System of Health Accounts - 2023

The total current health expenditure was BGN 14 667.7 million in 2023, as BGN 9 243.7 million of them (63.0%) being expenditure on Government schemes and compulsory contributory health care financing schemes (ministries and administrations, municipalities, NHIF, NSSI). The household out-of-pocket payment’s estimation was BGN 5 207.7 million, or 35.5% of the total current health expenditure. The share of the Voluntary health care payment schemes (Voluntary health insurance schemes, NPISH financing schemes, Enterprise financing schemes for occupational medicine) was 1.5%.

The National Statistical Institute publishes data from the ‘System of Health Accounts’ survey for 2023. The survey is carried out in accordance with the Commission Regulation (EU) 2021/1901 implementing Regulation (EC) 1338/2008 as regards statistics on healthcare expenditures and financing.

The System of Health Accounts provides statistical information on health expenditure by type of provider; by functions according to the aims of the medical activities (curative care, rehabilitation, clinical laboratory, sanitary transport, etc.) and according to the financial sources. The aim of the survey is to assess all healthcare expenditures - both public and household, spending of non-profit organizations (foundations, associations), private health insurance funds, enterprises for activities in labour medicine.

When analyzing the data, it should be kept in mind that all institutional and analytical statistical units that have functions according to the classification of functions, regardless of whether they are units of the 'Health' sector as economic activities in statistical practice are included in the survey coverage.