Indicator full name: Private household out-of-pocket expenditure as a proportion of total health expenditure (%)
- Country (COUNTRY)
- Supranational group of countries (COUNTRY_GRP)
- Year of measure (YEAR)
Years data is available: 1995—2014
Last updated: 17 October 2019
- WHO European Region
- Members of the European Union
- Members of the EU before May 2004 (EU15)
- Members of the EU after May 2004 (EU13)
- Commonwealth of Independent States
- Central Asian Republics Information Network members (CARINFONET)
- South-eastern Europe Health Network members (SEEHN)
- Nordic countries
Health 2020 core indicators were agreed by the WHO European Region Member States for monitoring progress towards the Health 2020 targets. Some of these indicators are based on official WHO sources and other are based on non-WHO sources, such as UNESCO and UNDP. Data from WHO sources can be accessed and queried at national level, while data from non-WHO sources is available in aggregated form, for groups of Member States.
Further information: DIR@euro.who.int
The joint monitoring framework (JMF) is used for reporting on indicators under three monitoring frameworks: the Sustainable Development Goals (SDGs), Health 2020 and the Global Action Plan for the Prevention and Control of Noncommunicable Diseases (NCDs) 2013–2020. The Regional Committee for Europe adopted the JMF in September 2018.
The majority of JMF indicators in the Gateway are linked to existing databases in the Gateway.
EUR/RC68/10 Rev.1 Briefing note on the expert group deliberations and recommended common set of indicators for a joint monitoring framework
EUR/RC68(1): Joint monitoring framework in the context of the roadmap to implement the 2030 Agenda for Sustainable Development, building on Health 2020, the European policy for health and well-being
Developing a common set of indicators for the joint monitoring framework for SDGs, Health 2020 and the Global NCD Action Plan (2017)
European Health Information Initiative:
The European Health Statistics App:
(16) 5.1.a. Private household out-ofpocket expenditure as a proportion of total health expenditure
This is a core indicator of health financing systems. It contributes to the understanding of the relative weight of direct payments by households in total health expenditure. High out-of-pocket payments are strongly associated with catastrophic and impoverishing spending, so this indicator represents a key support for equity and planning processes.
The level of out-of-pocket expenditure is expressed as a percentage of private expenditure on health.
Private households’ out-of-pocket payments on health are the direct outlays of households, including gratuities and payments in kind made to health practitioners and suppliers of pharmaceuticals, therapeutic appliances and other goods and services, whose primary intent is to contribute to the restoration or enhancement of the health status of individuals or population groups. They also include household payments to public services, non-profit institutions or
nongovernmental organizations, non-reimbursable cost sharing, deductibles, co-payments and fees for service. They exclude payments made by enterprises that deliver medical and paramedical benefits, mandated by law or not, to their employees and payments for overseas treatment.