1. Medical Care Expenditure on Major Chronic Diseases in Chinese Taipei Pi-Joen Lee Statistics Office Department of Health Stpjlee@doh.gov.tw 4th OECD/Korea RCHSP-APNHAN Meeting of Regional Health Accounts Experts. Seoul, Korea ( July 10,2008)

2. Statistics Office,DOH2008/7/102 Outline Background Data source Chronic disease accounts will be compiled in next 2 years. Targets are 1.spending of year 2005 2.spending of 365days before death( 2005 ) 3.Expansion to 1999-2007 Appendices

3. Statistics Office,DOH2008/7/103 Main 8 Chronic Diseases

4. Statistics Office,DOH2008/7/104 objectives To show the statistics of 8 Chronic diseases, 2005. (65.2%deaths of all, 1/5 spending of PME). To develop Table6 (Disease*gender* age); HC,HF,HP of chronic diseases statistics – 1D & 2D Matrix.

5. Statistics Office, DOH2008/7/105 HPHF of 8 Chronic diseases

6. Statistics Office, DOH2008/7/106 Table 6 Disease*(Gender+Age Groups)

7. Statistics Office, DOH2008/7/107 Data Source Main data warehouse includes 1.Family income/expenditure survey and its data system. 2.National Health Insurance(NHI) Data System. 3.Motality Database.

8. Statistics Office, DOH2008/7/108 Flow of Data Processing The ambulatory care and inpatient databases of the National Health Insurance in Chinese Taipei are processed as follows ：

9. Statistics Office, DOH2008/7/109 Limitations 1.The most important key is using Identification number(ID) of population to linkage different source of information. 2.ID numbers that do not follow the principles of ID numbering are excluded in the statistical analysis. 3.Disease codes are debugged by gender and age.

10. Statistics Office, DOH2008/7/1010 Allocation of PME, 2005 NT$624Billion = 91% NHE (NT$624Billion = 17,968 Billion Korea Won = US$19.5 Billion ) One person shares 781,000 Korea Won (US$781)personal medical expenditure annually. Spending of main 8 chronic diseases share near 1/5 PME in 2005.

11. Statistics Office, DOH2008/7/1011 Personal Medical Expenditure(PME) by 8 Chronic Diseases, 2005 ~1/5*PME

12. Statistics Office,DOH2008/7/1012 Allocation of PME Spending by 8 Chronic Diseases and Gender

13. Statistics Office, DOH2008/7/1013 Spending of Main 8 Chronic Diseases on Personal Health Care by Age and Gender (Per capita) 365days before death Year 2005

14. Statistics Office, DOH2008/7/1014 Spending on 8 Chronic Diseases of Personal Health Care by Age Group Year 2005 365days before death

15. Sectors statistics Public sector ： Extracting spending information from data warehouse of National Health Insurance and Official Statistics. Private sector ： Estimating spending based on 1.Family income/expenditure survey. 2.New Survey (Health Expenditure of family Survey, 2008-2009) Private sector : Pharmacy statistics would be considered.

16. Statistics Office,DOH2008/7/1016