CHART 3
Comparison between the variation in the total current expenditure on health and
out-of-pocket payments on health: Years 2006–2016
-15%
Greece
160%
United Kingdom
140%
Latvia
120%
The Netherlands
Hungary
Spain
60%
Portugal
40%
20%
0
R 2 = 0.4622
France
80%
-5%
Lithuania
Czech Republic
100%
15%
Austria
Finland
Italy
Slovenia
Luxembourg
5%
25%
35%
Switzerland
Poland
Estonia
Sweden
Ireland
Germany
Denmark Belgium
45% 55%
Slovak Republic
65%
75%
85%
95%
105%
115%
-20%
-40%
Total current expenditure on health, PPP$ per capita: Variation 2006 - 2016
lowest current health expenditure on health in
PPP$ that year.
Between 2006 and 2016, the household
out-of-pocket payments in PPP$ per capita has
increased in all the EU countries, except for
Greece (–32%) and Luxembourg (–1%). The most
relevant increases in EU15 were in the United
Kingdom (+143%) and the Netherlands (+75%). In
Switzerland, the indicator varied by +67% in the
years taken into consideration. In EU13, according
to available data, the abovementioned figure
registered highest increases in Latvia (+121%),
Czech Republic (117%) and Lithuania (+110%). The
total household out-of-pocket payments in PPP$
per capita continued to increase, because the
demand of healthcare services and, in turn, the
total health expenditure did.
Chart 3 illustrates the trend 2006–2016 of both
the total current health expenditure per capita
and the private households’ out-of-pocket
payments on health. These values present a
correlation (R² = 0.4622) showing that there is
dependence between the two indicators. The
chart highlights the fast growth of both expenses
in the countries located in the upper right part of
the graph corresponding to countries belonging
to EU13. In those in the lowest-left section of the
graph, the out-of-pocket payments grew more
slowly compared with the total current health
expenditure.
In the majority of the EU member states,
30–40% of current health expenditure (excluding
investments and capital outlays) finances hospital
care. The funds allocated to providers of long-
term care, ancillary services, ambulatory care,
preventive care as well as to retailers and other
providers of medical goods are excluded from this
computation.
In 2016, current hospital expenditure
represented approximately 38% of total current
health expenditure, ranging from 29% and 32% in
Germany and Latvia, respectively, to 46% and 47%
in Italy and Estonia (Chart 4). In all countries,
even if part of the total health expenditure is
always funded by private insurance and
CHART 4
Current hospital expenditure as percentage of
total current health expenditure, PPP$ per capita:
Year 2016
Current hospital expenditure as % of total current health expenditure
Total current health expenditure, PPP$ per capita
Switzerland 35%
Luxembourg 32%
Germany 29%
Sweden 39%
Austria 38%
Ireland 36%
The Netherlands 35%
Denmark 44%
France 38%
Belgium 34%
United Kingdom 42%
Finland 36%
Italy 46%
Spain 42%
Portugal 42%
Slovenia 42%
Czech Republic 41%
Greece 43%
Slovak Republic 32%
Lithuania 35%
Estonia 47%
Hungary 37%
Poland 35%
32%
Latvia
0
1,000
5
HHE 2019 | hospitalhealthcare.com
2,000
3,000
4,000
5,000
6,000
7,000
8,000