Indicator full name: Outpatient contacts per person per year
Unit: contacts per person
- Country (COUNTRY)
- Supranational group of countries (COUNTRY_GRP)
- Sex (SEX)
- Year of measure (YEAR)
Years data is available: 1960—2016
Last updated: 31 January 2018
- San Marino
- 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: E992801.T
The total number of primary health care or ambulatory care contacts divided by the population. An outpatient contact is one episode of examination/consultation performed by a physician or by a nurse in the presence of a physician, in relation to one outpatient at one time and location, normally at the physician's office or the patient's home. The number of outpatient contacts includes: patient's visit to physician's office; physician's visit to patient's home or other place; call for ambulance; day-patient cases. The number of outpatient contacts excludes: telephone calls for consultation purposes; visits for prescribed laboratory tests; contacts to perform prescribed and scheduled treatment procedures, e.g. injections, physiotherapy etc.; visits to dentist. Definition of outpatient: A person attending a PHC (Primary Health Care) unit or outpatient department in an outpatient establishment or hospital and who makes use of the diagnostic or therapeutic service but does not occupy a regular hospital bed.
Definition of day patient: A patient who does not require inpatient care but who needs specialized observation or health care or treatment from hospital during a limited number of hours of the day and who returns to his home for the evening meal and the night. These patients can occupy specialized beds (e.g. recovery beds, beds for special purposes or belonging to special health devices). If a day patient occupies a regular hospital bed, then this case is not considered as a case of hospitalization and thus 'consumed' bed days are not included in the number of regular days of stay. Day-patient care is one of the forms of ambulatory care.
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:
Doctor consultations (in all settings)
Average number of consultations/visits with a physician per person per year.
- consultations/visits at the physician’s office
- consultations/visits in the patient’s home
- consultations/visits in outpatient departments in hospital
- telephone contacts
- visits for prescribed laboratory tests
- visits to perform prescribed and scheduled treatment procedures, e.g. injections, physiotherapy etc.
- visits to dentists
- visits to nurses_
Data collected annually, reference period: 31 December.
physician's office (general practitioners and specialists); physician's visit to patient's home and
medical assistance during urgent transfer to a hospital (in an ambulance).
1. Day patient cases are not included.
2. The number refers to the number of contacts with patients who are not self-employed / divided by
the population of people who are not self-employed.
yearly basis. PHI war period just for the part of FBIH. Number of examinations/consultations
performed by physicians at the physician's office in the primary health care.
Public Health Institute of 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 primary health care services;
Department for Health of Brcko District;
health establishments. Coverage: Until 1999 data covers only establishments of the Health Sector.
From 2000 data covers also health establishments of other central organs.
Included are: telephone calls for consultation purposes; visits for prescribed laboratory tests;
contacts to perform prescribed and scheduled treatment procedures, e.g. injections, physiotherapy,
etc.; visits to dentist and treatment in First medical aid.
visits in the private sector have been taken from Social Insurance Institution and not from regional
data sources, which remain incomplete due to restructuring of regional administrations.
reimbursement regulations under the Social Health Insurance Scheme. These consultations with doctors
don?t include preventive medical check-ups and screening examinations. One case of treatment only
counts the first contact in three months even if the patient consults his doctor more often.
Therefore a substantial under-reporting has to be assumed.
Source: Federal Ministry for Health, KG-3 Statistics (statutory health insurance: accounts for
practitioner and dental treatment), KM-6 Statistics (statutory health insurance: insured persons).
In the BARMER GEK physician report 2010 (successor product of the GEK-report on ambulatory care)
data of a study on doctors? consultations were published. For the survey the Barmer GEK, a
compulsory German health insurance fund, has analyzed ambulatory data of 1.7 million insured persons
of the former Gmunder Ersatzkassen (GEK) for the years 2004 to 2008 and extrapolated them on the
total population. Information on calendar days on which physicians provided individual services to
individual patients form the basis for the analysis on doctors? consultations for the years 2004 to
2007. Doctor?s consultations per inhabitant:
With the newly established accounting allowances for the ambulatory medical care in 2008, a direct
counting is no longer possible. The procedure for the calculation of doctors? consultations,
selected so far, leads to incomplete results, which cannot be compared with the prior year results.
However, the study assumes, that the practising physicians invoiced on the average 7.5 cases of
treatment per insured person. If one takes into account that, in former years, 2.5 consultations per
case of treatment have been registered, you get a number of 18.1 doctors? consultations per
inhabitant for the year 2008. Corresponding analyses on dental and dentosurgical treatments are not
definition, we did not include the episodes of dental care and laboratory and pathology
practitioners, also with specialists in their private practices outside hospitals and ambulant
contacts in hospitals. Source: Directorate of Health.[S?2]
Statistics and Ministry of Health.
Day-patient cases are not included"
health care services in Latvia.
Compulsory Health Insurance Database.
unit encounters and outpatient contacts in the public hospital service. Excludes visits to the A and
E Departments (emergency department).
divided by the population.
specialist per person in the population. Due to change in the modes of interviewing, there is a
break in the trend from 2010 onwards.
departments in hospital.
population not institutionalised. Question: Have you consulted a doctor for any problem, discomfort
or illness in the last two weeks? If answer is affirmative, how many times did you see the doctor?
Average number of consultations in one year per person in the population. Figures computed excluding
Source: Ministry of Health and Consumer Affires. National Health Survey 1987, 1993, 1995, 1997,
2001 and 2003. (www.msc.es/)
statistics of County Councils.
services are not classified as inpatient health care facilities as they do not have patient beds for
inpatient treatment. Source: General Directorate of Curative Services. Method: Covers visits to the
Ministry of Health-affiliated primary health care facilities and all inpatient treatment facilities.
039/y ?Statement of visits? records?.
Source: Centre of Health Statistics, Ministry of Health.
http://www.ic.nhs.uk) using data from:
England, Scotland and Wales: Office for National Staistics (ONS) General Household Survey.
Northern Ireland: Continuous Household Survey (GP consulations) and Northern Ireland Statistics and
Research Agency (Outpatient visits).
- Pre 2003: data for Great Britain only. Data for the UK from 2003-2008. 2009: data for
- Data not available for 1997 or 1999 as the General Household Survey was not carried out in those
- An approximation of the number of National Health Service General Practice consultations per
person per year
over a 12-month period derived from the ONS General Household Survey in Great Britain and from the
Household Survey in Northern Ireland for all ages in private households, giving average number of
with a National Health Service general practitioner per year. To this has been added the mean
number of NHS
hospital outpatient department consultations per person per year. Until 2008 this has been added to
the mean number
of NHS hospital outpatient department consultations per person per year. 2009 figures refer only to
Consultations per person per year over a 12 month period.
- Figures do not include consultations of physicians in the independent sector and do not take into
consultations of specialists outside hospital outpatient departments.
- NHS GP consultations component (from the General Household Survey) of the figures comprises home
surgery consultations, consultations with a GP at a health centre, and telephone consultations.
- Caution should be exercised when comparing one year to another as variations caused by averaging
rates from the General Household Survey can exaggerate differences between one year and another
account for a large part of the 0.6 difference between 1996 and 1998, for example).
- Data from the surveys from 2003 are grossed and weighted. Data from Annual Abstracts are for
- In 2005, the GHS changed from a financial year to a calendar year.