Hospital discharges, mental and behavioural disorders, per 100 000

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Data set notes

European Health for All database

Indicators: 565

Updated: 18 October 2024

Contact: Data and Digital Health Unit (DDH)

The following abbreviations are used in the indicator titles:

• SDR: age-standardized death rates (see HFA-DB user manual/Technical notes, page 13, for details)

• FTE: full-time equivalent

• PP: physical persons

• PPP$: purchasing power parities expressed in US $, an internationally comparable scale reflecting the relative domestic purchasing powers of currencies.

More information: http://www.euro.who.int/en/data-and-evidence/databases/european-health-for-all-database-hfa-db

Indicator notes

Hospital discharges, mental and behavioural disorders, per 100 000
Indicator code: E992929.T This indicator shares the definition with the parent indicator \"Number of hospital discharges, mental and behavioural disorders\".

See indicator 992971. Chapter V of ICD-9/10._

Country/Area notes

Armenia

Source of data: National Health Information Analytic Center, Ministry of Health of the Republic of
Armenia http://moh.am/?section=static_pages/index&id=625&subID=824,29.
Data collected annually, reference period: 31 December.
Note: In year 2013, the number of patients decreased due to the fact that the majority of patients
began receiving outpatient care.

Austria

Source: Statistics Austria, Hospital Discharge Statistics. From 1997 the LKF-System for financing
hospitals was introduced. This may have resulted in a change in the coding instructions for
diagnosis.

Belgium

Source: Federal Public Service of Public Health, Food Chain Safety and Environment, Health Care
Facilities Organisation (DGI). Actually these data are based on the Minimal Psychiatric Data which
are not complete. Since 1996/97 the Minimal Psychiatric Data started.

Bosnia and Herzegovina

Public Health Institute of Federation of B&H; Public Health Institute of Republic of Srpska. Annual
report of hospitals.
Department for Health of Brcko District

Croatia

Data up to 1994 coded in ICD-9. From 1994 onwards coded in ICD-10

Cyprus

General and rural hospitals, public sector only. Only mental disorders. The number of discharges for
2004 and 2006 is not comparable toprevious years, since data for psychiatric patients was not
available from all hospitals.

Czechia

Source: Institute of Health Information and Statistics of CR (IHIS CR), National Registry of
Hospitalized Patients. Deviation from the definition: Transfers of patients between departments
within a hospital are considered as a discharge. One-day hospitalizations included.

Denmark

From 1994 data excludes transfers to other departments of the same hospital, which was included in
earlier data.
From 1994 Denmark started using ICD-10.

Estonia

Source: Annual reporting, National Institute for Health Development.

Finland

Source: From 2005 the hospital discharge data is taken from the detailed hospital discharge data
reported separately to WHO. Due to the different coverage, data may not be completely comparable
with previous years.

Georgia

Source: National Centre for Disease Control and Public Health of Georgia (NCDC) (http://www.ncdc.ge)
In the course of the healthcare reform, the number of specialized mental health beds was reduced and
the volume of the service provided suffered. Since 2012, newly opened hospitals have restructured
the provided services bringing them closer to the population. Since 2014, a new case-based approach
have been introduced in the hospital reporting, thus, in the future the reported hospital discharges
structure will be closer to the reality.

Germany

The number of discharges includes deaths in hospitals, but excludes same-day separations and
transfers to other care units within the same institutions. Up to and including the reporting year
2002, data only include discharges in general hospitals and mental health hospitals. From reporting
year 2003, data include additionally discharges in preventive and rehabilitative hospitals, however
discharges of these institutions with less than 100 beds are not included. The years before 2003 are
therefore not comparable with the years following 2003. From the reporting year 2000, for the first
time, data have been collected according to ICD-10. Source: Federal Statistical Office, Hospital
statistics - diagnostic data of the hospital patients.

Hungary

Source until 2003: Center for Health Care Information (GYOGYINFOK). The data is the case number of
department discharges.
Source from 2004: National Institute for Strategic Health Research (ESKI) and the data is the case
number for hospital discharge, rather than case number for department discharge.

Iceland

Source until 1998: The Ministry of Health. Source from 1999: The Directorate of health. Based on
discharge data from all hospitals. Includes all discharges with a LOS of <90 days. Based on
main/principal diagnosis. When day of discharge is the same as day of admission the length of stay
is 1 day.
Break in series in 2008 due to the fact that data in the National Patient Discharge Register has
been updated /corrected

Israel

Includes in-patients only. Source: Mental Health Services, Ministry of Health.

Italy

Source: Ministry of Health, National Database of Hospital Discharge. Data refer to all public and
private hospitals. Clinical data gathered in the hospital discharges database are coded with the
following versions: until 2005 with ICD9-CM version 1997, from 2006 to 2008 with ICD9-CM version
2002, since 2009 with the ICD9-CM version 2007.

Latvia

Statistical data includes patients who either returned home or died, and excludes those who were
transferred to another inpatient facility.

Lithuania

Source: Up to 2000:LHIC, annual report data. From 2001: HI HIC data from Compulsory Health Insurance
Database (coverage 98% of all discharges). Coverage: Data excludes: nursing patients, day cases.

Luxembourg

Total number of patients admitted in all hospitals during the given calendar year with the principal
discharge diagnosis falling into the appropriate WHO defined chapter of ICD-10. Source since 1998:
Rapport general de l'IGSS. Annual report of the General Inspection of Social Security.

Malta

Public Hospitals (SLH, GGH, MCH)

Montenegro

Source: Institute of Public Health.

North Macedonia

Source: 10 Centers for Public health for 2008, 2009 and 2010

Norway

Adults only

Poland

Data from mental and general hospitals. Sources: Institute of Psychiatry and Neurology; National
Institute of Publuc Health - National Institute of Hygiene.

Portugal

Source of data: Ministry of Health ? Central Administration of Health System (ACSS). Coverage: After
2008 includes the cases classified at Chapter V of ICD-9CM that occurred at acute hospitals and also
psychiatric hospitals belonging to the National Health Service (NHS) on the mainland. The data from
the hospitals located in the autonomous regions of Azores and Madeira, and the private hospitals are
not included.

Romania

The data refer also to the discharged patients.

Serbia

Source: Institute of Public Health of Serbia, Hospital discharge reports.

Spain

Source: National Statistics Institute. Hospital Morbidity Survey. Data collected from all hospitals
(public, private, army). Currently the sample covers 85% of all hospitals and 91% of hospital
discharges. A hospital discharge includes one night stay or more in a hospital. The length of stay=0
is not included. For period 1980-2000 ICD-9 coding used. From 2001 the ICD-9 Revision CM is applied.
(www.ine.es/)

Sweden

ICD-10: F00-F99. Source: National Patient Register, NBHW.

Switzerland

Source of data: FSO Federal Statistical Office, Neuchatel; Medical Statistics of Hospitals; yearly
census. Coverage: Full coverage of hospitals; sufficient (nearly full) coverage of inpatient and day
cases since 2002. Due to a modification of the legislation, day cases are not collected in 2009
anymore.
Deviation from the definition:
Estimation method: Discharges without a valid ICD-code are not accounted for (negligible).
Break in time series: The gradual change of diagnosis classification since 2008 from ICD-10 WHO to
ICD-10 GM (German Modification) may lead to breaks for some categories.

Türkiye

Calculated according to ICD-10 codes (Information Technologies Coordination Unit).

Turkmenistan

Source of data: Administrative medical statistics, forms: 14 ?Report on hospital activity? and 066/y
?Hospital discharge record?.

Ukraine

November 2002: Included only data from public hospitals under Ministry of Health.
Source: Centre of Health Statistics, Ministry of Health.

United Kingdom

Source of Data: England - NHS Information Center.
Scotland - NHS National Services Scotland, Information Services Division (ISD)..
Wales - NHS Wales Informatics Service(NWIS), Patient Episode Database.
N. Ireland - Department for Health, Social Services and Public Safety, HIS.

Coverage: Data for UK NHS hospitals or NHS commissioned activity in the independent sector. Based
on diagnosis recorded at discharge.
Scotland - Previously only based on SMR01, have now added in data from SMR04. Scotland have revised
their timeseries data due to improvements in data quality.