Life expectancy at birth, 2021: 77.2 years
Share of the population aged 65 and over, 2021: 20.5%
Share of the population aged 65 and over, 2050: 28.3%
Share of the population aged 80 and over, 2021: 4.3%
Share of the population aged 80 and over, 2050: 8.7%
Adults aged 65 and over rating their own health as good or very good, 2021: 28%
Adults aged 65 and over rating their own health as poor or very poor, by income, 2021
– Lowest quintile: 27%
– Highest quintile: 12%
– Total: 21%
Limitations in daily activities in adults aged 65 and over, 2021:
– Severe limitations: 16%
– Some limitations: 37%
Share of adults aged 65 and over receiving long-term care, 2021: 11.5%
Estimated prevalence of dementia per 1,000 population, 2021: 17.2
Estimated prevalence of dementia per 1,000 population, 2040: 27.7
Source: OECD (2023), Health at a Glance 2023: OECD Indicators, OECD Publishing, Paris, doi.org/10.1787/7a7afb35-en.
Population, Midyear 2022: 10,493,986
Population Density (Number of Persons per Square Kilometer): 135.93
Life Expectancy at Birth, 2022: 78.13
Projected Population, Midyear 2030: 10,515,199
Percentage of Total Population Aged 65 and Older, Midyear 2022: 20.64%
Projected Percentage of Total Population Aged 65 and Older, Midyear 2030: 21.65%
Projected Percentage of Total Population Aged 65 and Older, Midyear 2050: 26.14%
Source: United Nations, Department of Economic and Social Affairs, Population Division (2023). Data Portal, custom data acquired via website. United Nations: New York. Accessed 12 May 2023.
“As for the EU, Czechia’s population is ageing, with every fifth person being aged 65 years or older in 2021; this is up from 13.8% of the total population in 2000. These trends are likely to become more pronounced in the future, as the latest projections by the Czech Statistical Office (Český statistický úřad, ČSÚ), estimate that those aged 65 years and above will comprise close to 30% of the total population by 2101, while the share of those aged 15–64 years is likely to decline (ČSÚ, 2018). The share of the population aged 0–14 years stood at 16.1% in 2021. Additionally, 4.2% of Czechs turned 80 or older in 2021. Comparatively, this is below both the EU average (6.5%) and neighbouring countries like Germany (7.1%) (Eurostat, 2022).”
Source: Bryndová L, Šlegerová L, Votápková J, Hrobonˇ P, Shuftan N, Spranger A. Czechia: Health system review. Health Systems in Transition, 2023; 25(1): i–183.
“LTC [Long-Term Care] for the elderly, disabled and those suffering from chronic diseases, along with vulnerable populations, is fragmented between Czechia’s health care system (for example, aftercare in hospitals, LTC homes for the severely ill) and social care system (for example, residential homes or day care centres), but is not considered a separate branch of either system. Though overlapping, both systems vary in terms of organization, funding and staffing. Within the social care system, different organizational responsibilities rest with the state, the regions and municipalities; regional and municipal authorities are the main owners of residential social care institutions as well as outpatient or community based-services and MPSV [Ministry of Labour and Social Affairs] is the main supervisor. In the health system, LTC is organized around nursing care and falls under the supervision of MZČR [Ministry of Health] and is only available after a physician’s assessment. Regarding funding from the budget, LTC is primarily SHI-financed and stood at CZK3 288.8 per capita in 2019, up from CZK 2152.8 in 2013 (Eurostat, 2022). In the social care system, LTC financing (which also funds related nursing care) comes first from the state, regional and municipal budgets, though private payments also play a role.”
Source: Alexa J, Rečka L, Votápková J, van Ginneken E, Spranger A, Wittenbecher F. Czech Republic: Health system review. Health Systems in Transition, 2015; 17(1):1–165.
“The share of spending allocated to long-term care (14 %) is lower than the EU average (16 %), but much higher than in neighbouring countries such as Poland and Slovakia. However, this is partly due to a change of methodology in 2011, when Czechia designated expenditure in long-term social care institutions as health spending.”
Source: OECD/European Observatory on Health Systems and Policies (2021), Czechia: Country Health Profile 2021, State of Health in the EU, OECD Publishing, Paris/European Observatory on Health Systems and Policies, Brussels.

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Page last updated January 29, 2025 by Doug McVay, Editor.