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Medical Care Expenditure on Major Chronic Diseases in Chinese Taipei

Medical Care Expenditure on Major Chronic Diseases in Chinese Taipei. Pi-Joen Lee Statistics Office Department of Health Stpjlee@doh.gov.tw 4th OECD/Korea RCHSP-APNHAN Meeting of Regional Health Accounts Experts. Seoul, Korea ( July 10,2008). Outline. Background Data source

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Medical Care Expenditure on Major Chronic Diseases in Chinese Taipei

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  1. Medical Care Expenditure on Major Chronic Diseases in Chinese Taipei Pi-Joen Lee Statistics Office Department of Health Stpjlee@doh.gov.tw 4th OECD/Korea RCHSP-APNHAN Meeting of Regional Health Accounts Experts. Seoul, Korea ( July 10,2008)

  2. Outline • Background • Data source • Chronic disease accounts will be compiled in next 2 years. Targets are 1.spending of year 2005 2.spending of 365days before death(2005) 3.Expansion to 1999-2007 • Appendices Statistics Office,DOH

  3. Main 8 Chronic Diseases Statistics Office,DOH

  4. objectives • To show the statistics of 8 Chronic diseases, 2005. (65.2%deaths of all, 1/5 spending of PME). • To develop Table6 (Disease*gender* age); HC,HF,HP of chronic diseases statistics – 1D & 2D Matrix. Statistics Office,DOH

  5. HPHF of 8 Chronic diseases Statistics Office, DOH

  6. Table 6 Disease*(Gender+Age Groups) Statistics Office, DOH

  7. Data Source • Main data warehouse includes 1.Family income/expenditure survey and its data system. 2.National Health Insurance(NHI) Data System. 3.Motality Database. Statistics Office, DOH

  8. Flow of Data Processing The ambulatory care and inpatient databases of the National Health Insurance in Chinese Taipei are processed as follows： Statistics Office, DOH

  9. Limitations 1.The most important key is using Identification number(ID) of population to linkage different source of information. 2.ID numbers that do not follow the principles of ID numbering are excluded in the statistical analysis. 3.Disease codes are debugged by gender and age. Statistics Office, DOH

  10. Allocation of PME, 2005 • NT$624Billion = 91% NHE (NT$624Billion = 17,968 Billion Korea Won = US$19.5 Billion ) One person shares 781,000 Korea Won (US$781)personal medical expenditure annually. • Spending of main 8 chronic diseases share near 1/5 PME in 2005. Statistics Office, DOH

  11. Personal Medical Expenditure(PME)by 8 Chronic Diseases, 2005 ~1/5*PME Statistics Office, DOH

  12. Allocation of PME Spending by 8 Chronic Diseases and Gender Statistics Office,DOH

  13. Spending of Main 8 Chronic Diseases on Personal Health Care by Age and Gender (Per capita) 365days before death Year 2005 Statistics Office, DOH

  14. Spending on 8 Chronic Diseases of Personal Health Care by Age Group 365days before death Year 2005 Statistics Office, DOH

  15. Sectors statistics • Public sector：Extracting spending information from data warehouse of National Health Insurance and Official Statistics. • Private sector：Estimating spending based on 1.Family income/expenditure survey . 2.New Survey (Health Expenditure of family Survey, 2008-2009) • Private sector : Pharmacy statistics would be considered.

  16. Thank You Statistics Office,DOH

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