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Health Expenditure

 

OECD spending on health as a share of GDP is expected to have increased significantly in 2020, as the economic situation worsened and health spending increased in many OECD countries. Preliminary health spending estimates for a group of 16 countries suggest that per capita health increased by around 4.9% on average in 2020, according to OECD Health Statistics 2021, released in July 2021.

 

The OECD Manual A System of Health Accounts (SHA, revised edition March 2017) provides a standard framework for producing a set of comprehensive, consistent and internationally comparable accounts to meet the needs of public and private-sector health analysts and policy-makers.

Health expenditure

WHAT’S NEW - LATEST TRENDS IN OECD HEALTH SPENDING

Latest OECD estimates point to average health expenditure growth of around 3.3% in 2019, while health spending as a share of GDP remained at a similar level to previous years at around 8.8%. However, both indicators are expected to have increased sharply in 2020 as economies struggled and health spending increased in the pandemic.  Preliminary estimates for a group of 16 OECD countries suggest that health spending jumped to around 9.9% of GDP on average in 2020, and per capita spending on health accelerated to 4.9%. This increased growth was driven primarily by increases in government allocating greater resources to health, while private spending tended to fall. 

This and other issues, such as the effects of an ageing population, or tracking, have been challenging the traditional system of health expenditure statistics.

Despite the post-crisis slowdown in health spending growth, concerns about the fiscal sustainability of health systems remain large. The publication Fiscal Sustainability of Health Systems: Bridging Health and Finance Perspectives provides a detailed overview of institutional frameworks for financing health care in OECD countries. It offers a comprehensive mapping of budgeting practices and governance structures in health across OECD countries.

Note: Based on 16 countries providing preliminary estimates of health spending for 2020.

Access the dataset on Health Expenditure and Financing in OECD.Stat

KEY publication: A SYSTEM OF HEALTH ACCOUNTS

The OECD Manual A System of Health Accounts (SHA) provides a standard framework for producing a set of comprehensive, consistent and internationally comparable accounts to meet the needs of public and private-sector health analysts and policy-makers. The SHA manual establishes a conceptual basis of statistical reporting rules that are compatible with other economic and social statistics.

Note that the revised edition was released on March 16, 2017.

Related reading material:

PUBLICATIONS AND PROJECTS RELATED TO HEALTH EXPENDITURE 

COntacts FOR HEALTH EXPENDITURE

For more information, please contact us at sha.contact@oecd.org.

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