implies the inclusion of imports (from non-resident providers) and the exclusion of exports (health care goods and services provided to non-residents). |
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2.7. Reference area | |||
The data aims at providing a complete overview of expenditure on health care goods and services consumption of services and goods by the resident population on the national territory of a country NHA data represents health care expenditure for the population of BiH. |
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2.8. Coverage - Time | |||
Agency for Statistics of BiH regularly sends HA data under SHA 2011 methodology from 2013. The latest HA data sent to Eurostat were for the reference year 2017. Before 2013, data have been sent according SHA 1.0 methodology (from 2009-2012). |
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2.9. Base period | |||
Not applicable. |
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3.1. Source data | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Several data sources are used (as of data notification in March 2018): - Surveys/census: 1 - Public administrative records: 1 - Financial reports: 3 - Other: 1
Surveys/censuses
Public administrative records
Financial reports
Other
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3.2. Frequency of data collection | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Annual. |
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3.3. Data collection | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Data are collected through the joint health accounts questionnaire (JHAQ) that countries submit to Eurostat during the annual data collection exercise. There is a voluntary deadline to send the JHAQ questionnaire for the calendar year T by the 31st of March T+2. The joint health accounts questionnaire (JHAQ) is coordinated in agreement with the World Health Organisation (WHO) and the Organization of Economic Co-operation and Development (OECD). These three international organisations are known collectively as the International Health Accounts Team (IHAT). Countries submit data to Eurostat on the basis of Commission Regulation (EU) 2015/359 of 4 March 2015 implementing Regulation (EC) No 1338/2008 of the European Parliament and of the Council as regards statistics on healthcare expenditure and financing. Since statistical system in BiH is composed of two entities statistical offices (Federation BiH and Republica Srpska) and Brcko district, the process of data collection includes various steps. Entities statistical offices are responsible for data collection on the entity level. Each entities statistical office collects data from entities health insurance fund, ministry of health, public health institute. Statistical office is responsible for making estimations on private expenditure based on Household Budget Survey. After compiling data for entities level, statistical offices and Brcko district send data to the Agency for Statistics of BiH, who is responsible for aggregating data at the national, BiH level. Data on Ministry for Civil Affairs of BiH expenditure are also included in JHAQ.
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3.4. Data validation | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
The 2018 JHAQ includes a number of features which allow national data correspondents to perform various quality checks before submitting the data. The embedded programmes allow the verification of:
2- Consistency of the data within tables,
Entries in the tables cannot be negative as they refer to the consumption of goods and services.
The atypical entries check provides information whether the data tables contain values in cells which are – if at all – only reported by very few countries and are thus atypical for health accounting.
3- The growth rates against the previous year and the magnitude of revisions as compared to previously submitted data. Results are grouped into three different categories:
Beside Eurostat validation, a few validation steps are made in NSI in order to have relevant and accurate data. The simple manual validation is performed within NSI. We are also performing a cross checking between different data sources, checking the completeness and coverage of each data source, identification and elimination of eventual double counting problems and cross checking between Health Accounts and National Accounts data. |
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3.5. Data compilation | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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) quotas and pro-rating and utilisation keys are applied on some spending items. For some spending items it is necessary to extra-/intrapolate data as there is no up-to-date data available or data is missing for certain years. For some other spending items, estimation methods have to be applied.
Several methods are normally used for estimations:
Federation BiH
Republica Sprska
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3.6. Adjustment | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No adjustments. |
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4.1. Quality assurance | |||
Authorities responsible for SHA data collection are working to ensure that the statistical practices used to compile national health accounts are in compliance with SHA methodological requirements and that good practices in the field are being followed, according to the methodology underlined in the SHA 2011 Manual and European Statistics Code of Practice respecting professional independence of the statistical authorities. Procedures are in place to plan and monitor the quality of the health care expenditure statistical production process.
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4.2. Quality management - assessment | |||
Since the private expenditure is estimated from the Household Budget Survey, data are not most reliable. There is a need to improve the quality of private expenditure data. |
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5.1. Relevance - User Needs | |||
Not available. |
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5.2. Relevance - User Satisfaction | |||
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5.3. Completeness | |||
In HF classification data are missing in the following categories: - HF.1.2.1 - Social health insurance schemes - HF.1.2.2 - Compulsory private insurance schemes Categories HF.1.3. - Compulsory Medical Savings Accounts (CMSA) and HF.2.2 - NPISH financing schemes do not exist in BiH. In HC classification data are missing in the following categories: - HC.2.4 - Home-based rehabilitative care - HC.3.3 - Outpatient long-term care (health) - HC.6.6 - Preparing for disaster and emergency response programmes Categories HC.1.3.9 - All other outpatient curative care and HC.2.2 - Day rehabilitative care do not exist in BiH. In HP classification data are missing in the following categories: - HP.2.9 - Other residential long-term care facilities - HP.3.5 - Providers of home health care services - HP.4.9 - Other providers of ancillary services - HP.7.9 - Other administration agencies Reporting item HC.RI.2 - Traditional, Complementary and Alternative Medicines (TCAM) is missing due to lack of data sources. In all categories data are missing due to lack of data source.
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5.3.1. Data completeness - rate | |||
In HF classification 2 out of 11 categories are missing (subcategories of HF.1, HF.2, HF.3 and HF.4) - 82% In HC classification 3 out of 23 categories are missing (subcategories of HC.1, HC.2, HC.3, HC.4, HC.5, HC.6 and HC.7) – 87% Reporting item HC.RI.2 - Traditional, Complementary and Alternative Medicines (TCAM) is missing due to lack of data sources. In HP classification 4 out of 25 categories are missing (subcategories of HP.1, HP.2, HP.3, HP.4, HP.5, HP.6, HP.7, HP.8 and HP.9) – 84%
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6.1. Accuracy - overall | |||
Out of pocket expenditure is subjected to the error levels generated in the estimation of final household consumption in the framework of the national accounts. |
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6.2. Sampling error | |||
Not applicable. |
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6.2.1. Sampling error - indicators | |||
Not applicable. |
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6.3. Non-sampling error | |||
This section is not relevant. |
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6.3.1. Coverage error | |||
This section is not relevant. |
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6.3.1.1. Over-coverage - rate | |||
This section is not relevant. |
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6.3.1.2. Common units - proportion | |||
This section is not relevant. |
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6.3.2. Measurement error | |||
This section is not relevant. |
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6.3.3. Non response error | |||
This section is not relevant. |
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6.3.3.1. Unit non-response - rate | |||
This section is not relevant. |
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6.3.3.2. Item non-response - rate | |||
This section is not relevant. |
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6.3.4. Processing error | |||
This section is not relevant. |
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6.3.4.1. Imputation - rate | |||
This section is not relevant. |
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6.3.5. Model assumption error | |||
This section is not relevant. |
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6.4. Seasonal adjustment | |||
Not applicable. |
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6.5. Data revision - policy | |||
Data have been revised every year, mainly after Eurostat validations. |
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6.6. Data revision - practice | |||
After validations made by Eurostat, a series of item were corrected. The only atypical entry is HC 1.3.3 x HP 6 (explained in the page II. Data comparability). |
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6.6.1. Data revision - average size | |||
Not available. |
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7.1. Timeliness | |||
Member States are required to transmit their data to Eurostat in compliance with the Commission Regulation 359/2015 transmission deadlines. |
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7.1.1. Time lag - first result | |||
Bosnia and Herzegovina does not publish first results. |
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7.1.2. Time lag - final result | |||
Final national data are published in a form of release in July t-2 (three months after data have been sent to Eurostat). |
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7.2. Punctuality | |||
No deviations from deadlines. |
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7.2.1. Punctuality - delivery and publication | |||
Transmission to Eurostat before 30 April for reference year t-2. |
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8.1. Comparability - geographical | |||||||||
Not applicable at national level. |
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8.1.1. Asymmetry for mirror flow statistics - coefficient | |||||||||
Not applicable. |
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8.2. Comparability - over time | |||||||||
There has been no known breaks in time series resulting from methodological changes. |
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8.2.1. Length of comparable time series | |||||||||
Not applicable. |
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8.3. Coherence - cross domain | |||||||||
HA data can be partially reconciled with ESSPROS. BiH has recently started to collect ESSPROS data, so there is room for improvement. In the future we will explore more a link between HA and ESSPROS data. |
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8.4. Coherence - sub annual and annual statistics | |||||||||
Not applicable. |
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8.5. Coherence - National Accounts | |||||||||
Not applicable for now due to different classifications. |
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8.6. Coherence - internal | |||||||||
Atypical entries:
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9.1. Dissemination format - News release | |||
Not available. |
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9.2. Dissemination format - Publications | |||
Release on National Health Accounts in BiH, 2016
Annexes: Release on National Health Accounts in BiH, 2016 |
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9.3. Dissemination format - online database | |||
Not available. |
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9.3.1. Data tables - consultations | |||
Not available. |
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9.4. Dissemination format - microdata access | |||
Not applicable. |
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9.5. Dissemination format - other | |||
Ministry of Civil Affairs of BiH is using HA data for the "Annual Report on National Health Accounts in BiH", which the Council of Ministry of BiH adopts each year. |
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9.6. Documentation on methodology | |||
"Guidelines for National Health Accounts in BiH" Annexes: NHA Guideline for BiH |
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9.7. Quality management - documentation | |||
Not available (in preparation phase). |
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9.7.1. Metadata completeness - rate | |||
Not available. |
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9.7.2. Metadata - consultations | |||
Not available. |
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Not available. |
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11.1. Confidentiality - policy | |||
The Regulation (EC) No 223/2009 on European statistics (recitals 23-27, 31-32 and Articles 20-26) applies. |
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11.2. Confidentiality - data treatment | |||
The Health Expenditure Accounts uses only aggregated data or data without direct personal reference. In addition, it is about a macroeconomic consideration. The results are not personally identifiable and in their presentation are related only to the total population. Since only aggregated data or statistics without direct personal reference are used and since this is a macroeconomic consideration, no additional confidentiality procedures are applied. |
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In NHA 2016 data on donations for health sector in BiH (HF.4) have been included for the first time. In 2016 NHA included data on donations related to health care. Data were collected from the Ministry of Finance database. The total amount of estimated donations was 2,770 million of BAM in 2016. |
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