Health expenditure; providers 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
-/- exports
-/- non-healthcare providers (welfare, children’s day care)
-/- health-related products (like social long term care)
= 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.

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; providers and financing for international comparisons

Providers Financing Periods Expenditure on health and social care (mln euro)
Total health and social care providers Total financ schemes health,social care 2018* 100,029
Total health and social care providers Total financing of residents 2018* 99,813
Total health and social care providers HF1: Government, comp. contr. schemes 2018* 82,818
Total health and social care providers HF2: Voluntary schemes 2018* 6,199
Total health and social care providers HF3: Household out-of-pocket payments 2018* 10,796
Total health and social care providers HF31: Out-of-pocket excl cost sharing 2018* 5,568
Total health and social care providers Rest of the world; exports 2018* 216
Total health care providers Total financ schemes health,social care 2018* 77,002
Total health care providers Total financing of residents 2018* 76,884
Total health care providers HF1: Government, comp. contr. schemes 2018* 63,134
Total health care providers HF2: Voluntary schemes 2018* 5,460
Total health care providers HF3: Household out-of-pocket payments 2018* 8,290
Total health care providers HF31: Out-of-pocket excl cost sharing 2018* 3,710
Total health care providers Rest of the world; exports 2018* 118
HP1: Hospitals Total financ schemes health,social care 2018* 25,932
HP1: Hospitals Total financing of residents 2018* 25,884
HP1: Hospitals HF1: Government, comp. contr. schemes 2018* 23,842
HP1: Hospitals HF2: Voluntary schemes 2018* 0
HP1: Hospitals HF3: Household out-of-pocket payments 2018* 2,041
HP1: Hospitals HF31: Out-of-pocket excl cost sharing 2018* 277
HP1: Hospitals Rest of the world; exports 2018* 48
HP11: General and university hospitals Total financ schemes health,social care 2018* 20,924
HP11: General and university hospitals Total financing of residents 2018* 20,875
HP11: General and university hospitals HF1: Government, comp. contr. schemes 2018* 19,050
HP11: General and university hospitals HF2: Voluntary schemes 2018* 0
HP11: General and university hospitals HF3: Household out-of-pocket payments 2018* 1,826
HP11: General and university hospitals HF31: Out-of-pocket excl cost sharing 2018* 277
HP11: General and university hospitals Rest of the world; exports 2018* 48
HP12: Mental health institutions, Total financ schemes health,social care 2018* 3,927
HP12: Mental health institutions, Total financing of residents 2018* 3,927
HP12: Mental health institutions, HF1: Government, comp. contr. schemes 2018* 3,790
HP12: Mental health institutions, HF2: Voluntary schemes 2018* 0
HP12: Mental health institutions, HF3: Household out-of-pocket payments 2018* 137
HP12: Mental health institutions, HF31: Out-of-pocket excl cost sharing 2018* 0
HP12: Mental health institutions, Rest of the world; exports 2018* 0
HP13: Specialised hospitals Total financ schemes health,social care 2018* 1,082
HP13: Specialised hospitals Total financing of residents 2018* 1,082
HP13: Specialised hospitals HF1: Government, comp. contr. schemes 2018* 1,003
HP13: Specialised hospitals HF2: Voluntary schemes 2018* 0
HP13: Specialised hospitals HF3: Household out-of-pocket payments 2018* 79
HP13: Specialised hospitals HF31: Out-of-pocket excl cost sharing 2018* 0
HP13: Specialised hospitals Rest of the world; exports 2018* 0
HP2: Nursing and residential care facil. Total financ schemes health,social care 2018* 20,754
HP2: Nursing and residential care facil. Total financing of residents 2018* 20,744
HP2: Nursing and residential care facil. HF1: Government, comp. contr. schemes 2018* 19,285
HP2: Nursing and residential care facil. HF2: Voluntary schemes 2018* 0
HP2: Nursing and residential care facil. HF3: Household out-of-pocket payments 2018* 1,459
HP2: Nursing and residential care facil. HF31: Out-of-pocket excl cost sharing 2018* 56
HP2: Nursing and residential care facil. Rest of the world; exports 2018* 10
HP21: Nursing care facilities Total financ schemes health,social care 2018* 15,389
HP21: Nursing care facilities Total financing of residents 2018* 15,379
HP21: Nursing care facilities HF1: Government, comp. contr. schemes 2018* 14,168
HP21: Nursing care facilities HF2: Voluntary schemes 2018* 0
HP21: Nursing care facilities HF3: Household out-of-pocket payments 2018* 1,211
HP21: Nursing care facilities HF31: Out-of-pocket excl cost sharing 2018* 56
HP21: Nursing care facilities Rest of the world; exports 2018* 10
HP29: Other long-term care facilities Total financ schemes health,social care 2018* 5,365
HP29: Other long-term care facilities Total financing of residents 2018* 5,365
HP29: Other long-term care facilities HF1: Government, comp. contr. schemes 2018* 5,117
HP29: Other long-term care facilities HF2: Voluntary schemes 2018* 0
HP29: Other long-term care facilities HF3: Household out-of-pocket payments 2018* 248
HP29: Other long-term care facilities HF31: Out-of-pocket excl cost sharing 2018* 0
HP29: Other long-term care facilities Rest of the world; exports 2018* 0
HP3: Providers of ambulatory health care Total financ schemes health,social care 2018* 14,240
HP3: Providers of ambulatory health care Total financing of residents 2018* 14,226
HP3: Providers of ambulatory health care HF1: Government, comp. contr. schemes 2018* 9,471
HP3: Providers of ambulatory health care HF2: Voluntary schemes 2018* 3,450
HP3: Providers of ambulatory health care HF3: Household out-of-pocket payments 2018* 1,305
HP3: Providers of ambulatory health care HF31: Out-of-pocket excl cost sharing 2018* 930
HP3: Providers of ambulatory health care Rest of the world; exports 2018* 14
HP31: Medical practices Total financ schemes health,social care 2018* 6,255
HP31: Medical practices Total financing of residents 2018* 6,249
HP31: Medical practices HF1: Government, comp. contr. schemes 2018* 6,008
HP31: Medical practices HF2: Voluntary schemes 2018* 0
HP31: Medical practices HF3: Household out-of-pocket payments 2018* 241
HP31: Medical practices HF31: Out-of-pocket excl cost sharing 2018* 30
HP31: Medical practices Rest of the world; exports 2018* 6
HP32: Dental practices Total financ schemes health,social care 2018* 3,194
HP32: Dental practices Total financing of residents 2018* 3,189
HP32: Dental practices HF1: Government, comp. contr. schemes 2018* 866
HP32: Dental practices HF2: Voluntary schemes 2018* 1,763
HP32: Dental practices HF3: Household out-of-pocket payments 2018* 560
HP32: Dental practices HF31: Out-of-pocket excl cost sharing 2018* 501
HP32: Dental practices Rest of the world; exports 2018* 5
HP33 : Other health care practitioners Total financ schemes health,social care 2018* 3,225
HP33 : Other health care practitioners Total financing of residents 2018* 3,225
HP33 : Other health care practitioners HF1: Government, comp. contr. schemes 2018* 1,206
HP33 : Other health care practitioners HF2: Voluntary schemes 2018* 1,610
HP33 : Other health care practitioners HF3: Household out-of-pocket payments 2018* 409
HP33 : Other health care practitioners HF31: Out-of-pocket excl cost sharing 2018* 350
HP33 : Other health care practitioners Rest of the world; exports 2018* 0
HP34: Ambulatory health care centres Total financ schemes health,social care 2018* 1,566
HP34: Ambulatory health care centres Total financing of residents 2018* 1,564
HP34: Ambulatory health care centres HF1: Government, comp. contr. schemes 2018* 1,391
HP34: Ambulatory health care centres HF2: Voluntary schemes 2018* 77
HP34: Ambulatory health care centres HF3: Household out-of-pocket payments 2018* 96
HP34: Ambulatory health care centres HF31: Out-of-pocket excl cost sharing 2018* 49
HP34: Ambulatory health care centres Rest of the world; exports 2018* 3
HP4: Providers of ancillary services Total financ schemes health,social care 2018* 1,168
HP4: Providers of ancillary services Total financing of residents 2018* 1,167
HP4: Providers of ancillary services HF1: Government, comp. contr. schemes 2018* 717
HP4: Providers of ancillary services HF2: Voluntary schemes 2018* 352
HP4: Providers of ancillary services HF3: Household out-of-pocket payments 2018* 99
HP4: Providers of ancillary services HF31: Out-of-pocket excl cost sharing 2018* 0
HP4: Providers of ancillary services Rest of the world; exports 2018* 1
HP41: Patient transportation, emergency Total financ schemes health,social care 2018* 406
HP41: Patient transportation, emergency Total financing of residents 2018* 405
HP41: Patient transportation, emergency HF1: Government, comp. contr. schemes 2018* 347
HP41: Patient transportation, emergency HF2: Voluntary schemes 2018* 19
HP41: Patient transportation, emergency HF3: Household out-of-pocket payments 2018* 39
HP41: Patient transportation, emergency HF31: Out-of-pocket excl cost sharing 2018* 0
HP41: Patient transportation, emergency Rest of the world; exports 2018* 1
HP42: Medical & diagnostic laboratories Total financ schemes health,social care 2018* 762
HP42: Medical & diagnostic laboratories Total financing of residents 2018* 762
HP42: Medical & diagnostic laboratories HF1: Government, comp. contr. schemes 2018* 369
HP42: Medical & diagnostic laboratories HF2: Voluntary schemes 2018* 333
HP42: Medical & diagnostic laboratories HF3: Household out-of-pocket payments 2018* 59
HP42: Medical & diagnostic laboratories HF31: Out-of-pocket excl cost sharing 2018* 0
HP42: Medical & diagnostic laboratories Rest of the world; exports 2018* 0
HP5: Retailers of medical goods Total financ schemes health,social care 2018* 8,445
HP5: Retailers of medical goods Total financing of residents 2018* 8,437
HP5: Retailers of medical goods HF1: Government, comp. contr. schemes 2018* 4,949
HP5: Retailers of medical goods HF2: Voluntary schemes 2018* 331
HP5: Retailers of medical goods HF3: Household out-of-pocket payments 2018* 3,157
HP5: Retailers of medical goods HF31: Out-of-pocket excl cost sharing 2018* 2,234
HP5: Retailers of medical goods Rest of the world; exports 2018* 8
HP51: Pharmacies Total financ schemes health,social care 2018* 5,361
HP51: Pharmacies Total financing of residents 2018* 5,353
HP51: Pharmacies HF1: Government, comp. contr. schemes 2018* 3,614
HP51: Pharmacies HF2: Voluntary schemes 2018* 47
HP51: Pharmacies HF3: Household out-of-pocket payments 2018* 1,692
HP51: Pharmacies HF31: Out-of-pocket excl cost sharing 2018* 933
HP51: Pharmacies Rest of the world; exports 2018* 8
HP52 : Suppliers of medical appliances. Total financ schemes health,social care 2018* 3,084
HP52 : Suppliers of medical appliances. Total financing of residents 2018* 3,084
HP52 : Suppliers of medical appliances. HF1: Government, comp. contr. schemes 2018* 1,335
HP52 : Suppliers of medical appliances. HF2: Voluntary schemes 2018* 284
HP52 : Suppliers of medical appliances. HF3: Household out-of-pocket payments 2018* 1,465
HP52 : Suppliers of medical appliances. HF31: Out-of-pocket excl cost sharing 2018* 1,301
HP52 : Suppliers of medical appliances. Rest of the world; exports 2018* 0
HP6: Providers of preventive care Total financ schemes health,social care 2018* 1,786
HP6: Providers of preventive care Total financing of residents 2018* 1,780
HP6: Providers of preventive care HF1: Government, comp. contr. schemes 2018* 1,270
HP6: Providers of preventive care HF2: Voluntary schemes 2018* 479
HP6: Providers of preventive care HF3: Household out-of-pocket payments 2018* 31
HP6: Providers of preventive care HF31: Out-of-pocket excl cost sharing 2018* 31
HP6: Providers of preventive care Rest of the world; exports 2018* 6
HP7: Healthcare adm. and financ. Total financ schemes health,social care 2018* 3,256
HP7: Healthcare adm. and financ. Total financing of residents 2018* 3,256
HP7: Healthcare adm. and financ. HF1: Government, comp. contr. schemes 2018* 2,661
HP7: Healthcare adm. and financ. HF2: Voluntary schemes 2018* 562
HP7: Healthcare adm. and financ. HF3: Household out-of-pocket payments 2018* 33
HP7: Healthcare adm. and financ. HF31: Out-of-pocket excl cost sharing 2018* 33
HP7: Healthcare adm. and financ. Rest of the world; exports 2018* 0
HP71: Government health administration Total financ schemes health,social care 2018* 792
HP71: Government health administration Total financing of residents 2018* 792
HP71: Government health administration HF1: Government, comp. contr. schemes 2018* 792
HP71: Government health administration HF2: Voluntary schemes 2018* 0
HP71: Government health administration HF3: Household out-of-pocket payments 2018* 0
HP71: Government health administration HF31: Out-of-pocket excl cost sharing 2018* 0
HP71: Government health administration Rest of the world; exports 2018* 0
HP72: Social health insurance agencies Total financ schemes health,social care 2018* 1,606
HP72: Social health insurance agencies Total financing of residents 2018* 1,606
HP72: Social health insurance agencies HF1: Government, comp. contr. schemes 2018* 1,606
HP72: Social health insurance agencies HF2: Voluntary schemes 2018* 0
HP72: Social health insurance agencies HF3: Household out-of-pocket payments 2018* 0
HP72: Social health insurance agencies HF31: Out-of-pocket excl cost sharing 2018* 0
HP72: Social health insurance agencies Rest of the world; exports 2018* 0
HP73: Providers of health insurance Total financ schemes health,social care 2018* 497
HP73: Providers of health insurance Total financing of residents 2018* 497
HP73: Providers of health insurance HF1: Government, comp. contr. schemes 2018* 0
HP73: Providers of health insurance HF2: Voluntary schemes 2018* 497
HP73: Providers of health insurance HF3: Household out-of-pocket payments 2018* 0
HP73: Providers of health insurance HF31: Out-of-pocket excl cost sharing 2018* 0
HP73: Providers of health insurance Rest of the world; exports 2018* 0
HP79: Other administration agencies Total financ schemes health,social care 2018* 361
HP79: Other administration agencies Total financing of residents 2018* 361
HP79: Other administration agencies HF1: Government, comp. contr. schemes 2018* 263
HP79: Other administration agencies HF2: Voluntary schemes 2018* 65
HP79: Other administration agencies HF3: Household out-of-pocket payments 2018* 33
HP79: Other administration agencies HF31: Out-of-pocket excl cost sharing 2018* 33
HP79: Other administration agencies Rest of the world; exports 2018* 0
HP8: Rest of economy Total financ schemes health,social care 2018* 823
HP8: Rest of economy Total financing of residents 2018* 823
HP8: Rest of economy HF1: Government, comp. contr. schemes 2018* 618
HP8: Rest of economy HF2: Voluntary schemes 2018* 205
HP8: Rest of economy HF3: Household out-of-pocket payments 2018* 1
HP8: Rest of economy HF31: Out-of-pocket excl cost sharing 2018* 0
HP8: Rest of economy Rest of the world; exports 2018* 0
HP81: Households prov. home health care Total financ schemes health,social care 2018* 0
HP81: Households prov. home health care Total financing of residents 2018* 0
HP81: Households prov. home health care HF1: Government, comp. contr. schemes 2018* 0
HP81: Households prov. home health care HF2: Voluntary schemes 2018* 0
HP81: Households prov. home health care HF3: Household out-of-pocket payments 2018* 0
HP81: Households prov. home health care HF31: Out-of-pocket excl cost sharing 2018* 0
HP81: Households prov. home health care Rest of the world; exports 2018* 0
HP82: Secondary providers of health care Total financ schemes health,social care 2018* 823
HP82: Secondary providers of health care Total financing of residents 2018* 823
HP82: Secondary providers of health care HF1: Government, comp. contr. schemes 2018* 618
HP82: Secondary providers of health care HF2: Voluntary schemes 2018* 205
HP82: Secondary providers of health care HF3: Household out-of-pocket payments 2018* 1
HP82: Secondary providers of health care HF31: Out-of-pocket excl cost sharing 2018* 0
HP82: Secondary providers of health care Rest of the world; exports 2018* 0
HP9: Rest of the world Total financ schemes health,social care 2018* 598
HP9: Rest of the world Total financing of residents 2018* 567
HP9: Rest of the world HF1: Government, comp. contr. schemes 2018* 321
HP9: Rest of the world HF2: Voluntary schemes 2018* 82
HP9: Rest of the world HF3: Household out-of-pocket payments 2018* 165
HP9: Rest of the world HF31: Out-of-pocket excl cost sharing 2018* 150
HP9: Rest of the world Rest of the world; exports 2018* 31
Welfare, children's day care Total financ schemes health,social care 2018* 11,572
Welfare, children's day care Total financing of residents 2018* 11,473
Welfare, children's day care HF1: Government, comp. contr. schemes 2018* 8,925
Welfare, children's day care HF2: Voluntary schemes 2018* 626
Welfare, children's day care HF3: Household out-of-pocket payments 2018* 1,922
Welfare, children's day care HF31: Out-of-pocket excl cost sharing 2018* 1,858
Welfare, children's day care Rest of the world; exports 2018* 98
Provision of health related products Total financ schemes health,social care 2018* 11,456
Provision of health related products Total financing of residents 2018* 11,456
Provision of health related products HF1: Government, comp. contr. schemes 2018* 10,758
Provision of health related products HF2: Voluntary schemes 2018* 113
Provision of health related products HF3: Household out-of-pocket payments 2018* 585
Provision of health related products HF31: Out-of-pocket excl cost sharing 2018* 0
Provision of health related products Rest of the world; exports 2018* 0
Source: CBS.
Explanation of symbols