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Expenditure by Providers of Health Care

Online ISSN: 2009-8812
CSO statistical release, , 11am

Who is delivering the health care goods and services?

Out of every €100 spent on health care in 2023, €40 was spent in hospitals and €21 in out-patient health care providers, mainly GPs and dentists. A further €17 was spent in long-term residential facilities, such as nursing homes and residential disability services, and €12 in retailers of medical goods (mainly pharmacies). See Figure 5.1.

Health expenditure rose by 39% between 2019 and 2023. Spending on COVID-19 testing and tracing and vaccinations is included in the Providers of Preventative Care category and explains the higher levels in the period 2020 to 2022. There has also been a 47% increase in spending in Hospitals and 47% for Ambulatory Health Care Provider. See Table 5.1.

Health care providers include all the organisations and individuals who deliver health care goods and services as their primary activity. Also included are those who deliver health care as one of a number of activities, see the background notes for more details.

Current Health Care Expenditure By Provider, 2023, (% Current Health Care Expenditure)
Hospitals39.9055775054549
Ambulatory Health Care Provider21.030157752903
Long-Term Residential Facilities17.0801097603412
Retailer of Medical Goods11.5696545663773
Ancillary Health Care Provider1.24303702327775
Other Providers9.17146339164587
Current Health Care Expenditure By Provider (% Change between 2019 to 2023)
Hospitals47.2579596185183
Ambulatory Health Care Provider46.5852117728085
Long-Term Residential Facilities35.0560322806631
Retailers of Medical Goods22.4570501762352
Ancillary Health Care Provider38.0501994067292
Other Providers24.8928510625695
Table 5.1: Current Health Care Expenditure by Provider, 2019 to 2023

How are the health care providers funded?

Figure 5.3 below provides a breakdown of health care expenditure by health care provider and financing source for 2023. As noted earlier in this publication, 77% of health care expenditure is funded by Government, 12% by health insurance and the remaining 11% by household out-of-pocket payments - this profile of total spending is included as the bottom bar of the graph and can be used as a reference point to compare across providers.

Differences from the overall pattern were observed in the expenditure by providers of healthcare system administration and financing - none of which was provided by households. Direct payments by households is mostly seen in long-term residential facilities, ambulatory health care providers and retailers of medical goods. Only 1% of hospital provided care was paid directly by households. Voluntary payment schemes accounted for a small percentage (3%) of payments to long-term residential care facilities compared to 19% that was funded by households.

HF.1 - Government and CompulsoryHF.2 - Voluntary Health Care Payment SchemesHF.3 - Household Out-of-Pocket Payments
Hospitals78.560821331369120.05406726618311.3851114024479
Long-Term Residential Facilities78.03579890948552.943826491940519.020374598574
Ambulatory Health Care Provider73.06552515394126.3135092420192720.6209656040395
Ancillary Health Care Provider76.274211839429415.21069738674998.51509077382072
Retailer of Medical Goods73.782170639455026.217829360545
Providers of Preventative Care90.65460662022649.345393379773630
Providers of Health Care Administration and Financing36.424056980082863.57594301991720
Rest of the Economy90.0103839988229.535666104521770.453949896656269
Rest of the World71.423737938995128.57626206100490
Provider n.e.c.95.20931153747364.790688462526360
All Health Care Providers76.593446249288212.107081207061611.2994725436503
Table 5.2: Current Health Care Expenditure by Health Care Provider and Health Care Financing Scheme, 2023

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