International Health Policy Program - Thailand International Health Policy Program -Thailand Kanjana Tisayaticom Shaheda Viriyathorn Vuthiphan Wongmongkol Chitpranee Vasavid Walaiporn Patcharanarumol Supon Limwattananon Viroj Tangcharoensathien, et al International Health Policy Program Sukosol Hotel, Bangkok March 12, 2013 Thai National Health accounts by age group, health insurance scheme, and disease categories
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Thai National Health accounts by age group, health insurance scheme, and disease categories
Kanjana Tisayaticom Shaheda Viriyathorn Vuthiphan Wongmongkol Chitpranee Vasavid Walaiporn Patcharanarumol Supon Limwattananon Viroj Tangcharoensathien, et al International Health Policy Program Sukosol Hotel, Bangkok March 12, 2013. - PowerPoint PPT Presentation
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Inte
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Thaila
nd Kanjana Tisayaticom
Shaheda ViriyathornVuthiphan Wongmongkol
Chitpranee VasavidWalaiporn Patcharanarumol
Supon LimwattananonViroj Tangcharoensathien, et al
International Health Policy ProgramSukosol Hotel, Bangkok
March 12, 2013
Thai National Health accountsby age group, health insurance scheme, and disease categories
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Outlines of presentation
• Introduction• Objectives• Methodology• Data sources• Results• Conclusion
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Objectives
• To develop the diversification of 2007NHA to reflect health expenditure by:
Total of 20 BOD 7,175 3,434 19,816 30,425All others 90 specific disease categories 11,405 5,974 36,483 53,863Grand total 110 specific disease categories 18,580 9,409 56,299 84,288
Nephritis and nephrosis 1,157,533,200 1,347,071,528 1,638,439,999
Homicide and violence 60,715,596 22,527,109 579,735,972
All others 32,019,301,103 35,233,878,192 38,636,444,191
Grand total 49,545,125,122 54,875,877,146 60,619,621,640
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IP NHA 2008-2010 by Disease
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2008 2009 2010HIV/AIDS 407.73 363.01 333.72 Injury code (S or T code in ICD10) without external cause 4,259.03 3,911.30 3,235.39 Cerebravascular disease 1,282.89 1,187.19 1,124.71 Diabetes mellitus 536.76 441.04 390.81 Liver cancer 262.57 313.69 243.07 Alcohol use/dependence 88.87 78.65 77.82 Major depression 13.52 13.83 13.70 Ischaemic heart disease 1,594.54 1,550.81 1,284.78 Chronic obstructive pulmonary disease 718.37 612.94 576.30 Deafness 6.01 1.95 2.25 Osteoarthritis 359.16 280.23 291.73 Cirrhosis of the liver 124.56 100.77 106.76 Lower respiratory tract infections 1,910.88 1,717.08 1,835.84 Asthma 241.13 194.67 180.57 Bronchus & Lung cancer 222.56 210.66 193.03 Anxiety disorder 12.66 10.05 7.94 Self-inflicted injuries (Suicide) 14.68 6.02 82.12 Tuberculosis 358.19 356.73 339.02 Nephritis and nephrosis 881.17 836.79 855.45 Homicide and violence 46.22 13.99 302.69 All others 24,374.63 21,886.90 20,172.59
Grand total
37,716.1
3
34,088.2
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31,650.2
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Limitations and lesson learned
• Expenditure by disease category is possible given: – Well established NHA by healthcare
function (spending on OP and IP) – Availability and continued update of
national clinical data covering ICD10 including charge or expenditure data for OP and IP
– Institutional capacity to apply national clinical dataset for the estimate expenditure by disease categories
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Acknowledgements
• Health Systems Research Institute (HSRI)• Thailand Research Fund (TRF)• Bureau of Policy and Strategy, Ministry of
Public Health, • WHO-Thailand• The Central of Health Information (CHI)• Partners for 1994-2008 NHA for their hard
work and commitment:– College of Public Health, Chulalongkorn University– National Statistical Office– National Economic and Social Development Board– Ministry of Public Health, Thailand – Ministry of Finance of Thailand (MOF)– The National Health Security Office (NHSO)– The Social Security Office (SSO)