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National Health Account in Taiwan: An update

National Health Account in Taiwan: An update. Chung-Fu Lan National Yang-Ming University Pi - Joen Lee Department of Health, ROC (Taiwan) Seoul, 5th SHA Meeting June 16, 2009. Financial Flows in Taiwan’s Health Care System. Health Financing Overview, Taiwan 2005.

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National Health Account in Taiwan: An update

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  1. National Health Account in Taiwan:An update Chung-Fu Lan National Yang-Ming University Pi - Joen Lee Department of Health, ROC (Taiwan) Seoul, 5th SHA Meeting June 16, 2009

  2. Financial Flows in Taiwan’s Health Care System

  3. Health Financing Overview, Taiwan 2005 Population (million) 23 Gross domestic products (GDP) per capita US$ 15,714 Total Expenditure on Health (TEH) per capita US$ 957 Public US$ 562 general gov’t (excl. social security) US$ 52 social security fund US$ 511 Private US$ 395 General government spending on health as a share of total government spending 11.50% Pharmaceuticals as a share of TEH 26.50% TEH as a share of GDP 6.09%

  4. TEH Per Capita & GDP Per Capita in OECD Member Countries and Taiwan, 2005

  5. Total Expenditure on Health by Financing Source, 2005

  6. Out-of-pocket Health Expenditure

  7. Out-of-pocket Expenditure by Provider, 2005

  8. Out-of-pocket Expenditure by Function, 2005

  9. Out-of-pocket Payments for Medical Care in Two Months Note: All monetary values are in NT Yuan Reference: Chi C., Lee J-L., Tsai S-L., and Chen W-Y. Out-of-pocket payment for medical care under Taiwan’s National Health Insurance system. Health Econ, 2008; 17: 961-75.

  10. Preliminary Analyses on Disease & Pharmaceutical Accounts

  11. Personal Health Care Expenditure, Disease Specific, 2005

  12. ATC Drug Expenditure, 2008 _____________ATC____________________________________NT$(M)____Growth rate C Cardiovascular system 26,317 7.8% A Alimentary tract & metabolism 14,125 6.7% N Nervous system 14,097 6.0% J Antiinfectives for systemic use 13,961 6.6% L Antineoplastic & immunomodulating agents 13,306 17.9% B Blood & blood forming organs 9,549 9.0% M Musculo-skeletal system 4,713 0.7% R Respiratory system 4,622 -2.4% G Genitourinary system & sex hormones 2,589 7.2% H Systemic hormonal preparations (excl. sex hormon & insulin) 1,797 12.8% S Sensory organs 1,201 3.3% D Dermatologicals 1,167 -1.0% V Various 585 52.5% P Antiparasitic products, insecticides & repellents 160 3.0% ___________Total 108,187 7.8% * Growth rates are compared with drug expenditure year 2007

  13. On-going Works • To refine data & information on OOP expenditures • A National Household Health Care Expenditure Survey • To complete Taiwan’s SHA-based Health Accounts, Year 1999 to 2004 & 2006 to 2008 • To adjust with Consumer Price Index (CPI) & Medical Consumer Price Index (MCPI); or at constant year 2000 prices • To interpretate the NHA’s policy implications

  14. Thank You

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