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Health Expenditure in Estonia, 2007

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Health Expenditure in Estonia, 2007 National Institute for Health Development Department of Health Statistics HEALTH EXPENDITURE IN ESTONIA, 2007 Tallinn 2009 Health Expenditure in Estonia, 2007 Mission of the Department of Health Statistics: Public Health and Welfare through Better Statistics and Information Attention! As usual in the case of statistical reports, small corrections are likely to be made in this analysis within one year. Please refer to the web version of the report at www.tai.ee when using data from the report. DHS 2 Health Expenditure in Estonia, 2007 BRIEF OVERVIEW The share of total expenditure on health in the gross domestic product increased by 0.3 percentage points in 2007 and comprised 5.4%. Public expenditure on health comprised 4.1% of GDP (3.8% in 2006). Total expenditure on health increased by almost 2.5 billion kroons or 23.4% when compared to the previous year and comprised 13.0 billion kroons in current prices in 2007. This was the biggest nominal increase in the last eight years. Total expenditure on health also increased at constant prices – 15.7%, but this increase was smaller than in 2005 and 2006 (36.4% in 2005 and 16.9% in 2006). Expenditure on health in the public sector increased by 27.3% when compared to the previous year and comprised 9.8 billion kroons. As usual, the majority of public expenditure (84.9%) was financed from the funds of the Estonian Health Insurance Fund. The share of the public sector in financing health-related costs has increased when compared to the previous year (75.6% in 2007, 73.3% in 2006). The growth occurred on account of the increase in the share of the government’s health expenditure and the share of the expenses of the Estonian Health Insurance Fund. The share of the private sector has decreased from 26.1% in 2006 to 23.3% in 2007. The average expenditure on health per resident of Estonia in 2007 amounted to 9,664 kroons (618 EUR), which is 1,847 kroons (118 EUR) more than in the previous year. DHS 3 Health Expenditure in Estonia, 2007 Table of Contents List of Tables.............................................................................................................................. 5 List of Figures ............................................................................................................................ 6 INTRODUCTION...................................................................................................................... 8 1. ANALYSIS...................................................................................................................... 10 1.1. Total Expenditure on Health and General Economic Activity ................................ 10 1.2. Health Insurance System.......................................................................................... 13 1.3. Sources of Health Funding....................................................................................... 16 1.3.1 Public Sector .................................................................................................... 18 1.3.2 Private sector.................................................................................................... 30 1.3.3 Rest of the world .............................................................................................. 39 1.4. Health service providers........................................................................................... 40 1.4.1 Hospitals........................................................................................................... 42 1.4.2 Outpatient curative care providers ................................................................... 44 1.4.3 Retailers of medicines and medical products................................................... 45 1.4.4 Organisers of public health programmes ......................................................... 47 1.4.5 Institutions Dealing with General Health Administration................................ 49 1.5. Health Services......................................................................................................... 51 1.6. Summary .................................................................................................................. 54 2. INTERNATIONAL COMPARISON .............................................................................. 55 3. TECHNICAL NOTES ..................................................................................................... 60 3.1. Background Information .......................................................................................... 60 3.2. Definition of Total Expenditure on Health .............................................................. 61 3.3. Data Sources............................................................................................................. 63 References ................................................................................................................................ 64 DHS 4 Health Expenditure in Estonia, 2007 List of Tables Table 1. Ratios describing the health system and gross domestic product at current prices (million kroons), 2000-2007 .................................................................................................... 10 Table 2. Total expenditure on health at current and constant prices, speed of growth, 2000- 2007.......................................................................................................................................... 11 Table 3. The number of insured persons, 2006-2007............................................................... 15 Table 4. Main sources of health funding, 2006-2007 .............................................................. 17 Table 5. Share of main sources of health funding in gross domestic product, 1999-2007 ...... 17 Table 6. Health expenditure of ministries, 2006 to 2007......................................................... 19 Table 7. Health services funded by the Ministry of Social Affairs in 2006-2007 ................... 20 Table 8. Health services funded by the Government in 2006-2007......................................... 22 Table 9. Current expenditure of the Government by health service providers, 2006-2007..... 24 Table 10. Health services funded by local governments, 2006-2007 ...................................... 26 Table 11. Current expenditure of the local governments according to health service providers, 2006-2007................................................................................................................................. 26 Table 12. Health services funded by the Estonian Health Insurance Fund, 2006-2007 .......... 27 Table 13. Infertility treatment and compensation of medicines, 2007..................................... 29 Table 14. Current expenditure of the Estonian Health Insurance Fund according to health service providers, 2006-2007 ................................................................................................... 30 Table 15. Division of expenditure on health in the private sector, 2006-2007........................ 31 Table 16. Health services funded by the private sector in 2006-2007 ..................................... 32 Table 17. Current expenditure of the private sector according to health service providers, 2006-2007................................................................................................................................. 33 Table 18. Private sector expenditure by health services and sources of funding, 2007........... 33 Table 19. Cost-sharing according to health services, 2006-2007 ............................................ 35 Table 20. Cost-sharing according to providers of health services, 2006-2007........................ 38 Table 21. Total expenditure on health according to providers of health services, 2006-2007 41 Table 22. Expenditure of hospitals according to health services, 2006-2007.......................... 43 Table 23. Expenditure of outpatient service providers according to health services, 2006-2007 .................................................................................................................................................. 44 Table 24. Retailers of medicines and medical products, 2006-2007 ....................................... 45 Table 25. Expenditure of public health programme organisers according to functions, 2006- 2007.......................................................................................................................................... 48 Table 26. Health services per person, 2006-2007 .................................................................... 53 Table 27. International comparison of the ratio of total expenditure on health to gross domestic product and total expenditure on health per capita, 1998-2005................................ 56 DHS 5 Health Expenditure in Estonia, 2007 List of Figures Figure 1. Share of the health sector in public sector expenditure, 1997-2007......................... 12 Figure 2. Population according to age groups, 1990, 2007...................................................... 13 Figure 3. Population and insured persons in Estonia, 2000-2007............................................ 15 Figure 4. Share of the public sector, the private sector and the rest of the world in TEH, 1999- 2007.......................................................................................................................................... 16 Figure 5. Division of the sources of public sector funding, 1999-2007, % ............................. 18 Figure 6. Health
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