SHA Working Paper Germany 2001

1. SHA Working PaperGermany 2001 Meeting of Experts in National Health Accounts 27-28 October 2003

2. Topics • Differences between SHA and German Health Accounts • German health expenditure 2001 • Trends 1992-2001 • Health expenditure by financing source 2001 • Health expenditure by function 2001 • Current health expenditure by mode of production • Current health expenditure by provider

3. Differences between SHA and German Health Accounts (GHA) • Value of total expenditure: • GHA include education and training as well as R&D • German SHA-value is slightly underestimated: • it does not contain expenditure for military health and prison health • or expenditure on health administration by central and local governments

4. Differences between SHA and German Health Accounts (GHA) • Mode of production is not used in the GHA: • no data on day care services and rehabilitative • out-patient services • home care services refer only to long-term nursing care • data on in-patient services refer to services provided by hospitals etc.

5. German health expenditure 2001 • 2835 US$PPP per capita • 10,7% of GDP • 75% public funds: 58% public health insurance • 25% private sector: 11% private households • private households: 48% medical goods: • 28% pharmaceuticals • total current expenditure: • 47% curative care: 26% in-patient, 21% out-patient

6. Trends 1992-2001 • Total health expenditure: +39% • Current health expenditure: +41% • curative and rehabilitative care: +30% • long-term nursing care: +121% • medical goods: +41% • in-patient services: +40% • out-patient services: +20% • hospitals: +36% • ambulatory providers: +42% • nursing and residential care: +57%

7. Health expenditure by financing source 2001

8. Health expenditure by function 2001

9. Current health expenditure by mode of production 2001

10. Current health expenditure by provider 2001

11. Thank youfor your attention!