Health expenditure: national and international figures compared; financing

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* 142,824
Total expenditure on health and care Total financing of residents 2023* 142,563
Total expenditure on health and care HF1: Government, comp. contr. schemes 2023* 119,070
Total expenditure on health and care HF11: Government schemes 2023* 32,630
Total expenditure on health and care HF12: Compulsory contributory schemes 2023* 86,440
Total expenditure on health and care HF121a: Long-term care insurance 2023* 31,366
Total expenditure on health and care HF122: Compulsory private insurance 2023* 55,074
Total expenditure on health and care Voluntary schemes (incl. OOP) 2023* 23,493
Total expenditure on health and care HF2: Voluntary schemes 2023* 6,621
Total expenditure on health and care HF21: Voluntary health insurance schemes 2023* 4,422
Total expenditure on health and care HF22: Financing schemes NPISH 2023* 418
Total expenditure on health and care HF23: Enterprise financing schemes 2023* 1,781
Total expenditure on health and care HF3: Household out-of-pocket payments 2023* 16,872
Total expenditure on health and care HF31: Out-of-pocket excl cost sharing 2023* 10,965
Total expenditure on health and care HF32: Cost sharing 2023* 5,907
Total expenditure on health and care Rest of the world; exports 2023* 260
Social work and child day care Total financ schemes health,social care 2023* 20,967
Social work and child day care Total financing of residents 2023* 20,967
Social work and child day care HF1: Government, comp. contr. schemes 2023* 16,147
Social work and child day care HF11: Government schemes 2023* 16,147
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* 4,821
Social work and child day care HF2: Voluntary schemes 2023* 691
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* 490
Social work and child day care HF3: Household out-of-pocket payments 2023* 4,130
Social work and child day care HF31: Out-of-pocket excl cost sharing 2023* 4,130
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* 3,544
Education, R&D, other services Total financing of residents 2023* 3,424
Education, R&D, other services HF1: Government, comp. contr. schemes 2023* 3,087
Education, R&D, other services HF11: Government schemes 2023* 1,144
Education, R&D, other services HF12: Compulsory contributory schemes 2023* 1,943
Education, R&D, other services HF121a: Long-term care insurance 2023* 169
Education, R&D, other services HF122: Compulsory private insurance 2023* 1,774
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* 106,499
Health expenditure Total financing of residents 2023* 106,359
Health expenditure HF1: Government, comp. contr. schemes 2023* 88,424
Health expenditure HF11: Government schemes 2023* 9,636
Health expenditure HF12: Compulsory contributory schemes 2023* 78,788
Health expenditure HF121a: Long-term care insurance 2023* 25,489
Health expenditure HF122: Compulsory private insurance 2023* 53,300
Health expenditure Voluntary schemes (incl. OOP) 2023* 17,935
Health expenditure HF2: Voluntary schemes 2023* 5,594
Health expenditure HF21: Voluntary health insurance schemes 2023* 4,422
Health expenditure HF22: Financing schemes NPISH 2023* 51
Health expenditure HF23: Enterprise financing schemes 2023* 1,121
Health expenditure HF3: Household out-of-pocket payments 2023* 12,341
Health expenditure HF31: Out-of-pocket excl cost sharing 2023* 6,835
Health expenditure HF32: Cost sharing 2023* 5,506
Health expenditure Rest of the world; exports 2023* 140
Total health related expenditure Total financ schemes health,social care 2023* 11,813
Total health related expenditure Total financing of residents 2023* 11,813
Total health related expenditure HF1: Government, comp. contr. schemes 2023* 11,412
Total health related expenditure HF11: Government schemes 2023* 5,703
Total health related expenditure HF12: Compulsory contributory schemes 2023* 5,709
Total health related expenditure HF121a: Long-term care insurance 2023* 5,709
Total health related expenditure HF122: Compulsory private insurance 2023* 0
Total health related expenditure Voluntary schemes (incl. OOP) 2023* 401
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* 401
Total health related expenditure HF31: Out-of-pocket excl cost sharing 2023* 0
Total health related expenditure HF32: Cost sharing 2023* 401
Total health related expenditure Rest of the world; exports 2023* 0
HCR1: Long-term care (social) Total financ schemes health,social care 2023* 11,813
HCR1: Long-term care (social) Total financing of residents 2023* 11,813
HCR1: Long-term care (social) HF1: Government, comp. contr. schemes 2023* 11,412
HCR1: Long-term care (social) HF11: Government schemes 2023* 5,703
HCR1: Long-term care (social) HF12: Compulsory contributory schemes 2023* 5,709
HCR1: Long-term care (social) HF121a: Long-term care insurance 2023* 5,709
HCR1: Long-term care (social) HF122: Compulsory private insurance 2023* 0
HCR1: Long-term care (social) Voluntary schemes (incl. OOP) 2023* 401
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* 401
HCR1: Long-term care (social) HF31: Out-of-pocket excl cost sharing 2023* 0
HCR1: Long-term care (social) HF32: Cost sharing 2023* 401
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* 9,989
HCR11:In-kind long-term social care Total financing of residents 2023* 9,989
HCR11:In-kind long-term social care HF1: Government, comp. contr. schemes 2023* 9,594
HCR11:In-kind long-term social care HF11: Government schemes 2023* 5,472
HCR11:In-kind long-term social care HF12: Compulsory contributory schemes 2023* 4,123
HCR11:In-kind long-term social care HF121a: Long-term care insurance 2023* 4,123
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* 394
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* 394
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* 394
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* 1,824
HCR12: Long-term soc. care cash benefits Total financing of residents 2023* 1,824
HCR12: Long-term soc. care cash benefits HF1: Government, comp. contr. schemes 2023* 1,818
HCR12: Long-term soc. care cash benefits HF11: Government schemes 2023* 231
HCR12: Long-term soc. care cash benefits HF12: Compulsory contributory schemes 2023* 1,586
HCR12: Long-term soc. care cash benefits HF121a: Long-term care insurance 2023* 1,586
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* 6
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* 6
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* 6
HCR12: Long-term soc. care cash benefits Rest of the world; exports 2023* 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
The table contains revised data for 2021-2023. This table supersedes table Health expenditure: (inter)national compared; 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 2021-2023, and provisional figures for 2024 will be published in 2025.

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.