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Out-of-pocket health expenditure — all countries

Out-of-pocket health expenditure — Spain

Out-of-pocket health expenditure in Spain in 2023 — 20.86%. Ranked 70 in the world out of 192. Since 2000, the indicator has fallen by 3.47 pp.

2023 20.86% −0.17 pp vs 2022
World rank 70of 192
Period maximum 24.85%2001
Period minimum 20.15%2009

Trend over time

2000–2023 · % of health expenditure

Out-of-pocket health expenditure — Spain, 2000–2023202224262000200320062009201220152018202120232000: 24.32%2001: 24.85%2002: 24.6%2003: 23.15%2004: 22.95%2005: 22.63%2006: 22.05%2007: 21.91%2008: 21.78%2009: 20.15%2010: 21.37%2011: 21.66%2012: 23.17%2013: 24.24%2014: 24.65%2015: 23.87%2016: 21.96%2017: 24.09%2018: 24.15%2019: 23.85%2020: 21.66%2021: 21.3%2022: 21.03%2023: 20.86%
Change over the period: −3.47 pp Annual average: -0.15 pp

Comparison, 2023

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

Spain 20.86%
World 17.33%
Europe & Central Asia 16.5%
Southern Europe computed 24.72%
High-income countries computed 19.69%
Out-of-pocket health expenditure — Spain, by year Spain All countries CSV XLSX
Year % Change, pp
2023 20.86 −0.17 pp
2022 21.03 −0.28 pp
2021 21.3 −0.36 pp
2020 21.66 −2.19 pp
2019 23.85 −0.3 pp
2018 24.15 +0.06 pp
2017 24.09 +2.13 pp
2016 21.96 −1.92 pp
2015 23.87 −0.78 pp
2014 24.65 +0.41 pp
2013 24.24 +1.07 pp
2012 23.17 +1.51 pp
2011 21.66 +0.29 pp
2010 21.37 +1.22 pp
2009 20.15 −1.63 pp
2008 21.78 −0.12 pp
2007 21.91 −0.14 pp
2006 22.05 −0.58 pp
2005 22.63 −0.32 pp
2004 22.95 −0.2 pp
2003 23.15 −1.45 pp
2002 24.6 −0.25 pp
2001 24.85 +0.53 pp
2000 24.32 —

Southern Europe, 2023

The same indicator for neighboring countries — with links to their pages

MC Monaco 8.45 HR Croatia 9.38 AD Andorra 11.15 SI Slovenia 12.39 SM San Marino 13.09 ES Spain 20.86 IT Italy 23.65 ME Montenegro 26.33 PT Portugal 29.31 MT Malta 30.93 BA Bosnia and Herzegovina 30.96 RS Serbia 32.14 GR Greece 34.3 MK North Macedonia 39.57 AL Albania 48.27
Full table for all countries

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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