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3.2.2 HOW MUCH DOES HONG KONG SPEND ON PHC?

The Food and Health Bureau set up the Hong Kong Domestic Health Account (DHA), which
compiles data on governmental and non-governmental healthcare expenditure in Hong Kong
with reference to the SHA 2011 guidelines (FHB, 2021a). Hong Kong’s current healthcare
expenditure by healthcare function is shown in Figure 3.6, in which Hong Kong’s
health expenditure on preventive care, a key aspect of PHC, has remained around 2 to 3% of
the current health expenditure since 2000. Spending on preventive care, however, does not
represent total PHC spending in Hong Kong. The way Hong Kong’s healthcare expenditure is
currently documented does not adopt the definition of PHC spending categories shown in
Box 3.5, which makes it difficult to generate accurate estimations on PHC spending. Firstly,
this method requires a breakdown of outpatient (HC.3.3) and home-based long-term care
spending (HC.3.4) from total long-term care spending (HC.3), which is currently unavailable in
the Hong Kong DHA. Secondly, the Hong Kong DHA does not currently break down curative
care-related outpatient service expenditures along the division of general outpatient and
specialist outpatient care, which is critical for estimating PHC spending based on the WHO
2019 definition (FHB, 2021a).

Figure 3.6

Hong Kong’s current healthcare expenditure by healthcare function

100% 3.0% 3.1% 3.0% 3.0% 2.9% 3.0% 2.9% 3.1% 3.1% 3.1% 3.1% 2.9% 2.9% 2.8% 2.7% 2.7% 2.6% 2.6% 2.6%
2.7% 2.9% 4.3% 3.3% 3.2% 3.5% 3.2% 3.1% 3.8% 3.1% 3.1% 3.3% 3.4% 3.0% 2.8% 2.8% 2.8% 2.9% 3.8%
90% 3.3% 3.7% 3.8% 3.3% 3.4% 3.9% 4.3% 4.7% 4.7% 4.9% 5.2% 4.8% 4.6% 4.9% 5.1% 5.7% 6.7% 6.9% 6.7%
10.9% 10.3% 10.0% 10.9% 10.9% 10.8% 10.8% 10.5% 10.2% 10.5% 10.6% 10.4% 10.1% 9.8% 9.7% 9.5% 9.8% 10.0% 9.1%
80%
12.7% 13.2% 13.1% 12.7% 12.5% 12.2% 12.1% 11.9% 11.8% 11.6% 11.6% 11.6% 11.6% 11.9% 12.0% 12.1% 12.0% 12.0% 12.1%
70%
60%
50%
40%
67.4% 66.8% 65.9% 66.8% 67.1% 66.5% 66.6% 66.7% 66.4% 66.7% 66.4% 66.9% 67.4% 67.7% 67.7% 67.2% 66.0% 65.6% 65.6%
30%
20%
10%
0
2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20

Ancillary services
Preventive care
Governance, and health system and nancing administration /
Other health care services not elsewhere classi ed
Medical goods
Rehabillitative care and longterm care
Curative care

Source: FHB, 2021a

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