5. 3 · area 3 of 16

Healthcare

The overarching goal in the Healthcare area is to improve the health of the population of the Czech Republic.

More about the area

Budget expenditure is administered by 7 chapters, with the largest part (more than 91% of expenditure) falling to General Treasury Management, which channels payments for state-insured persons to health insurance companies. Most of the remaining state budget expenditure is administered by the Ministries of Health and Defence. A further CZK 430.6 bn beyond the state budget is administered by health insurance companies. Health insurance company expenditure is included in the overview of expenditure by topic, as these are public funds whose use the Ministry of Health influences through the regulatory framework.

State budget expenditure 2027: CZK 191.3 bn draft state budget
Share of state budget: 7.4%
Year-on-year change: +10.3%

State budget expenditure 2027 (draft): CZK 191.3 bn.

Topics and performance indicators

Inpatient care: CZK 298.6 bn
Goal: Improve the quality of inpatient care. Increase the cost-effectiveness of inpatient care.
- Case fatality after hospital admission – AMI (%)
- Case fatality after hospital admission – stroke (%)
- Standardised rate of postoperative sepsis (%)
- Number of maternity wards performing fewer than 600 births a year
- Number of intensive care beds (per 100,000 population)
- Average length of hospital stay (days)
- Percentage of highly specialised care provided outside specialised centres
- Acute bed occupancy rate (%)
- Percentage of selected procedures provided as one-day surgery (JPL)
Outpatient care: CZK 84.7 bn
Goal: Increase the availability of outpatient care. Improve the quality and coordination of outpatient care.
- Unmet need for dental care (%)
- Avoidable hospital admissions for diabetes (number)
- Avoidable hospital admissions for heart failure (number)
- Number of MRI units per million population
- Number of mental health centres
- Percentage of patients with a colonoscopy after a positive faecal occult blood test (FOBT)
- Number of residency places/health insurance company grants in specialties with unavailable care
- Number of telemedicine and AI procedures in the List of Health Procedures
Preventive care: CZK 77.3 bn
Goal: Improve primary and secondary prevention.
- Life expectancy at birth (years)
- Alcohol consumption (litres)
- Share of patients with a preventive check-up (%)
- Percentage of population undergoing colorectal cancer screening
- Percentage of population undergoing breast cancer screening
- Percentage of population over 65 vaccinated against influenza
- Percentage of children with compulsory reimbursed vaccinations completed
- Number of general practitioner team practices
- Percentage of population undergoing prostate cancer screening
Medicines and medical devices: CZK 71.1 bn
Goal: Increase the use of generic medicines. Limit the use of broad-spectrum antibiotics.
- Outpatient use of generic medicines (%)
- Consumption of systemic antibiotics (number)
- Number of centres with a special contract among outpatient providers
- Total volume of reimbursement price discounts on specialised-centre medicines as % of the volume of specialised-centre treatment
- Percentage of general practitioners meeting rational prescribing criteria
- Number of central purchases of specialised-centre medicines by university hospitals
- Value of the Czech variant of the AWaRe index of antibiotic prescribing (%)
- Number of supported pharmacies in areas with at-risk access to pharmaceutical care (%)
Long-term care: CZK 60.9 bn
Goal: Increase the availability of long-term care. Reduce the share of acute hospitalisations among terminally ill patients.
- Share of long-term care patients over 65 receiving home care (%)
- Number of contracted follow-up, long-term and social-health care beds per thousand population.
- Number of hospital palliative care teams
- Number of board-certified geriatricians actively working for care providers
- Number of unique patients treated in home care
- Number of long-term and palliative care beds/facilities supported by Ministry of Health grants/investments
- Readmission rate of follow-up care patients
Research and development: CZK 2.1 bn
No goals or performance indicators are set for the cross-cutting category.
Administration: CZK 17.6 bn
No goals or performance indicators are set for the cross-cutting category.
Other: CZK 9.6 bn
No goals or performance indicators are set for the cross-cutting category.

State budget areas

Other pages

An independent website on the Czech state budget, built from public Ministry of Finance data.