Data and statistics

35–80% of the WHO European Region’s health care resources are spent on hospital and outpatient care.

The remodelling of health services into patient-centred coordinated services taking place in many countries has required a paradigm shift in the thinking behind health care delivery systems.

Health care delivery systems need to adapt to continuously emerging changes, such as those illustrated below.

Climate change	By 2100, average global temperatures are estimated to rise by 1.0–3.5C^o, increasing the likelihood of many vector-borne diseases in new areas (Bulletin of the World Health Organization, 2000).
Ageing population	In the European Region, the proportion of people aged 65 years and older is forecast almost to double between 2010 and 2050.
Antimicrobial resistance	The use and misuse of antimicrobials has led to a relentless rise in the number and type of microorganisms resistant to these medicines.
New technologies	European leadership in technology, research and development is setting the pace of innovation in health with annual sales of €72.6 billion.
New medications	Almost 2% of gross domestic product in the European Union is spent on pharmaceuticals.
New models of care and finance	In the European Region, total expenditure on health is US$ 1000–5000 per capita.