European Health Information Gateway

European Health Information Gateway

Publicly owned hospitals, per 100 000

Full name:
Publicly owned hospitals, per 100 000 population
Unit:
facilities per 100 000 population
Type of measure:
Population-weighted country group average, Rate
Visualizations:
Data source:
European database on human and technical resources for health (HlthRes-DB)
Data source notes:
HlthRes-DB provides a wide range of statistics on human and technical resources for health and offers data on non-monetary health care resources collected through the joint work of the Statistical Office of the European Union (Eurostat), the Organisation for Economic Co-operation and Development (OECD) and WHO/Europe. It contains nearly 200 indicators on human and technical resources for health.

Human resources indicators: Indicators include the number and density of a wide range of health personnel (such as physicians, nurses, midwives, dentists, pharmacists and health care assistants), according to three different concepts (those practising, professionally active and licensed to practice). Information on employment in hospitals and numbers of medical and other graduates is also available.

Technical resources data: Data include the number and density of hospitals and hospital beds, stratified by ownership of facility (public, non-profit-making private and for-profit private), in addition to the number of beds for long-term care.

HlthRes-DB also contains indicators on the availability of the following medical equipment: computed tomography (CT) scanners, magnetic resonance imaging (MRI) units, positron emission tomography (PET) scanners, gamma cameras, digital subtraction angiography units, mammographs, radiation therapy equipment and lithotriptors.

Coverage: HlthRes-DB contains data from the 53 Member States in the WHO European Region. To be updated yearly, usually in late summer, it is currently available in English and Russian.

More information: http://www.euro.who.int/en/data-and-evidence/databases/european-database-on-human-and-technical-resources-for-health-hlthres-db
Indicator notes:
Publicly owned hospitals, per 100 000 population
Indicator code: hosp.pub_owned.rate This indicator shares the definition with the parent indicator "Publicly owned hospitals, total number".

Hospitals that are owned or controlled by a government unit or another public corporation (where control is defined as the ability to determine the general corporate policy).
Country notes:
Albania
Data not available.
Armenia
Source of data: National Information and Analytical Center of Health, Ministry of Health of the Republic of Armenia (RIATSZ) Republican Research and Information Health Centre and the National Statistic Service of the Republic of Armenia, Report form ? 2 “Therapeutic and prophylactic activity of hospitals”, http://healthinfo.am/Statistical%20Report.htm, Statistical book, Armenia, English version (zip) 2009.
Reference period: 31 December.
Austria
Source of data: Austrian Federal Ministry of Health, Hospital Statistics.
Reference period: 31st December.
Coverage: Complete (HP.1). Includes hospitals that are owned or controlled by a national or regional government unit, a municipality or an association of municipalities, and by social security institutions.
Azerbaijan
Data not available.
Belarus
Note: Data not available.
Belgium
Data not available.
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, Exhaustive annual survey
Reference period: 31st of December
Coverage: All types of publically owned hospitals and dispensaries (HP.1 Hospitals) are included.
Croatia
Source of data: Croatian National Institute of Public Health, Hospital structure and function database.
Coverage: Prison hospital not included.
Cyprus
Source of data: Statistical Service of Cyprus, Public sector administrative sources and Private Clinics Inspectors for the Private Sector.
Reference period: 31st December of the reference year.
Coverage: Public and Private Sectors.
Czechia
Source of data: Institute of Health Information and Statistics of the Czech Republic. Registry of Health Establishments.
Reference period: End of the year.
Coverage: Public corporations and general government institutional sectors.
Denmark
Data not available.
Estonia
Source of data:
- Since 1st January 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") and from the Registry of Health Board (in-patient care licences).
Reference period: 31st of December.
Coverage:
- All publicly owned hospitals are included. Publicly owned hospitals are hospitals where the capital share of the state and/or local government is 50% or more.
Note:
- The decrease in the number of hospitals after 1991 was the result of the first reorganisation wave of the health care system of the independent country. The concentration of the changes in terms of the number of health care providers is most well-observed when comparing figures from 1994 and 1995. From 1992 to 1998 ownership was not always correctly categorised, and the number of private hospitals could be a little overestimated.
- In 2002, the Government of Estonia introduced the Hospital Master Plan that anticipates an optimum number of hospitals and hospital beds necessary to provide acute health care services taking into account the number of the population of Estonia and the population forecasts. Therefore, existing hospitals were reorganised, some became out-patient care providers, and some were closed or consolidated. This change can be called the second wave of the reorganisation of the Estonian health care system.
- In Estonia, hospitals that provided only in-patient long-term care services (long-term care hospitals) were reorganised to the nursing care hospitals. This restructuration came into force according to Health Services Organisation Act at the beginning of 2013 (https://www.riigiteataja.ee/en/eli/ee/Riigikogu/act/521012015003/consolide). Previous long-term care hospitals (HP.1) were classified amongst long-term nursing care facilities HP.2 according to the SHA2011 in 2013. Therefore, the total number of hospitals decreased in 2013 as well as all other statistics provided for in-patient care (beds, discharges by hospital beds). The remark “difference in methodology” was added to the data for the year 2013. This change does not have an impact on the statistics of curative care, psychiatric care or other beds.
Finland
Source of data: National Institute for Health and Welfare (THL), Care Register for Institutional Health Care.
Coverage: All public hospitals.
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)”. NB: This survey has been recasted in 2014 for the data concerning 2013 (review and update of the questionnaire, change of the unit surveyed [legal entity ( geographical establishment], improvement of the consistency between the survey and an administrative source of data on the activity of hospitals). Though the principles of the survey remain the sames, some concepts and some questions have changed: this can lead to break in series for year 2013.
Reference period: 31st December.
Coverage:
- Data refer to metropolitan France and D.O.M. (overseas departments).
- Data from 2000 include only hospitals with capacities for complete or partial hospitalisation (which differs from conventions used in the previous years). Data from 2002 include the army hospitals. For the public sector, it is the legal entities that are taken into account (there can be several geographical establishments); for the private sector, it is establishments.
- Data from 2013 it is geographical establishments for all sectors (public and private). That is why there is a break in series in the number of the total hospitals and the public hospitals.
Georgia
Data not available.
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
1.4 and ibid., Fachserie 12, Reihe 6.1.2, table 1.4; http://www.destatis.de or http://www.gbe-bund.de.
Reference period: 31st December.
Coverage:
- Publicly owned hospitals comprise all types of hospitals (HP.1.1, 1.2 and 1.3) in the public sector.
- Public hospitals are defined as facilities which are maintained by municipal institutions, independent of their type of undertaking. Other public institutions are for example the federal government, a federal state, a higher community organisation or a foundation of the public law.
- Included are public general hospitals, mental health hospitals and prevention and rehabilitation facilities.
- Long-term nursing care facilities are excluded.
Greece
Source of data: Hellenic Statistical Authority (EL.STAT.).
Reference period: 31st December.
Hungary
Source of data: From 1994 Hungarian National Health Insurance Fund (OEP), Department of Financing Informatics (GYOGYINFOK), http://www.gyogyinfok.hu/.
Coverage: University, public and local government, Hungarian National Railway, Ministries of Defence, Interior and Justice hospitals under contract with the National Health Insurance Fund.
Reference period: 31st December.
Iceland
Source of data: The Ministry of Welfare.
Ireland
Data not available.
Note:
- The two categories proposed i.e. publicly owned hospitals and privately owned not-for-profit hospitals do not satisfactorily represent the nature of the Irish acute public hospital system particularly regarding public voluntary hospitals.
- There are 49 acute public hospitals in Ireland (source: Department of Health and Children). These comprise of a range of statutory and non-statutory hospitals. These include statutory hospitals such as those run by the Health Service Executive and Joint Board Hospitals.
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 acute care, mental health and specialty hospitals that are owned by the government or by the HMO's. It excludes nursing and residential care facilities. * 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 – General Directorate of digitalization, health information system and statistics - Office of Statistics. http://www.stage.ministerosalute.it/portale/temi/p2_6.jsp?lingua=italiano&id=3835&area=statisticheSS N&menu=pubb.
Coverage: Data refer to public hospitals.
Kazakhstan
Source: Ministry of Health of the Republic of Kazakhstan.
Reference period: 31December.
Kyrgyzstan
Data not available.
Latvia
Source of data: Centre for Disease Prevention and Control
Reference period: 31 December.
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
Coverage: The numbers of publicly owned hospitals excludes nursing hospitals Break in series: 1997. In 1997-1998 part of the small rural hospitals was closed, biggest part was reorganized into nursing hospitals. Nursing hospitals are providing long-term nursing care and belong to nursing and residential care facilities.
Luxembourg
Source of data: Ministere de la Sante, service juridique.
Malta
Source of data: Data collated at Directorate for Health Information and Research from Department of Health Care Standards and Services within Ministry for Energy and Health and from establishments themselves.
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 hospitals from the public sector are included. There are also 5 Stationary Medical Centres. A Stationary Medical Center is a public health institution which carries out policlinic and stationary health activities and is located at the primary health care centre. The Stationary Medical Centers have been excluded from the total number of hospitals from 2002.
Netherlands
Source of data: Statistics Netherlands.
Norway
Data not available.
Poland
Source of data: The Ministry of Health, the Ministry of National Defence and the Ministry of Interior and Administration, and the Central Statistical Office.
Reference period: 31st December.
Coverage: General hospitals, health resort hospitals and psychiatric hospitals. Prison hospitals are excluded. For 2012 data not available.
Portugal
Source of data: Statistics Portugal - Hospital Survey.
Reference period: 31st December.
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”, 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, Activity of Sanitary Units – annual survey performed by NIS.
Reference period: data as of 31st December.
Coverage: Data cover public and private sector.
Russian Federation
Source of data: Annual reporting form ?47 «Information about network and activities of medical institutions", Ministry of Health of the Russian Federation.
Reference period: 31 December.
Coverage: Includes only data for medical institutions of the Ministry of Health. Data from institutions of other ministries and private sector are not included.
San Marino
Source: Health Authority.
Serbia
Source of data: Institute of Public Health of Serbia, Decree on Health Institutions Network Plan (Official Gazete of RS, No 37/12). http://www.batut.org.rs/.
Reference period: 31. 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 other ministries (military services, prisons, social services) than the Ministry of Health are not included.
Slovakia
Data not available.
Slovenia
Source of data: National Institute of Public Health, Slovenia.   
Reference period: 31st December.
Spain
Source of data:
- Before 1996: National Statistics Institute and Ministry of Health and Consumer Affairs. Statistics on Health Establishments Providing Inpatient Care (available hospitals). 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).
Coverage:
- All hospitals which are owned or managed by central, county, or city council government.
- Since 2010 also include hospitals dedicated to attention of work-related accident and occupational illnesses (Mutuas de Accidentes de Trabajo y Enfermedades Profesionales).
Break in time series: 2010.
- ‘Health Consortia’ included since 2010. Health consortia is an organizational model consisting of more than one hospital, but for the purpose of providing data in the questionnaire (and operating issues) they are accounted for as a single hospital. Very few hospitals are involved.
- Furthermore, some hospitals which were previously counted as private had to be included since 2010 in the publicly financed category following a new classification system (ECS 1995) introduced as framework for the new national hospital statistics in order to harmonize it with SHA financing scheme. According to that criteria, as NHS hospitals (public) are considered all publicly administered hospitals plus all hospitals with more than 80% of its activity publicly financed and also hospitals financed by the social security funds: network of hospitals dedicated to attention of work-related accident and occupational illnesses (nonprofit private hospitals previously included as private).
Sweden
Data not available.
Switzerland
Data not available.
Note: Differentiation according to ownership and profit is not relevant in Swiss health system.

TFYR Macedonia
Source of data: Institute for Public Health-Skopje. Report for hospitals (3-21-60).
Reference period: 31st December.
Turkey
Source of data: General Directorate for Health Services, Ministry of Health.
Coverage:
- Public hospitals include the Ministry of Health-affiliated hospitals, public university hospitals and other publicly-owned hospitals. MoND-affiliated hospitals not included until 2011.
- In 2014, data have been updated from 2000 onwards because of the reallocation of private university hospitals from "publicly owned hospitals" into "for-profit privately owned hospitals".
Break in time series: MoND-affiliated facilities are included since 2012.
Turkmenistan
Data Source: Ministry of Health and Medical Industry of Turkmenistan, the state statistical reporting forms and activities of the network of health facilities.
Reporting period: December 31st.
Coverage: Data provided by the Ministry of Health and Medical Industry of Turkmenistan, without the
Inclusion of data from other ministries and departments.
Ukraine
Source of data: Centre of Health Statistics, Ministry of Health, Report form ? 20 “report of a health care facility” of the Ministry of Health, other public entities.
Reference period: 31 December.
Break in time series: 2009, before 2009 data included only health care facilities reporting to the Ministry of Health, starting from 2009 data coverage is complete.
United Kingdom
Data not available.
Uzbekistan
Data not available