National Health Accounts (NHA) Visualization

About the Tool

Who provides funds for health? Who manages the spending? What goods and services are purchased? Who provides which services? Explore allocation of expenditure across time, country, and categories of spending, as reported in National Health Accounts (NHAs). In this visualization tool, IHME reports the nearly-raw datasets provided by NHA producers; only minimal cleaning has been conducted to account for differences between totals and the subtotal aggregates. IHME has future plans to further process the data to make them more usable for analysis and other purposes.

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Key Terms

• National Health Accounts (NHA): An accounting framework that aims to facilitate systematic, comprehensive, and consistent data collection, synthesis, and reporting on national health expenditure and resource flows. NHAs are divided into four dimensions: financing agent, financing source, health function, and health provider.
• Financing Agent: An institutional entity that manages health financing schemes; types of financing agents include general government, private sector, households (out-of-pocket), and rest of world.
• Financing Source: The revenues of the health financing schemes received or collected through specific contribution mechanisms; types of financing sources include public funds, private funds, and external funds.
• Health Function: The types of goods and services provided and activities performed within the health accounts boundary; types of health functions include curative, rehabilitative, and nursing care; ancillary services; public health and prevention services; retail pharmaceuticals; and health administration and insurance.
• Capital formation of providers: The types of assets that health providers have acquired during the accounting period and that are used repeatedly or continuously for more than one year in the production of health services
• Health Provider: An entity that receives money in exchange for or in anticipation of producing the activities inside the health accounts boundary; types of health providers include ambulatory care, nursing and residential care facilities, hospitals, health administration and insurance, pharmacies, public health providers, and rest of economy and world.
• Not specified by kind: Health expenditure that does not fall into any of the defined expenditure categories of a dimension. Health expenditure is classified as NSK if a) The expenditure was listed in a country-defined expenditure category that did not clearly fall within one of the expenditure categories defined in the NHA framework outlined above; or b) The sum of the values for individual categories within a dimension did not equal the reported total for that dimension – in this case the NSK expenditure value was the difference between the reported total and the sum of all categories. 

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