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Health at a Glance 2019

OECD Indicators

image of Health at a Glance 2019

Health at a Glance compares key indicators for population health and health system performance across OECD members, candidate and partner countries. It highlights how countries differ in terms of the health status and health-seeking behaviour of their citizens; access to and quality of health care; and the resources available for health. Analysis is based on the latest comparable data across 80 indicators, with data coming from official national statistics, unless otherwise stated.

Alongside indicator-by-indicator analysis, an overview chapter summarises the comparative performance of countries and major trends, including how much health spending is associated with staffing, access, quality and health outcomes. This edition also includes a special focus on patient-reported outcomes and experiences, with a thematic chapter on measuring what matters for people-centred health systems.

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Health expenditure by financing scheme

A variety of financing arrangements, broadly classified according to their compulsory or voluntary nature, provide coverage against the cost of health care by purchasing health care services. Government financing schemes, organised at a national or regional level or for specific population groups, automatically entitle individuals to care based on residency, and form the principle mechanism by which health care expenses are covered in a number of OECD countries. The main alternative is for residents to be enrolled in a compulsory health insurance scheme (through public or private entities) which then covers the bulk of their health care use. Despite near universal health care coverage in many OECD countries, direct expenditure by households (out-of-pocket spending) in the form of standalone payments or as part of some co-payment arrangement remain an important element of health financing but the extent can vary considerably. Finally, among the other types of discretionary health care financing, voluntary health insurance, in its various forms, can play an important funding role in some countries.

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