Health expenditure: national and international figures compared; financing

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Functions Financing Health and social care expenditure (mln euro)
Total expenditure on health and care Total financ schemes health,social care 154,933
Total financing of residents 154,677
HF1: Government, comp. contr. schemes 129,756
HF11: Government schemes 36,355
HF12: Compulsory contributory schemes 93,401
HF121a: Long-term care insurance 34,279
HF121b: Health Insurance Fund
HF122: Compulsory private insurance 59,122
Voluntary schemes (incl. OOP) 24,921
HF2: Voluntary schemes 6,892
HF21: Voluntary health insurance schemes 4,359
HF22: Financing schemes NPISH 508
HF23: Enterprise financing schemes 2,025
HF3: Household out-of-pocket payments 18,029
HF31: Out-of-pocket excl cost sharing 11,922
HF32: Cost sharing 6,107
Rest of the world; exports 256
Health expenditure Total financ schemes health,social care 113,535
Total financing of residents 113,403
HF1: Government, comp. contr. schemes 94,092
HF11: Government schemes 9,147
HF12: Compulsory contributory schemes 84,945
HF121a: Long-term care insurance 27,768
HF121b: Health Insurance Fund
HF122: Compulsory private insurance 57,177
Voluntary schemes (incl. OOP) 19,311
HF2: Voluntary schemes 5,742
HF21: Voluntary health insurance schemes 4,359
HF22: Financing schemes NPISH 95
HF23: Enterprise financing schemes 1,288
HF3: Household out-of-pocket payments 13,569
HF31: Out-of-pocket excl cost sharing 7,890
HF32: Cost sharing 5,679
Rest of the world; exports 133
Total health related expenditure Total financ schemes health,social care 14,303
Total financing of residents 14,303
HF1: Government, comp. contr. schemes 13,876
HF11: Government schemes 7,390
HF12: Compulsory contributory schemes 6,486
HF121a: Long-term care insurance 6,486
HF121b: Health Insurance Fund
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 427
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 427
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 427
Rest of the world; exports 0
Source: CBS.
Explanation of symbols

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 2024 are provisional. The figures for 2022 and 2023 are revised provisional. The figures for 2021 are final.

Changes as of 8 October 2025:
The provisional figures for 2024 have been added. In addition, the figures for 2021–2023 have been partly adjusted, based on the most up-to-date data from various sources, including data from the National Health Care Institute and the CBS business and economic statistics on health care.

When will new figures be published?
In spring 2026, the figures for 2022–2024 will be revised. At the end of 2026, provisional figures for 2025 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.