histat-Data compilation online: Heathcare expenditure in Germany until 2012

Resource Type
Dataset : Survey and aggregate data
  • Sensch, Jürgen
Publication Date
  • ZA:
    • Historical Studies Data
  • Abstract

    Description: The data compilation in hand, based on selected official data, gives an overview over the development of public health expenditures in the Federal Republic of Germany. The German health care system is organized in a confusing way. It consists of different coverage areas, institutions and services. A number of service providers and cost bearers are involved. To be nevertheless able to measure and structure the entire dimension of the expenditures, the Federal Statistical office publishes a health expenditure calculation report on a regular basis. The primary data are compiled from a high number of individual statistics and individual documents. The development of the expenditure for health (from 1970 on in the form of the old health expenditure calculation and from 1992 on in the form of the new calculations) is from primary economic importance and the information on the structure of the cost bearers is an important decision making factor for the construction of health care policies in Germany. The health expenditure calculations of the Federal Statistical office also provides detailed data on different cost bearers, on the use of the funds by services and on the service providing institutions. This not only includes the expenditures of statutory and private health insurance but also expenditures on health care of private households, employers and the state. The subdivision of health expenditure according to the old health expenditure calculation (those results are presented until 1998) was structured by bearer of costs, types of services and types of expenditures. According to the old health expenditure calculation, income benefits (such as benefits for subsistence for sick people or for those unable to work in form of transitional payments, pre-retirement for those unable to work and income replacement in case of sickness or due to maternity) are part of the types of expenditure. The new healthcare expenditure calculations are an advancement of the older form and there are more orientated towards the system of the national accounts (those results are presented from 1992 on) and it has four dimensions of representation: bearer of costs, types of expenditure, types of services (newly defined) and the newly added dimension of institutions. This new institution dimension gives the possibility to sort service providers in different categories. The classification of types of services was further developed for the new health expenditure calculations and it is significantly different from the old one. Services are broken down consequently by different goods. The old way of calculation was not easily international comparable: the new calculations are orientated towards international requirements and follow the so called “System of Health Accounts” concept of the OECD. According to this system, it measures the expenditure for the last consumptions of goods and services of the healthcare sector and investments in-patient health facilities. Health expenditure includes all goods and services aiming prevention, treatment, rehabilitation and nursing as well as costs for administration and investments. This calculation indicates who pays what and where relevant goods are produced. Income benefits (summarized under types of expenditures in the old way of health expenditure calculations) like for example daily hospital benefits are in the new way of health expenditure calculations – according to the international system – shown separately and are no more part of the health care expenditures but part of the broader health related sector. Expenditures for research and education are not part of the sum of health care expenditures since 2004, instead they are separately declared. The development of health care expenditure is shown in relation to the gross domestic product. The GDP indicates the economic performance of a country (value of all produced goods and services in a certain period, without intermediate consumption). Therefore it is interesting to observe the ratio of the GDP and the total health care expenditures. Data tables in HISTAT: A. Expenditure for health care, former methodology from 1970 to 1998 A.01 Expenditure for health care by main types of services, in million DM, former methodology (1970-1998) A.02 Expenditure for health care by cost bearers, in million DM, former methodology (1970-1998) A.03 Expenditure for health care by types of services, in million DM, former methodology (1970-1998) B. New healthcare expenditure calculation, since 1992 B.01 Healthcare expenditure in Germany altogether by cost bearers (1992-2013) B.02 Healthcare expenditure in Germany by type of service, in million euros (1992 - 2013) B.03 Healthcare expenditure in Germany by facilities, in million euros (1992 – 2013) C. Key indicators of healthcare expenditure calculations C.01 Indicators of the healthcare sector, former methodology (1970-1998) C.02 Healthcare expenditures in million euros, as a portion of GDP and per capita (1970-2013)
Temporal Coverage
  • 1970 / 2012
Geographic Coverage
  • Germany (DE)
    Federal Republic of Germany, in the borders until 3.10.1990, Data of 1970 until 1998; Germany, Results for the Federal Republic of Germany in the borders since 3.10.1990 (reunification), Data from 1992 till 2013.
Data and File Information
  • Number of Variables: 604
A - Data and documents are released for academic research and teaching.
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Alternative Identifiers
  • ZA8604 (Type: ZA-No.)

Update Metadata: 2021-04-07 | Issue Number: 15 | Registration Date: 2015-10-20