Health and Social Care Accounts; expenditure and financing 1998-2011
Explanation of symbols
Table explanation
This table contains information on the expenditure on health and social care including child care, in current and constant prices. The subjects cover expenses and finance of the care system, including price and volume developments. All activities within the area of health and social care are considered, irrespective of whether it concerns a major or minor activity of the economic units. These figures refer to a broader definition than internationally used in the System of Health Accounts, that refers to health care including long term nursing care (health).
Data available from: 1998 to 2011
Status of the figures:
All figures are final.
Because this table is discontinued, figures will not be updated anymore.
Changes as of August 27, 2014:
None, this table is discontinued.
When will new figures be published?
Not applicable anymore. This table has been replaced by three tables: Health accounts; providers and financing. Health accounts; providers and functions. Health accounts; functions and financing. See section 3.
Description topics
- Expenditure in current prices
- The expenditure is expressed in euros of the year under review. In this
way the series gives the development of the value of the expenditure.- Total expenditure on providers of care
- Providers of health care
- Suppliers of goods and services in the area of medical, paramedical, and
nursing care. These goods and services are provided for people
suffering from diseases, disabilities or limitations of a physical and/or
mental nature, are related to prevention, diagnostics, treatment and
medical nursing/caring, are provided by trained experts and/or
companies (or parts of companies) set up for this purpose, or are
provided by households.- Total providers of health care
- Hospitals and medical specialists
- Institutions and practices in which during day and/or night all kinds of
medical specialistic curative care is offered.
Hospital: A formally recognised institution where medical specialists
provide round-the-clock medical care.
Practice of medical specialist: Medical care provided by a certified
medical specialist (excluding help provided in hospitals).
- Providers of mental health care
- Psychiatric hospitals, psychiatrists and ambulatory mental health
services.
- Practices of general practitioners
- Units of licensed physicians that provide general medical care to a fixed
number of registered patients.
- Practices of dentists
- Units that provide dental care. Dental care comprises diagnostics,
preventive dental care, prosthetic and orthodontic dental care,
basic dental surgery.
- Paramedics and midwife practices
- Physiotherapist's practices and other paramedic professionals, e.g.
occupational therapists, speech therapists, dieticians, remedial
therapists, etc.
- Other providers of health care
- Total other providers of health care
- Municipal health care services
- (Inter)municipal medical institutions assigned to:
a. gain insight into the state of health of the population;
b. monitor the consequences of administrative decisions with regard to
environment;
c. promote hygiene and psycho-hygiene;
d. contribute to prevention programmes, provide information on health and
education;
e. implement procedures to prevent infectious diseases and curb
health-related risks factors among young people.
- Occupational health and safety agencies
- Occupational health care comprises the protection and promotion of the
state of health of employees in relation to working conditions and
working environment.
- Providers of medicines and medical goods
- Suppliers of medicines (Pharmacies; Drugstores / Supermarkets)
- Providers of therapeutical equipment
- Pharmacies; Drugstores / Supermarkets; Optician's shops; Orthopaedic
shoemakers; Retail trade in orthopaedic articles; Dental technician's
laboratories; Retail trade in home care articles; Retail trade in other
therapeutic appliances.
- Providers of ancillary services
- Thrombosis services; Medical laboratories;
Laboratories of General practitioners; Eurotransplant;
Blood banks; Institute for public health and environment;
Food authority; Netherlands Vaccine institute
- Providers of other health care
- Institutes for oncological treatment and radiotherapy;
Medical sports examination and advice offices; Offices for sexually
transmitted diseases; Audiological centres; Institutes for breast
cancer examinations; Institutes for cervix cancer examinations;
Practices of psychologists and psychotherapists; Practices for
alternative health care treatment; Medical services of the military
and defence personnel; Asthma clinic Davos; Abortion clinics;
Private health care clinics; Providers of care in the rest of the world;
Ambulance services; Taxi companies.
- Providers of social care
- Suppliers of goods and services in the area of caring and social-cultural
activities. These goods and services: are provided to promote the ability
to cope and the (social and cultural) participation of people and are
aimed at a positive influence of the general well-being of the
population, are related to non-medical caring, stimulation, support,
recreation and education, are provided by trained experts and/or
companies (or parts of companies) set up for this purpose, or are
provided by households.- Total providers of social care
- Providers of long term care for elderly
- Nursing homes, homecare institutions, residential care for the elderly and
households.
Nursing homes: A government-recognised institution where patients who
do not require hospital admittance are nursed and treated.
Homecare institutions: Institutions providing various types of assistance,
e.g. home help, home nursing, maternity care. Homecare is administered to
avoid admission in a hospital or nursing home.
- Providers of care for the handicapped
- Integrated institutions for the handicapped; Social pedagogical services;
Provision of goods and services by municipalities; Interpreters
for the deaf; Institutes providing guide dogs for the blind; Households.
- Other providers of social care
- Total other providers of social care
- Providers of day nursery
- Providers of youth welfare
- Refugee centres and boarding schools
- Providers of socio-cultural welfare
- Providers of other social care
- Includes community work, Relief homes.
- Administration & management institutions
- Health Care Insurance Board (Health Insurance Fund up to 2006; Health
Insurance Act since 2006; Exceptional Medical Expenses Act);
Private health and social care insurance companies; Ministry of Health;
local government
- Expenditure in constant prices
- The expenditure is expressed in euros as if no price changes have taken
place compared with the base year. The base year for this series is 1998.
In this way the series gives an estimate of the "real" development, or
the development in quantities or volume.- Total expenditure on providers of care
- Providers of health care
- Total providers of health care
- Hospitals and medical specialists
- Providers of mental health care
- Practices of general practitioners
- Practices of dentists
- Paramedics and midwife practices
- Other providers of health care
- Municipal health care services; Occupational health and
safety agencies; Providers of medicines and medical goods;
Providers of therapeutical equipment; Providers of ancillary
services; Practices for alternative health care treatment;
Providers of care in the rest of the world; Ambulance services
- Providers of social care
- Total providers of social care
- Providers of long term care for elderly
- Providers of care for the handicapped
- Other providers of social care
- Providers of: day nursery; youth welfare; refugee centres and boarding
schools; socio-cultural welfare; community work; relief homes.
- Administration & management institutions
- Financing agents and schemes
- Arrangements by which one or more institutional units (the financing
agents) pay the care providers for care goods and services. The funding
of care is also organised through these arrangements. Arrangements and
agents can coincide, but need not to (e.g. the Dutch basic health
insurance is carried out by private insurance companies, but is still a
social insurance).- Total financing
- Government
- All payments of care providers by all institutional units of central,
state or local government.
- Care Insurance
- All payments of care providers according to the Health Insurance Act (up
to 2006 the Health Insurance Fund; from 2006 onwards the compulsory
basic healthcare insurance).
- Exceptional Medical Expenses Act
- All payments of care providers according to the Exceptional Medical
Expenses Act (Dutch acronym = AWBZ). This item contains all payments
for medical risks that are (almost) not insurable by a private insurance.
- Private insurance
- All payments of care providers according to voluntary, private
arrangements with private insurance companies, not covered by the
Health Insurance Act.
- Out-of-pocket payments
- All payments of care providers borne directly by households without the
benefit of insurance; this includes cost-sharing. Cost-sharing can be in
the form of a fixed amount per service (co-payment), in the form of a
percentage of the cost of a service (co-insurance), in the form of
deductibles (a fixed amount which must be paid for a service before any
payment of benefits can take place), or in the form paying the remainder
of the cost of a service after the insurance has paid for the service.
However, cost-sharing in the AWBZ and the Health Insurance Act is
not included. The income dependent own payments concerning the
AWBZ and the obliged own risk concerning the Care Insurance Act are
not taken into account in the figures as presented as Out-of-pocket
payments.
- Other sources of financing
- All payments of care providers by private enterprises not covered by
insurance, non-profit institutions and by the rest of the world (mainly
payments of foreigners treated in the Netherlands, and as such: exports).
- Care expenditure per capita
- Costs as a percentage of the GDP