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Publications avec participation IGSS
OMS / WHO
Global spending on health: Emerging from the pandemic 2024
The Global Health Expenditure Report delves into the intricate landscape of global economies and health systems. This year, it focuses on health spending in 2022, the third year of the COVID-19 pandemic. It shows how countries around the world responded to the health and economic shocks of the pandemic from a financial perspective. It also considers what the future may hold as countries emerge from the pandemic. Although it is still too early to gauge whether the COVID-19 pandemic has altered long-term trends in health spending, spending appears to have peaked and is now at or below its long-term rising trend in most country income groups. Additionally, to mark the 25th anniversary of the World Health Organization’s (WHO) Health Expenditure Tracking Program, the report reviews the program’s achievements and envisions a path forward. As the program’s lead technical agency, WHO is committed to working closely with partners to support countries in tracking health spending and sustaining the Global Health Expenditure Database and the Global Health Expenditure Report as global public goods.
Global spending on health: Coping with the pandemic 2023
The report shows that global spending on health continued to increase in 2021, the second year of the pandemic, to US$ 9.8 trillion (10.3% of global GDP). The increase in spending was driven by higher government spending and out-of-pocket spending. In low income countries, external aid for health played an important role in supporting government spending. Sustaining government spending and external aid at 2021 levels could, however, prove challenging given the deterioration in global economic conditions, rising inflation and increased debt servicing obligations.
The report also capitalizes on disaggregated spending information to provide new insights into the dynamics of increased global spending on health through the pandemic. Using data disaggregated by health service providers it shows some of the ways that health service delivery systems coped with the COVID-19 pandemic. Hospitals, ambulatory care providers, and pharmacies accounted for most health spending. Shifts were observed, however, in the composition of services within provider types, reflecting the new and evolving demands through the pandemic. Disaggregated spending data by disease and condition also shows a delicate balance between spending on COVID-19 and other diseases was maintained. The report also examines countries’ health capital investment, which shape current operational capacity and are essential for forging a path toward effective and resilient health systems.
Global spending on health: rising to the pandemic’s challenges 2022
The results of the report clearly show that in 2020, a year dominated by the emergence of COVID-19 and its associated health and economic crises, governments around the world rose to the challenge. Sharp increases in government spending on health at all country income levels underpinned the rise in health spending to a new high of US $9 trillion (approximately 11% of global GDP). Government health spending generally increased and offset declines in out-of-pocket spending. Importantly, the rise in government health spending was part of a much broader fiscal response to the pandemic. In high income and upper-middle income countries social protection spending also increased sharply in as governments attempted to cushion populations from the economic impacts of COVID-19. In contrast to health and social protection, growth in education spending was relatively subdued. Countries face the further challenge of sustaining increased public spending on health and other social sectors in the face of deteriorating macroeconomic conditions and rising debt servicing. This also includes the challenge of sustaining external support for low income countries, which is essential for reducing ensuring poverty, ensuring access to health services and strengthening pandemic preparedness.
Global spending on health: rising to the pandemic’s challenges
Global spending on health: Rising to the pandemic’s challenges
Download PDF: Global spending on health: Rising to the pandemic’s challenges
The results of the report clearly show that in 2020, a year dominated by the emergence of COVID-19 and its associated health and economic crises, governments around the world rose to the challenge. Sharp increases in government spending on health at all country income levels underpinned the rise in health spending to a new high of US $9 trillion (approximately 11% of global GDP). Government health spending generally increased and offset declines in out-of-pocket spending. Importantly, the rise in government health spending was part of a much broader fiscal response to the pandemic. In high income and upper-middle income countries social protection spending also increased sharply in as governments attempted to cushion populations from the economic impacts of COVID-19. In contrast to health and social protection, growth in education spending was relatively subdued. Countries face the further challenge of sustaining increased public spending on health and other social sectors in the face of deteriorating macroeconomic conditions and rising debt servicing. This also includes the challenge of sustaining external support for low income countries, which is essential for reducing ensuring poverty, ensuring access to health services and strengthening pandemic preparedness.
Global expenditure on health: Public spending on the rise?
Download PDF: Global expenditure on health: Public spending on the rise?
The 2021 Report on global expenditure on health was published in December 2021.
The 2021 Report examines country health spending patterns and trends over the past 20 years, before the COVID-19 pandemic, with greater focus on public spending on health. The report also presents spending on primary health care, preliminary health expenditure in 2020 for a small set of countries (including their health spending on COVID-19) and an analysis of high-income countries spending patterns, in particular during the global financial crisis. The report also points out the need for more public investment in health to get progress towards UHC back on track and strong health security.
OCDE / OECD
EU Cancer Country Profiles 2025 and EU Cancer Country Profiles Synthesis Report 2025
The European Cancer Inequalities Registry is a flagship initiative of the Europe’s Beating Cancer Plan. It provides sound and reliable data on cancer prevention and care to identify trends, disparities and inequalities between Member States and regions.
Each Country Cancer Profile provides a short synthesis of:
- the national cancer burden
- risk factors for cancer, focusing on behavioural and environment risk factors
- early detection programmes
- cancer care performance, focusing on accessibility, care quality, costs and the impact of COVID-19 on cancer care.
The Profiles are the work of the OECD in co-operation with the European Commission.
EU Country Cancer Profiles Synthesis Report highlights key messages from the 2025 EU Country Cancer Profiles. The 29 profiles identify strengths, challenges and specific areas of action for each of the 27 EU Member States, Iceland and Norway, to guide investment and interventions at the EU, national and regional levels under Europe’s Beating Cancer Plan. Each Country Cancer Profile provides a short synthesis of the cancer burden in the country; modifiable risk factors for cancer; early detection programmes; and cancer care performance, focusing on accessibility, care quality, costs and quality of life. The 2025 edition of the synthesis report consists of two parts. Part 1 presents a selection of overarching observations based on the analysis of the 2025 Country Cancer Profiles. Part 2 presents performance indicators for each country across several domains within cancer, from cancer prevention, early detection, cancer care capacity to cancer care outcomes.
Resources
OECD Pensions Outlook 2024
The OECD Pensions Outlook aims to enhance retirement outcomes by providing insights and recommendations for improving the design of asset-backed pensions. This edition focuses on promoting inclusiveness, strengthening incentives, ensuring access to adequate investment options, protecting against longevity risk and enhancing communication. In particular, it explores how to improve outcomes through pension plans that pool multiple employers, financial incentives, equity investments, better design of the payout phase to meet financial needs, home equity release products and well-designed individual pension dashboards.
Is Care Affordable for Older People?
With population ageing, the demand for helping older people with daily activities – so-called long-term care – is set to increase across OECD countries by more than one-third by 2050. Older people with long-term care needs are more likely to be women, 80-years-old and above, live in single households, and have lower incomes than the average. Currently, across OECD countries, publicly funded long-term care systems still leave almost half of older people with care needs at risk of poverty, particularly those with severe care needs and low income. Out-of-pocket costs represent, on average, 70% of an older person’s median income across the OECD. This report suggests avenues to improve funding to make long-term care systems better able to meet the demand for their services, and suggests policy options to improve the targeting of benefits and seek efficiency gains to contain the costs of long-term care.
Pensions at a Glance 2023
The 2023 edition of Pensions at a Glance highlights the pension reforms undertaken by OECD countries over the last two years. It includes a special chapter focusing on pension provisions for hazardous or arduous work. It describes existing rules, characterises recent policy trends and assesses the design and functioning of early-retirement rules for hazardous or arduous jobs given changing working conditions and ageing pressure on pension systems.
This edition also updates information on the key features of pension provision in OECD and G20 countries and provides projections of retirement income for today’s workers. It offers indicators covering the design of pension systems, pension entitlements, the demographic and economic context in which pension systems operate, incomes and poverty of older people, the finances of retirement income systems and private pensions.
Health at a glance 2023
Le rapport «Panorama de la santé 2023 » présente les dernières informations sur la santé et les systèmes de santé des pays membre de l’OCDE
Ce rapport, publié tous les deux ans, contient les dernières informations sur la santé et les systèmes de santé de plusieurs pays européens et présente à chaque fois 2 chapitres thématiques sur des sujets d’actualité. Il permet, au travers d’un ensemble d’indicateurs, de documenter la santé générale des citoyens et d’évaluer la performance des systèmes de santé des pays européens. Pour ce faire, le rapport est basé principalement sur des statistiques nationales officielles les plus récentes ainsi que sur des enquêtes européennes.
Pour l’édition 2023, le chapitre thématique du rapport se focalise sur la transformation numérique des systèmes de santé.
- Pour en savoir plus: Health at a Glance 2023 - OECD
OECD Health Working Paper N° 153 – Socio-economic and ethnic health inequalities in COVID-19 outcomes across OECD countries
Download PDF: 6c2a96c9-en.pdf (oecd-ilibrary.org)
The COVID 19 pandemic has disproportionately hit some vulnerable population groups. Those living in deprived areas, migrant population, and ethnic minorities are at higher risk of catching and dying from the virus than other groups, and they also face significant indirect health impacts of the COVID-19 pandemic - both mental health impacts and disruption of routine care.
The working paper gathers evidence on the direct and indirect health impacts of the COVID-19 on the poor population and the ethnic minorities. It reviews factors underlying these inequalities, and maps policy interventions adopted by OECD countries to help address the disproportionate impacts of the COVID-19 pandemic on vulnerable population groups.
Health at a glance: Europe 2022
Le rapport «Panorama de la santé: Europe 2022» présente les dernières informations sur la santé et les systèmes de santé des pays européens
Ce rapport, publié tous les deux ans, contient les dernières informations sur la santé et les systèmes de santé de plusieurs pays européens et présente à chaque fois 2 chapitres thématiques sur des sujets d’actualité. Il permet, au travers d’un ensemble d’indicateurs, de documenter la santé générale des citoyens et d’évaluer la performance des systèmes de santé des pays européens. Pour ce faire, le rapport est basé principalement sur des statistiques nationales officielles les plus récentes ainsi que sur des enquêtes européennes.
Pour l’édition 2022, les chapitres thématiques du rapport se focalisent sur les impacts de la COVID-19 sur:
- La prise en charge des patients atteints d’autres pathologies;
- La santé physique et mentale des jeunes.
OECD Pensions Outlook 2022
The OECD Pensions Outlook discusses how to introduce, develop and strengthen asset-backed pension arrangements, the role that employers can play in their provision, and the implication of different fee structures on individuals saving for retirement and on providers. The 2022 edition focuses on describing best practices for developing mortality tables and providing policy guidance on how to design, implement and continue the operation of non-guaranteed lifetime retirement income arrangements.
Etudes économiques de l'OCDE: Luxembourg 2022
- Etudes économiques de l'OCDE: Luxembourg 2022 (version française (Pdf, 3,07 Mo))
- OECD Economic Surveys: Luxembourg 2022 (english version (Pdf, 2,93 Mo))
Évaluation des réponses au COVID-19 du Luxembourg/Tirer les enseignements de la crise pour accroître la résilience
Download PDF: Évaluation des réponses au COVID-19 du Luxembourg
Alors que les pays cherchent à tirer les leçons de la crise du COVID-19 et accroître leur résilience pour l’avenir, les évaluations constituent des outils précieux en ce qu’elles permettent de comprendre ce qui a fonctionné ou pas, pour quoi et pour qui. Ce rapport, premier de son genre, évalue les réponses du Luxembourg à la crise du COVID-19 en matière de préparation aux risques, de gestion de la crise, et de politiques de santé publique, d’éducation, économiques et budgétaires, sociales et de marché du travail. Si la réponse des pouvoirs publics luxembourgeois à la pandémie a été particulièrement agile, préserver la résilience du pays passera par le maintien d’une confiance élevée dans le gouvernement, la baisse des inégalités, et la mise en place d’une croissance inclusive. Les conclusions et recommandations de ce rapport guideront les pouvoirs publics dans ces efforts.
Pensions at a glance 2021
OECD and G20 Indicators
Download PDF: Pensions at a glance 2021
The Pensions at a glance 2021 was published in December 2021.
The 2021 edition of Pensions at a Glance highlights the pension reforms undertaken by OECD countries over the past two years. Moreover, the special chapter focuses on automatic adjustment mechanisms in pensions systems in OECD countries, discusses the usefulness and limitations of these policy instruments, and suggests ways to improve them in order to enhance the capacity of pension systems to fulfil their objectives. This edition also updates information on the key features of pension provision in OECD and G20 countries and provides projections of retirement income for today’s workers. It offers indicators covering the design of pension systems, pension entitlements, the demographic and economic context in which pension systems operate, incomes and poverty of older people, the finances of retirement‑income systems and private pensions.
Health at a glance 2021
Download PDF: Health at a glance 2021
The Health at a Glance 2021 was published in November 2021. The report provides a comprehensive set of indicators on population health and health system performance across OECD members and key emerging economies. The report presents the latest comparable data and trends on different aspects of the performance of health systems in OECD countries, as:
- The health impact of COVID-19
- Life expectancy, mortality and well-being
- Smoking, acohol, obesity and air pollution
- Affordability, availability and use
- Quality and outcomes of care
- Health spending
- Health workforce
- Pharmaceutical sector
- Ageing and long-term care
European Commission
Pension adequacy report
Pension adequacy report underlines importance of resilient European pension systems in the face of global challenges
Ministers of Employment and Social Affairs have adopted council conclusions on pension adequacy, following the publication of the 2024 Pension Adequacy Report, drafted by the Commission and the Social Protection Committee.
Download PDF: 2024 Pension Adequacy Report
Peer Review Report - Luxembourg
Download PDF: Peer Review Report - Luxembourg
The General Inspectorate of Social Security (IGSS) (Inspection Générale de la Sécurité Sociale) (IGSS) is an important producer of national and European statistics, covering 22 statistical domains including the European system of integrated social protection statistics (ESSPROS), the System of Health Accounts (SHA), employment and earnings statistics by NACE and sociodemographic characteristics. In addition, the IGSS is an important provider of administrative data and its datasets serve as input for many statistics produced by STATEC. For these reasons, STATEC, head of the of the Luxembourg Statistical System, selected the IGSS to participate as an ONA (Other National Authority) in the 2021-2023 Peer Review Round to assess the compliance of the system with the European Statistics Code of Practice. The report issued from the Peer Review identifies the strengths and the weaknesses of the system and provides recommendations for further improvement and development of the National Statistical System.
State of health in the EU
Luxembourg: Country Health Profile 2021
Download PDF: Luxembourg: Country Health Profile 2021
The Luxembourg Country Health Profile 2021 was published in December 2021.
The State of Health in the EU cycle is a 2-year process initiated by the European Commission, designed to improve country-specific and European Union (EU)-wide knowledge in the field of health. In this context, the European Observatory on Health Systems and Policies and the Organisation for Economic Co-operation and Development (OECD) jointly developed Country Health Profiles for all 27 EU Member States and for Iceland and Norway.
These concise and policy-relevant Profiles are based on a transparent, consistent methodology that uses both quantitative and qualitative data, flexibly adapted to the context of each EU Member State. The 2021 editions focus on the impact of the COVID-19 pandemic and how countries’ health systems responded to various resilience challenges related to mitigation measures, response capacity and governance.
Companion report 2021
Download PDF: Companion report 2021
The 2021 Companion Report was published in December 2021.
The Companion report showcases some of the biggest trends in the transformation of health systems. The current edition centres on the resilience of European health systems in the face of the COVID-19 pandemic. It accompanies the twenty-nine Country Health Profiles drafted by the Organisation for Economic Co-operation and Development (OECD) and the European Observatory on Health Systems and Policies.
The 2021 Companion Report draws three main conclusions. It outlines the direct and indirect health impacts of COVID-19, signaling the long-term and complex impact on health systems across Europe. It includes an analysis of the scale of digital innovations used to ensure better and more efficient healthcare services to citizens. Digital tools for public health have also been established and are now used across the EU, such as the EU Digital COVID certificate as well as contact tracing and warning apps. The third message focuses on the health workforce, and the urgent need to address associated shortages and to think in a comprehensive manner about the needs of healthcare professionals in the future.
2021 Pension adequacy report
Download PDF: Current and future income adequacy in old age in the EU. Volume 1
Download PDF: Current and future income adequacy in old age in the EU. Volume 2, Country profiles
The 2021 Pension adequacy report was published in June 2021. The report presents every three years, a comparative analysis of the degree to which pension systems in the EU Member States enable older people to retire with an adequate income today and in the future, reflecting pension reforms, as well as underlying changes and current or future challenges in our societies.
The report consists of two volumes. Volume I is devoted to a comparative analysis of pension adequacy in the EU, whereas Volume II (country profiles) provides a detailed discussion of developments in each of the 27 Member States.
The report was prepared by the Social Protection Committee (SPC) and the European Commission.
2021 Ageing Report
Economic & Budgetary Projections for the EU Member States (2019-2070)
Download PDF: 2021 Ageing Report
The 2021 Ageing Report was published in May 2021. The report presents updated long term projections of the budgetary impact of the ageing population in the EU Member States and Norway, covering the period 2019-2070. The age-related projections cover pensions, education, health and long-term care.
The report was prepared as part of a mandate the Economic and Financial Affairs Council (ECOFIN Council) gave to the Economic Policy Committee (EPC) in 2018. The EPC mandated the Working Group on Ageing Populations and Sustainability (EPC-AWG) and the Commission services (Directorate General for Economic and Financial Affairs; DG ECFIN) to discharge this remit.
2021 Annual Report of the Social Protection Committee
Download PDF: 2021 Annual Report of the Social Protection Committee
The annual report by the Social Protection Committee (SPC) has been published. The report provides an overview of the impact of the decisive actions taken by Member States to protect employment, income and access to services in response to COVID-19.
The report finds that the widespread positive developments in the social situation up until early 2020 were unfortunately interrupted and even reversed by the pandemic as containment measures were implemented to fight the spread of COVID-19 and protect the lives and livelihoods of citizens. Nevertheless, the social impact of the crisis was mitigated by the range of measures adopted by Member States to protect employment and support household incomes.
Key messages:
- Social protection systems were the main stabilization factor in supporting household incomes.
- Social benefits, including short time working schemes, played a major role in mitigating the overall drop in household incomes in 2020.
- Access to social protection systems was often temporarily eased in order to increase the effectiveness of the systems in protecting those who lost their job or income.
- Although the overall situation has been improving over 2021 as the EU recovers from the crisis, there remains a need to address the longer-term socio-economic impacts of the pandemic.
- Social protection systems are expected to remain under pressure in the short and medium term.
- To rebuild from the crisis and prepare better for future emergencies, Member States should continue to prioritize measures to combat poverty and social exclusion, to address rising income inequalities, as well as to enhance the resilience of social protection systems.
- National responses should continue to focus on the situation of the vulnerable and include mechanisms to support them. The European Pillar of Social Rights should continue to guide Member States’ reform efforts and its principles should continue to be systematically implemented.
The report is prepared by the Secretariats of the SPC and its Indicators Sub-Group (ISG). The members of the SPC and its ISG contributed extensively to the drafting of the report and its key messages. In my capacity as chair of the ISG, and bureau member of the SPC, I would like to thank everyone that contributed to this report. The report has been approved by the SPC. The Council of the European Union endorsed the key messages of the report on 15 October 2021
2021 Long-term care in the EU
Download PDF: 2021 Long-term care in the EU
Principle 18 of the European Pillar of Social Rights states that everyone has the right to affordable long-term care services of good quality. The EU supports Member States in implementing long-term care policies through EU legislation such as the work-life balance directive, EU funding, monitoring and analysis, as well as mutual learning activities. The 2021 Long-term care report, jointly prepared by the European Commission and the Social Protection Committee, provides a state of play of long-term care provision and key challenges across the EU. It provides also a first analysis of the impact of the COVID-19 pandemic.
Commission Administrative
Statistiques 2022
The statistical reports (reference year 2022) – and also country specific overviews, thematic graphics, compared figures from 2012 to 2022 on most branches, Excel raw data and interactive statistics – are published here: Facts and figures on intra-EU labour mobility and EU social security coordination - Employment, Social Affairs & Inclusion - European Commission (europa.eu)
MISSOC
Informations MISSOC sur les systèmes de protection sociale
Nouvelle mise à jour de la base données MISSOC sur les systèmes nationaux de protection sociale
MISSOC a publié sa dernière mise à jour (juillet 2024) des informations sur les systèmes de protection sociale dans tous les pays de l'UE, en Islande, au Liechtenstein, en Norvège et en Suisse.
MISSOC, le Système d'information mutuel sur la protection sociale, est une source d'information en ligne indispensable offrant des aperçus opportuns et comparables des systèmes de protection sociale des pays européens.
Les informations proviennent d'un réseau de représentants des ministères nationaux et des institutions chargées de l'administration de la protection sociale, coordonné par le Secrétariat de MISSOC au nom de la Commission européenne.
La base de données est consultable en anglais, en français et en allemand et l'accès est gratuit et ouvert à tous.
Observatoire national de la santé
Health Systems in Transition (HIT): Luxembourg
The Luxembourgish health system is facing unique challenges amongst EU member states. First, it has the highest per capita health spending in PPP amongst European countries. Secondly, Luxembourg is lacking capacity to train health personnel and is facing shortages in some specialty care, which also necessitates a generous policy towards receiving care abroad.
Reforms in 2008 and 2010 have targeted these challenges by establishing a single health insurance fund envisioned to play a stronger role in cost-containment and introducing e-health. Especially in hospital care there is room for efficiency gains. An average length of stay that remains high, combined with low bed occupancy rates reflect the lack of incentives in the financing mechanism which is based on patient-days from a global hospital budget. Current reforms aim at the implementation of national structured health information system for hospital services, which is prerequisite to further announced reforms such as the introduction of a DRGs based system.
Additionally, patient empowerment was strengthened in 2014, which gave patients the right to receive all relevant information on health status and treatment options. In line with the 2011 European cross-border Directive, patients are now able to obtain information on treatment options abroad and related costs. In 2012, 16 % of patients received care abroad, which is the highest number in the EU and far above the EU average of 4 %.
HiT health system reviews are country-based reports that provide a detailed description of a country's health system and of reform and policy initiatives in progress or under development. More up-to-date information on many countries can be found on our Health Systems and Policy Monitor (HSPM).
Health Systems in Transition (HIT): Luxembourg - Gesundheitsportal - Luxembourg
2e rapport thématique
Les professionnels de la santé au Luxembourg
Un modèle d'évaluation quantitative
L'Observatoire national de la santé (ObSanté) dévoile son deuxième rapport thématique, un document de référence pour quantifier les ressources humaines en santé au Luxembourg. Répondant au défi stratégique du dénombrement des professionnels de la santé et de la mesure de leur taux d'activité, ce rapport marque une avancée significative et offre la perspective de disposer de données robustes pour soutenir les politiques de santé nationales.
Télécharger la publication sur le site de l'ObSanté:
RETEL - Observatoire de l'emploi
Le chômage de longue durée au Luxembourg
Mesure, contours et déterminants du phénomène
Télécharger le PDF: Le chômage de longue durée au Luxembourg (Pdf, 1,28 Mo)
Ministère de la Famille, de l'Intégration et à la Grande Région
Evaluation quantitative du Revenu d'inclusion sociale (REVIS): 2019-2021
Le revenu d’inclusion sociale (REVIS), entré en vigueur le 1er janvier 2019, s’est substitué au revenu minimum garanti (RMG). Les bénéficiaires du RMG au 31 décembre 2018 ont basculé dans le dispositif REVIS le 1er janvier 2019. Après une période de trois années, l’évaluation du nouveau dispositif REVIS fait suite à la motion n°2864 déposée le 10 juillet 2018 à la Chambre des députés lors de la mise en place du projet de loi n°7113 relatif au REVIS. L’Inspection générale de la sécurité sociale (IGSS) a été mandatée par le Ministère de la Famille, de l’Intégration et à la Grande Région de réaliser le volet quantitatif de l’évaluation du dispositif du REVIS . Ce volet fait appel à l’analyse de données administratives ou encore à l’analyse de cas types afin de mesurer si les objectifs fixés ont été atteints.
Télécharger la publication sur le site du ministère de la Famille, de l'Intégration et à la Grande Région: