Out-of-pocket expenditure as percentage of current health expenditure in Spain

Spain: Out-of-pocket expenditure as percentage of current health expenditure was 20.9% in 2023. ▼ Falling

Latest (2023)
20.9%
Change on year
down 0.8%
World rank
124th
of 194 countries
All-time high
24.9%
in 2001
All-time low
20.2%
in 2009
Years of data
24
2000–2023

Out-of-pocket expenditure as percentage of current health expenditure in Spain, 2000–2023

05101520252000201120232000: 24.32001: 24.92002: 24.62003: 23.12004: 22.92005: 22.62006: 222007: 21.92008: 21.82009: 20.22010: 21.42011: 21.72012: 23.22013: 24.22014: 24.72015: 23.92016: 222017: 24.12018: 24.12019: 23.82020: 21.72021: 21.32022: 212023: 20.9

Source: World Health Organization, Global Health Observatory.

Analysis

Spain recorded 20.9% for out-of-pocket expenditure as percentage of current health expenditure in 2023.

That represents a change of down 0.8% on the previous year and down 14.0% over ten years.

Over the whole period, out-of-pocket expenditure as percentage of current health expenditure in Spain peaked at 24.9% in 2001 and was at its lowest, 20.2%, in 2009.

That places Spain 124th out of 194 countries with data for 2023, putting it in the middle of the range.

The long-run direction has been consistently falling across the 24 years of available data.

Out-of-pocket expenditure as percentage of current health expenditure in Spain, year by year

Annual values for Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%) in Spain, 2000 to 2023.
Year Value Change
2000 24.3%
2001 24.9% +2.2%
2002 24.6% -1.0%
2003 23.1% -5.9%
2004 22.9% -0.9%
2005 22.6% -1.4%
2006 22.0% -2.6%
2007 21.9% -0.6%
2008 21.8% -0.6%
2009 20.2% -7.5%
2010 21.4% +6.0%
2011 21.7% +1.3%
2012 23.2% +7.0%
2013 24.2% +4.6%
2014 24.7% +1.7%
2015 23.9% -3.2%
2016 22.0% -8.0%
2017 24.1% +9.7%
2018 24.1% +0.2%
2019 23.8% -1.2%
2020 21.7% -9.2%
2021 21.3% -1.7%
2022 21.0% -1.3%
2023 20.9% -0.8%

Spain compared with similar countries

  • Spain's 20.9% is above the median for high income countries, which is 16.8%, 1.2× the median. (64 countries reporting)
  • Spain's 20.9% is below the median for Europe & Central Asia, which is 22.1%, 95% of the median. (52 countries reporting)

Averages by decade

DecadeAverage LowestHighest Years
2000s 22.8% 20.2% 24.9% 10
2010s 23.3% 21.4% 24.7% 10
2020s 21.2% 20.9% 21.7% 4

Countries ranked near Spain

  1. 121 Estonia 22.1% compare
  2. 122 Switzerland 22.0% compare
  3. 123 Belgium 21.5% compare
  4. 125 Antigua and Barbuda 20.8% compare
  5. 126 Israel 20.5% compare
  6. 127 Jamaica 20.2% compare

See the full ranking of 207 places →

More health data for Spain

All data for Spain →

Frequently asked questions

What is out-of-pocket expenditure as percentage of current health expenditure in Spain?
Out-of-pocket expenditure as percentage of current health expenditure in Spain was 20.9% in 2023, according to World Health Organization, Global Health Observatory.
What is the highest out-of-pocket expenditure as percentage of current health expenditure recorded in Spain?
The highest recorded value was 24.9% in 2001.
What is the lowest out-of-pocket expenditure as percentage of current health expenditure recorded in Spain?
The lowest recorded value was 20.2% in 2009.
How does Spain rank for out-of-pocket expenditure as percentage of current health expenditure?
Spain ranks 124th out of 194 countries with data for 2023.
Is out-of-pocket expenditure as percentage of current health expenditure rising or falling in Spain?
Over the last ten years it is down 14.0%. The long-run trend across the full record is falling.
Where does this Spain data come from?
The figures come from World Health Organization, Global Health Observatory, published as part of Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%). Statizoid updates them automatically from the source API.

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Out-of-pocket expenditure as percentage of current health expenditure in Spain. Statizoid, drawing on World Health Organization, Global Health Observatory. Retrieved 17 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-as-percentage-of-current-health-expenditure-che-percent/spain/

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About this data

Indicator
Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%)
Source
World Health Organization, Global Health Observatory
Licence
CC BY-NC-SA 3.0 IGO (WHO)
Coverage
207 places, 4,876 data points, 2000–2023
Last refreshed