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Dispensations reimbursed under the NHI scheme 2020–

Edited 11.4.2024

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Data content

The report contains the following types of data on medicines reimbursed under the health insurance scheme:

  • dispensations of medicine
  • recipients
  • costs
  • reimbursements.

The report contains statistical data starting from 1 January 2020 and comparison data for 2019.

Recorded as recipients are persons who are dispensed a reimbursable batch of medicine. For purposes of the statistics, additional reimbursements are treated separately from basic and special reimbursements.

The data for the report only include dispensed medicines reimbursed through a pharmacy and comparable dispensations made prior to reaching the annual initial deductible. They do not include dispensed medicines for which a reimbursement was paid afterwards following the submission of a claim. The data also cover additional reimbursements paid afterwards.

Recipients’ age group is based on their age at the end of the reference period or their age at death.

Perspectives

Depending on the perspective selected, a different set of variables and classifications are presented.

  • ATC class
  • Age group
  • Reimbursement entitlement
  • Time series

Variables and classifications

  • Reference period: Year, Quarter
  • Time: The content presented depends on the selected reference period.
    The default selection is the latest quarter. Only one statistical reference period can be selected for the report.
  • Sex: Men, Women, Data not available
  • Age group: 0–5, 6–12, 13–17, 18–24, 35–44, …, 65–74, 75–84, 85–
  • Reimbursement paid: Total, Yes, No
  • Reimbursement category: Total, Basic reimbursement, Lower special reimbursement, Higher special reimbursement, Unknown
  • Reimbursement entitlement: The content is presented according to the selected reimbursement rate.
    One or several reimbursement entitlements can be selected for a single report.
  • ATC classification level: Anatomical main group, Therapeutic main group, Therapeutic subgroup, Chemical subgroup, Chemical substance
  • ATC class:
    • Medicines are classified according to the ATC classification (anatomic therapeutic chemical classification). In the classification the medicines are first classified into 14 main groups and then further into subgroups. The fifth-level subgroup, which is the level with the greatest level of detail, shows individual chemical substances or, in the case of combination products, combinations of substances.
    • On the first level of classification the medicines are classified into main groups according to the organ or organ system which the medicine affects. Exceptions to this are class E, which contains data on reimbursements for emollients, class V (Others) and the category 'Data not available'. Non-ATC products include special license preparations, pharmacy-prepared medications and many preparations readied for sale at the pharmacy.
    • ATC codes of several different levels can be selected for a single report. For technical reasons, the number of individual ATC codes that can be selected for a report is limited. If too many selections are made, the report created will be empty.
    • ATC designations are current to the time of purchase. Alterations in the ATC codes can be examined on the WHO website.

Availability of statistics

Actual statistical data are available for the period beginning 1 January 2020.
Reference data are available for the period 1 January 2019–31 December 2019.
The statistical reference period is based on the date of purchase of the medicine.

Updating frequency

Data are updated quarterly on 20th of May, August, November and February.
Annual data are updated on 20 February.

Data source

Complete dataset stored in Kela's data warehouse consisting of data from Kela's system for processing pharmacy payments, payment management system and demographic data system.

Additional information

Contact information

Kela, Statistical Information Service
Email: tilastot@kela.fi

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