Health expenditure; functions and financing

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Functions Financing Health care expenditure (mln euro)
Health expenditure for residents Total financing of residents 106,359
HF1: Government, comp. contr. schemes 88,424
HF11: Government schemes 9,636
HF12: Compulsory contributory schemes 78,788
HF121a: Long-term care insurance 25,489
HF122: Compulsory private insurance 53,300
Voluntary schemes (incl. OOP) 17,935
HF2: Voluntary schemes 5,594
HF21: Voluntary health insurance schemes 4,422
HF22: Financing schemes NPISH 51
HF23: Enterprise financing schemes 1,121
HF3: Household out-of-pocket payments 12,341
HF31: Out-of-pocket excl cost sharing 6,835
HF32: Cost sharing 5,506
HC1: Services of curative care Total financing of residents 47,766
HF1: Government, comp. contr. schemes 40,538
HF11: Government schemes 2,830
HF12: Compulsory contributory schemes 37,707
HF121a: Long-term care insurance 123
HF122: Compulsory private insurance 37,584
Voluntary schemes (incl. OOP) 7,228
HF2: Voluntary schemes 1,647
HF21: Voluntary health insurance schemes 1,647
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 5,582
HF31: Out-of-pocket excl cost sharing 3,423
HF32: Cost sharing 2,159
HC11: In-patient curative care Total financing of residents 14,262
HF1: Government, comp. contr. schemes 13,386
HF11: Government schemes 845
HF12: Compulsory contributory schemes 12,541
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 12,541
Voluntary schemes (incl. OOP) 875
HF2: Voluntary schemes 23
HF21: Voluntary health insurance schemes 23
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 853
HF31: Out-of-pocket excl cost sharing 65
HF32: Cost sharing 788
HC12: Day cases of curative care Total financing of residents 3,161
HF1: Government, comp. contr. schemes 2,960
HF11: Government schemes 72
HF12: Compulsory contributory schemes 2,889
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 2,889
Voluntary schemes (incl. OOP) 200
HF2: Voluntary schemes 4
HF21: Voluntary health insurance schemes 4
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 197
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 197
HC13: Outpatient curative care Total financing of residents 29,717
HF1: Government, comp. contr. schemes 23,615
HF11: Government schemes 1,913
HF12: Compulsory contributory schemes 21,701
HF121a: Long-term care insurance 123
HF122: Compulsory private insurance 21,578
Voluntary schemes (incl. OOP) 6,102
HF2: Voluntary schemes 1,603
HF21: Voluntary health insurance schemes 1,603
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 4,499
HF31: Out-of-pocket excl cost sharing 3,347
HF32: Cost sharing 1,152
HC13.1: General outpatient curative care Total financing of residents 5,575
HF1: Government, comp. contr. schemes 5,477
HF11: Government schemes 13
HF12: Compulsory contributory schemes 5,464
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 5,464
Voluntary schemes (incl. OOP) 98
HF2: Voluntary schemes 21
HF21: Voluntary health insurance schemes 21
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 77
HF31: Out-of-pocket excl cost sharing 24
HF32: Cost sharing 53
HC13.2: Outpatient dental care Total financing of residents 2,586
HF1: Government, comp. contr. schemes 841
HF11: Government schemes 9
HF12: Compulsory contributory schemes 831
HF121a: Long-term care insurance 122
HF122: Compulsory private insurance 709
Voluntary schemes (incl. OOP) 1,746
HF2: Voluntary schemes 1,184
HF21: Voluntary health insurance schemes 1,184
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 562
HF31: Out-of-pocket excl cost sharing 462
HF32: Cost sharing 100
HC13.3: Spec. outpatient curative care Total financing of residents 17,876
HF1: Government, comp. contr. schemes 15,857
HF11: Government schemes 1,523
HF12: Compulsory contributory schemes 14,334
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 14,334
Voluntary schemes (incl. OOP) 2,019
HF2: Voluntary schemes 15
HF21: Voluntary health insurance schemes 15
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,004
HF31: Out-of-pocket excl cost sharing 1,055
HF32: Cost sharing 949
HC13.9: Other outpatient curative care Total financing of residents 3,680
HF1: Government, comp. contr. schemes 1,441
HF11: Government schemes 367
HF12: Compulsory contributory schemes 1,073
HF121a: Long-term care insurance 1
HF122: Compulsory private insurance 1,072
Voluntary schemes (incl. OOP) 2,239
HF2: Voluntary schemes 382
HF21: Voluntary health insurance schemes 382
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,857
HF31: Out-of-pocket excl cost sharing 1,806
HF32: Cost sharing 51
HC14: Services of curative home care Total financing of residents 626
HF1: Government, comp. contr. schemes 576
HF11: Government schemes 0
HF12: Compulsory contributory schemes 576
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 576
Voluntary schemes (incl. OOP) 50
HF2: Voluntary schemes 18
HF21: Voluntary health insurance schemes 18
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 33
HF31: Out-of-pocket excl cost sharing 11
HF32: Cost sharing 22
HC.2:Services of rehabilitative care Total financing of residents 4,269
HF1: Government, comp. contr. schemes 2,515
HF11: Government schemes 69
HF12: Compulsory contributory schemes 2,446
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 2,446
Voluntary schemes (incl. OOP) 1,754
HF2: Voluntary schemes 1,228
HF21: Voluntary health insurance schemes 1,228
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 526
HF31: Out-of-pocket excl cost sharing 394
HF32: Cost sharing 132
HC21: In-patient rehabilitative care Total financing of residents 1,186
HF1: Government, comp. contr. schemes 1,156
HF11: Government schemes 31
HF12: Compulsory contributory schemes 1,124
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,124
Voluntary schemes (incl. OOP) 30
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 30
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 30
HC22: Day cases of rehabilitative care Total financing of residents 0
HF1: Government, comp. contr. schemes 0
HF11: Government schemes 0
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 0
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 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC23: Out-patient rehabilitative care Total financing of residents 3,083
HF1: Government, comp. contr. schemes 1,359
HF11: Government schemes 38
HF12: Compulsory contributory schemes 1,322
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,322
Voluntary schemes (incl. OOP) 1,724
HF2: Voluntary schemes 1,228
HF21: Voluntary health insurance schemes 1,228
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 495
HF31: Out-of-pocket excl cost sharing 394
HF32: Cost sharing 102
HC3: Services of long-term nursing care Total financing of residents 30,906
HF1: Government, comp. contr. schemes 28,954
HF11: Government schemes 472
HF12: Compulsory contributory schemes 28,482
HF121a: Long-term care insurance 24,688
HF122: Compulsory private insurance 3,794
Voluntary schemes (incl. OOP) 1,952
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 1,952
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 1,952
HC31: In-patient long-term nursing care Total financing of residents 23,420
HF1: Government, comp. contr. schemes 21,579
HF11: Government schemes 377
HF12: Compulsory contributory schemes 21,202
HF121a: Long-term care insurance 20,837
HF122: Compulsory private insurance 365
Voluntary schemes (incl. OOP) 1,841
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 1,841
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 1,841
HC32: Day cases long-term nursing care Total financing of residents 254
HF1: Government, comp. contr. schemes 242
HF11: Government schemes 0
HF12: Compulsory contributory schemes 242
HF121a: Long-term care insurance 147
HF122: Compulsory private insurance 95
Voluntary schemes (incl. OOP) 11
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 11
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 11
HC33: Outpatient long-term care (health) Total financing of residents 279
HF1: Government, comp. contr. schemes 270
HF11: Government schemes 16
HF12: Compulsory contributory schemes 254
HF121a: Long-term care insurance 92
HF122: Compulsory private insurance 162
Voluntary schemes (incl. OOP) 9
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 9
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 9
HC34: Long-term nursing care: home care Total financing of residents 6,953
HF1: Government, comp. contr. schemes 6,862
HF11: Government schemes 78
HF12: Compulsory contributory schemes 6,784
HF121a: Long-term care insurance 3,612
HF122: Compulsory private insurance 3,172
Voluntary schemes (incl. OOP) 91
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 91
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 91
HC4: Ancillary services Total financing of residents 1,130
HF1: Government, comp. contr. schemes 1,071
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,071
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,071
Voluntary schemes (incl. OOP) 60
HF2: Voluntary schemes 3
HF21: Voluntary health insurance schemes 3
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 57
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 57
HC41: Laboratory services Total financing of residents 74
HF1: Government, comp. contr. schemes 69
HF11: Government schemes 0
HF12: Compulsory contributory schemes 69
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 69
Voluntary schemes (incl. OOP) 5
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 5
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 5
HC42: Imaging diagnosis Total financing of residents 0
HF1: Government, comp. contr. schemes 0
HF11: Government schemes 0
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 0
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 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC43: Patient transport Total financing of residents 1,056
HF1: Government, comp. contr. schemes 1,001
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,001
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 1,001
Voluntary schemes (incl. OOP) 55
HF2: Voluntary schemes 3
HF21: Voluntary health insurance schemes 3
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 52
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 52
HC5: Medical goods Total financing of residents 10,979
HF1: Government, comp. contr. schemes 7,066
HF11: Government schemes 16
HF12: Compulsory contributory schemes 7,050
HF121a: Long-term care insurance 237
HF122: Compulsory private insurance 6,813
Voluntary schemes (incl. OOP) 3,912
HF2: Voluntary schemes 278
HF21: Voluntary health insurance schemes 278
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 3,634
HF31: Out-of-pocket excl cost sharing 2,456
HF32: Cost sharing 1,179
HC51: Pharmaceuticals, other nondurables Total financing of residents 7,197
HF1: Government, comp. contr. schemes 5,007
HF11: Government schemes 16
HF12: Compulsory contributory schemes 4,991
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 4,991
Voluntary schemes (incl. OOP) 2,190
HF2: Voluntary schemes 46
HF21: Voluntary health insurance schemes 46
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,144
HF31: Out-of-pocket excl cost sharing 1,245
HF32: Cost sharing 900
HC52: Therapeutic appliances Total financing of residents 3,781
HF1: Government, comp. contr. schemes 2,059
HF11: Government schemes 0
HF12: Compulsory contributory schemes 2,059
HF121a: Long-term care insurance 237
HF122: Compulsory private insurance 1,822
Voluntary schemes (incl. OOP) 1,722
HF2: Voluntary schemes 232
HF21: Voluntary health insurance schemes 232
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,490
HF31: Out-of-pocket excl cost sharing 1,211
HF32: Cost sharing 279
HC6: Preventive care Total financing of residents 5,408
HF1: Government, comp. contr. schemes 3,051
HF11: Government schemes 2,619
HF12: Compulsory contributory schemes 432
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 432
Voluntary schemes (incl. OOP) 2,358
HF2: Voluntary schemes 1,804
HF21: Voluntary health insurance schemes 774
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 1,030
HF3: Household out-of-pocket payments 554
HF31: Out-of-pocket excl cost sharing 526
HF32: Cost sharing 28
HC7: Governance, health system, fin. Total financing of residents 3,825
HF1: Government, comp. contr. schemes 3,333
HF11: Government schemes 1,763
HF12: Compulsory contributory schemes 1,570
HF121a: Long-term care insurance 440
HF122: Compulsory private insurance 1,130
Voluntary schemes (incl. OOP) 492
HF2: Voluntary schemes 492
HF21: Voluntary health insurance schemes 492
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC71: Governance, health system adm. Total financing of residents 1,515
HF1: Government, comp. contr. schemes 1,515
HF11: Government schemes 1,515
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 0
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 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC72: Administration of health financing Total financing of residents 2,309
HF1: Government, comp. contr. schemes 1,818
HF11: Government schemes 247
HF12: Compulsory contributory schemes 1,570
HF121a: Long-term care insurance 440
HF122: Compulsory private insurance 1,130
Voluntary schemes (incl. OOP) 492
HF2: Voluntary schemes 492
HF21: Voluntary health insurance schemes 492
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HC9: Healthcare n.e.c. Total financing of residents 2,077
HF1: Government, comp. contr. schemes 1,897
HF11: Government schemes 1,868
HF12: Compulsory contributory schemes 29
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 29
Voluntary schemes (incl. OOP) 180
HF2: Voluntary schemes 142
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 51
HF23: Enterprise financing schemes 91
HF3: Household out-of-pocket payments 38
HF31: Out-of-pocket excl cost sharing 37
HF32: Cost sharing 1
Total health related expenditure Total financing of residents 11,813
HF1: Government, comp. contr. schemes 11,412
HF11: Government schemes 5,703
HF12: Compulsory contributory schemes 5,709
HF121a: Long-term care insurance 5,709
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 401
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 401
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 401
HCR1: Long-term care (social) Total financing of residents 11,813
HF1: Government, comp. contr. schemes 11,412
HF11: Government schemes 5,703
HF12: Compulsory contributory schemes 5,709
HF121a: Long-term care insurance 5,709
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 401
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 401
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 401
HCR11:In-kind long-term social care Total financing of residents 9,989
HF1: Government, comp. contr. schemes 9,594
HF11: Government schemes 5,472
HF12: Compulsory contributory schemes 4,123
HF121a: Long-term care insurance 4,123
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 394
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 394
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 394
HCR12: Long-term soc. care cash benefits Total financing of residents 1,824
HF1: Government, comp. contr. schemes 1,818
HF11: Government schemes 231
HF12: Compulsory contributory schemes 1,586
HF121a: Long-term care insurance 1,586
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 6
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 6
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 6
HCR2: Health promotion multi-sector Total financing of residents 0
HF1: Government, comp. contr. schemes 0
HF11: Government schemes 0
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 0
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 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
Source: CBS.
Explanation of symbols

Table explanation


This table presents health(care) expenditure used by residents of the Netherlands in a year. Health care is delineated according to the international definition of the System of Health Accounts. The figures are thus internationally comparable with Eurostat, OECD and WHO publications. All healthcare activities count, regardless of whether they take place inside or outside the healthcare sector.
The figures are derived from the care accounts, which include more activities such as youth care, welfare work, social services and child care. The care accounts also include exports (expenditure on and by non-residents).

Data available from: 2021
The table contains revised data for 2021-2023. This table supersedes table 'Health expenditure; functions and financing, 1998-2022' (see paragraph 3).

Status of the figures:
All figures are provisional.

Changes as of 10 December 2024:
None, this is a new table.

When will new figures be published?
Updated figures for 2021-2022, and provisional figures for 2024 will be published in 2025.

Description topics

Health care expenditure
Final consumption expenditure in current prices on health care goods and services used by or for residents in one year.