HEALTH SPENDING STARTS TO RISE BUT REMAINS WEAK IN EUROPE, SAYS OECD
Health spending has started to rise again after stagnating or even falling in many OECD countries during the crisis. But the pace of growth remains well below pre-crisis rates, especially in Europe, according to OECD Health Statistics 2014.
In Europe, health
spending continued to fall in 2012 in Greece, Italy, Portugal and Spain, as
well as in the Czech Republic and Hungary. In Greece, health spending in real
terms was 25% lower in 2012 than in 2009, primarily driven by cuts in public
spending.
By contrast, outside
Europe, Chile and Mexico saw strong growth in health spending in 2012, at 6.5%
and 8.5% respectively, largely due to further efforts towards universal
coverage and access to healthcare. Health spending in Korea has continued to
grow at an annual rate of 6% since 2009, mainly driven by increases in private
spending.
In the United States,
health spending grew by 2.1% in 2012, above the OECD average but similar to
growth rates in 2010 and 2011.
Overall health spending accounted for 9.3% of GDP on
average across OECD countries in 2012, little changed from 9.2% in 2011, but up
from 8.6% before the crisis.
Continued reductions in pharmaceutical
spending
While spending on hospital and outpatient care grew in
many countries in 2012, almost two-thirds of OECD countries have experienced
real falls in pharmaceutical spending since 2009. Reductions have been driven
by price cuts, often through negotiations with manufacturers, and a growing
share of the generic market. This share has increased due to patent expirations
for a number of high-volume and high-cost brand name drugs, and policies to
promote the use of cheaper generic drugs.
The share of the generic market grew on average by 20%
between 2008 and 2012 to reach 24% of the total pharmaceutical expenditure. The
increase was particularly steep in Spain (+ 100%), France (+60%), Denmark
(+44%) and the United Kingdom (+28%).
Annual growth in pharmaceutical spending, in real terms
These are some of the
recent trends shown in OECD Health Statistics 2014, the most comprehensive
source of comparable statistics on health and health systems across the 34 OECD
countries. Covering the period 1960 to 2013, this interactive database can be
used for comparative analyses on health status, risk factors to health, health
care resources and utilisation, and health expenditure and financing.
Fuente: OECD
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