Out-of-pocket expenditure in Europe & Central Asia

Europe & Central Asia: Out-of-pocket expenditure was 16.5% in 2023. ▬ Flat

Latest (2023)
16.5%
Change on year
up 1.1%
Rank
40th
of 47 groups
All-time high
17.9%
in 2013
All-time low
15.6%
in 2020
Years of data
24
2000–2023

Out-of-pocket expenditure in Europe & Central Asia, 2000–2023

051015202000201120232000: 17.2 % of current health expenditure2001: 17 % of current health expenditure2002: 16.8 % of current health expenditure2003: 16.7 % of current health expenditure2004: 16.9 % of current health expenditure2005: 16.6 % of current health expenditure2006: 16.8 % of current health expenditure2007: 17.2 % of current health expenditure2008: 17.2 % of current health expenditure2009: 16.7 % of current health expenditure2010: 17.2 % of current health expenditure2011: 17.5 % of current health expenditure2012: 17.8 % of current health expenditure2013: 17.9 % of current health expenditure2014: 17.9 % of current health expenditure2015: 17.8 % of current health expenditure2016: 17.5 % of current health expenditure2017: 17.8 % of current health expenditure2018: 17.7 % of current health expenditure2019: 17.6 % of current health expenditure2020: 15.6 % of current health expenditure2021: 16 % of current health expenditure2022: 16.3 % of current health expenditure2023: 16.5 % of current health expenditure

Source: Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Measured in % of current health expenditure.

Analysis

The most recent figure for out-of-pocket expenditure in Europe & Central Asia is 16.5%, measured in 2023.

Compared with earlier readings it is up 1.1% on the previous year and down 8.0% over ten years.

Over the whole period, out-of-pocket expenditure in Europe & Central Asia peaked at 17.9% in 2013 and was at its lowest, 15.6%, in 2020.

Europe & Central Asia ranks 40th of 47 groups on this measure, in the bottom quarter.

Out-of-pocket expenditure in Europe & Central Asia, year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in Europe & Central Asia, 2000 to 2023.
Year % of current health expenditure Change
2000 17.2%
2001 17.0% -1.1%
2002 16.8% -1.2%
2003 16.7% -1.0%
2004 16.9% +1.1%
2005 16.6% -1.2%
2006 16.8% +1.0%
2007 17.2% +2.2%
2008 17.2% +0.1%
2009 16.7% -2.9%
2010 17.2% +3.1%
2011 17.5% +1.5%
2012 17.8% +2.0%
2013 17.9% +0.7%
2014 17.9% -0.3%
2015 17.8% -0.4%
2016 17.5% -1.7%
2017 17.8% +1.8%
2018 17.7% -0.8%
2019 17.6% -0.2%
2020 15.6% -11.6%
2021 16.0% +2.9%
2022 16.3% +1.7%
2023 16.5% +1.1%

Averages by decade

DecadeAverage LowestHighest Years
2000s 16.9% 16.6% 17.2% 10
2010s 17.7% 17.2% 17.9% 10
2020s 16.1% 15.6% 16.5% 4

Countries ranked near Europe & Central Asia

  1. 37 Albania 48.3% compare
  2. 38 Mali 47.2% compare
  3. 39 Ethiopia 46.3% compare
  4. 40 Ukraine 45.3% compare
  5. 41 Trinidad and Tobago 45.3% compare
  6. 42 Mauritius 45.2% compare
  7. 43 Central African Republic 45.0% compare

See the full ranking of 240 places →

More health data for Europe & Central Asia

All data for Europe & Central Asia →

Frequently asked questions

What is out-of-pocket expenditure in Europe & Central Asia?
Out-of-pocket expenditure in Europe & Central Asia was 16.5% in 2023, according to Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO).
What is the highest out-of-pocket expenditure recorded in Europe & Central Asia?
The highest recorded value was 17.9% in 2013.
What is the lowest out-of-pocket expenditure recorded in Europe & Central Asia?
The lowest recorded value was 15.6% in 2020.
How does Europe & Central Asia rank for out-of-pocket expenditure?
Europe & Central Asia ranks 40th out of 47 groups with data for 2023.
Is out-of-pocket expenditure rising or falling in Europe & Central Asia?
Over the last ten years it is down 8.0%. The long-run trend across the full record is flat.
Where does this Europe & Central Asia data come from?
The figures come from Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO), published as part of Out-of-pocket expenditure (% of current health expenditure). Statizoid updates them automatically from the source API.

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Out-of-pocket expenditure in Europe & Central Asia. Statizoid, drawing on Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Retrieved 18 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-percent-of-current-health-expenditure/europe-and-central-asia/

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About this data

Indicator
Out-of-pocket expenditure (% of current health expenditure)
Unit
% of current health expenditure
Source
Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO)
Licence
CC BY 4.0 (World Bank Open Data)
Coverage
240 places, 5,692 data points, 2000–2024
Last refreshed

Share of out-of-pocket payments of total current health expenditures. Out-of-pocket payments are spending on health directly out-of-pocket by households.