Health expenditure; functions and financing for international comparisons


This table contains information on expenditure and financing in current prices on the health care used by residents in the Netherlands in one year. All activities within the area of health care are included, irrespective of whether they are performed within or outside the health care sector. These figures are based on the definition of the System of Health Accounts as used by EUROSTAT, the OECD and the WHO.
The figures are derived from the Dutch statistics on health and social care, which cover a broader range of activities (including e.g. child day care, welfare, and social services). Exports are also included. In this table it can be found in the financing item Rest of the world; exports.

This table also shows how the total figure in accordance with the System of Health Accounts is calculated from the total figure health and social care:

Total figure on health and social care
-/- health-related activities
-/- other goods and services
-/- exports
= Total current expenditure on health

Data available from: 1998

Status of the figures:
The figures for 2018 are provisional; the figures for 2016-2017 are revised provisional; the figures for the other years are final.

Changes as of 21 June 2019:
The figures for 2018 have been added, the figures for 2015-2017 have been updated. Household out-of-pocket payments to health care providers have been split into out-of-pocket payments excluding cost-sharing and cost-sharing arrangements with other financing schemes. The function out-patient curative care has been broken down into more categories, covering now general, specialist, dental and other out-patient curative care.

When will new figures be published?
In the second quarter of 2020 the 2016-2018 data will be updated and provisional figures on 2019 will be published.

Health expenditure; functions and financing for international comparisons

Functions Financing Periods Expenditure on health and social care (mln euro)
Total health, social care and welfare Total financ schemes health,social care 2018* 100,029
Total health, social care and welfare Total financing of residents 2018* 99,813
Total health, social care and welfare HF1: Government, comp. contr. schemes 2018* 82,818
Total health, social care and welfare HF11: Government schemes 2018* 18,847
Total health, social care and welfare HF12: Compulsory contributory schemes 2018* 63,971
Total health, social care and welfare HF121a: Long-term care insurance 2018* 19,636
Total health, social care and welfare HF122: Compulsory private insurance 2018* 44,335
Total health, social care and welfare Voluntary schemes (incl. OOP) 2018* 16,995
Total health, social care and welfare HF2: Voluntary schemes 2018* 6,199
Total health, social care and welfare HF21: Voluntary health insurance schemes 2018* 4,360
Total health, social care and welfare HF23: Enterprise financing schemes 2018* 1,839
Total health, social care and welfare HF3: Household out-of-pocket payments 2018* 10,796
Total health, social care and welfare Rest of the world; exports 2018* 216
Total current expenditure on healthcare Total financ schemes health,social care 2018* 77,002
Total current expenditure on healthcare Total financing of residents 2018* 76,884
Total current expenditure on healthcare HF1: Government, comp. contr. schemes 2018* 63,134
Total current expenditure on healthcare HF11: Government schemes 2018* 4,833
Total current expenditure on healthcare HF12: Compulsory contributory schemes 2018* 58,301
Total current expenditure on healthcare HF121a: Long-term care insurance 2018* 15,476
Total current expenditure on healthcare HF122: Compulsory private insurance 2018* 42,825
Total current expenditure on healthcare Voluntary schemes (incl. OOP) 2018* 13,750
Total current expenditure on healthcare HF2: Voluntary schemes 2018* 5,460
Total current expenditure on healthcare HF21: Voluntary health insurance schemes 2018* 4,360
Total current expenditure on healthcare HF23: Enterprise financing schemes 2018* 1,101
Total current expenditure on healthcare HF3: Household out-of-pocket payments 2018* 8,290
Total current expenditure on healthcare Rest of the world; exports 2018* 118
HC1: Services of curative care Total financ schemes health,social care 2018* 36,365
HC1: Services of curative care Total financing of residents 2018* 36,278
HC1: Services of curative care HF1: Government, comp. contr. schemes 2018* 30,675
HC1: Services of curative care HF11: Government schemes 2018* 1,554
HC1: Services of curative care HF12: Compulsory contributory schemes 2018* 29,121
HC1: Services of curative care HF121a: Long-term care insurance 2018* 68
HC1: Services of curative care HF122: Compulsory private insurance 2018* 29,053
HC1: Services of curative care Voluntary schemes (incl. OOP) 2018* 5,603
HC1: Services of curative care HF2: Voluntary schemes 2018* 2,359
HC1: Services of curative care HF21: Voluntary health insurance schemes 2018* 2,359
HC1: Services of curative care HF23: Enterprise financing schemes 2018* 0
HC1: Services of curative care HF3: Household out-of-pocket payments 2018* 3,244
HC1: Services of curative care Rest of the world; exports 2018* 87
HC.2:Services of rehabilitative care Total financ schemes health,social care 2018* 3,242
HC.2:Services of rehabilitative care Total financing of residents 2018* 3,242
HC.2:Services of rehabilitative care HF1: Government, comp. contr. schemes 2018* 1,974
HC.2:Services of rehabilitative care HF11: Government schemes 2018* 72
HC.2:Services of rehabilitative care HF12: Compulsory contributory schemes 2018* 1,902
HC.2:Services of rehabilitative care HF121a: Long-term care insurance 2018* 42
HC.2:Services of rehabilitative care HF122: Compulsory private insurance 2018* 1,860
HC.2:Services of rehabilitative care Voluntary schemes (incl. OOP) 2018* 1,268
HC.2:Services of rehabilitative care HF2: Voluntary schemes 2018* 1,100
HC.2:Services of rehabilitative care HF21: Voluntary health insurance schemes 2018* 1,100
HC.2:Services of rehabilitative care HF23: Enterprise financing schemes 2018* 0
HC.2:Services of rehabilitative care HF3: Household out-of-pocket payments 2018* 168
HC.2:Services of rehabilitative care Rest of the world; exports 2018* 0
HC3: Services of long-term nursing care Total financ schemes health,social care 2018* 20,709
HC3: Services of long-term nursing care Total financing of residents 2018* 20,699
HC3: Services of long-term nursing care HF1: Government, comp. contr. schemes 2018* 19,301
HC3: Services of long-term nursing care HF11: Government schemes 2018* 304
HC3: Services of long-term nursing care HF12: Compulsory contributory schemes 2018* 18,997
HC3: Services of long-term nursing care HF121a: Long-term care insurance 2018* 15,039
HC3: Services of long-term nursing care HF122: Compulsory private insurance 2018* 3,958
HC3: Services of long-term nursing care Voluntary schemes (incl. OOP) 2018* 1,398
HC3: Services of long-term nursing care HF2: Voluntary schemes 2018* 0
HC3: Services of long-term nursing care HF21: Voluntary health insurance schemes 2018* 0
HC3: Services of long-term nursing care HF23: Enterprise financing schemes 2018* 0
HC3: Services of long-term nursing care HF3: Household out-of-pocket payments 2018* 1,398
HC3: Services of long-term nursing care Rest of the world; exports 2018* 10
HC4: Ancillary services Total financ schemes health,social care 2018* 1,440
HC4: Ancillary services Total financing of residents 2018* 1,439
HC4: Ancillary services HF1: Government, comp. contr. schemes 2018* 989
HC4: Ancillary services HF11: Government schemes 2018* 5
HC4: Ancillary services HF12: Compulsory contributory schemes 2018* 984
HC4: Ancillary services HF121a: Long-term care insurance 2018* 0
HC4: Ancillary services HF122: Compulsory private insurance 2018* 984
HC4: Ancillary services Voluntary schemes (incl. OOP) 2018* 450
HC4: Ancillary services HF2: Voluntary schemes 2018* 352
HC4: Ancillary services HF21: Voluntary health insurance schemes 2018* 0
HC4: Ancillary services HF23: Enterprise financing schemes 2018* 352
HC4: Ancillary services HF3: Household out-of-pocket payments 2018* 99
HC4: Ancillary services Rest of the world; exports 2018* 1
HC5: Medical goods Total financ schemes health,social care 2018* 8,969
HC5: Medical goods Total financing of residents 2018* 8,950
HC5: Medical goods HF1: Government, comp. contr. schemes 2018* 5,345
HC5: Medical goods HF11: Government schemes 2018* 95
HC5: Medical goods HF12: Compulsory contributory schemes 2018* 5,251
HC5: Medical goods HF121a: Long-term care insurance 2018* 0
HC5: Medical goods HF122: Compulsory private insurance 2018* 5,251
HC5: Medical goods Voluntary schemes (incl. OOP) 2018* 3,604
HC5: Medical goods HF2: Voluntary schemes 2018* 346
HC5: Medical goods HF21: Voluntary health insurance schemes 2018* 346
HC5: Medical goods HF23: Enterprise financing schemes 2018* 0
HC5: Medical goods HF3: Household out-of-pocket payments 2018* 3,258
HC5: Medical goods Rest of the world; exports 2018* 20
HC6: Preventive care Total financ schemes health,social care 2018* 2,555
HC6: Preventive care Total financing of residents 2018* 2,555
HC6: Preventive care HF1: Government, comp. contr. schemes 2018* 1,743
HC6: Preventive care HF11: Government schemes 2018* 1,171
HC6: Preventive care HF12: Compulsory contributory schemes 2018* 572
HC6: Preventive care HF121a: Long-term care insurance 2018* 0
HC6: Preventive care HF122: Compulsory private insurance 2018* 572
HC6: Preventive care Voluntary schemes (incl. OOP) 2018* 813
HC6: Preventive care HF2: Voluntary schemes 2018* 742
HC6: Preventive care HF21: Voluntary health insurance schemes 2018* 58
HC6: Preventive care HF23: Enterprise financing schemes 2018* 684
HC6: Preventive care HF3: Household out-of-pocket payments 2018* 71
HC6: Preventive care Rest of the world; exports 2018* 0
HC7: Governance, health system, fin. Total financ schemes health,social care 2018* 2,930
HC7: Governance, health system, fin. Total financing of residents 2018* 2,930
HC7: Governance, health system, fin. HF1: Government, comp. contr. schemes 2018* 2,434
HC7: Governance, health system, fin. HF11: Government schemes 2018* 1,020
HC7: Governance, health system, fin. HF12: Compulsory contributory schemes 2018* 1,414
HC7: Governance, health system, fin. HF121a: Long-term care insurance 2018* 327
HC7: Governance, health system, fin. HF122: Compulsory private insurance 2018* 1,087
HC7: Governance, health system, fin. Voluntary schemes (incl. OOP) 2018* 497
HC7: Governance, health system, fin. HF2: Voluntary schemes 2018* 497
HC7: Governance, health system, fin. HF21: Voluntary health insurance schemes 2018* 497
HC7: Governance, health system, fin. HF23: Enterprise financing schemes 2018* 0
HC7: Governance, health system, fin. HF3: Household out-of-pocket payments 2018* 0
HC7: Governance, health system, fin. Rest of the world; exports 2018* 0
HC9: Healthcare n.e.c. Total financ schemes health,social care 2018* 790
HC9: Healthcare n.e.c. Total financing of residents 2018* 790
HC9: Healthcare n.e.c. HF1: Government, comp. contr. schemes 2018* 673
HC9: Healthcare n.e.c. HF11: Government schemes 2018* 611
HC9: Healthcare n.e.c. HF12: Compulsory contributory schemes 2018* 62
HC9: Healthcare n.e.c. HF121a: Long-term care insurance 2018* 0
HC9: Healthcare n.e.c. HF122: Compulsory private insurance 2018* 62
HC9: Healthcare n.e.c. Voluntary schemes (incl. OOP) 2018* 117
HC9: Healthcare n.e.c. HF2: Voluntary schemes 2018* 65
HC9: Healthcare n.e.c. HF21: Voluntary health insurance schemes 2018* 0
HC9: Healthcare n.e.c. HF23: Enterprise financing schemes 2018* 65
HC9: Healthcare n.e.c. HF3: Household out-of-pocket payments 2018* 52
HC9: Healthcare n.e.c. Rest of the world; exports 2018* 0
Total health related expenditure Total financ schemes health,social care 2018* 10,083
Total health related expenditure Total financing of residents 2018* 10,083
Total health related expenditure HF1: Government, comp. contr. schemes 2018* 9,386
Total health related expenditure HF11: Government schemes 2018* 5,061
Total health related expenditure HF12: Compulsory contributory schemes 2018* 4,325
Total health related expenditure HF121a: Long-term care insurance 2018* 4,130
Total health related expenditure HF122: Compulsory private insurance 2018* 195
Total health related expenditure Voluntary schemes (incl. OOP) 2018* 697
Total health related expenditure HF2: Voluntary schemes 2018* 113
Total health related expenditure HF21: Voluntary health insurance schemes 2018* 0
Total health related expenditure HF23: Enterprise financing schemes 2018* 113
Total health related expenditure HF3: Household out-of-pocket payments 2018* 585
Total health related expenditure Rest of the world; exports 2018* 0
HCR1: Long-term care (social) Total financ schemes health,social care 2018* 9,734
HCR1: Long-term care (social) Total financing of residents 2018* 9,734
HCR1: Long-term care (social) HF1: Government, comp. contr. schemes 2018* 9,149
HCR1: Long-term care (social) HF11: Government schemes 2018* 4,824
HCR1: Long-term care (social) HF12: Compulsory contributory schemes 2018* 4,325
HCR1: Long-term care (social) HF121a: Long-term care insurance 2018* 4,130
HCR1: Long-term care (social) HF122: Compulsory private insurance 2018* 195
HCR1: Long-term care (social) Voluntary schemes (incl. OOP) 2018* 585
HCR1: Long-term care (social) HF2: Voluntary schemes 2018* 0
HCR1: Long-term care (social) HF21: Voluntary health insurance schemes 2018* 0
HCR1: Long-term care (social) HF23: Enterprise financing schemes 2018* 0
HCR1: Long-term care (social) HF3: Household out-of-pocket payments 2018* 585
HCR1: Long-term care (social) Rest of the world; exports 2018* 0
HCR2: Health promotion multi-sector Total financ schemes health,social care 2018* 349
HCR2: Health promotion multi-sector Total financing of residents 2018* 349
HCR2: Health promotion multi-sector HF1: Government, comp. contr. schemes 2018* 236
HCR2: Health promotion multi-sector HF11: Government schemes 2018* 236
HCR2: Health promotion multi-sector HF12: Compulsory contributory schemes 2018* 0
HCR2: Health promotion multi-sector HF121a: Long-term care insurance 2018* 0
HCR2: Health promotion multi-sector HF122: Compulsory private insurance 2018* 0
HCR2: Health promotion multi-sector Voluntary schemes (incl. OOP) 2018* 113
HCR2: Health promotion multi-sector HF2: Voluntary schemes 2018* 113
HCR2: Health promotion multi-sector HF21: Voluntary health insurance schemes 2018* 0
HCR2: Health promotion multi-sector HF23: Enterprise financing schemes 2018* 113
HCR2: Health promotion multi-sector HF3: Household out-of-pocket payments 2018* 0
HCR2: Health promotion multi-sector Rest of the world; exports 2018* 0
M1(HC): Other goods and services Total financ schemes health,social care 2018* 12,945
M1(HC): Other goods and services Total financing of residents 2018* 12,846
M1(HC): Other goods and services HF1: Government, comp. contr. schemes 2018* 10,298
M1(HC): Other goods and services HF11: Government schemes 2018* 8,954
M1(HC): Other goods and services HF12: Compulsory contributory schemes 2018* 1,344
M1(HC): Other goods and services HF121a: Long-term care insurance 2018* 30
M1(HC): Other goods and services HF122: Compulsory private insurance 2018* 1,315
M1(HC): Other goods and services Voluntary schemes (incl. OOP) 2018* 2,548
M1(HC): Other goods and services HF2: Voluntary schemes 2018* 626
M1(HC): Other goods and services HF21: Voluntary health insurance schemes 2018* 0
M1(HC): Other goods and services HF23: Enterprise financing schemes 2018* 626
M1(HC): Other goods and services HF3: Household out-of-pocket payments 2018* 1,922
M1(HC): Other goods and services Rest of the world; exports 2018* 98
Source: CBS.
Explanation of symbols