Examining health care spending trends over a decade: The Palestinian case Examen des tendances en matière de dépenses de soins de santé au cours des dix dernières années: Le cas palestinien

Hamidi S., Narcı H., Akinci F., Nacakgedigi O.

Eastern Mediterranean Health Journal, vol.21, no.12, pp.861-870, 2015 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 12
  • Publication Date: 2015
  • Doi Number: 10.26719/2015.21.12.861
  • Journal Name: Eastern Mediterranean Health Journal
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Page Numbers: pp.861-870
  • Istanbul Medipol University Affiliated: Yes


An analysis was made of recent health care spending patterns in the occupied Palestinian territory, in order to inform future health policy-making and planning. Data were obtained from the national health accounts for the period 2000–2011. The current level of resource allocation to the health care sector is higher than in many developed countries and is not sustainable. The private sector represents the largest source of health financing (61%) and the burden falls disproportionally on individual households, who account for 63% of private health care expenditure. Key recommendations include: building capacity in the government sector to reduce the outsourcing of health services; modifying inequitable financing mechanisms to reduce the burden on households; and allocating more resources for health promotion and disease prevention programmes. Reorientation of the health system is also needed in terms of reducing the share of spending on inpatient services in favour of more day surgery, outpatient and home-based services.