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Out-of-pocket health expenditure — all countries

Out-of-pocket health expenditure — OECD

Out-of-pocket health expenditure in the OECD in 2023 — 13.35%. Since 2000, the indicator has fallen by 3.27 pp.

2023 13.35% +0.19 pp vs 2022
World rank —
Period maximum 16.62%2000
Period minimum 12.47%2020

Trend over time

2000–2023 · % of health expenditure

Out-of-pocket health expenditure — OECD, 2000–2023121416182000200320062009201220152018202120232000: 16.62%2001: 16.16%2002: 16.03%2003: 16.06%2004: 15.98%2005: 15.86%2006: 15.85%2007: 15.84%2008: 15.6%2009: 14.88%2010: 14.87%2011: 14.75%2012: 14.79%2013: 14.78%2014: 14.65%2015: 14.37%2016: 14.13%2017: 14.05%2018: 14.08%2019: 13.92%2020: 12.47%2021: 12.95%2022: 13.16%2023: 13.35%
Change over the period: −3.27 pp Annual average: -0.14 pp

Comparison, 2023

How the value compares with the world and the groups this territory belongs to: OECD

OECD 13.35%
World 17.33%
Out-of-pocket health expenditure — OECD, by year OECD All countries CSV XLSX
Year % Change, pp
2023 13.35 +0.19 pp
2022 13.16 +0.21 pp
2021 12.95 +0.48 pp
2020 12.47 −1.45 pp
2019 13.92 −0.16 pp
2018 14.08 +0.02 pp
2017 14.05 −0.08 pp
2016 14.13 −0.24 pp
2015 14.37 −0.28 pp
2014 14.65 −0.13 pp
2013 14.78 −0 pp
2012 14.79 +0.04 pp
2011 14.75 −0.13 pp
2010 14.87 −0.01 pp
2009 14.88 −0.72 pp
2008 15.6 −0.24 pp
2007 15.84 −0.02 pp
2006 15.85 −0.01 pp
2005 15.86 −0.12 pp
2004 15.98 −0.08 pp
2003 16.06 +0.02 pp
2002 16.03 −0.13 pp
2001 16.16 −0.46 pp
2000 16.62 —

About the indicator

Payments people make for medical care directly at the point of use — as a percent of all current health expenditure in the country. Insurance contributions and taxes are excluded: only what a person takes out of their pocket at the counter. The indicator is considered a key measure of financial protection: the higher it is, the more often illness means ruin, and WHO tracks it as an indicator of the risk of catastrophic household spending.

Important: A high value means weak protection, not an active private sector: voluntary insurance is not part of this indicator, so a country with developed private insurance can have a low share of out-of-pocket payments.

Source: Global Health Observatory (WHO), license CC BY-NC-SA 3.0 IGO.

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