Number of psychiatric hospital beds

Albania

Source: Ministry of Health.

Austria

Source of data: Austrian Federal Ministry of Health, Hospital Statistics (annual average).
Reference period: 31st December.
Coverage: Complete.
Deviation from the definition: Beds in HP 1.2 (also including some non-psychiatric care beds in
these hospitals) and beds for psychiatric care in HP 1.1 and HP 1.3 (however, excluding some
psychiatric care beds in mixed units for neurologic AND psychiatric care); beds for rehabilitation
in HP.1.2 and beds allocated to long-term nursing care in HP.1.2 are included as well as beds for
same-day care.

Belarus

Source of data: Official Statistics Yearbook \Health in the Republic of Belarus\"

Belgium

Source of data: Federal Service of Public Health, Food Chain Safety and Environment, DG1
Organisation and Planning, Data management; Central Institution Database - Centraal
Ziekenhuisbestand (CZB).
Reference period: 1st of January.
Coverage:
- Beds indexes included in the calculation up to 2005 are:
(A) neuropsychiatry
(A1) day care in neuropsychiatry
(A2) night care in neuropsychiatry
(K) infant neuropsychiatry
(K1) day care in infant neuropsychiatry
(K2) night care in infant neuropsychiatry
(Q) psychiatric care institutions
(IHP) initiative for a protected housing
(TFB) family placing
(TFP) home placement
(VP) psycho-geriatrics.
- The increase in psychiatric care beds in 1996 is due to the creation of beds in psychiatric care
institutions and initiatives for a protected housing.
Break in time series:
- From 2006, data exclude beds in psychiatric care institutions and initiatives for a protected
housing.

Bosnia and Herzegovina

Source: Public Health Institute FB&H, Hospital service in FB&H, Public Health Institute Republica
Srpska, Hospital service in Republica Srpska.

Bulgaria

Source of data: National Statistical Institute, National Centre for Public Health and Analyses at
the Ministry of Health
Due to structural transformations in the health care system in 2011 the National Centre for Health
Information was transform into National Centre for Public Health and Analyses
Reference period: 31st of December
Coverage: Psychiatric care beds in HP.1 Hospitals include all psychiatric care beds in hospitals and
in psychiatric dispensaries; 2001-2003: Data for psychiatric care beds are revised. The revision was
done in order to provide the harmonised data and the psychiatric beds from specialised dispensaries
are also included.
Break in time series: 2005: Beds for long term psychiatric care at Mental health hospitals (HP 1.2)
are excluded from Long term care beds and are included in Psychiatric care beds. Beds for
physiotherapy and rehabilitation at Mental health hospitals (HP 1.2) are excluded from Other beds
and are included in Psychiatric care beds.

Croatia

Source of data: Croatian National Institute of Public Health, Hospital structure and function
database
Reference period: 31st December
Starting from 2009 data do not include community care centres providing both in-patient and
out-patient services primarily engaged in out-patient services.
Coverage: Data include number of hospital beds in all public and private hospitals in Croatia,
except prison hospital.

Cyprus

Source of data: Statistical Service of Cyprus, Public sector administrative sources.
Validity of the source: For the years 1985, 1987, 1995 and 2000 figures were obtained from the
Census of Doctors, Dentists and Clinics.
Reference period: 31st December.
Coverage: Psychiatric beds refer to public sector only: General hospitals and Athalassa special
(long-term care) hospital. As regards the private sector, the beds used for psychiatric care are
included in the curative care beds, since they are also used for curative care.

Czechia

Czech Republic

Source of data: Institute of Health Information and Statistics of the Czech Republic. Survey on bed
resources of health establishments and their exploitation.
Reference period: End of the year.
Coverage:
- Until 1999 data, cover only establishments of the health sector. Since 2000, data cover all
sectors.
- Psychiatric care beds encompass beds in Psychiatric institutes and beds in psychiatric departments
(wards) of University and Acute care hospitals.
Break in time series: 2000.

Denmark

Source of data:
- National Board of Health, The National Patient Register (the publication \Hospital statistics
2004\").
- National Board of Health (2010: internal hospital beds database has been used).
Reference period: Annual average.
Break in the series: The reason for the large decrease is that before 1987

Estonia

Source of data:
- Since 1.01.2008 National Institute for Health Development, Department of Health Statistics.
- Data from routinely collected health care statistics submitted by health care providers (monthly
statistical report \Hospital beds and hospitalisation\").
Reference period: 31st December.
Coverage:
- All hospitals HP.1 (public and private sector) are included.
- Cots for neonates

Finland

Source of data: National Institute for Health and Welfare (THL), Care Register for Institutional
Health Care.
Estimation method: Since 1994, calculated beddays/365 or 366.
Break in time series: 2000. The series was recalculated from 2000 onwards to correspond to the SHA
2011 definitions.

France

Source of data: Ministere de la Sante et des Sports - Direction de la Recherche, des Etudes, de
l'Evaluation et des Statistiques (DREES). Data are from the ?Statistique Annuelle des Etablissements
de sante (SAE)?.
Reference period: 31st December.
Coverage:
- Data refer to metropolitan France and D.O.M. (overseas departments).
- Psychiatric care beds includeÿall beds in mental health in general as well as other hospitals and
beds forÿsubstance abuseÿtreatment only when theÿhead of theÿunit is a psychiatrist. Otherwise these
beds are counted either as curative care beds or long-term care beds.

Georgia

Source: Ministry of Health-
Note: Since 2012 annual report collected form the hospitals facilities did not contain information
related to the classification of hospital beds, only the total number is available.


-.

Germany

Germany

Source of data: Federal Statistical Office, Hospital statistics (basic data of hospitals and
prevention or rehabilitation facilities), Statistisches Bundesamt, Fachserie 12, Reihe 6.1.1, table
2.1.3 and ibid., Fachserie 12, Reihe 6.1.2, table 2.1 and special calculations by the Federal
Statistical Office; http://www.destatis.de or http://www.gbe-bund.de.
Reference period: Annual average.
Coverage:
- Psychiatric care beds in hospitals comprise beds in mental health hospitals (HP1.2), beds in
psychiatric departments of general hospitals (HP1.1) and beds in psychiatric departments of
prevention and rehabilitation facilities (HP1.3) in all sectors (public, not-for-profit and
private).
- In Germany, ?mental health hospitals? are defined as hospitals exclusively with psychiatric,
psychotherapeutical or psychiatric, psychotherapeutical and neurological beds.

Greece

Source of data: Hellenic Statistical Authority (EL.STAT.), Hospital Census.
Reference period: Annual average.

Hungary

Source of data: From 1994 Hungarian National Health Insurance Fund (OEP), Department of Financing
Informatics (GYOGYINFOK), Hospital bed and patient turnover account. http://www.gyogyinfok.hu/.
Coverage: Since 1994, this includes the number of psychiatric care hospital beds run by hospitals
under contract with OEP.
Reference period: 31 December.
Break in time series: 2001, 2007
- Till 2000 the number of psychiatric care beds included acute and chronic psychiatric care beds
- Since 2001 the number of psychiatric care beds includes only acute psychiatric care beds (and
excludes chronic psychiatric care beds).
- In 2007, the number of acute psychiatric beds in hospitals under contract with OEP decreased
significantly.
- Since 2007, the number of hospital beds in justice hospitals is included.

Iceland

Source of data:
- Up to 2006: The Ministry of Health and Social Security, Directorate of Health.
- From 2007: The Ministry of Welfare.
Reference period: Annual average.
Estimation method: 1989-1995: Registered beds in psychiatric wards until 1988. Beds calculated from
bed-days and 90% occupancy rate ?
Coverage: Psychiatric care beds in hospitals (health care facilities with 24-hour access to a
hospital physician).
Break in time series: 2007.

Ireland

Source of data:
- For 2004 onwards: Mental Health Commission Annual Reports.
- For data up to and including 2003: Department of Health and Children.
Coverage:
- Since 2004, data refer to beds in approved centres, as defined by the Mental Health Act 2001. A
centre which provides for the care and treatment of persons suffering from mental illness or mental
disorder must be registered with the Mental Health Commission to become an approved centre. Data
refer to psychiatric beds in acute hospitals and in all psychiatric hospitals in the main section. A
small number of beds in other in-patient facilities are also included.
Break in time series:
- Up to and including 1986, figures refer to beds in public psychiatric hospitals and beds in
psychiatric units in acute hospitals. From 1987 on, beds in private psychiatric hospitals are also
included.

Israel

Israel

Source of data: The data are based on the Medical Institutions License Registry maintained by the
Department of Medical Facilities and Equipment Licensing and the Health Information Division in the
Ministry of Health.
Reference period: End of the year.
Coverage: Includes all licensed mental care beds in acute care, mental health and specialty
hospitals.
* Note: The statistical data for Israel are supplied by and under the responsibility of the relevant
Israeli authorities. The use of such data by the OECD is without prejudice to the status of the
Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of
international law.

Italy

Source of data: Ministry of Health - D.G. of Health Information System - Office of Statistics.
http://www.salute.gov.it/servizio/datisis.jsp.
Reference period: Annual average.
Coverage:
- All public, not for-profit and private hospitals are registered.
- Beds in psychiatric departments of general hospitals (HP.1.1). (There are no mental health and
substance abuse hospitals in Italy).
- Psychiatric care beds include beds for infant patients with mental health diseases.

Latvia

Source of data: The Centre of Health Economics; Database of hospital beds' utilization;
Reference period: Up to 1999: end of the year, from 2000: mid-year.
Break in series: 2000: Change in reference period.

Lithuania

Source of data: Health Information Centre of Institute of Hygiene, data of entire annual survey of
health establishments. Report ?Health Statistics of Lithuania?, available from
http://sic.hi.lt/html/en/hsl.htm.
Reference period: 31st December.

Luxembourg

Source of data: National Health Insurance (CNS) - data included in the budget.
Reference period: Annual average.
Coverage:
- Includes psychiatric beds in general hospitals (HP.1.1), psychiatric hospitals and drug
rehabilitation beds (HP.1.2). These data have only been available since 2004. In other specialised
establishments, funded psychiatric beds do not exist.
- It is important to note that the beds included in this selection are in specialised psychiatric
institutions which mainly provide psychiatric rehabilitative care on a medium and long-term basis
and have only a small number of beds for acute psychiatry (around 30 acute beds compared to 288,
227, 207 and 207 medium and long-stay beds from 2004 to 2007).

Malta

Source of data: Joint collation by Department of Health Information & Research, Health Care Services
Standards, Health Division within Ministry of Health, the Elderly and Community Care and Individual
Institutions.
Reference period: end of the year
Coverage:
Strict criteria according to definitions were used in collation of available hospital beds from 2005
onwards. This will explain the shift in numbers from other years. Changes in numbers of available
beds for 2007 are mainly due to restructuring and changes in numbers of available beds with the
\migration\" of the main State general Hospital in Malta (St. Luke's Hospital) to the new \"Mater Dei
Hospital\". The old State main General Hospital in Malta was closed down. However

Montenegro

Source of data: The source for all data submitted is the Institute of Public Health. Some additional
information can be found in Health Statistical Yearbooks available at http://www.ijzcg.me/
Reference period: December 31st.
Coverage: Only data from public sector were included.

Netherlands

Source of data:
- 1990-2000: Annual survey Statistics Netherlands.
- 2001-2002: Psychiatric care beds in general hospitals and university hospitals: Prismant;
psychiatric care beds in psychiatric hospitals: annual survey Statistics Netherlands.
- 2003 onwards: NZA (Dutch Health Authority).
Reference period:
- 1990-2000: Annual average.
- 2001 onwards: 1 January.
Coverage:
- Until 2001: Beds in psychiatric hospitals + beds in psychiatric wards of general and university
hospitals.
- From 2002: Beds in psychiatric hospitals + beds in psychiatric wards of general and university
hospitals; excludes beds in psychiatric hospitals of the Ministry of Justice.
- Beds in sheltered dwellings (so called RIBW- en) are excluded.
- 2010: Not available
Deviation from the definition:
- 1990-1994: Average number of licensed beds.
- 1995-2005: Actual number of beds (average).
- 2006 onwards: Licensed beds.
Break in time series: 1995, 2001 and 2006 due to changes in the data source and coverage.

North Macedonia

Source of data: Institute for Public Health-Skopje. Report for hospitals (3-21-60).
Reference period: 31st December.

Norway

Source of data: Statistics Norway. Specialist Health Services. Annual data collection.
- See http://www.ssb.no/speshelse_en/.
Reference period: Annual average.
Break in time series: 2002. The hospitals were transferred from the municipalities to the central
government in 2001.

Poland

Source of data: The Ministry of Health, the Ministry of National Defense, the Ministry of Interior
and Administration.
Reference period: 31st December.
Coverage:
- From 2003 onwards, beds in psychiatric hospitals and psychiatric wards in general hospitals,
including data from the Ministry of National Defense and the Ministry of the Interior and
Administration.

Portugal

Source of data : Statistics Portugal - Hospital Survey.
Reference period: Average between the quarters.
Coverage:
- The Hospital Survey began in 1985. This survey covers the whole range of hospitals acting in
Portugal: hospitals managed by the National Health Service (public hospitals with universal access),
non-public state hospitals (military and prison) and private hospitals.
- Data include beds from psychiatric and substance abuse treatment hospitals.
Break in time series: 1999. Emergency beds are excluded since 1999.

Republic of Moldova

Source of data: Ministry of Health of the Republic of Moldova, National Centre for Health
Management, Annual statistical report N30, enclosure 1 ?On hospital activities of health care
institutions? and statistical report N1 ?On activities of a private economical agent for health
service provision? http://cnms.md/areas/statistics/anyar/.
Reference period: Data as of December 31.
Coverage: Data exclude Transnistria.

Romania

Source of data: National Institute of Statistics and Ministry of Public Health.
Reference period: data as of 31st December.
Coverage:
From 1970 to 1998, data refer only to the public sector.
The major differences that are at the number of beds are due to multiple changes in the sanitary
network from Romania and the aim to have a more efficient sanitary activity.
Starting with 1992 hospitals analysed their efficiency as related to, among others, the number of
beds (according to the Ministry of Health policies) and it can be noticed that, as result, the
number of beds decreased considerably. In addition, some of the hospital units located in other
counties than the base hospitals were converted in independent units (hospitals). Therefore, in
1992, parallel with a significant decrease in the number of hospital beds, an increase in the number
of hospitals can be observed.
Break in the series: 1999.

Serbia

Source of data: Institute of Public Health of Serbia, National hospital register.
http://www.batut.org.rs/
Reference period: 31st December
Coverage: Data for Kosovo-Metohija province are not included in the coverage of data for the
Republic of Serbia. Data from health institutions under the other ministries (military services,
prisons, social services) than the Ministry of Health are not included. Data for privately owned
hospitals are not included.

Slovakia

Source of data: National Health Information Center, regular statistical findings within the State
Statistical Program. Annual report (MZ SR) 1-01 on the bed fund in health facilities in SR.
Reference period: 31st December.
Coverage: Psychiatric care beds: number of beds in psychiatric hospitals + beds in psychiatric long
term nursing care beds + beds in psychiatric and gerontopsychiatry departments of hospitals + beds
in hospital departments for drug addiction treatment and centers for drug addictions treatment.

Slovenia

Source of data: The National Institute of Public Health of the Republic of Slovenia, National
Hospital Health Care Statistics Database.
Reference: Annual average.

Spain

Source of data:
- Before 1996: National Statistics Institute and Ministry of Health and Consumer Affairs. Statistics
on Health Establishments Providing Inpatient Care.
http://www.ine.es/jaxi/menu.do?type=pcaxis&path=/t15/p123&file=inebase&L=0.
- From 1996 to 2009: Ministry of Health, Social Services and Equity from Statistics on Health
Establishments Providing Inpatient Care (ESCRI).
http://www.msssi.gob.es/estadEstudios/estadisticas/estHospiInternado/inforAnual/homeESCRI.htm.
- Since 2010: Ministry of Health, Social Services and Equity from Specialised Care Information
System (Sistema de Informacion de Atencion Especializada - SIAE).
Reference period: Annual average.
Coverage:
- All public and private hospitals in Spain are included (the total number of hospitals is slightly
lower than the total of hospitals included at the National Catalogue as some hospitals provide
statistics grouped as a complex, and some of them do not provide data).
- Data refer to occupied beds in mental health hospitals and in psychiatric departments of general
hospitals (HP.1.1) and of specialty hospitals (other than mental health and substance abuse).
Substance abuse is treated in mental health hospitals and curative care hospitals.

Sweden

Source of data:
- Before 2001: Federation of Swedish County Councils and The National Board of Health and Welfare,
Basarsstatistik and Statistisk Arsbok for Landsting (several issues).
- From 2001: Swedish Association of Local Authorities and Regions (previously The Federation of
Swedish County Councils), Statistik om halso- och sjukvard samt regional utveckling Verksamhet och
ekonomi i landsting och regioner (several issues).
Reference period:
- Before 2001: 31st December.
- From 2001: Annual average. As per 2001, the term average disposable beds is used.
Coverage: Because of the change of term for in-patient care beds, the decrease of total in-patient
beds (includes beds for psychiatric care and long-term care) can be estimated to be about 500
average disposable beds between 2000 and 2001).
Break in time series: 2001.

Switzerland

Source of data: FSO Federal Statistical Office, Neuchatel, hospital statistics; yearly census.
Deviation from the definition: Annual average number of beds in use, (the number of bed-days during
the year divided by 365), for all years.
Estimation method: Until 2002 (included), extrapolation to correct for partial coverage of
hospitals.

Türkiye

Source of data: General Directorate for Health Services, Ministry of Health.
Coverage:
- Psychiatric care beds are beds in all psychiatric hospitals in the MoH, universities, the private
sector and others (except for the Ministry of Defence hospital beds).
- Psychiatric care beds in general hospitals are not included.
- The decrease in the number of psychiatric care beds in 2007 is due to the temporary closure of
beds for renovation in three psychiatric hospitals.

Turkmenistan

Source of data: Report from of the Ministry of Health and Medical Industry of Turkmenistan. ? 17
?Health
employment?
Reference period: 31 December.
Note: Psychiatric care beds includes beds for substance abuse treatment from 2000 ? 2012.

United Kingdom

Source of data:
- England - Department of Health, from KH03, England;
- Northern Ireland - Hospital Activity Statistics from Department of Health, Social Services and
Public Safety, Korner Return Kh03a;
- Wales - Health Statistics Wales,
http://wales.gov.uk/topics/statistics/headlines/health2010/0114/?lang=en.
- Scotland - ISD Scotland, NHS National Service Scotland;
http://www.isdscotland.org/Health-Topics/Finance/Costs/Files/ISD(S)1_Manual.pdf.
Reference period: Annual average.
Coverage:
- Does not include private sector.
- Data are for financial years (1st April to 31st March). E.g. data for financial year 1st April
2008 - 31st March 2009 are presented as 2008.
Break in time series:
- England: The data from 2010 are lower because the methodology changed. From Quarter 1 2010/11 the
KH03 collection was changed to a quarterly collection. The classification for bed occupancy was
changed from ward type to the consultant specialty of the responsible consultant. This followed
consultation with the NHS, as concerns had been expressed that the ward classifications, which were
set in the late 1980s, were no longer relevant.