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In 2020 Ireland spent €26.5bn on current healthcare costs, equivalent to 7.1% of GDP or 12.7% of GNI*. This was an 11.3% increase over the level of spending in 2019, which is explained by the additional costs due to COVID-19.
For comparison, the average increase in previous years was 5.8% per annum (Table 2.1)
The System of Health Accounts measures the current expenditure on health care for residents of Ireland. A number of classifications are used in this publication which are explained in the Background Notes.
Table 2.1: Current Health Expenditure in Ireland, 2016 to 2020 | |||
Year | € million | % of GDP | % of GNI* |
2016 | 20,107 | 7.4 | 11.5 |
2017 | 21,219 | 7.1 | 11.4 |
2018 | 22,432 | 6.9 | 11.3 |
2019 | 23,792 | 6.7 | 11.0 |
2020 | 26,479 | 7.1 | 12.7 |
While the System of Health Accounts focuses on spending on healthcare for consumption purposes Figure 2.1 includes capital expenditure to illustrate the overall health spending in Ireland. (Note there is a break in the series in 2011, see Background Notes)
In 2020 for every €100 spent on healthcare €96 was current expenditure and €4 was capital expenditure. Between 2011 and 2020 current expenditure on healthcare increased by 46.1% while capital spending rose by 70.9%, (see Table 2.2).
Prior to the significant increase in GDP in 2015 current health expenditure in Ireland was higher than the OECD average of 8.7%. As a result of the level of GDP in recent years the ratio of health spending has been below the OECD average (7.1% of GDP compared with OECD average of 9.7% in 2020), (see Figure 2.2).
Thus, using GNI* (which excludes globalisation effects, which disproportionally impact the measurement of the size of the Irish economy), may be a more appropriate indicator for comparison purposes. By this metric current health expenditure in Ireland was 12.7% in 2020.
Total Health Care Expenditure | Capital Expenditure | Current Expenditure | |
2000 | 6.92175232686613 | 0.521585032507154 | 6.40016729435898 |
2001 | 8.53180886877449 | 0.727265464877989 | 7.8045434038965 |
2002 | 9.8962979284674 | 0.821661173997352 | 9.07463675447005 |
2003 | 10.9502528018978 | 0.748789008511227 | 10.2014637933866 |
2004 | 12.1998044899761 | 0.918258199367311 | 11.2815462906088 |
2005 | 13.6808559891815 | 0.665283652984776 | 13.0155723361967 |
2006 | 14.4378262794809 | 0.538652991834767 | 13.8991732876462 |
2007 | 16.2632608595315 | 0.876599739853958 | 15.3866611196776 |
2008 | 17.8979569498856 | 0.807171633577503 | 17.0907853163081 |
2009 | 18.508938227549 | 0.670789731730698 | 17.8381484958183 |
2010 | 18.1989739479447 | 0.582628921666076 | 17.6163452836763 |
2011b | 18.9720769305663 | 0.7198976544723 | 18.252179276094 |
2012 | 19.1637549863813 | 0.5107266063183 | 18.653028380063 |
2013 | 19.3927626891811 | 0.8976783728511 | 18.49508431633 |
2014 | 19.4851140459067 | 0.8783463842477 | 18.606767661659 |
2015 | 20.2981367184179 | 1.0680727828019 | 19.230063935616 |
2016 | 21.3338145675256 | 1.2265957300386 | 20.107218837487 |
2017 | 22.4034177043844 | 1.1843673126214 | 21.219050391763 |
2018 | 23.8467085584763 | 1.4156546127393 | 22.431053945737 |
2019 | 24.8162589873448 | 1.0538758149006 | 23.7623831724442 |
2020 | 27.679134091373 | 1.2312649615349 | 26.5 |
Please note: There is a break in the series in 2011.
Current Expenditure % GDP, Ireland | Current Expenditure % GNI*, Ireland | Current Expenditure % GDP, OECD Average (adjusted) | |
2000 | 5.90639285193704 | 6.77854571623947 | 7.2498656357818 |
2001 | 6.40278227945534 | 7.502637279759 | 7.50368637450284 |
2002 | 6.67517746345612 | 7.98261501976606 | 7.74853027001789 |
2003 | 6.99784867155068 | 8.16352212908244 | 8.00322882478371 |
2004 | 7.22361072803041 | 8.41755677386794 | 8.03553801340461 |
2005 | 7.65720995434511 | 8.91099145307933 | 7.96486111111111 |
2006 | 7.51619500421591 | 8.66510391738746 | 7.90497222222222 |
2007 | 7.80834751879056 | 8.98622346017086 | 7.87927777777778 |
2008 | 9.11280122652353 | 10.4684462307412 | 8.16136111111111 |
2009 | 10.5282051181703 | 12.5245908343467 | 8.82905555555555 |
2010 | 10.6022287858329 | 12.4941277358215 | 8.68128947368421 |
2011b | 10.6768969119778 | 14.4323758268544 | 8.6321052631579 |
2012 | 10.6526657023438 | 14.7483516688589 | 8.67131578947369 |
2013 | 10.296960171931 | 13.5092759823022 | 8.69639473684211 |
2014 | 9.53490123395062 | 12.4831838676562 | 8.67855003247239 |
2015 | 7.31604786363538 | 11.8227361358154 | 8.68808020693777 |
2016 | 7.42489737674491 | 11.5075313245893 | 8.75233940465118 |
2017 | 7.06397726409644 | 11.3948957729782 | 8.7129467701078 |
2018 | 6.86017207979816 | 11.2891970665465 | 8.73829400209995 |
2019 | 6.67931595016185 | 11.1281664820111 | 8.83263016081518 |
2020 | 7.093107767 | 12.70451248 | 9.70145454545455 |
Please note: There is a break in the series in 2011.
Table 2.2: Revised Health Care Expenditure in Ireland, 2011 to 2020 | |||||||||||
€ million | |||||||||||
2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | ||
Total Health Care Expenditure | 18,972 | 19,164 | 19,393 | 19,486 | 20,298 | 21,334 | 22,403 | 23,848 | 24,846 | 27,710 | |
Capital Expenditure1 | 720 | 511 | 898 | 878 | 1,068 | 1,227 | 1,184 | 1,416 | 1,054 | 1,231 | |
Current Expenditure | 18,252 | 18,653 | 18,495 | 18,607 | 19,230 | 20,107 | 21,219 | 22,432 | 23,792 | 26,479 | |
Current Public Expenditure | 13,122 | 13,383 | 13,056 | 13,212 | 13,848 | 14,622 | 15,486 | 16,628 | 17,756 | 20,872 | |
Current Private Expenditure | 5,130 | 5,270 | 5,439 | 5,395 | 5,383 | 5,485 | 5,734 | 5,804 | 6,037 | 5,607 | |
Current Expenditure: | |||||||||||
% GDP, Ireland | 10.7 | 10.7 | 10.3 | 9.5 | 7.3 | 7.4 | 7.1 | 6.9 | 6.7 | 7.1 | |
% GNI*, Ireland | 14.4 | 14.7 | 13.5 | 12.5 | 11.8 | 11.5 | 11.4 | 11.3 | 11.1 | 12.7 | |
% GDP, OECD Average (adjusted)2 | 8.6 | 8.7 | 8.7 | 8.7 | 8.7 | 8.8 | 8.7 | 8.7 | 8.8 | 9.7 | |
1 CSO, National Income & Expenditure 2020 | |||||||||||
2 OECD average recalculated with revised Irish data and latest GDP estimates |
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