286505
/en/nasjonalregnskap-og-konjunkturer/statistikker/helsesat/aar
286505
Health expenditure accounts for more than 10 per cent of GDP
statistikk
2017-03-13T08:00:00.000Z
National accounts and business cycles;Health
en
helsesat, Health accounts, health care expenditures, health services (for example medical services, rehabilitation, nursing home services), financing sources (for example establishments, national insurance, own risk), satellite accounts, hospital services, own riskHealth services , National accounts , National accounts and business cycles, Health
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Preliminary figures show that Norway’s current health expenditure was NOK 326 billion in 2016. Measured per capita, the health expenditure is about NOK 62 000; an increase of NOK 2 000 from 2015.

Health accounts

Updated

Next update

Key figures

62 186

NOK Health expenditures per capita

Health Expenditure. Key Figures12
2013201420152016
1Figures for the two last years are preliminary.
2Current health expenditure does not include capital formation
Current expenditure on health274 246293 507310 981325 615
Volume growth from previous year0.92.02.12.5
Capital formation in health care institutions. NOK million18 48720 92418 79319 949
Current expenditure on health. Per cent of GDP8.99.310.010.5
Current expenditure on health. Per cent of GDP Mainland Norway11.311.611.912.0
Current health expenditure per capita53 98457 13159 92162 186
Health expenditure per capita. Volume growth from previous year.-0.30.81.11.6

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Table 1 
Health expenditure

Health expenditure
 19971998199920002001200220032004200520062007200820092010201120122013201420152016
Current health expenditure88 37398 021106 766116 232125 488140 501149 310157 281165 820175 369189 209207 544220 368230 785245 441260 182274 246293 507310 981325 615
Current health expenditure per capita20 06122 11923 92825 88127 80130 96032 70934 25235 86637 62740 17943 52745 63747 20349 55351 84453 98457 13159 92062 186
Health expenditure in constant 2010 prices150 267156 068164 537170 417175 044190 743195 505201 045206 173209 607215 242222 199226 902230 785231 657237 936240 021244 768249 914256 215
Current expenditure on health at constant NOK in 2010. Percentage change in volume from the previous year 3.95.43.62.79.02.52.82.61.72.73.22.11.70.42.70.92.02.12.5
Expenditure on health at constant NOK in 2010 per capita34 11235 21836 87637 94738 78042 03142 82843 78244 59544 97445 70746 60046 99047 20346 77047 41147 24747 64448 15448 932
expenditure on health at constant NOK in 2010 per capita. Percentage change in volume from the previous year 3.24.72.92.28.41.92.21.90.81.62.00.80.5-0.91.4-0.30.81.11.6
                     
Current health expenditure financed by public sources71 26279 73487 11094 951103 903116 455124 178130 572137 644146 157158 370174 616186 070195 430207 209220 518233 172250 328265 570277 448
Current health expenditure financed by private sources17 10718 29119 65921 29321 58424 04725 13426 71128 17929 21430 83932 92734 29835 35538 23139 66441 07443 17845 41148 167
                     
Share of health expenditure financed by public sources. Per cent80.681.381.681.782.882.983.283.083.083.383.784.184.484.784.484.885.085.385.485.2
Share of health expenditure financed by private sources. Per cent19.418.718.418.317.217.116.817.017.016.716.315.915.615.315.615.215.014.714.614.8
Public share of health spending in per cent of general government total expenditure13.914.515.015.415.516.316.216.516.716.416.516.916.917.017.217.617.517.717.717.7
                     
Current health expenditure. Per cent of GDP7.78.48.47.78.09.09.28.88.37.98.18.09.18.98.88.88.99.310.010.5
Current health expenditure. Per cent of GDP Mainland Norway9.39.69.910.210.411.211.411.210.910.610.310.711.211.111.411.311.311.611.912.0
                     
Total capital formation of health care providers              12 58414 45818 48720 92418 79319 949

About the statistics

Health accounts describe Norway’s total current expenditures in health, as well as capital investments in health care infrastructure. Spending by both public and private sources are included. The expenditures are grouped into the type of service, the provider industry and by sources of funding.

Definitions

Definitions of the main concepts and variables

Se Allso Concepts and definitions in national accounts

Total expenditure on health measures the final consumption of health care goods and services (i.e. current health expenditures) in addition to capital investment in health care infrastructure. This includes spending by public and private sources (including households) on medical goods and services, public health, preventive health care programmes and administration. The two major components of total current health expenditure are expenditure on personal health care and expenditure on collective services. Personal health care services comprise curative care, rehabilitation, long-term health care, ancillary health care services, and medical goods dispensed to out-patients. Collective services comprise public health tasks such as health promotion and disease prevention services and health administration, which are delivered to society at large.

Health expenditure also includes expenditure on health care and social services. According to international guidelines only expenditure for health care and social services that are health related should be included in the health accounts. Long-term nursing care is typically a mix of medical care and social care. Thus only the former is included here.

Standard classifications


The System of Health Accounts is organised around a tri-axial system of recording the health expenditure. The expenditure is grouped into the three following categories:

- health care by function (HC)

- health care service provider industries (HP)

- sources of funding (HF)

Functional classification of health care

The functional approach refers to the goals or purposes of health care. Different producers may provide the same kind of health care functions, i.e. hospitals or diagnostic laboratories could provide diagnostic imaging. The functional classifications are as follows:

HC.1

Curative care

HC.1.1

Inpatient curative care

HC.1.2

Day curative care

HC.1.3

Outpatient curative care

HC.1.3.1

General outpatient curative care

HC.1.3.2

Dental outpatient curative care

HC.1.3.3

Specialised outpatient curative care

HC.2

Rehabilitative care

HC.3

Long-term care (health)

HC.3.1

Day long-term care (health)

HC.3.4

Home-based long-term care (health)

HC.4

Ancillary services

HC.4.1, HC.4.2

Clinical laboratory and diagnostic imaging

HC.4.3

Patient transportation

HC.5

Medical goods dispensed to out-patients

HC.5.1

Pharmaceuticals and other medical non durable goods

HC.5.1.1,HC.5.1.2

Medicines (prescribed and over-the-counter)

HC.5.1.3

Other medical non-durable goods

HC.5.2

Therapeutic appliances and other medical durable goods

HC.5.2.1

Glasses and other vision products

HC.5.2.2

Hearing aids

HC.5.2.3

Orthopaedic appliances and other prosthetics

 HC.5.2.9

Medico-technical devices, including wheelchairs

HC.6

Preventive care

HC.6. 1

Information, education and counseling programmes

HC.6. 4

Healthy condition monitoring programmes

HC.7

Governance and health system and financing administration

For cross-classifications of the functional approach with the SNA 93 functional classifications, like COFOG (classification of the functions of government) and COICOP (classification of individual consumption by purpose), see: A System of Health Accounts .

Classification of health care providers

A classification of health care industries serves the purpose of arranging country specific institutions into common internationally applicable categories. The provider classification comprises both primary and secondary producers of health care services. The classification of health care provider industries is listed in the table below:

HP.1

Hospitals

HP.1.1

General hospitals

HP.1.2

Mental health hospitals

HP.2

Residential long-term care facilities

HP.2.1

Long-term nursing care facilities

HP.3

Providers of ambulatory health care

HP.3.1

Medical practices

HP.3.2

Dental practices

HP.3.3

Other health care practitioners

HP.3.5

Providers of home health care services

HP.4

Providers of ancillary services

HP.4.1

Providers of patient transportation and emergency rescue

HP.4.2

Medical and diagnostic laboratories

HP.5

Retailers and other providers of medical goods

HP.6

Providers of preventive care

HP.7

Health administration etc.

HP.8

Rest of the economy

HP.9

Rest of the world

For cross-classifications of the health care providers with ISIC (International Standard Industrial Classification), see A System of Health Accounts .

Classification of health care financing

In Norway, health care goods and services are financed both by private and public sources. Central government, local government and the social security fund are the public sources, while the private sources mainly consist of household out-of-pocket payments. The classification of health care financing is listed in the table below:

HF.1

General government

HF.1.1

General government excluding social health insurance

HF.1.1.1

Central government

HF.1.1.2

Local/municipal government

HF.1.2

social health insurance (national insurance)

HF.2

Corporations

HF.3

Private household out-of-pocket expenditure

HF.4

Rest of the world

Administrative information

Name and topic

Name: Health accounts
Topic: National accounts and business cycles

Next release

Responsible division

Division for National Accounts

Regional level

National level.

Frequency and timeliness

The health accounts is compiled on an annual basis. The final figures are published around two years after the end of the reference year, and are based on detailed sources.

The preliminary figures are based on more aggregate sources, and are to some extent based on estimations. The accounts are normally published around three months after the end of the reference year.

International reporting

The figures are reported annually to the OECD.

Microdata

Not relevant

Background

Background and purpose

The Norwegian health accounts are based on A System of Health Accounts (OECD, 2011). The accounts are designed to provide a model for uniform reporting for countries with different ways of organising their national health system, and to meet the needs of analysts of health care systems and policy makers.

The set of tables is based on common concepts, definitions, classifications and accounting rules in order to ensure comparability over time and across countries.

A complete set of tables based on A System of Health Accounts was first published in 2005, and included figures for the period 1997-2004. The health accounts will be compiled on a regular basis as an integrated part of the national accounts.

Users and applications

Major users of the health accounts include the Ministry of Health and Care Services and subordinate institutions, other ministries, research institutes, international organisations, the media etc.

Equal treatment of users

No external users have access to the statistics and analyses before they are published and accessible simultaneously for all users on ssb.no at 08.00 am. Prior to this, a minimum of three months' advance notice is given in the Statistics Release Calendar. This is one of Statistics Norway’s key principles for ensuring that all users are treated equally.

Coherence with other statistics

The Norwegian health accounts are compiled within the framework of the national accounts, and thus consistent with the core national accounts data. It is also consistent with the central and local government fiscal accounts, hospital accounts etc.

Legal authority

Not relevant

EEA reference

Not relevant

Production

Population

Total health expenditure measures the final consumption of health care goods and services (i.e. current health expenditure) in addition to capital investment in health care infrastructure.

The health accounts provide a comprehensive accounting framework for the entire field of health care activities. The system presents health expenditure by function of care, by source of funding and by provider industry. The objective of the health accounts is to constitute a system of comprehensive, internally consistent and internationally comparable accounts, which should also be compatible with other aggregate economic and social statistics as far as possible.

 

Data sources and sampling

The health accounts are linked to the regular national accounts as a so-called satellite. This means that detailed data from a range of sources integrated in the national accounts serve as a tool for presenting the health expenditure.

The most important sources for compiling health expenditure are public accounts, statistics from public and private hospitals (specialist nursing homes, convalescence and rehabilitation institutions and hospitals) and the Household Budget Survey. Furthermore, all relevant data from the national accounts will be reorganised and utilised in the health accounts.

Collection of data, editing and estimations

The health accounts are based on source statistics collected by other divisions in Statistics Norway. There is no separate data collection for the compilation of the health accounts. See item 3.2 for further details on data sources.

The health accounts are to some extent based on more detailed statistics than what is relevant for the national accounts.

The health accounts are based on information in the Norwegian national accounts, and revisions of the national accounts data will consequently influence the health accounts.

National accounts - revision strategy

The national accounts are compiled in different versions: annual accounts are normally compiled in three consecutive preliminary versions and a final one; and occasionally a main revision later on. Main revisions will be carried out every 5-7 years.

The degree of revisions will depend on the availability of new and more comprehensive data sources. For instance, the introduction of the new system developed for reporting data from local to central government (KOSTRA), resulted in improved municipality data and subsequent revisions of the local government figures in the national accounts.

The main part of the compilation of the health accounts consists of linking data from the national accounts to the health accounts according to the classifications defined in the OECD manual. In some cases the national accounts provide data at a more aggregate level than what is needed for the health accounts. In those cases extended data sources are used to identify the necessary details. For instance, data from the Norwegian Patient Register (NPR) is the basis for distinguishing between expenditures on in-patients and out-patients in hospitals.

The Norwegian health accounts provide data in current and constant prices. The calculations in constant prices are based on the national accounts methods. This means that the constant price estimates are calculated with prices from the previous year. The calculation is carried out at a detailed level, and then chained to the present reference year. The chaining is carried out separately for all items.

Seasonal adjustment

Not relevant

Confidentiality

According to the Statistics Act §2-6 information collected in accordance with any prescribed obligation to provide information, or which is given voluntarily, shall under no circumstances be published in such a way that it may be traced back to the supplier of any data or to any other identifiable individual to the detriment of the person concerned.

Comparability over time and space

One of the main purposes of the health accounts is to provide a common framework for increased comparability of data over time and across countries. As the Norwegian health accounts are compiled according to A System of Health Accounts, the Norwegian data will be comparable with data from other countries using the same international guidelines.

Consistent Norwegian health expenditure data are available from 1997.

Accuracy and reliability

Sources of error and uncertainty

The Norwegian health accounts are compiled using several different statistical sources. The statistical sources consist of data from establishments, enterprises, and households. In addition, different administrative registers are used. The uncertainty in the national accounts estimates is related to the errors in source data and the compilation methods. Uncertainty connected to the different statistical sources is usually described as part of the documentation of the sources. Several of the statistical sources used in the compilation of the national accounts remain preliminary for longer periods, as they require extensive analysis and numerous revisions before the final figures are known.

Since the system of national accounts is an integrated system containing routines for consistency checks of data, one assumes that the national accounts contribute to reduce the uncertainty in source data. On the other hand, the national accounts require the compilation of figures in areas where source statistics are limited or even lacking. In such cases figures are compiled using statistical methods, and hence subject to uncertainty.

Revision

Not relevant

Contact