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National health accounts in developing countries: appropriate methods and recent applications
1Department of Population and International Health, Harvard School of Public Health, Boston, MA 02115, USA.
Health Economics
|January 1, 1997
Summary
Accurate national health expenditure data is crucial for effective health sector reform. This study adapts the US National Health Accounts method for developing countries, showing it
Area of Science:
- Health Economics
- Health Policy
- Public Health
Background:
- Effective health sector reform hinges on robust health financing information.
- Analysis requires sound estimates of national health expenditure, including sources and uses of funds.
- Existing methods like OECD health accounts and US National Health Accounts offer valuable frameworks.
Purpose of the Study:
- To review previous health expenditure analysis in developing countries.
- To propose an adapted National Health Accounts (NHA) method for developing countries with pluralistic health financing.
- To demonstrate the feasibility and policy influence of NHA in low- and middle-income countries.
Main Methods:
- Review of existing literature on health expenditure in developing nations.
- Adaptation of the US National Health Accounts 'sources and uses' matrix.
- Application of the adapted NHA method in diverse countries including the Philippines, Egypt, India, Mexico, Colombia, and Zambia.
Main Results:
- Development of sound national health accounts estimates is feasible and affordable in low- and middle-income countries.
- The adapted 'sources and uses' matrix effectively captures expenditures in pluralistic health systems.
- Case studies demonstrate the practical application and benefits of NHA.
Conclusions:
- National health accounts provide a holistic view of health sector spending, influencing policy decisions.
- NHA offers a consistent framework for modeling reforms and monitoring changes.
- Developing regional networks and training tools can expand NHA adoption and comparative analysis.
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