Annual household out-of-pocket payment, current USD per capita (2019): $591
Source: Global Health Expenditure Database. Health expenditure series. Geneva: World Health Organization. Last accessed July 21, 2022.
Out-of-Pocket Spending as Share of Final Household Consumption (%) (2019): 3.5%
Source: OECD (2021), Health at a Glance 2021: OECD Indicators, OECD Publishing, Paris, https://doi.org/10.1787/ae3016b9-en.
“Out-of-pocket (OOP) payments increased steadily between 2010 and 2014, before falling slightly since 2015 to reach 24 % of total health expenditure in 2017. This is well above the EU average of 16 %. OOP payments mainly consist of co-payments for pharmaceuticals and medical devices outside hospitals. After the 2012 reform, the level of cost-sharing for pharmaceuticals was increased and based on income level and employment status, including a monthly spending cap to protect pensioners (Section 5.2).”
Source: OECD/European Observatory on Health Systems and Policies (2019), Spain: Country Health Profile 2019, State of Health in the EU, OECD Publishing, Paris/European Observatory on Health Systems and Policies, Brussels.
“Public expenditure represents 71.1% of total health expenditure; this percentage decreased from 1995 to 2005 (from 72.2% to 70.6%), increased between 2005 and 2010 (up to 74.4%) and dropped again until 2015 (71.1%). In turn, private expenditure on health (as a percentage of total health expenditure) followed a U-shaped progression over the period, with a strong change in trend in 2010. Since then, this share increased to 28.9% in 2015. Voluntary health insurance, as part of private expenditure on health, grew from 1995 to 2005 (12.1% to 18.9%), decreasing thereafter and reaching 14.9% in 2015. Out-of-pocket (OOP) spending as a percentage of total health expenditure decreased until 2010 (from 23.5% to 22.1%), increasing again thereafter (to 23.9% in 2015) (MSSSI, 2017g).”
Source: Bernal-Delgado E, García-Armesto S, Oliva J, Sánchez Martínez FI, Repullo JR, PeñaLongobardo LM, Ridao-López M, Hernández-Quevedo C. Spain: Health system review. Health Systems in Transition, 2018;20(2):1–179.
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Page last updated July 21, 2022 by Doug McVay, Editor.