Health expenditure: national and international figures compared; financing
| Functions | Financing | Periods | Health and social care expenditure (mln euro) |
|---|---|---|---|
| Total expenditure on health and care | Total financ schemes health,social care | 2023** | 141,977 |
| Total expenditure on health and care | Total financing of residents | 2023** | 141,719 |
| Total expenditure on health and care | HF1: Government, comp. contr. schemes | 2023** | 118,551 |
| Total expenditure on health and care | HF11: Government schemes | 2023** | 32,564 |
| Total expenditure on health and care | HF12: Compulsory contributory schemes | 2023** | 85,988 |
| Total expenditure on health and care | HF121a: Long-term care insurance | 2023** | 31,074 |
| Total expenditure on health and care | HF122: Compulsory private insurance | 2023** | 54,914 |
| Total expenditure on health and care | Voluntary schemes (incl. OOP) | 2023** | 23,168 |
| Total expenditure on health and care | HF2: Voluntary schemes | 2023** | 6,589 |
| Total expenditure on health and care | HF21: Voluntary health insurance schemes | 2023** | 4,303 |
| Total expenditure on health and care | HF22: Financing schemes NPISH | 2023** | 418 |
| Total expenditure on health and care | HF23: Enterprise financing schemes | 2023** | 1,868 |
| Total expenditure on health and care | HF3: Household out-of-pocket payments | 2023** | 16,578 |
| Total expenditure on health and care | HF31: Out-of-pocket excl cost sharing | 2023** | 10,699 |
| Total expenditure on health and care | HF32: Cost sharing | 2023** | 5,879 |
| Total expenditure on health and care | Rest of the world; exports | 2023** | 258 |
| Social work and child day care | Total financ schemes health,social care | 2023** | 20,553 |
| Social work and child day care | Total financing of residents | 2023** | 20,553 |
| Social work and child day care | HF1: Government, comp. contr. schemes | 2023** | 16,294 |
| Social work and child day care | HF11: Government schemes | 2023** | 16,294 |
| Social work and child day care | HF12: Compulsory contributory schemes | 2023** | 0 |
| Social work and child day care | HF121a: Long-term care insurance | 2023** | 0 |
| Social work and child day care | HF122: Compulsory private insurance | 2023** | 0 |
| Social work and child day care | Voluntary schemes (incl. OOP) | 2023** | 4,259 |
| Social work and child day care | HF2: Voluntary schemes | 2023** | 717 |
| Social work and child day care | HF21: Voluntary health insurance schemes | 2023** | 0 |
| Social work and child day care | HF22: Financing schemes NPISH | 2023** | 201 |
| Social work and child day care | HF23: Enterprise financing schemes | 2023** | 516 |
| Social work and child day care | HF3: Household out-of-pocket payments | 2023** | 3,542 |
| Social work and child day care | HF31: Out-of-pocket excl cost sharing | 2023** | 3,542 |
| Social work and child day care | HF32: Cost sharing | 2023** | 0 |
| Social work and child day care | Rest of the world; exports | 2023** | 0 |
| Education, R&D, other services | Total financ schemes health,social care | 2023** | 3,491 |
| Education, R&D, other services | Total financing of residents | 2023** | 3,370 |
| Education, R&D, other services | HF1: Government, comp. contr. schemes | 2023** | 3,034 |
| Education, R&D, other services | HF11: Government schemes | 2023** | 1,144 |
| Education, R&D, other services | HF12: Compulsory contributory schemes | 2023** | 1,890 |
| Education, R&D, other services | HF121a: Long-term care insurance | 2023** | 21 |
| Education, R&D, other services | HF122: Compulsory private insurance | 2023** | 1,869 |
| Education, R&D, other services | Voluntary schemes (incl. OOP) | 2023** | 336 |
| Education, R&D, other services | HF2: Voluntary schemes | 2023** | 336 |
| Education, R&D, other services | HF21: Voluntary health insurance schemes | 2023** | 0 |
| Education, R&D, other services | HF22: Financing schemes NPISH | 2023** | 166 |
| Education, R&D, other services | HF23: Enterprise financing schemes | 2023** | 170 |
| Education, R&D, other services | HF3: Household out-of-pocket payments | 2023** | 0 |
| Education, R&D, other services | HF31: Out-of-pocket excl cost sharing | 2023** | 0 |
| Education, R&D, other services | HF32: Cost sharing | 2023** | 0 |
| Education, R&D, other services | Rest of the world; exports | 2023** | 120 |
| Health expenditure | Total financ schemes health,social care | 2023** | 105,099 |
| Health expenditure | Total financing of residents | 2023** | 104,961 |
| Health expenditure | HF1: Government, comp. contr. schemes | 2023** | 86,794 |
| Health expenditure | HF11: Government schemes | 2023** | 8,492 |
| Health expenditure | HF12: Compulsory contributory schemes | 2023** | 78,302 |
| Health expenditure | HF121a: Long-term care insurance | 2023** | 25,256 |
| Health expenditure | HF122: Compulsory private insurance | 2023** | 53,046 |
| Health expenditure | Voluntary schemes (incl. OOP) | 2023** | 18,167 |
| Health expenditure | HF2: Voluntary schemes | 2023** | 5,536 |
| Health expenditure | HF21: Voluntary health insurance schemes | 2023** | 4,303 |
| Health expenditure | HF22: Financing schemes NPISH | 2023** | 51 |
| Health expenditure | HF23: Enterprise financing schemes | 2023** | 1,182 |
| Health expenditure | HF3: Household out-of-pocket payments | 2023** | 12,631 |
| Health expenditure | HF31: Out-of-pocket excl cost sharing | 2023** | 7,157 |
| Health expenditure | HF32: Cost sharing | 2023** | 5,474 |
| Health expenditure | Rest of the world; exports | 2023** | 138 |
| Total health related expenditure | Total financ schemes health,social care | 2023** | 12,835 |
| Total health related expenditure | Total financing of residents | 2023** | 12,835 |
| Total health related expenditure | HF1: Government, comp. contr. schemes | 2023** | 12,430 |
| Total health related expenditure | HF11: Government schemes | 2023** | 6,634 |
| Total health related expenditure | HF12: Compulsory contributory schemes | 2023** | 5,796 |
| Total health related expenditure | HF121a: Long-term care insurance | 2023** | 5,796 |
| Total health related expenditure | HF122: Compulsory private insurance | 2023** | 0 |
| Total health related expenditure | Voluntary schemes (incl. OOP) | 2023** | 405 |
| Total health related expenditure | HF2: Voluntary schemes | 2023** | 0 |
| Total health related expenditure | HF21: Voluntary health insurance schemes | 2023** | 0 |
| Total health related expenditure | HF22: Financing schemes NPISH | 2023** | 0 |
| Total health related expenditure | HF23: Enterprise financing schemes | 2023** | 0 |
| Total health related expenditure | HF3: Household out-of-pocket payments | 2023** | 405 |
| Total health related expenditure | HF31: Out-of-pocket excl cost sharing | 2023** | 0 |
| Total health related expenditure | HF32: Cost sharing | 2023** | 405 |
| Total health related expenditure | Rest of the world; exports | 2023** | 0 |
| HCR1: Long-term care (social) | Total financ schemes health,social care | 2023** | 12,835 |
| HCR1: Long-term care (social) | Total financing of residents | 2023** | 12,835 |
| HCR1: Long-term care (social) | HF1: Government, comp. contr. schemes | 2023** | 12,430 |
| HCR1: Long-term care (social) | HF11: Government schemes | 2023** | 6,634 |
| HCR1: Long-term care (social) | HF12: Compulsory contributory schemes | 2023** | 5,796 |
| HCR1: Long-term care (social) | HF121a: Long-term care insurance | 2023** | 5,796 |
| HCR1: Long-term care (social) | HF122: Compulsory private insurance | 2023** | 0 |
| HCR1: Long-term care (social) | Voluntary schemes (incl. OOP) | 2023** | 405 |
| HCR1: Long-term care (social) | HF2: Voluntary schemes | 2023** | 0 |
| HCR1: Long-term care (social) | HF21: Voluntary health insurance schemes | 2023** | 0 |
| HCR1: Long-term care (social) | HF22: Financing schemes NPISH | 2023** | 0 |
| HCR1: Long-term care (social) | HF23: Enterprise financing schemes | 2023** | 0 |
| HCR1: Long-term care (social) | HF3: Household out-of-pocket payments | 2023** | 405 |
| HCR1: Long-term care (social) | HF31: Out-of-pocket excl cost sharing | 2023** | 0 |
| HCR1: Long-term care (social) | HF32: Cost sharing | 2023** | 405 |
| HCR1: Long-term care (social) | Rest of the world; exports | 2023** | 0 |
| HCR11:In-kind long-term social care | Total financ schemes health,social care | 2023** | 10,929 |
| HCR11:In-kind long-term social care | Total financing of residents | 2023** | 10,929 |
| HCR11:In-kind long-term social care | HF1: Government, comp. contr. schemes | 2023** | 10,527 |
| HCR11:In-kind long-term social care | HF11: Government schemes | 2023** | 6,402 |
| HCR11:In-kind long-term social care | HF12: Compulsory contributory schemes | 2023** | 4,124 |
| HCR11:In-kind long-term social care | HF121a: Long-term care insurance | 2023** | 4,124 |
| HCR11:In-kind long-term social care | HF122: Compulsory private insurance | 2023** | 0 |
| HCR11:In-kind long-term social care | Voluntary schemes (incl. OOP) | 2023** | 402 |
| HCR11:In-kind long-term social care | HF2: Voluntary schemes | 2023** | 0 |
| HCR11:In-kind long-term social care | HF21: Voluntary health insurance schemes | 2023** | 0 |
| HCR11:In-kind long-term social care | HF22: Financing schemes NPISH | 2023** | 0 |
| HCR11:In-kind long-term social care | HF23: Enterprise financing schemes | 2023** | 0 |
| HCR11:In-kind long-term social care | HF3: Household out-of-pocket payments | 2023** | 402 |
| HCR11:In-kind long-term social care | HF31: Out-of-pocket excl cost sharing | 2023** | 0 |
| HCR11:In-kind long-term social care | HF32: Cost sharing | 2023** | 402 |
| HCR11:In-kind long-term social care | Rest of the world; exports | 2023** | 0 |
| HCR12: Long-term soc. care cash benefits | Total financ schemes health,social care | 2023** | 1,907 |
| HCR12: Long-term soc. care cash benefits | Total financing of residents | 2023** | 1,907 |
| HCR12: Long-term soc. care cash benefits | HF1: Government, comp. contr. schemes | 2023** | 1,903 |
| HCR12: Long-term soc. care cash benefits | HF11: Government schemes | 2023** | 231 |
| HCR12: Long-term soc. care cash benefits | HF12: Compulsory contributory schemes | 2023** | 1,672 |
| HCR12: Long-term soc. care cash benefits | HF121a: Long-term care insurance | 2023** | 1,672 |
| HCR12: Long-term soc. care cash benefits | HF122: Compulsory private insurance | 2023** | 0 |
| HCR12: Long-term soc. care cash benefits | Voluntary schemes (incl. OOP) | 2023** | 3 |
| HCR12: Long-term soc. care cash benefits | HF2: Voluntary schemes | 2023** | 0 |
| HCR12: Long-term soc. care cash benefits | HF21: Voluntary health insurance schemes | 2023** | 0 |
| HCR12: Long-term soc. care cash benefits | HF22: Financing schemes NPISH | 2023** | 0 |
| HCR12: Long-term soc. care cash benefits | HF23: Enterprise financing schemes | 2023** | 0 |
| HCR12: Long-term soc. care cash benefits | HF3: Household out-of-pocket payments | 2023** | 3 |
| HCR12: Long-term soc. care cash benefits | HF31: Out-of-pocket excl cost sharing | 2023** | 0 |
| HCR12: Long-term soc. care cash benefits | HF32: Cost sharing | 2023** | 3 |
| HCR12: Long-term soc. care cash benefits | Rest of the world; exports | 2023** | 0 |
| Source: CBS. | |||
Table explanation
This table shows how health(care) expenditure according to the international definition and health and social care expenditure used by Statistics Netherlands are related. Financing has been chosen as the starting point.
Healthcare is delineated according to the international definition of the System of Health Accounts. All healthcare activities count, regardless of whether they take place inside or outside the healthcare sector. Only resident health expenditure counts.
Health and social care expenditure covers all care activities, including welfare and childcare, regardless of whether these activities take place as a main or secondary activity. Care can be for residents or non-residents. Care provided in the Netherlands for non-residents (such as tourists) is included in the export of services.
In brief:
Health and social care expenditure
-/- health-related expenditure, such as domestic care within care for the elderly
-/- expenditure on other care and welfare, such as childcare
-/- expenditure on education, research and development, other services
-/- export, foreign-paid activities
= Total current expenditure on health
Data available from: 2021
Status of the figures:
The figures for 2021-2023 are revised provisional.
Changes as of 27 May 2025:
The figures for 2021-2023 have been adjusted.
When will new figures be published?
At the end of 2025 provisional figures for 2024 and revised figures for 2021-2023 will be published.
Description topics
- Health and social care expenditure
- Final consumption expenditure in current prices on health and social care goods and services used by or for residents in one year; care includes health care, social care, youth care, child care.