Although the increase in public spending has not been equal in all countries, it is still remarkable that growth has been a general phenomenon, despite large underlying institutional differences. The U.S. rate was comparable to that in New Zealand, Switzerland, and Norway, but higher than in Sweden. Health Care Costs 101 - 2022 Edition Federal Spending on COVID-19 Drives Growth October 19, 2022 Katherine Wilson, Wilson Analytics Downloads National health spending in 2020 increased 9.7% from 2019 to $4.1 trillion. The real growth (adjusted for inflation) in total health spending (recurrent and capital) was 7.1% more than in 2019-20. Copy the URL to open this chart with all your selections. The second-highest ranking country, Switzerland, spent 12.2 percent. ", OECD, Public and private per capita health expenditure in selected countries in 2020 (in U.S. dollars) Statista, https://www.statista.com/statistics/283221/per-capita-health-expenditure-by-country/ (last visited July 01, 2023), Public and private per capita health expenditure in selected countries in 2020 (in U.S. dollars) [Graph], OECD, August 17, 2022. Canada, the U.K., and New Zealand had the lowest rates, with rates close to the OECD average. The increase was largely driven by increases in federal spending during the COVID-19 pandemic. The data was retrieved on April 7, 2023. Healthcare expenditure statistics - Statistics Explained In 2020, the share of out-of-pocket payments accounted for more than one-third of total healthcare expenditure in Bulgaria (35.5%), Malta (34.1%, 2019 data) and Greece (33.4%). 15 (Oct. 7, 2019): 15019. In Sweden and Norway, private spending made up less than $100 per capita. While the United States spends more on health care than any other country, we are not achieving comparable performance. Reflecting shorter life expectancy, the U.S. has the highest suicide rate of these countries, with France a close second. https://doi.org/10.26099/7avy-fc29, Quality of Care, Coverage and Access, Care Settings, Hospital Care, Access to Care, Costs and Spending, Health Care Spending, International, Health Outcomes, 2023 The Commonwealth Fund. An analysis of current healthcare expenditure by provider is shown in Figure8 and Table7. Health resources - Pharmaceutical spending - OECD Data The third largest source of healthcare funding was generally household out-of-pocket payments. To allow for cross-country comparability, these estimates are expressed in current PPP US dollars. Here we focus on the social spending component of government expenses, and show that high-income countries also have higher levels of social spending, particularly in the form of transfers. Susan L. Hayes, David C. Radley, and Douglas McCarthy, States of Despair: A Closer Look at Rising State Death Rates from Drugs, Alcohol, and Suicide, To the Point (blog), Commonwealth Fund, Aug. 9, 2018. The U.S. has slightly more than half as many physicians as Norway, which has the highest supply. This category aims to include all consumption of medical goods where the function and mode of provision is not specified. Government expenditures as a share of national output went sharply up and down in these countries, mainly because of changes in defense spending and national incomes. The two visualizations show the importance of public procurement in OECD countries (and partner countries providing comparable data). facts. The vertical axis measures GDP per capita (after accounting for differences in purchasing power across countries), while the horizontal axis measures governments spending as share of GDP. September 2022. This spending is about 11 percentage points higher than Medicaid/CHIP's percentage of total HCE in 1970 (Figure 2). The average U.S. resident paid $1,122 out-of-pocket for health care, which includes expenses like copayments for doctors visits and prescription drugs or health insurance deductibles. Country Government expenditure . Statista. Per capita health spending in the U.S. exceeded $10,000, more than two times higher than in Australia, France, Canada, New Zealand, and the U.K. Public spending, including governmental spending, social health insurance, and compulsory private insurance, is comparable in the U.S. and many of the other nations and constitutes the largest source of health care spending. As we discuss in the data quality section, it is unfortunately hard to find reliable cross-country data on expenditure below the central level. Click to visit. Use this code to embed the visualisation into your website. 16. This is surprising given U.S. adults seemingly greater health needs. Share of the population at risk of catastrophic expenditure when surgical care is required. The visualization shows total public expenditure per capita, across all levels of government, for OECD countries. In the third period, between 1945-1980, public spending grew particularly fast. Previous analyses suggest that countries with a high supply of MRI scanners also tend to have higher rates of scan utilization.8. Our World in Data is free and accessible for everyone. Tax revenue per capita and public health spending per capita. In turn, these were followed at some distance by another group Belgium, France and Finland with ratios in the range of 4138 to 4380 per inhabitant. We also compare U.S. performance to that of the OECD average, comprising 36 high-income member countries. The regulation applies to data from reference year 2014 to 2020 and therefore the information for the most recent years shown in this article presents a harmonised set of data based on this methodology. For example, hospitals may offer day care, out-patient, ancillary or other types of services, in addition to in-patient services. Purchasing power parities (PPPs) are the rates of currency conversion that try to equalize the purchasing power of different currencies, by eliminating the differences in price levels between countries. In India, the government spends about 1,800 US dollars per head (PPP) in one year; while in countries such as Norway, the latest corresponding figure is just over 30,000 US dollars (PPP). The best of the best: the portal for top lists & rankings: Strategy and business building for the data-driven economy: Show sources information Eurostat, Amenable and Preventable Deaths Statistics, European Commission, last updated June 8, 2017. If you are an admin, please authenticate by logging in again. Other sources of financing fell in Cyprus, France and Slovakia. Percentage of GDP Spent on Health Care - Home | Commonwealth Fund Sarah Purdy et al., Ambulatory CareSensitive Conditions: Terminology and Disease Coding Need to Be More Specific to Aid Policy Makers and Clinicians, Public Health 123, no. Organisation for Economic Co-operation and Development, Fiscal Sustainability of Health Systems: Bridging Health and Finance Perspectives (OECD Health, Sept. 2015). In recent years, the International Food Policy Research Institute (IFPRI) started producing a depurated database of cross-country data on government spending, called SPEED (Statistics on Public Expenditures for Economic Development database). Americans had fewer physician visits than peers in most countries, which may be related to a low supply of physicians in the U.S. Americans use some expensive technologies, such as MRIs, and specialized procedures, such as hip replacements, more often than our peers. Healthcare systems are organised and financed in different ways across the EU Member States, but universal access to quality healthcare, at an affordable cost to both individuals and society at large, is widely regarded as a basic need. And the relative importance of these branches has remained largely constant since 1980. The term private finance initiative is often used to denote a public procurement strategy, whereby governments choose a private firm (or consortium) to construct and operate and sometimes also finance public infrastructure. In the 21st century this figure exceeds 50% in many European countries. In, OECD. The data was retrieved on April 7, 2023. All of the remaining 14 EU Member States recorded average expenditure of 2110 per inhabitant or less in 2020, with four of these recording an average spend on healthcare below 1000 per inhabitant. Generally speaking, the part of public procurement that does not fall within the category of gross fixed capital formation (e.g. Health expenditure in relation to GDP | Health at a Glance 2021 : OECD The visualization shows that this was the result of growth specifically in social spending. Their share of current healthcare expenditure in 2020 averaged 24.8% in the EU and ranged from 13.6% in Romania and 13.7% in Bulgaria to 31.4% in Germany. The percentage of personal health care expenditures from out-of-pocket spending was lower in 2019 (12.7%) than in 2009 (14.1%), while the percentages from Medicare and Medicaid (total) were higher in 2019 (23.2% and 17.1%, respectively) than in 2009 (22.3% and 16.4%, respectively). The source for the data is the 2016 OECD Inequality Update as part of the OECD Income Distribution Database (IDD) November 2016 Release: Income inequality remains high in the face of weak recovery. Currently, you are using a shared account. On the other hand, more than one-fifth of healthcare expenditure was attributed to long-term healthcare in Denmark, Belgium and Ireland, with this share exceeding one-quarter in Sweden and the Netherlands (26.2% and 29.0%, respectively). The visualization maps recent estimates of central government expenditure, as share of national incomes, across the world. Accessed July 01, 2023. https://www.statista.com/statistics/283221/per-capita-health-expenditure-by-country/, OECD. Free and open access to global development data. There was then a relatively large gap to Italy (2686 per inhabitant), Malta (2575, 2019 data) and Spain (2538). When citing this topic page, please also cite the underlying data sources. See also: Health spending as a percent of GDP by country . Note that current healthcare expenditure in Switzerland was equivalent to 11.8% of GDP and that Norway also had a double-digit ratio (2019 data). As a ratio to GDP, EU government health expenditure amounted to 5.9 % of GDP in 1995 and 8.1 % of GDP in 2021. Healthcare expenditure is recorded in relation to the international classification for health accounts (ICHA), defining: Commission Regulation (EU) 2015/359 of 4March 2015 implementing Regulation (EC) No1338/2008 as regards statistics on healthcare expenditure and financing is the legal basis for data collection according to SHA 2011 methodology for healthcare expenditure. building new roads), is referred to as outsourcing, or contracting-out. World Health Organization Global Health Expenditure database (. This analysis used data from the 2019 release of health statistics compiled by the Organisation for Economic Co-operation and Development (OECD), which tracks and reports on a wide range of health system measures across 36 high-income countries. States of Despair: A Closer Look at Rising State Death Rates from Drugs, Alcohol, and Suicide, Health Care Spending in the United States and Other High-Income Countries, Ambulatory CareSensitive Conditions: Terminology and Disease Coding Need to Be More Specific to Aid Policy Makers and Clinicians, Mortality Amenable to Health Care in 31 OECD Countries: Estimates and Methodological Issues, Amenable and Preventable Deaths Statistics, Fiscal Sustainability of Health Systems: Bridging Health and Finance Perspectives, Its Still the Prices, Stupid: Why the U.S. Spends So Much on Health Care, and a Tribute to Uwe Reinhardt, In New Survey of Eleven Countries, U.S. Efforts to rein in costs, improve affordability and access to needed care, coupled with greater efforts to address risk factors, are required to alleviate the problem. ). We can see that there is a strong positive correlation: high-income countries tend to have larger government expenditures as a share of their GDP. Public expenditure includes government/compulsory, private expenditure includes voluntary/out-of-pocket. The lowest levels of average expenditure per inhabitant were in Bulgaria (754) and Romania (713). Among these, it recommends specifically following developments for: [[File:Healthcare expenditure statistics-interactive_Health2022.xlsx]], Overview of healthcare financing, functions and providers, Healthcare expenditure by financing scheme, Organisation for Economic Cooperation and Development (OECD), A system of health accounts, 2011 revised edition, international classification for health accounts (ICHA), Commission Regulation (EU) 2015/359 of 4March 2015 implementing Regulation (EC) No1338/2008 as regards statistics on healthcare expenditure and financing, Commission Regulation (EU) 2021/1901 of 29 October 2021 as regards statistics on health care expenditure and financing, expenditure on healthcare as a percentage of GDP, expenditures on healthcare in purchasing power standards (PPS), Health in the European Union facts and figures, A system of health accounts 2011 revised edition, Commission Regulation (EU) 2015/359 of 4 March 2015 as regards statistics on healthcare expenditure and financing, European Commission Directorate-General for Health and Food Safety Public Health, European Economy The 2021 Ageing Report, World Health Organization (WHO) European Observatory on Health Systems and Policies, World Health Organization (WHO) Health system governance, https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Healthcare_expenditure_statistics&oldid=598975, Source: Eurostat (online data codes: hlth_sha11_hf and nama_10_gdp). At four visits per capita per year, Americans visit the doctor at half the rate as do Germans and the Dutch. Health expenditure - Australian Institute of Health and Welfare Yet differences between countries are very large. This is not true for other types of cancer. Read the report to see how your state ranks. The share of current healthcare expenditure accounted for by retailers and other providers of medical goods averaged 16.7% in the EU in 2020. By contrast, current healthcare expenditure accounted for less than 7.5% of GDP in six Member States, with Luxembourg recording the lowest ratio (5.8%). This topic page can be cited as: All visualizations, data, and code produced by Our World in Data are completely open access under the Creative Commons BY license. Directly accessible data for 170 industries from 150+ countries . At $4,092 per capita, U.S. private spending is more than five times higher than Canada, the second-highest spender. As we can see, public sector purchases from the private sector are significant in many high-income countries. The vertical axis is expressed by default in a logarithmic scale, so that the correlation is easier to appreciate you can change to a linear scale by clicking the Log button. Data were extracted between July and August 2019. Medical goods accounted for just under one-fifth of healthcare expenditure in 2020. These estimates have to be interpreted with caution, since central government expenditure provides a somewhat distorted picture of total public spending, particularly in federal countries with large sub-national governments. Chart. The second largest healthcare provider (in expenditure terms) was generally that of ambulatory health care providers. The lowest shares were recorded for Denmark (10.5%) and the Netherlands (10.6%). This analysis shows how much on average is spent per inhabitant from each of the different sources. The U.S. could look to approaches taken by other industrialized nations to contain costs,12 including budgeting practices and using value-based pricing of new medical technologies. In the World Banks PPID Visualization Dashboard you can explore the data in more detail. Then you can access your favorite statistics via the star in the header. Learn More. As noted above, services related to long-term healthcare (see Figure7) accounted for 16.6% of current healthcare expenditure in the EU in 2020. August 17, 2022. Main Science and Technology Indicators, Snapshot of data for a fixed period (data will not change even if updated on the site). Health systems across the globe are developing in response to a multitude of factors, including: new medical technology and improvements in knowledge; new health services and greater access to them; changes in health policies to address specific diseases and demographic developments; new organisational structures and more complex financing mechanisms. Among the EU Member States, Germany (12.8%) and France (12.2%) had the highest healthcare expenditure relative to GDP in 2020. In Bulgaria, Cyprus and Austria, compulsory schemes/accounts registered a larger share than government schemes or other sources, but less than half of the total; this was also the case in Liechtenstein and Switzerland. For diabetes hospitalizations, the U.S. rate (204/100,000) was more than threefold higher than the Netherlands, the best-performing country. (April 24, 2023). You have permission to use, distribute, and reproduce these in any medium, provided the source and authors are credited. 4. Gross Domestic Product | U.S. Bureau of Economic Analysis (BEA) Curative and rehabilitative care services accounted for more than half of current healthcare expenditure in all but two of the EU Member States. A selection of key indicators in Excel, from the online database (updated November 30). The final analysis concerning financing (see Figure5), shows the same sources of financing as in Table5, but presented as values per inhabitant (in PPS) rather than as a share of all healthcare expenditure. Country Spending (US$ bn) % of GDP % of global spending World total : 2,240: 2.2: 100% 1: United States: 877.0: 3.5: 39% 2: China: 292.0: 1.6: 13% 3: Russia: 86.4: 4.1: 3.9% 4: India: 81.4: 2.4: (GDP) over the next . Current health expenditure (% of GDP) | Data Furthermore, relative to other coverage, . Compulsory schemes/accounts accounted for three-quarters or more of overall spending on healthcare in Luxembourg (79.3%), France (78.5%), Germany (76.1%), Slovakia (75.7%) and Croatia (75.5%) in 2020, but less than 5.0% in Spain, Portugal, Ireland and Italy. Public procurement includes, for example, tendering and contracting in order to build large infrastructural projects. And public-private partnerships (PPP), in particular, have become an increasingly popular mechanism for governments to finance, design, build and operate infrastructure projects. There remain a few countries where there is significant mismatch between total and central government spending in the case of Costa Rica and Afghanistan, central spending appears to exceed total government spending. Social care covers a wide range of services, including professional advice and support, accommodation, various types of assistance in carrying out daily tasks, home visits, home help services, provision of meals, special equipment, house adaptation for disabled persons, as well as assessment and care management services. Map of military spending as a percentage of GDP for countries as of 2022, according to the Stockholm International Peace Research Institute . Medicare costs are expected to grow by 7.5 percent a year between 2022 and 2031. a dash ' ' is use to show where a value is not applicable, for example a rate of change calculated for an indicator that initially had a value of zero; a colon ': ' is used to show where data are not available. 11. As none of the Member States reported the largest increase for retailers and other providers of medical goods, expenditure for other providers increased more than for these three large providers in the 13 remaining EU Member States (for example, in Estonia). Issues that contribute to obesity include unhealthy living environments, less-regulated food and agriculture industries, and socioeconomic and behavioral factors.7. The blue series shows the total value of projects in US dollars (scale in the left vertical axis), while the orange series shows the total number of projects (scale in the right vertical axis). If Not Us, Who? The largest overall increases were observed in Romania and Estonia, where expenditure in 2020 was 118.5% and 99.0%, respectively, higher than in 2012; these equated to annual average increases of 10.3% in Romania and 9.0% in Estonia. NHE Fact Sheet - CMS In expenditure terms, hospitals were the main providers of healthcare in most EU Member States. Health care expenditures - Health, United States - Centers for Disease Consequently, there was one EU Member State Greece where expenditure from other financing schemes increased more than from these two large sources. Licenses: All visualizations, data, and articles produced by Our World in Data are open access under the Creative Commons BY license. However, access to healthcare and greater patient choice is increasingly being considered against a background of financial sustainability. Less-frequent physician visits may be related to the low supply of physicians in the U.S. compared with the other countries. In the U.S., more than two-thirds of adults 65 and older had a flu vaccine in 2016, considerably more than in the average OECD country. This indicator is defined as the level of total expenditure on health expressed as a percentage of GDP, where GDP is the value of all final goods and services produced within a nation in a given year. All the software and code that we write is open source and made available via GitHub under the permissive MIT license. [3][4], List of countries by government spending as percentage of GDP, List of countries by government budget per capita, List of countries by tax revenue to GDP ratio, List of sovereign states in Europe by budget revenues, List of sovereign states in Europe by budget revenues per capita, https://en.wikipedia.org/w/index.php?title=List_of_countries_by_government_spending_as_percentage_of_GDP&oldid=1158212749, This page was last edited on 2 June 2023, at 17:00. Overview and forecasts on trending topics, Industry and market insights and forecasts, Key figures and rankings about companies and products, Consumer and brand insights and preferences in various industries, Detailed information about political and social topics, All key figures about countries and regions, Market forecast and expert KPIs for 1000+ markets in 190+ countries & territories, Insights on consumer attitudes and behavior worldwide, Business information on 70m+ public and private companies, Detailed information for 35,000+ online stores and marketplaces. Profit from the additional features of your individual account. Directly accessible data for 170 industries from 150+ countries 8. (August 17, 2022). Current health expenditure (% of GDP) from The World Bank: Data. general government procurement as a percentage of total government expenditures).
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