You are here: Home / Statistics / System of Health Accounts 2018 / Expenditure by Functions of Health Care

System of Health Accounts 2018

Expenditure by Functions of Health Care

Open in Excel:

What is the purpose of the health care being consumed?

More than half (56%) of all health expenditure related to curative and rehabilitative care, which mainly covers in-patient and out-patient care. The next largest category, 21% of all health expenditure, was long-term care, (see Figure 4.1). Table 4.1 includes more details and shows that in-patient services were the largest component of both long-term care and curative/rehabilitative care.

Health expenditure increased by 19% between 2014 and 2018. The growth in spending in curative and rehabilitative care was higher at 24%, similar to the growth in spending seen in hospitals in the previous chapter. There was a lower rate of growth in medical goods and pharmaceuticals (14%) (see figure 4.2).

	Current Health Care Expenditure By Function, (% Current Health Care Expenditure)
Curative and Rehabilitative Care	55.8
Long-Term Care (Health)	21.5
Medical Goods (Non-Specified by Function)	13.7
Ancillary Services	2.8
Other Health Care Functions	6.3

	Current Health Care Expenditure By Function, (% change 2014 to 2018)
Curative and Rehabilitative Care	24.3426128173296
Long-Term Care (Health)	13.5390364755454
Medical Goods (Non-Specified by Function)	13.4893173187173
Ancillary Services	18.5903011658998
Other Health Care Functions	8.4592987295594

Table 4.1: Current Health Care Expenditure by Health Care function, 2014 to 2018

Table 4.1: Current Health Care Expenditure by Health Care Function, 2014 to 2018
								€million	% of Total	% of change
ICHA-HC Code				2014	2015	2016	2017	2018	2018	2014-2018
HC.1+HC.2		Curative and Rehabilitative Care		10,082	10,518	11,099	11,742	12,536	56	24
	HC.1.1+HC.2.1		Inpatient Care	4,591	4,805	5,078	5,339	5,720	25	25
	HC.1.2+HC.2.2		Day Care	1,267	1,323	1,402	1,547	1,645	7	30
	HC.1.3+HC.2.3		Outpatient Care	3,543	3,680	3,964	4,153	4,458	20	26
	HC.1.4+HC.2.4		Home-Based Care	681	709	655	703	712	3	5

HC.3		Long-Term Care (Health)		4,243	4,176	4,348	4,529	4,817	21	14
	HC.3.1		Inpatient Care	2,564	2,538	2,601	2,620	2,748	12	7
	HC.3.2		Day Care	170	178	189	194	210	1	24
	HC.3.4		Home-Based Care	1,510	1,459	1,558	1,714	1,859	8	23

HC.4		Ancillary Services		527	547	580	599	626	3	19
	HC.4.1		Laboratory Services	210	207	223	237	245	1	17
	HC.4.2		Imaging Services	120	137	148	134	140	1	17
	HC.4.3		Patient Transportation	196	201	207	225	238	1	21
	HC.4.9		Ancillary Services N.E.C	2	2	3	3	3	0	61

HC.5		Medical Goods (Non-Specified by Function)		2,703	2,749	2,866	2,996	3,068	14	13
	HC.5.1		Pharmaceuticals and Other Medical Non-Durables	2,462	2,509	2,621	2,733	2,787	12	13
	HC.5.2		Therapeutic Appliances and Other Medical Goods	242	239	246	263	281	1	16

HC.6		Preventive Care		514	517	528	564	585	3	14
	HC.6.1		Information, Education and Counselling	66	73	74	81	85	0	29
	HC.6.2		Immunisation Programmes	43	47	42	53	45	0	4
	HC.6.3		Early Disease Detection	62	61	62	68	77	0	25
	HC.6.4		Healthy Condition Monitoring	183	178	189	195	203	1	11
	HC.6.5		Epidemiological Surveillance, Disease Control	76	75	79	82	80	0	5
	HC.6.6		Disaster and Emergency Response	2	2			2	0	-12
	HC.6.9		Preventative Care N.E.C	82	81	82	85	92	0	13

HC.7		Governance and Health System Administration and Financing		630	563	551	628	628	3	-0
	HC.7.1		Govt Health Administration Agencies	182	179	185	199	248	1	36
	HC.7.2		Administration of Health Financing	447	384	367	428	380	2	-15

HC.9		Health Care Services N.E.C		151	161	171	203	192	1	27

		Total		18,850	19,232	20,143	21,259	22,452	100	19

Open in Excel: System of Health Accounts 2018, Table 4.1 (XLS 15KB)

Visit Table SHA03 on PxStat

How are health care services funded?

Figure 4.3 below provides a breakdown of health care expenditure by health care function and financing source for 2018. As noted earlier in this release, 74% of health care expenditure is funded by Government in 2018, 14% by health insurance and the remaining 12% by household out-of-pocket payments. The differences from the total financing scheme split show that there is no spending on medical goods by voluntary health schemes. As expected, there is no spending on administration by households.

	HF.1 - Government and Compulsory	HF.2 - Voluntary Health Care Payment Schemes	HF.3 - Household Out-of-Pocket Payments
Curative and Rehabilitive Care	72	19	9
Long-Term Care (Health)	85	2	13
Ancillary Services	69	23	8
medical goods (Non-Specified by Function)	74	0	26
Preventative Care	62	25	13
Governance and Health System administration and financing	36	64	0
Health Care Services N.E.C	90	10	0
Total Current Health Care Expenditure	74	14	12

Table 4.2: Current Health Care Expenditure by Health Care Function and Health Care Financing Scheme, 2018

Table 4.2: Current Health Care Expenditure by Health Care Function and Health Care Financing Scheme, 2018
											€million
ICHA Code				Govt and Compulsory	Government Financing	Compulsory Contributory	Voluntary Health Care Payment	Voluntary Health Insurance	Other Voluntary Health Care Payment	Household Out-of-Pocket Payments	Total
				HF.1	HF.1.1	HF.1.2	HF.2	HF.2.1	HF.2.x	HF.3
HC.1+HC.2		Curative and Rehabilitative Care		9,041	8,990	51	2,327	2,158	169	1,168	12,536
	HC.1.1+HC.2.1		Inpatient Care	4,078	4,078		1,519	1,458	61	123	5,720
	HC.1.2+HC.2.2		Day Care	1,065	1,065		555	534	21	25	1,645
	HC.1.3+HC.2.3		Outpatient Care	3,273	3,223	51	230	166	64	955	4,458
	HC.1.4+HC.2.4		Home-Based Care	624	624		23	1	22	65	712

HC.3		Long-Term Care (Health)		4,087	4,048	39	110		110	620	4,817
	HC.3.1		Inpatient Care	2,060	2,060		83		83	605	2,748
	HC.3.2		Day Care	202	202		3		3	5	210
	HC.3.4		Home-Based Care	1,826	1,787	39	24		24	10	1,859

HC.4		Ancillary Services		430	430		145	143	3	51	626
	HC.4.1		Laboratory Services	173	173		40	38	1	33	245
	HC.4.2		Imaging Services	42	42		98	97	0	1	140
	HC.4.3		Patient Transportation	215	215		7	6	1	15	238
	HC.4.9		Ancillary Services N.E.C				1	1		2	3

HC.5		Medical Goods (Non-Specified by Function)		2,271	2,224	47				797	3,068
	HC.5.1		Pharmaceuticals and Other Medical Non-Durables	2,193	2,193					594	2,787
	HC.5.2		Therapeutic Appliances and Other Medical Goods	78	31	47				202	281

HC.6		Preventative Care		363	363		145	5	140	77	585
	HC.6.1		Information, Education and Counselling	83	83		2	0	2		85
	HC.6.2		Immunisation Programmes	44	44		0	0	0		45
	HC.6.3		Early Disease Detection	73	73		4	3	1		77
	HC.6.4		Healthy Condition Monitoring	4	4		123	0	123	77	203
	HC.6.5		Epidemiological Surveillance, Disease Control	76	76		4		4		80
	HC.6.6		Disaster and Emergency Response	2	2		0		0		2
	HC.6.9		Preventative Care N.E.C	81	81		11		11		92

HC.7		Governance and Health System Administration and Financing		224	224		403	380	23		628
	HC.7.1		Govt Health Administration Agencies	224	224		23		23		248
	HC.7.2		Administration of Health Financing				380	380			380

HC.9		Health Care Services N.E.C		174	174		19	17	2		192

		Total		16,590	16,453	137	3,149	2,702	447	2,713	22,452
* Confidential

Open in Excel: System of Health Accounts 2018, Table 4.2 (XLS 14KB)

Visit Table SHA05 on PxStat

How are the health care services distributed across provider type?

There is a large amount of detail in Figure 4.4, which looks at the health care services by health care providers. Most of the information is as expected: most medical goods are provided by pharmacies and retailers, nearly all administration functions are provided by the providers of the service. About one-third of curative/rehabilitative care is provided by providers of out-patient care. Two-thirds (66%) of long-term care is provided within long-term residential facilities. The rest is provided by out-patient care (11%) or the rest of the economy or home based care (21%).

	HP. 1 - Hospitals	HP.2 - Long Term Residential Facilities	HP.3 - Ambulatory Health Care Providers	HP.4 - Ancillary Health Care Providers	HP.5 - Retailers of Medical Goods	HP.6 - Providers of Preventative Care	HP.7 - Providers of Health Care Administration and Financing	HP.8 - Rest of Economy	HP.9 - Rest of World	HP.0 - Providers N.E.C
Curative and Rehabilitive Care	62.8138552480162	6.43826961868987	29.8473455900133	0	0.0631512683297031	0.0316964887704772	3.41145660415358E-06	0.179341119997093	0.624765282370537	0.00123423815230002
Long-Term Care (Health)	2.00989678107803	65.6915683735616	11.3318937670958	0	0	0	0	20.9624027145094	0.00423836375511775	0
Ancillary Services	50.3392086274654	0.00409059297057216	0.694794456751011	48.448322849119	0	0	0	0	0.513583473693974	0
medical goods (Non-Specified by Function)	1.58082950165826	0	0.0139788362282175	0	96.1138941921725	0	0	2.29129746994105	0	0
Preventative Care	0.013124888750498	0	30.1653991448779	0	0	44.6074122095476	0	25.214063756824	0	0
Governance and Health System administration and financing	0	0	0	0	0	0.8847260249095	99.1152739750905	0	0	0
Health Care Services N.E.C	7.12896665060848	0	0.187172819776847	0.334898163409044	0	0	0	0.260761548636316	0.00142017087554067	92.0867806466938
Total Current Health Care Expenditure	37.1823711797749	17.6901743722386	19.9048927249744	1.35217833406977	13.1695697559404	1.20411855286094	2.77041253601867	5.56999190632169	0.364056681033253	0.792233956767459

Table 4.3: Current Health Care Expenditure by Health Care Function and Health Care Provider, 2018

Table 4.3: Current Health Care Expenditure by Health Care Function and Health Care Provider, 2018
											€million
ICHA Code			Hospitals	Long-Term Residential Facilities	Ambulatory Health Care Providers	Ancillary Health Care Providers	Retailers of Medical Goods	Providers of Preventative Care	Rest of the Economy	Other⁴	Total
			HP.1	HP.2	HP.3	HP.4	HP.5	HP.6	HP.8	HP.7¹HP.9²HP.0³
HC.1+HC.2		Curative and Rehabilitative Care	7,874	807	3,742		8	4	22	78 ²	12,536
	HC.1.1+HC.2.1	Inpatient Care	4,949	688	14					70²	5,720
	HC.1.2+HC.2.2	Day Care	1,487	0	156					2 ²	1,645
	HC.1.3+HC.2.3	Outpatient Care	1,396	4	3,023		8		21	6 ²	4,458
	HC.1.4+HC.2.4	Home-Based Care	43	115	549			4	1	0 ²	712

HC.3		Long-Term Care (Health)	97	3,165	546				1,010	0 ²	4,817
	HC.3.1	Inpatient Care	97	2,651						0 ²	2,748
	HC.3.2	Day Care		2	208						210
	HC.3.4	Home-Based Care		511	338				1,010		1,859

HC.4		Ancillary Services	315	0	4	304				3 ²	626
	HC.4.1	Laboratory Services	183	0	0	62					245
	HC.4.2	Imaging Services	101	0	1	37					140
	HC.4.3	Patient Transportation	29	0	3	203				3 ²	238
	HC.4.9	Ancillary Services N.E.C	2	0		1					3

HC.5		Medical Goods (Non-Specified by Function)	49		0		2,949		70	0	3,068
	HC.5.1	Pharmaceuticals and Other Medical Non-Durables	49		0		2,669		70	0	2,787
	HC.5.2	Therapeutic Appliances and Other Medical Goods					280		1	0	281

HC.6		Preventative Care	0		176			261	147		585
	HC.6.1	Information, Education and Counselling			15			49	21		85
	HC.6.2	Immunisation Programmes			0			44			45
	HC.6.3	Early Disease Detection	0		3			74			77
	HC.6.4	Healthy Condition Monitoring	0		77				126		203
	HC.6.5	Epidemiological Surveillance, Disease Control						80			80
	HC.6.6	Disaster and Emergency Response						2			2
	HC.6.9	Preventative Care N.E.C			80			12			92

HC.7		Governance and Health System Administration and Financing						6		622 ¹	628
	HC.7.1	Govt Health Administration Agencies						6		242 ¹	248
	HC.7.2	Administration of Health Financing								380 ¹	380

HC.9		Health Care Services N.E.C	14		0				1	178 ³	192

		Total	8,348	3,972	4,469	304	2,957	270	1,251	882	22,452
¹-HP.7 Providers of Health Care Administration and Financing
² -HP.9 Rest of World
³-HP.0 Providers N.E.C
⁴ For visual display purposes some smaller categories have been condensed to one category. A superscript identifies the provider for each service function and full data is available in Statbank.