Republic of the Philippines

Solid Responsive World-Class. . Philippine Statistics Authority

PHILIPPINE NATIONAL HEALTH ACCOUNTSPrimer

October 2021PHILIPPINE STATISTICS AUTHORITY

16 Floor ETON Centris Cyberpod ThreeEDSA corner Quezon Avenue, Quezon City

Philippines 1100

th

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Website: http://www.psa.gov.phEmail addresses: info@psa.gov.ph

sad.staff@psa.gov.phTelephone no.: (02) 8462 6600

locals 839, 833 and 834

For further inquiries, write, call, or visit:

Sources of Data

Philippine Statistics Authority

Commission on Audit

Department of Budget and Management

Department of Finance

Department of Health

Government Service Insurance System

Association of Health Maintenance Organization of the Philippines

National Economic and Development Authority

Insurance Commission

Philippine Amusement and Gaming Corporation

Philippine Charity Sweepstakes Office

Philippine Health Insurance Corporation

Securities and Exchange Commission

Social Security System

COMPILATION OF PNHA

FinancingAgencies

Healthcare Provision

Beneficiaries

Financing Sources is howFinancing Agents raise

revenues

Providers require factor inputs to deliver health

services

Financing Schemes

Healthcare services(Functions)

Health expenditure in the PNHA is compiled by Financing Agent (or a part of a Financing Agent).

The PNHA is aligned with the concepts and definitions of the 2011 System of Health Accounts (SHA 2011).

There is a standard procedure for the estimation of health spending of each financing agent.

Financing Sources

Factors of Provision

(Provision)

(Revenues)

Reference: System of Health Accounts 2011

HEALTH CARE FUNCTIONS (HC)

BENEFICIARY CHARACTERISTICS

Types of goods and services provided and activities performed within the health accounts boundary

What type of healthcare was delivered?

Attributes of those who receive health care goods and services or benefit from health activities.

Curative Care

Preventive Care

Rehabilitative Care

Ancillary Services

Medical Goods

Who received health care?

Disease Age-Sex Income Quintile Region

Health care goodsand services

Pharmaceuticals

Infrastructure Machineriesand equipment

Intellectualproperty products

Employees’ compensation

PHILIPPINE NATIONAL HEALTH ACCOUNTS (PNHA)

As one of the satellite accounts being released by the Philippine Statistics Authority, PNHA provides details on the total health expenditure of the country. It presents data on the country’s health spending, health financing, and health management over a defined period of time.

HISTORICAL DEVELOPMENT OF THE PNHA

SYSTEM OF HEALTH ACCOUNTS (SHA) 2011

PNHA framework was developed by the Health Finance Development Project (HFDP) and the NHA Technical Working Group

NHA training of technical staff and preparation of the PNHA series was undertaken

NSCB Board Resolution No. 8 Series of 2011 (currently referred to as PSA Board Resolution No. 01 Series of 2017-170) was approved

Official release of the 2014-2016 PNHA estimates following the SHA 2011 recommendations

Overall revision of the PNHA series from 2014 to 2018

The SHA 2011 was adopted by the PSA for health accounts

compilation

Official release of the PNHA forCY 1991 – 1997

WHO completed the revised SHA 2011 edition and recommended its adoption by the member states of the

United Nations

First PNHA CY 1991 was reported by the HFDP

Early 90s

1993

1995-1997

2011

2016

2017

2020

1999

TWO MAIN AGGREGATES

Current Health Expenditure (CHE)

Health Capital Formation (HK)

refers to the final consumption of health care goods and services by households, government, and non-profit institutions

refers to the demand of capital goods by health providers

REVENUES OF HEALTH FINANCINGSCHEMES (FS)

INSTITUTIONAL UNITS PROVIDING REVENUES TO FINANCING SCHEMES (FS.RI)

FINANCING AGENTS (FA)

HEALTH CARE PROVIDERS (HP)

FACTORS OF HEALTH CAREPROVISIONS (FP)

CAPITAL FORMATION (HK)

SHA 2011 provides guidance and methodological support in compiling and classifying health expenditure according to the three (3) axes of consumption, provision, and financing.

Functions; andBeneficiary characteristics

Providers;Factors of provision; and Capital formation

Financing Sources;Institution Units

of Financing Sources;Financing Schemes; and

Financing AgentsSHA

AccountingFramework

HealthcareConsumption

ServiceProvision

HealthFinancing

Revenues of health financing schemes received or collected through specific contribution mechanisms

FINANCING SCHEMES (HF)Component of a country’s financial system that channel revenues received and use those funds to pay for, or purchase, the activities inside the health accounts boundary

Entities that receive money in exchange for or in anticipation of producing the activities inside the health accounts boundary

Types of inputs used in producing the goods and services or activities conducted inside the health accounts boundary

Institutional units that manage health financing schemes

Institutional units that provide revenues to health financing scheme

Hospitals

Retailers and other providers of medical goods

Providers of preventive

care

Mental Health and Substance Abuse

Facilities

Providers of ancillary services

Unspecified healthcare providers

(n.e.c.)

Providers of health care system administration

and financing

Providers of ambulatory health care

Who provided healthcare?

Compensation of employees

Materials and services used

Consumptionof fixed capital

Unspecified factors of health care provision (n.e.c.)

What type of inputs were used?

Government Corporations Households Rest of the World Unspecified institutional units

Which institutional units raised fund?

Transfers from government

domestic revenue

Transfers distributed by government from

foreign origin

Voluntary pre-payment(individual, households)

Social insurance contributions

Other domestic revenues, n.e.c.

How were revenues being raised?

Government schemes and compulsory contributory health

care financing schemes

Voluntary health care payment schemes

Household

Out-of-Pocket Payment

How was health care financed?

Types of the assets that health providers have acquired during the accounting 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

How much were invested?

Infrastructure Intellectual property products

Machineries and equipment

Who paid for healthcare?

General Government

Insurance Companies

HouseholdsCorporations