Table of Contents

Source: Israeli Central Bureau of Statistics, Statistical Abstract of Israel No.64 – 2013. Table 14.3

• Israeli Economy 3 - 6 • Research and Development 7 - 9 • Health Economics and Health Status 10 - 18• Sick Funds 19 - 24• Health Basket and Additional Technology 25 - 31

Israel: Gross Domestic Product, Per Capita 2006-2012 (NIS)(at 2010 prices)

2006 2007 2008 2009 2010 2011 2012 ₪ 90,000

₪ 95,000

₪ 100,000

₪ 105,000

₪ 110,000

₪ 115,000

₪ 120,000

₪ 102,278

₪ 107,386

₪ 110,145 ₪ 109,567

₪ 113,667

₪ 116,686

₪ 118,422

Source: Israeli Central Bureau of Statistics, Statistical Abstract of Israel No.64 – 2013. Table 14.3

Israel: Gross Domestic Product (Million, NIS) 2006-2012at 2010 prices

2006 2007 2008 2009 2010 2011 2012 ₪ -

₪ 100,000

₪ 200,000

₪ 300,000

₪ 400,000

₪ 500,000

₪ 600,000

₪ 700,000

₪ 800,000

₪ 900,000

₪ 1,000,000

₪ 724,988 ₪ 775,166

₪ 809,689 ₪ 819,793 ₪ 866,230

₪ 905,847 ₪ 936,209

Source: Israeli Central Bureau of Statistics, Statistical Abstract of Israel No.64 – 2013. Table 14.3

Gross Domestic Product (expenditure approach)Per head, US $, current prices, current PPPs

Luxe

mbourg

Norway

Switz

erlan

d

United St

ates

Australi

a

Netherl

ands

Austria

Irelan

d

Swed

en

Denmark

Canad

a

German

y

Belgium

Finlan

d

Icelan

d

United Kingd

om

OECD - T

otal

France

Euro

area

(17 co

untries)

Japan

Euro

pean Union (2

7 countri

es) Italy

Spain

New Ze

aland

Korea

*** I

srael

Slove

nia

Czech Rep

ublic

Greece

$-

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

$70,000

$80,000

$90,000

$100,000

$86

,740

$61

,047

$51

,359

$49

,782

$43

,350

$42

,573

$42

,142

$41

,528

$41

,452

$40

,945

$40

,450

$39

,729

$38

,814

$37

,325

$36

,536

$36

,092

$35

,654

$35

,505

$35

,340

$33

,834

$32

,713

$32

,648

$31

,607

$31

,585

$29

,786

$28

,905

$27

,330

$26

,208

$25

,836

$88

,276

$65

,638

$53

,733

$51

,689

$43

,146

$43

,848

$43

,578

$43

,176

$42

,176

$41

,231

$40

,069

$38

,282

$37

,569

$37

,446

$36

,249

$36

,194

$33

,664

$33

,139

$32

,081

$30

,800

$29

,830

$27

,493

$26

,706

2012 2011

Source: OECD ://http. . / . ? =558stats oecd org index aspx queryid

GDP Growth (annual %) 2012Ch

ile

Mex

ico

Aust

ralia

Port

ugal

Esto

nia

Israe

l

Norw

ay

New

Zea

land

Turk

ey

Unite

d St

ates

Kore

a, R

ep.

Slov

ak R

epub

lic

Japa

n

Pola

nd

Cana

da

Icela

nd

Switz

erla

nd

Irela

nd

Aust

ria

Swed

en

Germ

any

Luxe

mbo

urg

Fran

ce

Finl

and

Belg

ium

Denm

ark

Neth

erla

nds

Czec

h Re

publ

ic

Spai

n

Hung

ary

Slov

enia

Italy

Gree

ce

-8.00

-6.00

-4.00

-2.00

0.00

2.00

4.00

6.00

8.00

5.56

3.92

3.40

3.25

3.22

3.20

3.09

2.97

2.24

2.21

2.04

2.00

1.94

1.90

1.71

1.64

0.97

0.94

0.85

0.74

0.67

0.31

0.27

0.01

-0.2

1-0

.28

-0.4

7-0

.96

-1.3

2-1

.42

-1.7

0-2

.30

-2.3

7-6

.38

Source: The World Bank

2011 National Expenditure on Research & Development, per capita (USD$)

Finlan

d

Switz

erlan

d

Swed

en

Denmark Isr

ael

Austria

United St

ates

German

yJap

an

Icelan

dKorea

Norway

Australi

a

Netherl

and

Belgium

France

OECD

Irelan

d

United Kingd

om

Czech Rep

ublic Italy

Spain

New Ze

eland

Portuga

l

Greece

$0

$200

$400

$600

$800

$1,000

$1,200

$1,400

$1,600

$1,175

Source: Statistical Abstract of Israel 2013-No.64, Central Bureau of Statistics, Israel. Table 28.26

National Expenditure on Research & Development (2011), as percentage of GDP

Israe

l

Finlan

dKorea

Swed

enJap

an

Denmark

Switz

erlan

d

Austria

German

y

Icelan

d

United St

ates

Australi

a

France

Netherl

and

Belgium

OECD

Czech Rep

ublic

Irelan

d

United Kingd

om

Norway

Portuga

lIta

ly

New Ze

eland

Spain

Greece

0

0.5

1

1.5

2

2.5

3

3.5

4

4.54.2

3.83.6

3.3 3.33.1

2.92.8 2.8

2.7

2.32.2 2.2

2 2 21.8

1.7 1.71.6

1.51.3 1.3

1.2

0.6

Source: Statistical Abstract of Israel 2013-No.64, Central Bureau of Statistics, Israel. Table 28.26

Israel: Patent Applications 19

6319

6419

6519

6619

6719

6819

6919

7019

7119

7219

7319

7419

7519

7619

7719

7819

7919

8019

8119

8219

8319

8419

8519

8619

8719

8819

8919

9019

9119

9219

9319

9419

9519

9619

9719

9819

9920

0020

0120

0220

0320

0420

0520

0620

0720

0820

0920

1020

11

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

1608

1727

1785

1892

1765

1816 20

6020

4821

62 2331

2349

2094

1915

1863 2021

1989

2120

2104

2132

2207

2295 26

9027

2728

30 3035

2859 30

4828

5626

3023

27 2635

2701 31

5921

0114

4531

0639

0452

0386

2750

9545

69 4870

4808

7239

6394

6214

5387 58

5655

26

451

441

412

397

291

290

231

247

383

394

374

344

483

561

508

632

595

669

727

707

687

696

790

819

823 99

510

4210

5210

87 1400

1318

1261

1266

1218 14

41 1950

2053

1599

1248

1213

1329 15

4431

625

716

1515

2813

8714

5013

60

Patent applications, nonresidents Patent applications, residents

Source: http://data.worldbank.org/indicator/IP.PAT.NRES/countries?display=default

Israel: National Expenditure on Health as % of GDP

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20126.0

6.5

7.0

7.5

8.0

8.5

6.9

7.2

7.4

7.9

7.7 7.8

8.0

7.8

7.6 7.6

8.2 8.1

8.0

7.9 7.9

7.7 7.7

7.8 7.8 7.8 7.8

7.9

Source: Statistical Abstract of Israel 2013-No.64, Central Bureau of Statistics, Israel. Table 6.1

2011: National Expenditure on Health ($) - Expenditure per capita, PPP

United St

ates

Norway

Switz

erlan

d

Netherl

ands

Luxe

mbourg

Austria

Canad

a

Denmark

German

y

France

Belgium

Swed

en

Australi

a

Irelan

d

United Kingd

om

Finlan

d

Icelan

dJap

an

New Ze

aland

Spain Ita

ly

Portuga

l

Slove

nia

Greece

Korea

ISRAEL

Czech Rep

ublic

Slova

kia

Hungary

Chile

Poland

Estonia

Mexico

Turke

y$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

$8,000

$9,000

$2,183

Source: Statistical Abstract of Israel 2013-No.64, Central Bureau of Statistics, Israel. Table 28.2

Israel: National Expenditure on Healthby Operating Sector and Financing Sector

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20102011

2012

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

120.0%

20.5

%

19.5

%

21.5

%

20.0

%

27.3

%

22.0

%

22.9

% 39.7

%

39.7

%

38.8

%

36.7

%

37.1

%

38.2

%

37.7

%

37.0

%

36.1

%

35.6

%

33.8

%

34.1

%

35.5

%

35.5

%

34.5

%

34.6

%

26.0

%

25.9

%

24.3

%

24.0

% 22.5

% 44.4

%

45.3

% 26.2

%

24.2

%

25.1

%

25.2

%

25.1

%

25.2

%

25.1

%

25.3

%

25.0

%

25.3

%

25.4

%

25.8

%

25.1

%

25.6

%

25.5

%

24.5

%

46.9

%

49.0

%

51.0

%

51.2

%

45.7

%

31.4

%

30.0

%

31.9

%

33.9

%

33.4

%

35.9

%

35.9

%

34.4

%

35.3

%

34.3

%

36.9

%

37.1

%

38.9

%

38.2

%

37.9

%

37.3

%

38.4

%

39.2

%

6.6%

5.6% 3.2%

4.8%

4.5% 2.2% 2.6%

2.2%

2.2%

2.7%

2.2%

1.9%

2.1%

1.9%

2.2% 2.0%

2.1%

1.8%

1.9%

1.5%

1.6%

1.6%

1.7%

DONATION FROM ABROAD Private financing Total Tax Public financing

Source: Statistical Abstract of Israel 2013-No.64, Central Bureau of Statistics, Israel. Table 6.3

2011 Health Expenditure, Public and Private (% of total health expenditure)

Netherl

ands

Norway

Denmark

Czech Rep

ublic

United Kingd

om

Swed

en

Romania

Japan Ita

ly

France

Belgium

German

y

Austria

Turke

y

Finlan

d

Australi

a

Switz

erlan

d

Hungary

Portuga

lIsr

ael

Greece

United St

ates

0%

20%

40%

60%

80%

100%

120%

86%

86%

85%

84%

83%

81%

80%

80%

77%

77%

76%

76%

76%

75%

75%

69%

65%

65%

64%

62%

61%

46%

14%

14%

15%

16%

17%

19%

20%

20%

23%

23%

24%

24%

24%

25%

25%

31%

35%

35%

36%

38%

39%

54%

Private Health Expenditure 2011 Public Health Expenditure 2011

Source: http://data.worldbank.org/indicator/SH.XPD.PUBL

2011 Life Expectancy at Birth, Female (years)

Hong Kong S

AR, China

San M

arino

Japan

Spain

France

Switz

erlan

d

Faero

e Isla

ndsIta

ly

Korea, R

ep.

Singa

pore

Euro

area

Australi

a

Icelan

d

Portuga

l

Austria

Malta

Finlan

d

Swed

enIsr

ael

Luxe

mbourg

Norway

Macao SA

R, China

Slove

nia

Canad

a

Belgium

German

y

High in

come:

OECDGree

ce

Netherl

ands

Euro

pean Union

Puerto Rico

Irelan

d

New Ze

aland

United Kingd

om80

81

82

83

84

85

86

87

88

Source :://http. . / / . . 00. .data worldbank org indicator SP DYN LE FE IN

2011 Life Expectancy at Birth, Male (years)

Icelan

d

Switz

erlan

d

San M

arino

Hong Kong S

AR, China

Malta

Israe

l

Swed

en

Australi

aIta

ly

Singa

poreJap

an

Netherl

ands

Spain

Faero

e Isla

nds

New Ze

aland

Norway

United Kingd

om

Macao SA

R, China

Canad

a

Euro

area

Qatar

Greece

Luxe

mbourg

France

German

y

Austria

Irelan

d

Belgium

Channel

Islands

Denmark

High in

come:

OECD

Portuga

l

Korea, R

ep.

75

76

77

78

79

80

81

Source :://http. . / / . . 00. . /data worldbank org indicator SP DYN LE MA IN countries

2011: Practicing Physicians (doctors)density per 1000 population

Austria

Italy

Spain

German

y

Switz

erlan

d

Norway

Czech Rep

ublic

Icelan

d

Australi

a

Estonia

Israe

l (1)

France

Hungary

Luxe

mbourg

Belgium

United Kingd

omIre

land

New Ze

aland

Slove

nia

United St

ates

0.0

1.0

2.0

3.0

4.0

5.0

6.0

4.8

4.1 4.13.8 3.8 3.7 3.6

3.53.3 3.3 3.3

3.1 3.0 3.0 2.9 2.82.7 2.6

2.5 2.5

OECD (2013), "Practising physicians (doctors)", Health: Key Tables from OECD, No. 29.

Israel: Immunization Coverage of Two-Year-Olds (%, 2005-2010)

Var HAV 1 MMR 1 (1)IPV 3 OPV 3 DTP 4 Hib 4 HBV 30

10

20

30

40

50

60

70

80

90

100

200520062007200820092010

Source: Statistical Abstract of Israel 2013-No.64, Central Bureau of Statistics, Israel. Table 6.12

2010-2012 Israel: Bed Occupancy, By Departmentrates per 1,000 residents

Inter

nal med

icine

Pulm

onary m

edicin

e

Acu

te ge

riatri

cs

Neu

rology

Onco

logy

Ven

ereal

and derm

atology

Bone m

arrow tr

ansp

lants

Gen

eral in

tensiv

e care

Card

iac in

tensiv

e care

Resp

iratory

intensiv

e care

Ped

iatric

s

Ped

iatric

inten

sive c

are

Neo

natology

Ped

iatric

surge

ry

Gen

eral su

rgery

Orth

opedics

Uro

logy

Neu

rosu

rgery

Card

iothoracic s

urgery

Vasc

ular su

rgery

Plas

tic surge

ry

Ophthalm

ology

Ea

r, nose,

thro

at

Oral

surge

ry

Gyn

aeco

logy

Obste

trics

Obser

vation w

ard

Psychiat

ric ca

re0%

10%

20%

30%

40%

50%

60%

2012 2011 2010

Israel: Segmentation of Sick Funds Expenses 2011-2012

26.1%

42.3%

20.9%

6.2%3.7%0.0%

0.9% 26.0%

41.8%

20.6%

6.6%3.9%-0.2%

1.2%

Wages Hospitalization Drugs and medical devices Paid medical treatment Administration FinancingDevelopment

2012

2011

Sick Funds' Pharmaceutical Expenditure(Included and excluded in Health Basket) Millions NIS

2005 2006 2007 2008 2009 2010 2011 2012 ₪ -

₪ 500

₪ 1,000

₪ 1,500

₪ 2,000

₪ 2,500

₪ 3,000

₪ 3,500

₪ 4,000

₪ 4,500

₪ 5,000

₪ 3,582 ₪ 3,747 ₪ 3,809

₪ 3,482 ₪ 3,652

₪ 3,790

₪ 4,045 ₪ 4,197

₪ 1,257 ₪ 1,299

₪ 1,590 ₪ 1,608 ₪ 1,729 ₪ 1,746 ₪ 1,814

₪ 2,048

₪ 526 ₪ 579 ₪ 602 ₪ 555 ₪ 549 ₪ 603 ₪ 610 ₪ 664 ₪ 680 ₪ 721 ₪ 786 ₪ 716 ₪ 737 ₪ 738 ₪ 823 ₪ 905

כללית מכבי לאומית מאוחדת

החולים 2012 מקור: קופות פעילות על מסכם . דוח ספטמבר, הבריאות 2013משרד

Total Expense per Drugs & Medical Devices (included/excluded in HB)Million NIS) )

2012 2011 2010 2009 20080

1000

2000

3000

4000

5000

6000

7000

3288 3032 3325 3122 2874

15721341

14811430

1285

538

483

604576

550

734

680

670681

614

Total Meuhedet Leumit Maccabi

החולים 2012 מקור: קופות פעילות על מסכם . דוח ספטמבר, הבריאות 2013משרד

2011 Pharmaceutical Expenditure per capita (US $ / at current prices and PPPs)

United St

ates

Canad

a

Greece

Irelan

dFra

nce

German

y

Belgium

Hungary

Spain

Austria

Switz

erlan

d

Slova

k Rep

ublic

Icelan

dIta

ly

Netherl

ands

Swed

en

Slove

nia

Portuga

l

Finlan

dKorea

Czech Rep

ublic

Norway

Poland

New Ze

aland

Estonia

Chile$0

$200

$400

$600

$800

$1,000

$1,20099

5.0

751.

5

673.

4

647.

7

641.

1

632.

6

630.

9

564.

0

535.

8

533.

1

530.

7

525.

0

508.

3

487.

3

479.

3

474.

0

471.

3

469.

0

446.

2

444.

9

394.

2

387.

7

326.

3

298.

0

279.

8

197.

4

Source: Key tables from OECD - ISSN 2075-8480 - © OECD 2013

Sick Funds Expenses/Income for/from Drugs & Medical Devices

2009 Clalit

2009 Leumit

2009 Macc

abi

2009 Meu

hedet

2010 Clalit

2010 Leumit

2010 Macc

abi

2010 Meu

hedet

2011 Clalit

2011 Leumit

2011 Macc

abi

2011 Meu

hedet

2012 Clalit

2012 Leumit

2012 Macc

abi

2012 Meu

hedet

0

500

1000

1500

2000

2500

3000

3500

4000

4500

3,424

644

1,621

718

3,650

676

1,682

711

3,980

711

1,785

810

4,197

664

2,048

905

Expenses Income

החולים מקור: קופות פעילות על מסכם משרד. 2012, 2011, 2010, 2009דוחהבריאות.

Gap Between Sick Funds’ Expenses/Income for/from Copayment for Drugs and Medical Devices (million NIS)

2009201020112012

-6000

-5000

-4000

-3000

-2000

-1000

0

-1,978-2,131-2,448-2,613

-1,113-1,141

-1,232

-1,448 -447-456

-551

-636

-397-430

-471

-509

LeumitMeuhedetMaccabiClalit

החולים מקור: קופות פעילות על מסכם משרד. 2012, 2011, 2010, 2009דוחהבריאות.

New Technology Addition and Health Basket Cost - Year, Million NIS

הסל להרחבת הוועדה נתוני על ישראל פארמה עיבוד

2004 2005 2006 2007 2008 2009 2010 2011 2012 *2013 ₪ -

₪ 5,000

₪ 10,000

₪ 15,000

₪ 20,000

₪ 25,000

₪ 30,000

₪ 35,000

₪ 40,000

₪ 22,007 ₪ 22,768 ₪ 24,041 ₪ 24,946

₪ 26,583 ₪ 28,142

₪ 30,333 ₪ 32,593

₪ 34,708 ₪ 36,964

₪ 60 ₪ 388 ₪ 467 ₪ 237 ₪ 450 ₪ 416 ₪ 350 ₪ 300 ₪ 300 ₪ 300

New Technology Addition and Health Basket Cost - Year, Million NIS

Health Basket Millions NIS Technology addition

New Technology Addition as a % of the Health Basket

הסל להרחבת הוועדה נתוני על ישראל פארמה עיבוד

2004 2006 2007 2008 2009 2010 2011 2012 20130.00%

0.50%

1.00%

1.50%

2.00%

2.50%

0.27%

1.71%

1.94%

0.95%

1.69%

1.48%

1.15%

0.92% 0.86%

Additional Technology : Budget & Patients 2001-2013

עיבוד להרחבתהסל פארמה הוועדה נתוני על ישראל

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 ₪ -

₪ 50

₪ 100

₪ 150

₪ 200

₪ 250

₪ 300

₪ 350

₪ 400

₪ 450

₪ 500

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

₪ 60

₪ 388

₪ 458

₪ 237

₪ 450 ₪ 416

₪ 350

₪ 300 ₪ 300 ₪ 300

422

122,437

89,738

57,061159,685

340,110

68,277

232,318

30,349

297,249

Technology addition (million nis) # of patients (estimate)

Additional Technology : Budget & Number of Technologies

הסל להרחבת הוועדה נתוני על ישראל פארמה עיבוד

2004 2006 2007 2008 2009 2010 2011 2012 20130

100

200

300

400

500

600

0

20

40

60

80

100

120

140

160

180

200

60

355

509

450

401

350

300 300 300

5

4331

84

75 66

4049

50

Technology addition (million nis) Number of technologies

Segmentation of the Additional Technology 2004-2013 by Medical DomainMillion NIS% /

הסל להרחבת הוועדה נתוני על ישראל פארמה עיבוד

1097.1802939; 34%

352.9795; 11%

212.27916386; 7%198.511521; 6%

189.62392625; 6%

172.572; 5%

105.248279; 3%

87.51745088; 3%

72.263; 2%

68.9260775; 2%

67.32584; 2%

63.133; 2%

55.951; 2%49.9578; 2%

399.57095466; 13%

Oncology אונקולוגיה

דם וכלי Cardiovascular לב

Endocrinology אנדוקרינולוגיה

Neurology נוירולוגיה

זיהומיות Infectious diseases מחלות

Hematoncology המטואונקולוגיה

Lung ריאות

Gastro anthology גסטרואנטרולוגיה

Nephrology נפרולוגיה

ומין Skin עור

Psychiatry פסיכיאטריה

וראומטולוגיה Bone and Rheumatology עצמות

Pain כאב

Genetics גנטיקה

Other אחר

Additional Technology Between the Years 2004-2013 by Medical Domain- Estimated Number of Patients

הסל להרחבת הוועדה נתוני על ישראל פארמה עיבוד

Cardiova

scular

Infectious d

isease

s

Geneti

csLu

ng

Endocri

nologySk

in Pain

Neuro

logy

Psychiat

ry

Oncology

Bone and Rheu

matology

Gastro

anthology

Nephro

logy

Hemato

ncology

-

50,000

100,000

150,000

200,000

250,000

199,750

178,696

149,002

96,49389,238

53,080 51,020

34,653 32,850 31,026

6,835 6,011 5,858 2,161

Erosion of the Technological Addition to the Health Basket 2001-2013

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20130

50

100

150

200

250

300

350

400

450

500

0.65

0.75

0.85

0.95

1.05

1.15

1.25

1.35

199

129

60.4

7

388.

4 458.

1

237.

3

450

416.

1

350

300

300.

1

299.

6

199

129

60

388

458

237

450

416

350

279 30

0

246

199

128

56

363

422

214

404

357

291

225

235

189

199

124

52

330 37

7

187

346

300

240

182

185

146

תקציב - הטכנולוגית התוספת) ( ₪ מיליוני (**)בפועל

נטו טכנולוגית תוספת

מחירים עליית בגין שחיקה) לצרכן) מחירים מדד

דמוגרפי גידול בגין שחיקה) מתוקננות) נפשות

המחירים מדד

) אחוזים ) אכלוסייה גידול

ישראל, מקור: פארמה עיבוד