Health policies and data

Health Expenditure


Introduction | Data collection | SHA development work


In 2012, health spending starts to rise but remains weak in Europe, after the dramatic slowdown in growth in 2010 as a result of the economic crisis. 


Source: OECD Health Statistics 2014

Recent trends reinforce the on-going concerns regarding the adequacy of financial resources for health care and the way that those resources are used. Consequently, policy-makers and researchers seek more detailed and comparative information on health care expenditures to address questions such as:

  • What are the main drivers accounting for health expenditure growth?
  • What factors explain the observed differences between countries?
  • What are the main structural differences in health spending between countries?
  • How are changes in the structure of health spending and performance of health systems related?

These and other issues, such as the effects of an ageing population, or tracking the financial burden of households, have been challenging the traditional system of health expenditure statistics.

The OECD Manual A System of Health Accounts (SHA) provides a standard framework for producing a set of comprehensive, consistent and internationally comparable accounts to meet the needs of public and private-sector health analysts and policy-makers. The SHA manual establishes a conceptual basis of statistical reporting rules that are compatible with other economic and social statistics.


The latest SHA data are available on OECD.Stat

SHA development work: main components

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