variables: 821352
Data license: CC-BY
This data as json
id | name | unit | description | createdAt | updatedAt | code | coverage | timespan | datasetId | sourceId | shortUnit | display | columnOrder | originalMetadata | grapherConfigAdmin | shortName | catalogPath | dimensions | schemaVersion | processingLevel | processingLog | titlePublic | titleVariant | attributionShort | attribution | descriptionShort | descriptionFromProducer | descriptionKey | descriptionProcessing | licenses | license | grapherConfigETL | type | sort | dataChecksum | metadataChecksum |
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821352 | Health expenditure - Voluntary schemes/household out-of-pocket payments | international-$ in 2015 prices | 2024-02-27 16:12:03 | 2024-07-08 17:22:31 | 1970-2022 | 6398 | $ | { "name": "Health expenditure - Voluntary schemes/household out-of-pocket payments", "unit": "international-$ in 2015 prices", "shortUnit": "$", "tolerance": 5, "numDecimalPlaces": 0 } |
0 | ppp_dollars__financing_scheme_voluntary_schemes_household_out_of_pocket_payments | grapher/oecd/2024-02-23/health_expenditure/health_expenditure#ppp_dollars__financing_scheme_voluntary_schemes_household_out_of_pocket_payments | { "filters": [ { "name": "financing_scheme", "value": "Voluntary schemes/household out-of-pocket payments" } ], "originalName": "Health expenditure - Voluntary schemes/household out-of-pocket payments", "originalShortName": "ppp_dollars" } |
2 | minor | Health expenditure - Voluntary schemes/household out-of-pocket payments | Health expenditure in voluntary schemes/household out-of-pocket payments. Includes domestic pre-paid financing schemes under which the access to health services is at the discretion of private actors, or where direct payment is made at the time of the purchase of goods or use of services. | _For voluntary schemes_ This category includes all domestic pre-paid health care financing schemes under which the access to health services is at the discretion of private actors (though this “discretion” can and often is influenced by government laws and regulations). Included are: voluntary health insurance, NPISH financing schemes and Enterprise financing schemes. The term “compulsory scheme” refers to schemes where membership is made compulsory by the government (by law). All other schemes are considered voluntary. For instance, an employer can decide to have a group insurance for all its employees: this is considered as voluntary insurance, although for each employee participation in the insurance can be imposed by the employer. There is one important difference between these schemes and household OOP payments that is of critical policy-relevance: the presence or absence of inter-personal and/ or inter-temporal pooling, which is also reflected in the separation between the time of payment and the time of service use. In the case of OOP payments, households must pay the whole or part of the cost of care at the time of care delivery. OOP expenditures show the direct financial burden of medical care for the household, which may have a catastrophic effect on its financial situation. This justifies a separate first-digit level category for voluntary private schemes (other than OOPs) and Out-of-pocket payments. _For household out-of-pocket payments_ Households’ out-of-pocket expenditure by definition is regarded as a financing scheme. Its distinguishing characteristic is that it is a direct payment for health care goods and services from the household primary income or savings (no third-party payer is involved): the payment is made by the user at the time of the purchase of goods or use of services. Included are cost-sharing and informal payments (both in cash and kind). Out-of-pocket payments (OOP) show the direct burden of medical costs that households bear at the time of service use. (This is the reason for categorising OOP as a first-digit level category of ICHA-HF.) OOP play an important role in every health care system. In lower-income countries, out-of-pocket expenditure is often the main form of health care financing. OOP expenditure (schemes) is characterised by: - Mode of participation: voluntary, based on the willingness and ability to pay of the individual or household, though the government or voluntary insurance scheme may specify the amount of payment that is required; - Benefitentitlement:contributory:theserviceisprovidediftheindividualpays; - Basic method for fund-raising: voluntary, based on the decision of the household to use the services, and therefore to pay for them. The government may indirectly subsidise some OOP expenditures through tax deductions or credits; - Mechanism and extent of pooling funds: no inter-personal pooling. From a health policy perspective, it is important to distinguish three main types of out- of-pocket expenditure (OOP): OOP excluding cost-sharing (HF.3.1); OOP cost-sharing with government schemes and compulsory contributory health insurance schemes (HF.3.2.1); and OOP cost-sharing with voluntary insurance schemes (HF.3.2.2). The role (share) of each of these sub-categories and the changes in the share over time provide a more detailed picture of the burden of health financing on households than does just total OOP. Furthermore, the three types may provide important information about the effect of government intervention in health financing. Informal payments are considered as out-of-pocket-payments and reported under HF.3.1. Note: only formal cost-sharing is reported under HF.3.2 (Cost sharing with third- party payers). | [ "The data is measured in international-$ at 2015 prices \u2013 this adjusts for inflation and for differences in the cost of living between countries." ] |
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