Indicator full name: Inpatient care discharges per 100
Unit: hospital discharges per 100 persons
- Country (COUNTRY)
- Supranational group of countries (COUNTRY_GRP)
- Sex (SEX)
- Year of measure (YEAR)
Years data is available: 1970—2016
Last updated: 31 January 2018
- WHO European Region
- Members of the European Union
- Members of the EU before May 2004 (EU15)
- Members of the EU after May 2004 (EU13)
- Commonwealth of Independent States
- Central Asian Republics Information Network members (CARINFONET)
- South-eastern Europe Health Network members (SEEHN)
- Nordic countries
- Small countries
The following abbreviations are used in the indicator titles:
Indicator code: E992902.T This indicator shares the definition with the parent indicator \"Number of all hospital discharges\".
Admission is the hospitalization of a patient in an inpatient facility normally involving a stay of at least 24 hours. In the case of death or discharge to another health establishment, the actual stay may be shorter than 24 hours. These cases are registered as a one-day hospitalization. Discharge is the conclusion of a period of inpatient care, whether the patient returned to his home, was transferred to another inpatient facility or died. The number of admissions/discharges excludes:a transfer from one department to another one at the same hospital; day-cases of day patients; weekend leave when the patient has been released temporarily and the hospital bed is still reserved; cases where treatment is provided by hospital personnel at the patient's home. Newborns are not included.
For countries participating in the Joint Eurostat / OECD / WHO Europe data collection on health care activities (for year 2012 those were: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania,, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, The former Yugoslav Republic of Macedonia, Turkey and United Kingdom), following definition was used:
Hospital aggregates: Inpatient care
a) Inpatient care discharges (all hospitals)
An inpatient discharge is the release of a patient who was formally admitted into a hospital for treatment and/or care and who stayed for a minimum of one night (see definition for hospital inpatient discharges below). Only the total number of inpatient discharges in all hospitals is requested (no breakdown by diagnostic categories)._
Data collected annually, reference period: 31 December.
long-term care institutions for the elderly which have not been subject to the regulations of the
Federal Hospital Act during the complete observation period.
Facilities Organization (DG1), Minimal Clinical Data. 2007: provisional data.
Federation of B&H; Department for Health Statistics and Informatics
Public Health Institute of Republic of Srpska. Department for social medicine with health
organization and health economics. Law on Health Evidence and Statistical Research in Health. Annual
report of hospitals
included as they could not be disaggregated from hospital admissions.
health establishments and their exploitation. Coverage: Data refer to number of hospitalizations in
General hospitals and Specialized therapeutic institutes (excluding Balneologic institutes and
Convalescent homes for children). Hospitalized newborns are excluded.
Deviation from the definition: Transfers from one department to another one at the same hospital
are considered as two hospitalizations: day-cases of patients treated in bed care departments are
Break in time series: Until 1999 data covers only establishments of the Health Sector. From 2000
data covers also health establishments of other central organs.
admissions. The data from 2005 onwards uses the 24-hour stay definition, which explains the lower
data values. From 2000 onwards the data no longer includes transfer from one department to another
department within the same hospitals.
sectors (public, not-for-profit and private). Included are admissions in general hospitals, mental
health hospitals and prevention and rehabilitation homes. Admissions in long-term nursing care
facilities are excluded. As of reporting year 2002 the number of admissions includes day cases.
Source: Federal Statistical Office, Hospital statistics - basic data.
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
90 days (includes discharges where the diagnosis is missing or ICD code is invalid). Day care was
included to some extent from 1985-1988. Newborns are excluded (discharges with the Z38 code were
counted based on principal/main diagnosis and then subtracted from the total number of discharges).
Source: The Directorate of Health / The Ministry of Health and Social Security.
Break in series in 2008 due to the fact that data in the National Patient Discharge Register has
been updated /corrected.
Until 2008 newborns (Z38) have been included. This will be corrected next year along with other
Children. Figures refer to the number of in-patients, excluding day cases, who were discharged from
or died in publicly funded acute and psychiatric (public and private) hospitals. Private hospitals
and district/community are not included. Break in series: Prior to 2009, psychiatric (public and
private) hospitals were excluded and district/community hospitals hospitals were included.
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
Compulsory Health Insurance Database (for day cases) Coverage: Up to 2000: discharge data excluded
healthy newborns, including day cases. From 2001: Discharge data excluding nursing patients, day
cases, healthy newborns.
data cover all admissions for 24 hour care in general, university and specialized hospitals as well
as mental hospitals. Excluded are all babies born in hospitals. Statistics Netherlands: Statistics
of intramural health care; National Medical Registration.
Consumer Affairs. Statistics on Health Establishments Providing Inpatient Care. Source from
1996:Ministry of Health and Consumer Affairs (www.msc.es/)
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.
Ministry of Health, university and private hospitals. Newborns are included.
?Summary statement of account of patients and hospital beds?
Source: Centre of Health Statistics, Ministry of Health.
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, KH03.
Coverage: Data relates to NHS discharges or NHS commissioned activity in the independent sector.
Data may not be complete as further submissions may be received at a later date. Figures are based
on completed hospital spells & diagnosis at discharge, with the exception of Scottish maternity data
which is episode based.
Deviation from the Definition: In Wales, some ICD10 codes are considered sensitive and have been
excluded from analysis (A50-A64, B20-B24, O03-O08, O98.1-O98.3, R75, R76.2, Z70, Z20.2, Z20.6, Z21,
Z22.4, Z71.7, Z72.5),
Estimation Method: Scotland could not provide 2010 data due to data completeness issues and so this
figure has been estimated using 2009 data for Scotland. This figure will be revised when 2010 data
for Scotland is available.
Break in Time Series: Data from 2000 onwards is not comparable with data from prior to this. This
is due to work conducted to improve compliance with definitions and consistency of methodologies
across the four parts of the UK.