Italy Has Italy OECD Contracted Between 2011 and 2014 in Real 4% Terms

OECD Health Statistics 2015

OECD Health Statistics 2015 is the most comprehensive source of comparable statistics on health and health systems across the 34 OECD countries. Covering the period 1960 to 2014, this interactive database can be used for comparative analyses on health status, risk factors to health, health care resources and utilisation, as well as health expenditure and financing. OECD Health Statistics 2015 is available in OECD.Stat, the statistics portal for all OECD databases.

 Growth: While average per capita health Figure 1. Annual health spending growth*, 2010-2014 spending in OECD countries has increased slowly since 2010, spending in Italy has Italy OECD contracted between 2011 and 2014 in real 4% terms.  Share of GDP: The share of GDP allocated to 1.1% 1.0% 1.0% 0.5% 0.7% health spending (excluding capital expenditure) 0.1% in Italy was 8.8% in 2013, compared with an 0% OECD average of 8.9%. This was unchanged -0.4% -0.9% from 2012 and remains below the high of 9.0% in 2010 as GDP also decreased. -3.0% -4% -3.5%  Per capita spending: Italy spent the equivalent 2010 2011 2012 2013 2014 Est. of USD 3077 per person on health in 2013, compared with an OECD average of USD 3453. Public sources accounted for 77% of overall health spending, just above the OECD average * Per capita spending in real terms Source: OECD Health Statistics 2015

Health spending in Italy continues to contract A number of cost-containment measures have been taken in the wake of the economic crisis to reduce public In 2013, per capita health spending in Italy dropped by spending on health. Cuts in pharmaceutical spending, 3.5% in real terms - the third year in succession that which were already targeted prior to the crisis, have health expenditure has fallen in real terms. Preliminary contributed to the overall fall. The share of the generic estimates point to a further contraction of 1.4% in 2014. market has increased, although it remains relatively low Both public and private health spending have shown in Italy. In 2010: a 12.5% reduction in the retail price of continuous falls since 2011. As a result, per capita generic drugs was brought in while the following year spending on health in Italy remains at a level below that saw maximum reimbursement prices for generics prior to the economic crisis. established in line with prices in Germany, UK, France and Spain.

OECD Health Statistics 2015 © OECD 2015 1 Figure 2. Health spending* as a share of GDP, 2013

Public expenditure Private expenditure

16.4

15.0

11.1

11.0

10.9

10.4

10.2

10.1

9.5

9.2

9.0

8.9

8.8

8.7

8.6

10.0 8.5

8.1

7.6

7.4

7.5

7.1

6.9

6.6

6.4

6.2

6.0 5.1 5.0

0.0

Italy

Chile

OECD

Japan

Korea

France

Turkey

Poland

Austria

Iceland

Mexico

Finland

Estonia

Norway

Sweden

Belgium

Slovenia

Hungary

Israel(1)

Spain(2)

Denmark

Germany

Ireland(2)

Greece(1)

Canada (1)

Switzerland

Portugal (1)

Australia(2)

Netherlands

UnitedStates

CzechRepublic

SlovakRepublic

Luxembourg(2) UnitedKingdom 1 Preliminary estimate. NewZealand (1) 2 Data refer to 2012.

Health spending as a share of GDP in Italy remains countries, only the United States and Chile report public just below the OECD average spending on health below 50%.

Health spending in Italy (excluding investment Although out-of-pocket spending at 22% of health expenditure in the health sector) was 8.8% of GDP in spending has not increased in recent years, it remains 2013 (Figure 2), slightly below the OECD average of 8.9%. relatively high compared with other western European This has increased by 1 percentage point since 2003, countries such as France (7%), Germany (14%) and mainly because of slow growth in GDP over this ten-year United Kingdom (10%), although still well below some period. other southern European countries such as Greece (31%) and Portugal (28%). The share of the economy allocated to health spending is similar to Spain, Portugal and Greece, but well below the In per capita terms (adjusted for different price levels levels of France and Germany (10.9% and 11.0% using economy-wide purchasing power parities), Italy respectively). spent USD 3077 per head in 2013. This compares with an OECD average of USD 3453. The share of government spending in Italy as a share of total spending on health has remained relatively constant over the last decade at around 77%. This is slightly above the OECD average of 73%. Among OECD

Contacts Further Reading Focus on health spending: David Morgan www.oecd.org/health/health-systems/Focus-Health-  +33 1 45 24 76 09 Spending-2015.pdf  [email protected] OECD Health Statistics 2015: Marie-Clémence Canaud www.oecd.org/health/health-data.htm  +33 1 45 24 91 73

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