Research On Several Technical Issues In The Processing Of Beijing's Total Health Expenditure Accounting Data

Total Health Expenditure (THE) is the sum of expenditure on health services in a country or a region during a certain period of time (usually one year). The research on THE could provide better data for health financing, allocation of health resources, the development of health economic policies, the development of regional health planning and the general health economic evaluation. So far, the national THE has been well developed. Sub-national (provincial, municipal) THE has been carried out in more than twenty regions in China for a long sequence of study. Beijing has finished the research on the THE by source of funding and by provider from2007to2009in2010.On this basis, Beijing has researched its THE for a longer sequence (from2000to2010)by both Methods in2011.The aim of the study was to explore the accounting method of the sub-national levels of THE in line with the characteristics of the Beijing area;to sort out the techniques and methods in the process of finishing the actual estimates and form a reference manual for Beijing's and other regions" research on THE; to provide data of a long sequence of the THE of Beijing to support municipal health policy research of Beijing.The content of the study:in this study, we used the literature, the expert interviews and other methods. By researching the methods of the accounting process of the THE of Beijing, we could summed up the keys and the difficulties during the accounting process. We correct accounting of caliber. Take a different approach for processing for different missing data mechanisms, assess the impact of the projected data on the results of the final accounting, research the different results of two different accounting methods of THE by provider and the scope and limitations of these two methods.The results of this study:(1) The accounting data need to be addressed is divided into three categories:Data changes in accounting caliber, Missing data. Data errors, we should take the appropriate methods for these three types of data processing Respectively, In order to ensure the successful completion of the accounting work..(2)By correcting accounting caliber repeatedly, we divided the results into two time periods for comparing and analyzing,this two periods are from2000to2006and from2007to2010respectively.(3)For different missing data mechanisms respectively, we took the average method, moving average method, trend extrapolation, the proportion of the split method, the proportion of index series projections and other methods to deal with missing data, to ensure the integrity of the accounting results.(4) By analyzing the acceptability of the Projection data over the years, we could know that the proportion of the projected data (the exception of2000) was5%,that means the actual statistics of the THE accounting data are more than95percent higher, the accounting results is accurate.(5) There have two methods of accounting THE by provider, the unified accounting emplates and summary are two ways to use the case library accounting. The results of the first method must be greater than the second method's, and the main reason is to overestimate the income of non-health sectors to do the medical and health institutions.