Classification Detail


Classification of Health Care Financing Schemes (ICHA-HF)


Basic Bibliographic Information

Status:
Operational
Type:
To Be Determined
Citation:
OECD/WHO/Eurostat (2011), A System of Health Accounts: 2011 Edition, OECD Publishing, Paris, Chapter 7, p. 153-191. ISBN: 9789264116016 (PDF) ; 9789264116009 (print) DOI: 10.1787/9789264116016-en
ISBN:
9789264116009
Website:
Custodian:
Organisation for Economic Co-operation and Development
Available Formats:
Print, PDF
Year Adopted:
N/A
Year Published:
2011
Available Languages (besides English):
N/A
Availability:
Fully available only in English.

Purpose of the Classification

Statistical Domains:
1.4 Health
Purpose:
The ICHA-HF classification is part of the accounting framework for health financing described in the manual A System of Health Accounts 2011 (SHA 2011), which aims to help health accountants and analysts to obtain a clear and transparent picture of health financing systems, including information that is relevant to health policy about the structure and flows of funds (transactions).
Main Applications:
Compilation of health expenditure and financing statistics and health accounts according to SHA 2011. The classification is an integral part of the core accounting framework as well as the accounting framework for health financing provided by SHA 2011.
Main Users:
Compilers of health accounts (mainly National Statistical Institutes, Ministries of Health)

Methodology

Scope:
Final consumption expenditure of resident units on health care goods and services
Concept Being Classified:
health
Statistical Units:
financing scheme
Main Principles:
The concept of health care financing schemes is an application and extension of the concept of social protection schemes defined by ESSPROS.
Relationships to Other International Classifications:
Related To:
Major Differences (Scope, Structure, and Concepts):
Correspondence between the Classification of Financing Schemes (ICHA-HF) and institutional sectors of the SNA

Classification Structure

Definition of Structure:
Level:
Level Name:
Code Format:
Number of Items:
Level 1
First-digit level
HF.2
4 items
Level 2
Second-digit level
HF.2.1
10 items
Level 3
Third-digit level
HF.2.1.1
16 items
Level 4
Fourth-digit level
HF.2.1.1.2
8 items
Remarks:
The classification also contains the following Memorandum items which are not included in the above table:Financing agents managing the financing schemes: consisting of 5 Reporting items (HF.RI.1.1 - HF.RI.1.5)Financing schemes and the related cost-sharing together: consisting of 2 Reporting items (HF.RI.2, HF.RI.3)
Criteria for Definition of Levels:
The following list contains the main criteria for distinguishing the different health care financing schemes: Mode of participation: compulsory/mandatory or voluntary; Basis for benefit entitlement: non-contributory, contributory or discretionary; Method for raising funds: compulsory or voluntary; Mechanism and extent of the pooling and re-allocation of funds: pooled across individuals or no inter-personal pooling.

Revision Information

Chronology of revisions/versions of the classification:
Year Adopted:
Title or Version Number:
Website:
Official Adopting Entity:
OECD, Eurostat, WHO
Coordinating Entity:
International Health Accounts Team (OECD, WHO, Eurostat)
Reason for Latest Revision:
To refine, expand and correct the previous version.
Major Changes:
SHA 2011 offers a more precise approach for tracking financing in the health care sector using the new classification of financing schemes.

Supporting Documents

Coding Index Available:
Yes
Index Website:
Available Formats:
Print, PDF
Correspondence with Other Classifications:
Classification:
Correspondence Table:
Correspondence between the Classification of Financing Schemes (ICHA-HF) and institutional sectors of the SNA
Training Materials and Other Documents:
N/A

Contact Information

Agency / Office:
OECD, Health Division
Unit:
Health Division
Contact Name:
David Morgan
Email:
Website:
Telephone:
+33 1 45 24 76 09
Fax:
+33 1 44 30 63 61
Address:
2, rue André Pascal 75775 Paris Cedex 16 France

Comments

Additional contact - for public use: Agency/Office: Eurostat Name: Christine Coin Title: Head of Unit Unit: F.5 Education, health and social protection Telephone: +352 4301 33722 Fax: - E-mail: Christine.Coin@ec.europa.eu Address: BECH B4/335 5, Rue Alphonse Weicker 2721 LUXEMBOURG