Indicator full name: Total health expenditure as % of GDP
- Country/Area (COUNTRY/AREA)
- Supranational group of countries (COUNTRY_GRP)
- Sex (SEX)
- Year of measure (YEAR)
Years data is available: 1970—2019
Last updated: 22 November 2021
- 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
- Small countries
The following abbreviations are used in the indicator titles:
Indicator code: E340102.T
For OECD Member States, the data are taken from OECD Health Database (see www.oecd.org). For non-OECD countries, the data are as reported by the country to the HFA-DB and may not necessarily correspond to the common WHO or OECD definition. Adjusted WHO estimates for this indicator, which are generally more accurate, are included as a separate indicator.
Whenever possible, the OECD definition of total expenditure on health is applied (see OECD health systems, Vol. II, page 89, for details). It includes:household health expenses, including goods and services purchased at the consumer's own initiative and the cost-sharing part of publicly financed or supplied care; government-supplied health services including those in schools, prisons and armed forces and special public health programmes such as vaccination; investment in clinics, laboratories etc.; administration costs; research and development, excluding outlays by pharmaceutical firms; industrial medicine; outlays of voluntary and benevolent institutions.In the case of most central and eastern European countries the following has to be included:direct state budget allocated to the health sector, state subsidies to the mandatory health insurance system; mandatory health insurance contributions by employers and employees; direct health expenditure of employers for running industrial medical facilities; direct health expenditures of ministries and governmental agencies; charity health expenditures; foreign assistance; outstanding debt at the end of the year; private health insurance and direct private health charges. It is important to ensure that funding from the general budget revenues and health insurance contributions do not overlap._
Investment (HC.R.1) is included.
Social Security since 2003.
B&H, Health Insurance and Reinsurance Fund of Federation of B&H; Health Insurance Fund of Republic
of Srpska; Department for Health of Brcko District
for the previous years should be avoided.
Estonia implements currently SHA2011 methodology in health care expenditure data collection.
In SHA2011 methodology there is no such definition as total health expenditure. SHA2011 uses only
current health expenditure definition and therefore all ratios in years 2009-2014 are calculated
using the current health expenditure figure.
Note: Due to the severe recession in the early 1990s, the Finnish GDP declined by 10%, which also
led to savings in public health expenditure. After the recession, the GDP grew much more rapidly
than health expenditure, which caused the observed decline in the health expenditure share of GDP.
(SHA 2011) Methodology. GDP estimates refer to ESA 2010 Methodology
Source: National Accounts, Central Bureau of Statistics.
Data for the period 1992-2012 have been estimated on the basis of the updated version of the
classification of economic activities (Ateco 2007, the national version of Nace Rev. 2) and of
products by activity (CPA 2008) and are consistent with the revised time series of national
Calculation method: The methodology of the System of Health Accounts has been applied for
calculation of the data starting from 2005.
Note: The figure increased in 2004 because allocated European Structural Funds and household
expenditures were added to the total health expenditure.
sum of state and municipalities' health budget, health insurance budget and private expenditure on
health, taken from household budget survey. Source from 2004 onwards: Central Statistical Office.
Data according to OECD SHA methodology. Since 2013 methodology of SHA2011 is used.
Deviation from the definition: Since 2013 current expenditure on health care is used instead of
total health expenditure.
Source: NSO (data reviewed from 1999).
the health sector, mandatory health insurance contributions by employers and employees, direct
health expenditure of employers for running industrial medical facilities, direct health
expenditures of ministries and governmental agencies, charity health expenditures, foreign
assistance, government-supplied health services including those in prisons and armed forces. Data
from ?National Health Survey? from 2006 undergone by Institute of Public Health of Serbia(IPHOS) has
been used for assessment of private sector expenditure as well as data from Republican Statistical
Office (RSO) ?Household budget survey? and RSO ?Living standard measurement estimations?.
Source: Ministry of Health, the Economy and Finance Department.
Source: Department of Health