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For any question on data and metadata, please contact: Eurostat user support |
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1.1. Contact organisation | Hungarian Central Statistical Office |
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1.2. Contact organisation unit | Quality of Life Statistics Department Health Statistics Section |
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1.5. Contact mail address | H-1024 Budapest, Keleti Károly u 5-7 |
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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 | |||
2006-2017 (according to SHA 2011 methodology) |
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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: 4 - Public administrative records: 1 - Financial reports: 1 - Other: 2
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. |
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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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Not applicable. |
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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. Checks are carried out for completeness, internal and external consistency and plausibility of the collected internal and external data. The results and methods are discussed with the main SHA data users and experts on annual basis. Where necessary, corrections are applied. |
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4.2. Quality management - assessment | |||
The quality of Hungarian SHA figures can be considered to be quite high. Differences between SHA and SNA data are derived from corrections due to differences in definitions and scope. |
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5.1. Relevance - User Needs | |||
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5.2. Relevance - User Satisfaction | |||
User satisfaction is discussed annually when presenting and discussing main results and methods of SHA with main users in a designated meeting. Feedback from main users is incorporated in the compilation of SHA figures if feasible and possible. |
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5.3. Completeness | |||
All mandatory variables of the three dimensions according to Commission Regulation 359/2015 are reported. |
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5.3.1. Data completeness - rate | |||
100% |
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6.1. Accuracy - overall | |||
Overall accuracy of Hungarian SHA data can be considered to be quite good. The inpatient long term health (HC3.1) is underestimated since in the Hungarian statistical system there is not a reliable data source to have an exact distinction between social and health, ADL and IADL activity, respectively. The household OOP expenditure data is based on estimations provided by National Accounts (NA), where the under-the-counter is included, and is based on NA estimations as well. |
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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 | |||
Section not relevant. For coverage error see details at 6.3.1. |
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6.3.1. Coverage error | |||
We are not aware of any double-counting of expenditure items in our SHA figures at the moment. There are items that are reported in more than one data sources, but these items are removed during the data providing process. These are as follows:
An estimated value of the health care goods and services by non-residents are excluded from domestic provider revenues. The informal payment are reported in the data collection (see also 6.1). |
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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, the statistics are the result of an integration process. |
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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 | |||
For year T-1 (previous year of the reported year) data of the HF.3 financing scheme is revised, since for the reported year only preliminary data is available. For year 2015 further changes may occur due to finalisation of the input-output tables of the national accounts. |
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6.6. Data revision - practice | |||
Household OOP data for year T-2 are revised every following year since the data in the day of submission are considered preliminary, and the final data for year T-2 are available only by the end of September. Revision of household health expenditure due to SUT – input-output tables compilation provided by the national accounts is provided every 5 year.
Year 2014 and 2015: one item has been changed: HF12xHC511 (data correction)
In 2016 a major revision was undertaken to implement SHA 2011 for data years 2006-2014. |
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6.6.1. Data revision - average size | |||
The magnitude of revision does not exceed 0,5% of the current health care. |
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Member States are required to transmit data to Eurostat in compliance with the Commission Regulation 359/2015 transmission deadlines. Data and reference metadata for the reference year T should be transmitted to Eurostat by 30 April T+2. Since 2018, the Hungarian Statistical Office meet the deadline based on the gentlemen's agreement with IHAT sending data before the end of March T+2. |
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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 | |||
The very first preliminary data, total values, are published by the HCSO by the end of month May T+2 in the Pocket Yearbook of the Office. Detailed preliminary data are published by end of August T+2. |
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7.1.2. Time lag - final result | |||
Final results are published one year after the detailed preliminary data, end of August T+3. |
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7.2. Punctuality | |||
There were no deviations from deadlines in the reference period. |
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7.2.1. Punctuality - delivery and publication | |||
There is no delay of the publication. |
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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 | |||||||||||||||||||||||||||||||||||||||
Years 2006-2016 for SHA 2011. |
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8.3. Coherence - cross domain | |||||||||||||||||||||||||||||||||||||||
For governmental current expenditure (HF1.1) HA and National Accounts (NA) use the same data source - minor differences occur due to adjustments of inpatient long term care (HC3.1), and the same governmental COFOG classification is used as well. For the households OOP HA use as data source figures provided by the NA (from where non-resident spending is deducted) therefore there is a coherence data as well. SHA and ESSPROS is based on the same data source, however, in the domain of LTC SHA core variables are only focussing on health-related LTC whereas ESSPROS takes into account also the social aspects of LTC. A full coherence between these two approaches is therefore not feasible. |
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8.4. Coherence - sub annual and annual statistics | |||||||||||||||||||||||||||||||||||||||
Not applicable. |
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8.5. Coherence - National Accounts | |||||||||||||||||||||||||||||||||||||||
As mentioned at 8.3 the approach for compiling SHA data are in line with the approach of NA, differences are derived from the concept of SHA Methodology. E.g. investments, R&D are not taken into account in the HA; the NA applies the domestic concepts, including the exports, whereas SHA uses the resident concept, excluding the exports. In order to avoid the double counting, and to have a clearer picture of the expenditure of financing schemes, in case of governmental scheme revenues from non-profit companies, other companies, households are deducted. |
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8.6. Coherence - internal | |||||||||||||||||||||||||||||||||||||||
Internal coherence of SHA tables is achieved. |
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9.1. Dissemination format - News release | |||
By the very beginning of June of each year HCSO publishes a news release on the published Pocket Yearbook, it includes the main aggregates of SHA data. |
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9.2. Dissemination format - Publications | |||
Pocket Yearbook including SHA figures: http://www.ksh.hu/apps/shop.kiadvany?p_kiadvany_id=1037266 HCSO homepage, including SHA data: http://www.ksh.hu/stadat
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9.3. Dissemination format - online database | |||
Data are published as open data and are accessible using the HCSO home page: http://www.ksh.hu/stadat Detailed data are published in the Yearbook of Health Statistics. For the access to this publication, our Users have to register on our website www.ksh.hu/shelf. Then, by activating the volume identifier, they can upload the publication on their own user shelf created on our website and there it can be accessed at any time. : http://www.ksh.hu/apps/shop.kiadvany?p_kiadvany_id=1041437&p_temakor_kod=KSH&p_lang=HU
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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 | |||
Data analysis are published in the Statistical reflections of HCSO. |
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9.6. Documentation on methodology | |||
Documentation on metadata is available on the HCSO homepage on the following link: |
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9.7. Quality management - documentation | |||
Not available. |
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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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Restricted from publication |
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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 publication of SHA data is done at relatively high aggregated data-level, detailed data is not published or distributed. It is secured that a sufficient number of units are aggregated together to be able to publish the relevant HF/HC/HP/FS combination. Data of public sector health care providers are data of public interest, and published elsewhere. |
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No further comments. |
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