Public long-term care (health) expenditure residential care in US dollar

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Quick info
Data type Numeric
Scale United States dollar (USD)
Value labels Not applicable
Technical name health_ltc_gen_lob_exp_ltch_public_res_usd
Category Health and long-term care
Label Public long-term care (health) expenditure residential care in US dollar
Related indicators

The indicator measures public expenditure on health-related residential long-term care. It is based on the categories and definitions of the System of Health Accounts (SHA) by the Organisation for Economic Co-operation and Development (OECD), Eurostat, and the World Health Organization (WHO) (2011).

According to the SHA, long-term care refers to an integrated package of services and assistance to persons with care dependency following from physical and/or psychological impairments over an extended time period (OECD, Eurostat & WHO, 2011, p. 90). The health care function „Long-term care (health)“ (HC.3) is defined as „a range of medical and personal care services that are consumed with the primary goal of alleviating pain and suffering and reducing or managing the deterioration in health status in patients with a degree of long-term dependency.” (OECD, Eurostat & WHO, 2011, p. 88). This includes medical or nursing care and personal care services such as eating or washing, but typically excludes assistance care services/instrumental activities of daily living such as shopping or housework, which is recorded under long-term care (social) (HCR.1). The categories long-term care (health) and long-term care (social) can be added up to total long-term care expenditure.

This indicator comprises information on residential care settings taking place in long-term care institutions where care recipients stay over night and receive care jointly, corresponding to SHA category “Inpatient long-term care (health)” (HC.3.1). It comprises domestic public expenditure including government schemes and compulsory insurance schemes corresponding to the SHA category “Government schemes and compulsory contributory health care financing schemes” (HF.1).

The indicator combines data from the OECD’s health expenditure and financing database, Eurostat’s health care expenditure database and the WHO’s Global Health Expenditure Database. The unit of measure for this indicator in Unite States Dollar (USD). WeSIS contains additional indicators measuring public expenditure on residential long-term care (health) in national currency (NCU) and percentage of Gross Domestic Product (GDP) (see related indicators).


Coding rules

The indicator combines data from the OECD’s health expenditure and financing database (OECD 2024), Eurostat’s health care expenditure database (Eurostat 2024) and the WHO’s Global Health Expenditure Database (WHO n.d.). The data was extracted from these databases in August and September 2024 (version 0.001) in national currency units.

As regards functions, the indicator uses data from the original variable “Inpatient LTC (health)” (OECD, Eurostat, WHO). As regards financing schemes, the indicator uses data from the original variables “Government schemes and compulsory contributory health care financing schemes” (OECD, Eurostat) and “Domestic General Government Expenditure” (WHO).

Data for converting national currency units into other measures was collected from the United Nation’s National Accounts Main Aggregates Database (AMA) (UN 2023). For calculating US dollar, the AMA exchange rate was employed.

Whenever values for a country/year combination existed in more than one of these sources and the values between sources are not identical, the data points were chosen in the following order a) OECD, b) Eurostat, c) WHO. In all cases where the discrepancy between data points was 10% or higher, the column Plausibility Concerns indicates limited data plausibility due to contradicting sources. The data for Croatia was coded as missing information (value -999) due to large discrepancies in data points between all three sources. Unavailable information is coded with -999 in the value column.


Bibliographic info

Citation: WeSIS (2024). Long-term care (health) expenditure compiled from OECD, Eurostat and WHO health expenditure databases. Shared by Johanna Fischer. https://wesis.org/indicators/categorize?category=Health+and+long-term+care#Long-term%20care


Related publications:



Misc

Project manager(s): Johanna Fischer (on behalf of the A07 project)


Data release: version 0.001: Initial release


Revisions: No revisions yet

Sources