HHE HOPE 2019 - Page 4

In the last years, public sector health expenditure accounted on average for 74% of total health expenditure and 15% of the total government expenditure. Between 2006 and 2016, the public health expenditure in PPP$ per capita increased on average to almost +50% in the EU. The countries that registered the most significant increases are Lithuania (+105%), Poland (+105%) and Estonia (+117%), whereas those that registered a minor increase were Luxembourg (+15%), Portugal (+19%) and Italy (+20%). Greece was the only country where this indicator decreased (–15%) (Chart 1). Chart 2 shows the trend over the past ten years concerning the share of government expenditure in health. It presents the aggregated data concerning the EU, and the figures of the three countries having the highest and the lowest values in the year 2017, Switzerland included. In 2017, the percentage of government expenditure devoted to health on total health expenditure ranged from 7% in Cyprus to 20% in Ireland. In Switzerland, this indicator was 6.4%. The trends illustrated in Chart 2 are generally positive between 2007 and 2017 with an average yearly increase of percentage of government outlays devoted to health by 0.08 p.p. Yet, from 2009 to 2010, this way of development slackened off in many countries, the reasons including the effects of the financial crisis or the shift of interest and priorities to other sectors. Out-of-pocket payments show the direct burden of medical costs that households bear at the time of service use. Out-of-pocket payments play an important role in every health care system. In 2016, the private contribution to healthcare spending was around 20% in the EU, ranging from 10% in France to 45% in Latvia. The other lowest values were registered in Luxembourg (11%), the Netherlands (11%) and Slovenia (12%), while the other highest values were registered in Hungary (30%), Lithuania (32%) and Greece (30%). It is worth noting that Latvia, Hungary, Lithuania and Greece are among the countries with the CHART 1 Total current health expenditure in PPP$ per capita, share of public and private: Year 2017 Public share of current health expenditure Private share of current health expenditure Luxembourg 82% Switzerland 63% Germany 85% Sweden 84% The Netherlands 81% Denmark 84% France 83% 17% Austria 74% 26% Ireland 73% Belgium 79% United Kingdom 79% Finland 74% Italy 74% Spain 71% Czech Republic 82% 18% Slovenia 73% 27% Portugal 67% Slovak Republic 81% Estonia 76% Greece 61% 39% Hungary 67% 33% Poland 69% 31% Lithuania 67% 33% Latvia 55% 0 18% 37% 15% 16% 19% 16% 27% 21% 21% 26% 26% 29% 33% 19% 24% 45% 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 CHART 2 Total health expenditure as percentage of total general government expenditure in the EU and some illustrative countries: Trend 2007–2017 Ireland United Kingdom The Netherlands EU 28 Hungary Latvia Cyprus 23 21 19 17 15 13 11 9 7 5 2007 2008 2009 2010 2011 2012 2013 4 HHE 2019 | hospitalhealthcare.com 2014 2015 2016 2017