Total inpatient expenditure as % of total health expenditure

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Data set notes

European Health for All database

Indicators: 565

Updated: 18 October 2024

Contact: Data and Digital Health Unit (DDH)

The following abbreviations are used in the indicator titles:

• SDR: age-standardized death rates (see HFA-DB user manual/Technical notes, page 13, for details)

• FTE: full-time equivalent

• PP: physical persons

• PPP$: purchasing power parities expressed in US $, an internationally comparable scale reflecting the relative domestic purchasing powers of currencies.

More information: http://www.euro.who.int/en/data-and-evidence/databases/european-health-for-all-database-hfa-db

Indicator notes

Total inpatient expenditure as % of total health expenditure
Indicator code: E270102.T

The OECD definition is applied, i.e. it includes current (exclusive of investment/capital outlays) expenditure on inpatient institutions, including public and private hospitals, for acute, chronic and convalescent care. All types of hospitals are included. Outpatient department expenditures of hospitals for e.g. day cases should be covered under ambulatory care expenses. Unfortunately this separation is not always statistically possible, particularly in central and eastern European countries.

The OECD Health Database is used as the primary data source for those countries that are OECD Member States._

Country/Area notes

Albania

Ministry of Health.

Austria

Note: Since 2004, day cases are not included in inpatient expenditure.

Belgium

Source: National Institute for Health Insurance / calculations made by the Federal Public Service
Social Security since 2003. The inpatient expenditure corresponds to the total of the health care
functions HC1.1 + HC 2.1 + HC1.2 + HC2.2 following the ?System of health accounts 2011? manual.

Bosnia and Herzegovina

National Health Account of B&H, http://www.who.int/nha/country/bih/en/ Ministry of Civil Affairs of
B&H, Health Insurance Fund of Federation of B&H; Health Insurance Fund of Republic of Srpska;
Department for Health of Brcko District

Cyprus

No data are available

Czechia

Source: Czech Statistical Office, Czech Health Accounts.

Denmark

Indicator deleted by Ministry of Health, Denmark. The financing structure of Danish hospitals
(global budgets) render those calculations difficult and rather theoretical.
Source: OECD health database (www.stats.oecd.org).

Estonia

Source: Up to 1998 State Statistical Office. From 1999 National Institute for Health Development.
Up to 1998 Estonian health care expenditure's data was collected by State Statistical Office and
reflected only expenditures of general government. From 1999 by Ministry of Social Affairs
definition of total expenditure on health is applied using the OECD manual \A system of health
accounts for international data collection\" as basis of methodology.
Estonia has provided total inpatient expenditure as % of current health expenditure data for years
2009-2014."

Finland

Source: Social Insurance Institute

Georgia

Source: Ministry of Labour, Health and Social Affairs of Georgia (MOLHSA)
Due to reform in 2011, the data may show inconsistency.

Germany

Source: Federal Statistical Office, Health Expenditure Accounts.
http://www.gbe-bund.de

Greece

For years 2009 to 2014 data are provided according to the system of Health Accounts (SHA 2011)
Methodology. GDP estimates refer to ESA 2010 Methodology

Iceland

Source: National Economic Institute / Statistics Iceland.

Ireland

Data are not available.

Israel

Since 2000, based on updated OECD definitions. Discontinuity in 2000 due to transfer of expenditure
of clinics of the health fund?s general hospitals from hospitals to clinics.
Source: National Accounts, Central Bureau of Statistics.

Italy

Source: Istat, National accounts. The OECD definition is applied.
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
accounts.

Lithuania

Source: from 2004 onwards: Central Statistical Office. HC.1.1 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.

Malta

Data are not available.

Montenegro

Data are not available.

Netherlands

Source of data: Statistics Netherlands: 1972-1997 data: Cost and financing of health care. 1998-200-
data: Statistics on Health and social care accounts. Outpatient department expenditure and
expenditure for nursing day care in hospitals are included in inpatient care. Private hospitals are
not included.

Poland

Source: OECD

Portugal

Source of data: National Statistical Institute/OECD Coverage: National

Republic of Moldova

Starting from 2010 calculation of health financing indicators is based on the National Health
Accounts.

Romania

Source: National Institute of Statistics.

Serbia

Source of data: NHA data. Expenditure calculation based on inpatient institutions data, including
public and private hospitals. Triangulation of data sources has been used: Ministry of Health,
National Health Survey and National Statistical Office.

Slovenia

Source of data: Statistical Office of the Republic of Slovenia.

Ukraine

Current expenditure on inpatient institutions from state and local budgets as % of total health
expenditure from state and local budgets.
Source: Ministry of Health, the Economy and Finance Department.

United Kingdom

Coverage: Data refers to England & Wales only. Deviation from the Definition: Data is for financial
years i.e. data for 01-04-07 to 31-03-08 is presented as 2007. Data refers to acute care only.
2010 data not available

Estimation Method: Whilst calculating these figures, it has been assumed that 85% of Total Acute
Inpatient & Outpatient Private Healthcare is Acute Inpatients.
Wales data unavailable for 2008, therefore this data has been estimated using pro rata calculations.

Break in Time Series: Overall exp figs to 02/03 are based on Stage 1 Resource Budgeting, & from
03/04 based on Stage 2 Resourcing Budgeting, therefore not consistent across time period.