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For any question on data and metadata, please contact: Eurostat user support |
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1.1. Contact organisation | Spanish National Statistical Institute |
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1.2. Contact organisation unit | Sub-directorate General for National Health System Basket of Benefits and Clearing Funds - MINISTRY OF HEALTH, CONSUMER AFFAIRS AND SOCIAL WELFARE |
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1.5. Contact mail address | Paseo de la Castellana 183 |
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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:
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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. |
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2.8. Coverage - Time | |||
2003-2016. |
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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: 0 - Public administrative records: 1 - Financial reports: 0 - Other: 2
Public administrative records
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. |
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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:
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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:
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3.6. Adjustment | |||||||||||||||||||||||||||||||||||
No adjustment is carried out. |
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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 | |||
The System of Health Accounts is carried out using the top-down method. Their quality depends significantly on the quality of the major source data: Public Health Expenditure Statistics (for HF.1) and National Accounts (for HF.2 and HF.3). |
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5.1. Relevance - User Needs | |||
The main users of the healthcare expenditure data are: - Governments (national and regional), for policy making and policy evaluation; - Research institutions, for research projects and studies; and - Mass media, for information to the general population. |
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5.2. Relevance - User Satisfaction | |||
Spain does not perform satisfaction surveys and consultations to determine SHA user satisfaction. |
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5.3. Completeness | |||
For the compulsory HC categories, HC.3.3 (Outpatient long-term care health) is missing because the data are not available. For the compulsory HF categories, HF.2.3 (Enterprise financing schemes) and HF.4 (Rest of the world financing schemes non-resident) are missing because the data are not available. |
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5.3.1. Data completeness - rate | |||
Table HC x HF = 82.5% Table HC x HP = 98.7% Table HP x HF = 90.0% |
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6.1. Accuracy - overall | |||
The System of Health Accounts is carried out using the top-down method. For HC and HP split up, secondary sources are used. This could lead to an overestimation of some items and the underestimation of others, which cannot be corrected with the available information. |
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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 | |||
Not applicable. |
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6.3.1. Coverage error | |||
Not applicable. |
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6.3.1.1. Over-coverage - rate | |||
Not applicable. |
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6.3.1.2. Common units - proportion | |||
Not applicable. |
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6.3.2. Measurement error | |||
Not applicable. |
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6.3.3. Non response error | |||
Not applicable. |
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6.3.3.1. Unit non-response - rate | |||
Not applicable. |
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6.3.3.2. Item non-response - rate | |||
Not applicable. |
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6.3.4. Processing error | |||
Not applicable. |
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6.3.4.1. Imputation - rate | |||
Not applicable. |
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6.3.5. Model assumption error | |||
Not applicable. |
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6.4. Seasonal adjustment | |||
Not applicable. |
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6.5. Data revision - policy | |||
The figures of the Spanish System of Health Accounts series are reviewed whenever the reporting units update their data. |
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6.6. Data revision - practice | |||
Several reporting units (Spanish regions, Social Services Institute and National Statistics Institute) have modified some figures used to estimate the Health Accounts System. This affects different items of public spending and private spending. |
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6.6.1. Data revision - average size | |||
The magnitude of revision ranges from -0.1% to 0.1% of total current health expenditure in the last years. |
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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 | |||
Spain does not publish first results. |
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7.1.2. Time lag - final result | |||
Final national results are published in a release after T+18 months. |
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7.2. Punctuality | |||
Derogations from Regulation (EC) nº 1338/2008 concerning statistics on healthcare expenditure and financing: Data and metadata for the reference year 2016 shall be delivered at the latest by 31 August 2018. |
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7.2.1. Punctuality - delivery and publication | |||
Deadlines respected. |
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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 | ||||||||||||
Breaks in time series resulting from methodological changes
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8.2.1. Length of comparable time series | ||||||||||||
Data according to SHA 2011 is available from 2003 to 2016 and comparable over this time frame. Only the break of HF.2.2 (ISFLSH financing schemes) occurs in 2008. |
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8.3. Coherence - cross domain | ||||||||||||
The relationship between SHA and ESSPROS is set out in Annex A of the A System of Health Accounts 2011 manual published by OECD, EU and WHO. |
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8.4. Coherence - sub annual and annual statistics | ||||||||||||
Not applicable. |
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8.5. Coherence - National Accounts | ||||||||||||
The relationship between SHA and National Accounts is set out in Annex A of the A System of Health Accounts 2011 manual published by OECD, EU and WHO. |
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8.6. Coherence - internal | ||||||||||||
Atypical entries:
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9.1. Dissemination format - News release | |||
Spain does not publish press releases on health expenditure statistics. |
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9.2. Dissemination format - Publications | |||
The Informe Anual del Sistema Nacional de Salud (Annual Report of the National Health System), which contains a chapter on health expenditure, is available at http://www.mscbs.gob.es/estadEstudios/estadisticas/sisInfSanSNS/tablasEstadisticas/InfAnSNS.htm |
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9.3. Dissemination format - online database | |||
At the national level, for the dissemination of SHA data, Spain only provides EXCEL files with main aggregates according to SHA 1.0. Available at http://www.mscbs.gob.es/estadEstudios/estadisticas/sisInfSanSNS/SCS.htm |
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9.3.1. Data tables - consultations | |||
Information not available. |
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9.4. Dissemination format - microdata access | |||
Not applicable. |
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9.5. Dissemination format - other | |||
Infographics based on SHA data are published at the Ministry of Health, Consumer Affairs and Social Welfare website in Spanish (http://www.mscbs.gob.es/estadEstudios/portada/docs/DATOS_SNS_A4_092019.pdf), in English (http://www.mscbs.gob.es/estadEstudios/portada/docs/KEY_DATA_SNHS_ENG_A4_092019.pdf) and in French (http://www.mscbs.gob.es/estadEstudios/portada/docs/CHIFFRES_SNS_FR_A4_092019.pdf). |
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9.6. Documentation on methodology | |||
The methodological documents are available at http://www.mscbs.gob.es/estadEstudios/estadisticas/sisInfSanSNS/SCS.htm. |
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9.7. Quality management - documentation | |||
Spain does not publish quality reports on health expenditure statistics. |
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9.7.1. Metadata completeness - rate | |||
Spain does not publish quality reports on health expenditure statistics. |
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9.7.2. Metadata - consultations | |||
Spain does not publish quality reports on health expenditure statistics. |
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The estimated cost of the statistical operation is 69 thousand euros. |
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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 | |||
Health expenditure statistics are made from anonymized aggregated data from various sources. Each source of primary data has applied confidentiality in compliance with Spanish law (Ley 12/1989, de 9 de mayo, de la Función Estadística Pública). |
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None. |
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