Compiled Indicators

 

Philippine National Health Accounts

No. Concept Name Description
1  
Contact
The administrative placement of this statistics is in the Satellite Accounts Division. The persons responsible are:
• Chief Statistical Specialist, tel. +63 2 376-2019, sad.staff@psa.gov.ph
• Statistical Specialist II, tel. +63 2 376-2019,
• Statistical Specialist I, tel. +63 2 376-2019
1.1
Contact organisation
Philipppine Statistics Authority
1.2
Contact organisation unit
Macroeconomic Accounts Service
1.3
Contact name
Satellite Accounts Division
1.4
Contact person function
Compiler Responsible for the statistics
1.5
Contact mail address
16F Cyberpod 3 Eton Centris, EDSA corner Quezon Avenue, Quezon City
1.6
Contact email address
sad.staff@psa.gov.ph
1.7
Contact phone number
+63 2 376-2019
1.8
Contact fax number
+63 2 376-2019
2
Metadata Update
 
2.1
Metadata last certified
NA
2.2
Metadata last posted
 
2.3
Metadata last update
This is the first metadata documentation following the SDMX. The technical notes did not need to be revised or updated since it was first released.
3
Statistical presentation
 
3.1
Data description
The System of Health Accounts (SHA) 2011 provides a standard for classifying health expenditures according to three (3) axes: consumption, provision and financing. It gives guidance and methodological support for the compilation of health accounts, which seeks to describe the health care system from an expenditure perspective both for international and national purposes. The SHA 2011 is the current international standard for health accounting (OECD, Eurostat, and WHO 2011) which presents a multi-dimensional approach to analyze the structure of health in a country.
The SHA-based Philippine National Health Accounts (PNHA-SHA) not only provides the Total Health Expenditures (THE) of the country, but it also differentiates between two (2) aggregates of health, namely Current Health Expenditures (CHE) and Health Capital Formation (HK). It consists of a total of 12 tables; 11 tables on CHE, and one (1) on HK.
3.2
Classification system
Health expenditures are classified in 12 ways to describe the financing, provision and the consumption aspects of expenditures following the tri-axial framework: (1) health financing scheme HF, (2) financing agent FA, (3) revenues of financing schemes FS, (4) institutional units that provide revenues of financing schemes FSRI, (5) health provider HP, (6) health care functions or service HC, (7) factors of health care provision FP, (8) income quintile INC, (9) disease group DIS, (10) region REG, (11) age and sex group AGE and (12) types of capital formation HK.
3.3
Sector coverage
Health
3.4
Statistical concepts and definitions
Institutional units of financing sources (FSRI): Institutional units that provide revenues to health financing schemes (a “Reporting Item” or RI under the Financing Sources or FS dimension).
Financing sources (FS): The revenues of the health financing schemes received or collected through specific contribution mechanisms.
Financing schemes (HF): Components of a country’s health financial system that channel revenues received and use those funds to pay for, or purchase health care goods, services, and activities.
Financing agents (FA): Institutional units that manage health financing schemes.
Providers (HP): Entities that receive money in exchange for, or in anticipation of producing the activities inside the health accounts boundary.
Factors of provision (FP): The types of inputs used in producing the goods and services or activities covered by the health accounts boundary.
Functions (HC): The types of goods and services provided and activities performed within the health accounts boundary.
Beneficiary characteristics: The attributes of those who receive health care goods and services or benefit from health activities. There are four classifications of characteristics in the PNHA-SHA. These include: disease group (DIS), income quintile group (INC), age/sex group (AGE) and region of residence (REG).
Capital formation (HK): The type of assets that health providers have acquired during the accounting period and that are used repeatedly or continuously for more than one year in the production of health services; memorandum items (HKR) reported under the capital formation account include health research and training.
3.5
Statistical unit
For the compilation of the Philippine National Health Accounts, the statistical units are government, corporations, households and rest of the world.
3.6
Statistical population
All Health Expenditures in the country
3.7
Reference area
Philippines
3.8
Time coverage
Annual Health Expenditures from 2014 to 2016
3.9
Base period
Not Applicable
4
Unit of measure
million pesos
5
Reference period
The reference time for the PNHA is the year in which all health care goods and services have been consumed, provided and financed.
6
Institutional mandate
 
6.1
Legal acts and other agreements
R.A. 10625: the PSA shall plan, develop, prescribe, disseminate and enforce policies, rules and regulations and coordinate government-wide programs governing the production of official statistics, general-purpose statistics, and civil registration services.
It shall primarily be responsible for all national censuses and surveys, sectoral statistics, consolidation of selected administrative recording systems and compilation of national accounts.
Special Order No. 2017-06NS-994 – Establishing the PSA Philippine National Health Accounts (PNHA) Team for the Compilation and Estimation of the 2015 to 2017 of the PNHA based on the System of Health Accounts (SHA) 2011 or PNHA-SHA.
6.2
Data sharing
R.A. 10625: the PSA shall plan, develop, prescribe, disseminate and enforce policies, rules and regulations and coordinate government-wide programs governing the production of official statistics, general-purpose statistics, and civil registration services.
It shall primarily be responsible for all national censuses and surveys, sectoral statistics, consolidation of selected administrative recording systems and compilation of national accounts.
7
Confidentiality
 
7.1
Confidentiality - policy
The PSA and its field personnel shall hold all data supplied by the establishments/households/individuals in confidence. The information obtained from each respondent of the census/survey or individual/establishment in administrative records shall be for statistical purposes only and not for taxation, regulation nor investigation purposes. The data shall be processed with others of the same category and shall be disseminated in summary forms or statistical tables so as not to reveal the identity of any respondent. Confidentiality of primary data collected from respondents/administrative records systems is guaranteed by Section 26 of the Republic Act No. 10625 (Philippine Statistics Act of 2013). Penalties shall be enforced to acts of breach of confidential information pursuant to Section 27 of the said Act.
7.2
Confidentiality - data treatment
The SHA-based Philippine National Health Accounts (PNHA-SHA) is only releasing aggregates. Detailed non-published information is only available to a limited extent upon request.
8
Release policy
Rules for disseminating statistical data to all interested parties.
8.1
Release calendar
18 October 2018
8.2
Release calendar access
 
8.3
User access
Statistics are always published at 10:00 a.m. on the date if release. The statistics can be accessed on the PSA website.
9
Frequency of dissemination
The PNHA is published annually.
10
Accessibility and clarity
Tables of the PNHA can be obtained from the PSA Website and Openstat.
Authorization to use the data on Philippine National Health Accounts is granted only to the client or data user and persons within its organization, if applicable. Under no circumstances shall the client reproduce, distribute, sell or lend the entire data or parts thereof to any other data user apart from himself or that of authorized employees in his organization. The PSA shall hold the data user fully responsible for safeguarding the data from any unauthorized access or use. Before being granted access to the dataset, all users have to formally agree: 1. To make no copies of any files or portions of files to which s/he is granted access except those authorized by the PSA. 2. Not to use any technique in an attempt to learn the identity of any person, establishment, or sampling unit not identified in the dataset. 3. To hold in strictest confidence the identification of any establishment or individual that may be inadvertently revealed in any documents or discussion, or analysis. Such inadvertent identification revealed in her/his analysis will be immediately be reported to the PSA.
The mode of data requests can be done through Email, letter, phone, or walk-in. Non-published information is only available to a limited extent upon request
10.1
News release
Annual Press Release from PSA
10.2
Publications
Annual publication of Philippine National Health Accounts
10.3
On-line database
http://psa.gov.ph/pnha-press-release
10.4
Micro-data access
The basic material used for compiling the annual Philippine National Health Accounts is saved to a large extent, but detailed non-published information is only available to a limited extent upon request.
10.5
Other
 
10.6
Documentation on methodology
PSA-SAD Operations Manual and Technical Notes of Quarterly reports.
10.7
Quality documentation
Results from the quality evaluation of products and selected processes are available in deliberation notes.
11
Quality management
PSA adheres to the UN fundamental Principles of Official Statistics in the production of quality general-purpose statistics.
11.1
Quality assurance
Process flow of the Philippine National Health Accounts is attached in the PSA-SAD Operations Manual
11.2
Quality assessment
Not relevant for these statistics.
12
Relevance
 
12.1
User needs
Important users are economic ministries (mainly the Department of Health), organizations, the press, the health financial sector, students and researchers. Annual Philippine National Health Accounts are used as the basis for analyzing the health system.
12.2
User satisfaction
Most of the feedback of data requesters indicated “excellent” as their level of satisfaction.
PSA Feedback form is accomplished once the data request has been provided.
12.3
Completeness
The Philippine National Health Accounts is in alignment with the System of Health Accounts 2011 which provides the basis for collecting, cataloguing and estimating all the monetary flows related to health care expenditure.
13
Accuracy and reliability
The accuracy of statistical outputs in the general statistical sense is the degree of closeness of computations or estimates to the exact or true values that the statistics were intended to measure. Reliability refers to the closeness of the initial estimated value to the subsequent estimated value.
13.1
Overall accuracy
Validation of data classifications is done and Health Accounts Production Tool (HAPT) software is also used to assess the accuracy of data.
13.2
Sampling error
The private household out-of-pocket health expenditures are estimated by applying the proportion of health expenditures (cash only) derived from the Family Income and Expenditure Survey (FIES).The FIES is a sample survey designed to provide income and expenditure data that are representative of the country and its 17 regions.
Sampling error is a measure of the variability of the estimates among all possible sets of samples. It is usually measured in terms of the standard errors for a particular statistic.
The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of the same size and design.
13.3
Non-sampling error
 
14
Timeliness and punctuality
 
14.1
Timeliness
The annual Philippine National Health Accounts are published ten months after the reference year.
14.2
Punctuality
The statistics are published according to schedule.
15
Coherence and comparability
Coherence measures the adequacy of the statistics to be combined in different ways and for various uses.
Comparability is a measurement of the impact of differences in applied statistical concepts, measurement tools and procedures where statistics are compared between geographical areas or over time.
15.1
Comparability - geographical
Internationally, there is a high degree of comparability with the health accounts of other countries because the PNHA is compiled in accordance with the definitions in the System of Health Accounts (SHA) 2011 by OECD, Eurostat and WHO.
15.2
Comparability - over time
Estimates starting 2014 were already based on the System of Health Accounts 2011, which is the latest methodological framework in compiling the Health Accounts of a country.
15.3
Coherence - cross domain
Coherence - internal
PNHA follows the System of Health Accounts 2011which reflects a desire to make health accounts more adaptable to rapidly evolving health systems around the world by further enhancing the cross-country comparability of health expenditure and financing data and thereby increasing the information base for its analytical use.
There is by definition full internal consistency in the national accounts.
16
Cost and burden
No direct burden of respondents.
17
Data revision
NA
17.1
Data revision - policy
Any modifications in schedule of data dissemination, change the frequency of some indicators, etc., after review and evaluation, the PSA will recommend approval from the Board in accordance with the PSA Board Resolution on Revision of Estimates - "Approving and adopting the modifications in the Designated Statistical Activities of the Bangko Sentral ng Pilipinas and the Philippine Statistics Authority"
17.2
Data revision - practice
The annual Philippine National Health Accounts are consistent with the latest Annual National Accounts.
18
Statistical processing
 
18.1
Source data
GOVERNMENT
 
• National Government
- Commission on Audit (COA) Annual Financial Report
- National Expenditure Program (Excel file)
- Budget of Expenditure and Sources of Financing
- Health expenditure directly source from PAGCOR, PCSO, OSHC
- Foreign-Assisted Projects implemented by the Government (Reports from DBM, DOH, and NEDA)
• Local Government
- COA Annual Financial Report
- Bureau of Local Government Finance (BLGF)
- Fiscal Data (excel file)
- Statement of Receipts and Expenditure for Provinces, Cities and Municipalities
 
SOCIAL INSURANCE
 
• National Health Insurance Program
- Philippine Health Insurance Corporation (Phil Health) Annual Report
• Employees’ Compensation
Government Service Insurance System (GSIS)
- Statement of Claims and Benefits Paid
- Statement of Revenues and Expenditures of the Employees' Compensation Insurance Fund
- Statement of Revenue and Expenditures of the Optional Life Insurance Fund and Hospitalization Insurance Plan
Social Security System (SSS)
- Report on the Number and Amount of EC Claims Paid
 
PRIVATE SOURCES
 
• Private Out-of-Pocket (OOP)
Philippine Statistics Authority (PSA)
- Family Income and Expenditure Survey (FIES)
- Household Final Consumption Expenditure from the National Accounts
• Private Insurance
GSIS
- GSIS Statement of Claims and Benefits Paid
- GSIS Statement of Revenue and Expenditures of the Optional Life Insurance Fund and Hospitalization Insurance Plan
Health Maintenance Organizations (HMOs)
-Association of Health Maintenance Organizations of the Philippines, Inc. (AHMOPI) Financial Statement
• Private Establishments
PSA
- Data on the 1994 average expenditure for the health care of employees per establishment, by employment size and by industry type obtained from the PNHA Rider Survey to the 1994 Census of Establishments
- Annual data on the number of establishments by employment size and by industry type
- Annual data on the consumer price index for medical goods and services
• Private Schools
Commission on Higher Education (CHED) and Department of Education (DepED)
- CHED data on the 1993 average expenditure for the health care of students per private school by enrollment size obtained from the PNHA Survey conducted in 1995
- DepEd and CHED Annual data on the number of private schools by level
- DepEd and CHED Annual raw data on the distribution of private schools by level and by enrollment size
PSA
- Annual data on the consumer price index for medical goods and services
 
REST OF THE WORLD
 
-DBM - Budget of Expenditure and Sources of Financing
-DOH - Profile and Status of Accomplishments of Foreign-Assisted Projects
-NEDA - Ongoing ODA Grants by Sector
18.2
Frequency of data collection
Data for a given year from all the sources become available by around September of the year following the given year and thus data from these sources can be used in the T-1 estimation. The source that becomes available earliest in the following year is the BESF.
18.3
Data collection
All sources provided their data on health expenditure to the PSA through the Satellite Accounts Division (SAD) of the Macroeconomic Accounts Service (MAS). 
18.4
Data validation
The results of the data compilation is being monitored through deliberation process:
 
-Presentation of initial estimates to Division Chief and Assistant National Statistician of MAS
-Documentation of issues and agreements
-Presentation of revised estimates to Division Chief and Assistant National Statistician of MAS
-Finalized estimates
18.5
Data compilation
  -The Philippine National Health Accounts based on the System of Health Accounts 2011 (PNHA-SHA) measures expenditures for the final consumption of health goods and services. It covers expenditures on activities with the primary purpose of improving, maintaining and preventing the deterioration of health and mitigating the consequences of ill-health of individuals in the Philippines for a given year through the application of qualified health knowledge. The health accounts boundary is determined based on the following criteria: (a) primary purpose, (b) use of qualified health knowledge, (c) expenditure for resident persons (spatial boundary), (d) expenditure incurred in a specified year (time boundary) and (e) transacted (produced and paid for).
 
-Current health expenditures (CHE) and health capital formation are estimated as two separate aggregates of the PNHA-SHA.
 
-Health expenditures are classified into 12 schemes.
 
-There are particular health expenditure items that could not be classified into the given schemes above due to lack of detail in the existing data. The breakdowns of these expenditure items are estimated using percentage distributions referred to as distribution keys. Distribution keys may be prepared using data from research studies, statistical reports, administrative reports, censuses, household survey tabulations, and other data sources, or either.
 
-Health expenditures classified under the schemes mentioned above are reported and summarized in a series of two-dimensional tables.
 
-Actual estimation of the PNHA-SHA is performed for each component. Components generally correspond to financing agents (FA) or subcategories of FAs. The components have been primarily defined to correspond to expenditure core data sets. These are the same core data sources used in the previous version of the PNHA
18.6
Adjustment
Corrections to data are made as part of the data validation processes described above.
19
Comment