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Presentation

Session: Posters
Room: TBA
Time: Fri 13:00-14:30

Presenter: Milena Gajic-Stevanovic (Public Health Institute of Serbia. Biostatistics,NHA Unit)

Abstract

Background: : Practical implementation of health policy in connection with allocation of health resources requires basic financial and nonfinancial data regarding different dimensions in health system. Main goal of every health policy is not merely the establishment of the health system sustainability, but the accessability of health services for all population as well. This objective is shared in European Union countries, and the consequence is the implementation of National health accounts. NHA, as a tool for evidence–based management, provides data regarding financial flow in health at national level and alows international comparability.
Aim of this study was to determine Serbian overall health spending patterns by National health accounts, and to provide policy makers with internationally comparable health indicators over period from 2003.-2007.
Materials and Methods: Retrospective analysis of health care expenditures is obtained from published final financial reports of relevant State institutions during period of 2003 to 2007. The various sources of data on health care expenditures are analyzed and connected according to instructions by the OECD „A System of Health Accounts (SHA)” Version 1.0.
Results: It has been established that health expenditures in Serbia make up to 9,6% of the GDP in 2007; that the Health Insurance Fund(HIF)was a predominant financing source of the public sector with 93,4% in 2007, whereas Serbian population finances the State institutions „out of pocket“ with 21,28 % of their sources, what represents 7,7% of the total health care expenditures, and the private institutions with 78,72 % of their financial sources, what represents 28,5 % of the total health care expenditures; the largest part of the total health expenditures goes towards hospitals and for health services; the expenditure per capita in 2007 was 384 euros; Important results and comparison with other countries will be presented at Conference.
Conclusion: Study results made determination of Serbian health spending pattern and design indicators which allow comparison of Serbian Health System with Health Systems in other countries.

Key Terms

National Health Accounts, Health care reform, Health care financing and provision

Authors:

Dr Milena Gajic-Stevanovic (Public Health Institue of Serbia. Biostatistics) and Dr Tanja Knezevic (Public Health Institute of Serbia. kabinet)

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