National health economic accounts
The health economic total accounts (GGR) are sets of accounts that deal with issues in the health economy and are currently still being developed. They provide information on the type and scope of the services provided and the resources used for them, as well as on future development trends in the healthcare industry. The health economic accounts thus provide information about the efficiency and economic importance of the health economy.
In Germany's official statistics , a distinction is made between the national health economic accounts and those of the federal states.
The federal health economic accounts provide information for Germany . These are presented as part of the federal health reporting.
The health economic accounts of the federal states consider the territorial level of the federal states. This separation is necessary because many sources of information that are available in Germany at federal level are not available at federal state level. Accordingly, methods must be developed which, on the basis of the existing database, allow statements to be made about the health economy at the level of the federal states. In German official statistics, this task is carried out by the statistical offices of the federal states .
First essential steps for the design of health-economic accounts make for one of the construction of the health expenditure accounts and the Health personnel accounts and on the other the development of a value-added approach to the health economy. So the health-economic accounts provide information on the costs incurred in health care, the labor force in this sector as well as the efficiency and economic importance of the health economy. In order to be able to adequately take into account the complexity of the health economy , the health economic accounts of the federal states are being developed as a satellite system to the national accounts . In the future, the aim is to improve the quality of individual components of the national accounts with the help of findings from this satellite system.
Contents: Work that deals with issues in the health economy. The focus is on the one hand on health expenditure and health personnel accounting and on the other hand on the work on quantifying the health economy (value-added approach).
Purpose of the statistics: Systematic overall presentation of the level, structure and development of expenditure and staff in the health care system, as well as gross value added and the number of people in employment in the health care industry in an economic context.
Objective: Creation of a satellite system to map the health economy in national accounts categories.
Main users: Politics and ministries (e.g. health, social and economic ministries), science and research, citizens and media, chambers and associations.
Fields of activity of the national health economic accounts
Health care bill
The health expenditure accounting (GAR) is a multi-dimensional computing system in which the health expenditure is determined and broken down according to expenditure carriers, service types and the institutions providing these services and presented in appropriate classifications. In this way, the total economic resource consumption is determined in the health expenditure account, which was expended in the course of a year for maintaining and restoring health.
Health payroll accounting
The health personnel accounting (GPR) deals with the determination of the people employed in the health care system. It provides detailed information on the number and structure of employees in the health care system, broken down by age, gender, occupation, institution and type of employment. Both the number of employees and the full-time equivalents are shown. In addition to the care sector and company health assurance, health measures for reintegration into working life are also assigned to the health system. Activities from the health, social or environmental sector are included if they primarily serve to secure, prevent or restore health. Those employees who only promote health in a broader sense are not taken into account. The employees will be on the key date December 31. of the respective reporting year.
Quantification of the health economy
The quantification of the health economy (value creation approach) enables the economic activities of the economic units active in the health economy to be mapped in the categories of national accounts. The basis for this is an economic delimitation of the health economy in the deepest structure (subclasses [WZ-5-digit]) according to the currently valid edition of the classification of economic sectors.
Various data sources are available within the framework of the German official statistics to quantify the health economy. Various approaches are also conceivable. The aim is in each case to determine the gross value added and the number of people employed in the healthcare industry, whereby the data must be compatible with the official total accounting results.
Working group health economic accounts (AG GGRdL)
The working group AG GGRdL deals with questions of health economic accounts at the state level. This working group is currently (January 2016), the statistical offices of Baden-Wuerttemberg , Bavaria, Berlin-Brandenburg, Hesse, NORD (Hamburg and Schleswig-Holstein), North Rhine-Westphalia, Rhineland-Palatinate , Saxony and Thuringia and the Federal Statistical Office represented .
Summary
In Germany's official statistics, a distinction is made between the national health economic accounts and those of the federal states. The health economic accounts of the federal states provide information on the health system and the health economy at the level of the federal states. The activities of the German official statistics in this area have been coordinated by the AG GGRdL since 2009. The aim is to create an instrument that enables methodologically uniform and therefore comparable results at the level of the federal states. The AG GGRdL website provides information on current developments, results and planned projects.
See also
literature
- J. Weigel, S. Meise, B. Richter: Health expenditure in a country comparison 2008 to 2012 - Realization of a transnational approach. 2014. (pdf)
- S. Meise, J. Weigel: Central implementation of a health personnel accounting at the state level by the State Statistical Office of the Free State of Saxony. 2014. (pdf)
- Availability and meaningfulness of statistical information on the health economy in Saxony. State Statistical Office of the Free State of Saxony, Kamenz 2009. (pdf)
- On the economic importance of the health system as reflected in the official statistics. State Statistical Office of the Free State of Saxony, Kamenz 2008. (pdf)
- B. Frie, K. Muno, W.-D. Speicher: Health economy and value creation approach according to WZ 2008. 2011. (pdf)