Biotech
Spain’s Healthcare Spending Hits €97.7 Billion in 2023 Amid Shifting Budget Priorities
Spain’s public healthcare spending rose to €97.66 billion in 2023, up 6.2%. Pharmaceutical spending hit a historic low share of 14.3% despite nominal growth. Public health funding dropped 43.6%, returning to pre-pandemic levels. Hospital and primary care rose 6.5%. Capital investment surged 71.2%, while research grew steadily, reflecting shifting priorities in health expenditure.

Public healthcare spending in Spain reached €97.661 billion in 2023, representing a 6.2% increase over the previous year, according to data from the Public Healthcare Expenditure Statistics (EGSP) published by the Ministry of Health. Although growth is continuing, the evolution by function reveals significant changes in the distribution of the budget, with a sharp drop in public healthcare spending and a historic low in the relative weight of pharmaceutical spending in offices.
Pharmacy spending reached €13.984 billion, 3.2% more than in 2022. However, its share of total healthcare spending fell to 14.3% , the lowest in the historical series dating back to 2002, thus consolidating the downward trend of recent years. This percentage decline occurs despite nominal growth and reflects the structural shift toward a greater weight of spending on hospitals and human resources.
On the other hand, despite the growth in public healthcare spending in absolute terms, its share of GDP decreased, from 6.8% in 2022 to 6.5% in 2023 , reflecting the combined effect of a stronger economic recovery and a relative stabilization of health spending.
Public healthcare spending falls by 43.6%
Another highlight of the EGSP is the evolution of the allocation for public health, which fell by 43.6% compared to 2022 , to €1.703 billion , representing just 1.7% of total health spending. The decline, somewhat logically as we move further away from the pandemic, means that the budgetary contraction in this area is rapidly moving towards levels similar to those of 2019, before the impact of the pandemic. Thus, the decline raises questions about the risk of undercapitalizing a key area for prevention and preparation for future health threats .
Hospital and specialized services also grew by 6.5% , reaching €59.545 billion , representing 61% of total spending. Primary health services, meanwhile, increased by the same amount (6.5%), reaching € 13.961 billion , also representing 14.3% .
Other functions such as transportation, prosthetics and therapeutic devices grew by 10.3% (to €1.701 billion ), while capital expenditure experienced a strong rebound of 71.2% , to €4.152 billion , which points to a revival of investment in healthcare infrastructure.
Historical evolution in the healthcare spending
Regarding the historical evolution of the EGSP, it is worth highlighting the significant increase observed in the research and training item, with an average annual growth rate of 11.4%.
Other significant increases come from intermediate consumption in the hospital sector, which includes all consumables, as well as medicines, medical devices, and technology, which has grown by an average of 6.5% annually over the last 21 years.
Meanwhile, the growth in prescription spending has grown by only 2.4% annually on average.
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(Featured image by Marek Studzinski via Unsplash)
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First published in diariofarma. A third-party contributor translated and adapted the article from the original. In case of discrepancy, the original will prevail.
Although we made reasonable efforts to provide accurate translations, some parts may be incorrect. Born2Invest assumes no responsibility for errors, omissions or ambiguities in the translations provided on this website. Any person or entity relying on translated content does so at their own risk. Born2Invest is not responsible for losses caused by such reliance on the accuracy or reliability of translated information. If you wish to report an error or inaccuracy in the translation, we encourage you to contact us

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