Chapter 2

Figure 5 – Health expenditure by source of funding (2004)
100%
80%
60%
40%
20%
0%
2
7
90
Lussemburgo**
10
89
Rep. Ceca**
system ought to guarantee, on the size of the contribution required to expenditure 10 and
on the role played by the different forms of private health insurance (the size of the insurance
market) 11 .
In any case, public financing is the dominant formula in the group of OECD countries
(Figure 5) though there has been a slight fall since 2002. The public proportion is still
above 80,0% in many countries. Italy remains slightly below the OECD average with a
public sector proportion close to 76,5%, which is practically the same as recorded in the
previous ten years.
In Italy private expenditure by families accounts for about one fifth of the total. However,
it is important to note that almost all (about 83,0%) of private financing in our country is
“out-of-pocket”, which is one of the highest figures among the most industrialised countries
and those of “old Europe”, exceeded only by Greece, Iceland, the Czech Republic
and Norway. It is therefore interesting to note that “out-of-pocket” expenditure accounted
for an average of 19,8% of total health expenditure in 2004 12 , and about 76,0% 13 of
10 In Italy, “co-payment” has risen during the years examined in this study.
11 See OECD (2003) and Docteur et al. (2003).
12 The mean does not include Sweden and the United Kingdom, for which the data are not available. For Slovakia, Germany, Japan
and Belgium, the data available refer to 2003 and for Australia to 2002 (OECD, 2006).
13 The mean does not include Australia, Denmark, the Netherlands, the United Kingdom and Sweden because of the incompleteness
of the information.
12
88
Slovacchia*
16
84
Norvegia
17
83
Islanda**
17
82
Giappone*,**
14
80
Irlanda
Source: OECD Health Data 2006, June 2006
8 12
78
Francia**
Public Expenditure on Health
Out-of-pocket payments
10 9
78
Germania*
17 5
77
Nuova Zelanda
19 2
77
Finlandia
20
76
Italia
24
73
Ungheria**
19
72
Turchia
72 22 5
Portogallo**
71 24 3
Belgio*,**
[47]
71 24 5
Spagna**
Private Health Insurance
Other
15 9
71
Austria
15 13
70
Canada**
28
69
Polonia
9
32
58
Svizzera**
53 45
2
Grecia
51 37
4
Corea
46 51
3
Messico
13 37
45
Stati Uniti
* 2003 ** Forecast
CEIS Health Report 2006