European Health Information Gateway

European Health Information Gateway

Specialist medical practitioners, per 100 000

Full name:
Specialist medical practitioners, per 100 000 population
Export:
Unit:
health professionals 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:
Specialist medical practitioners, per 100 000 population
Indicator code: ph_spec.spec.rate This indicator shares the definition with the parent indicator "Specialist medical practitioners, total number".

Specialist medical practitioners (ISCO-08 code: 2212, http://www.ilo.org/public/english/bureau/stat/isco/isco08/index.htm) diagnose, treat and prevent illness, disease, injury, and other physical and mental impairments in humans, using specialised testing, diagnostic, medical, surgical, physical and psychiatric techniques, through application of the principles and procedures of modern medicine. They specialise in certain disease categories, types of patient or methods of treatment and may conduct medical education and research in their chosen areas of specialisation.
Inclusion
- Paediatricians
- Obstetricians and gynaecologists
- Psychiatrists
- Medical specialists
- Surgical specialists
- Medical interns or residents training for a specialty
Exclusion
- General practitioners
- Dental practitioners
- Dental surgeons
- Oral and maxillofacial surgeons
Note: Medical interns and residents training as specialist practitioners (except general practice) are included here. Although in some countries 'stomatology' may be considered as a medical specialisation, stomatologists should be included in dentists.
Note: The number should be at the end of the calendar year.
Country notes:
Albania
Source: Ministry of health.
Armenia
Source of data: Republican Research and Information Health Centre and the National Statistic Service of the Republic of Armenia, Report form of the Ministry of Health of the Republic of Armenia ? 17 “Health employment”, http://healthinfo.am/Statistical%20Report.htm, Statistical book, Armenia, English version (zip) 2009.
Reference period: 31 December.
Deviation from the definition: Data on interns and residents are included in the category “Other specialties not elsewhere classified”.
Austria
Source of data: Osterreichische Arztekammer - Vollerhebung / Austrian Medical Chamber - total of members.
Reference period: December/January (reference day varies).
Coverage:
- excludes interns ("Turnusarzte").
Deviation from definition:
- The Austrian Medical Chamber double counts physicians who have graduated as general practitioners as well as specialists. This concerns about 200 to 280 cases in the most recent years. Therefore the sum of physicians by categories is greater than the total number of practising physicians.
- Medical interns/residents cannot be separated by specialisation or progress of training.
Azerbaijan
Data not available.
Belarus
Source of data: National Statistics Committee of Belarus http://belstat.gov.by/; National Archives of the Republic of Belarus http://narb.by/
Coverage: Data provided on medical practitioners. Interns are included in the category "Medical doctors not further classified”.
Reporting period: 31 December.
Break in time series: 2010. There was no formal separation of the profiles of medical specialties until 2009, so over the years some of the categories of medical specialists could belong to different categories. Thus reliable data on the number of specialties assigned to a specific group of doctors cannot be provided by the National Statistical Committee. In 2010, the Ministry of Health approved the profiles of medical specialties and related positions of medical specialists.
Deviation from the definition: Data on foreign doctors are not included because this information is not available.
Belgium
Source of data: Institut National d'Assurance Maladie Invalidite. “Rapport Annuel”.
Reference period: 31st December.
Coverage:
- Head count data.
- Excludes non-practising physicians, retired professionals and professionals working abroad. Includes professionals of foreign origin.
- Number of physicians with at least 1 patient contact.
Bosnia and Herzegovina
Source: Public Health Institute of FB&H - Annual report health personnel with university degree by specialization and sex in FB&H Public Health Institute of Republica Srpska - Annual report health personnel with university degree by specialization and sex in Republica Srpska
Bulgaria
Source of data: National Statistical Institute, Exhaustive annual survey.
Reference period: 31st December.
Coverage: All specialists medical practitioners (ISCO-08 code: 2212) (head counts) who worked on a basic labour contract in outpatient and inpatient establishments, as well as those who practice in other heath establishments - centres for emergency medical care, centres for transfusion haematology, homes for medical and social care for children, Hygiene-epidemiological inspections and others. Residents are included (data refer to the speciality that has been practised).
Estimation method: Data on medical specialists refer to the practiced speciality.
Break in time series: For the 2007 reference year the survey methodology was changed in order to improve the data comparability (because of a new Ordinance on an acquisition of specialty in the health care system issued in the end of 2006 by the Ministry of Health and the Eurostat’s questionnaire on non-expenditure health care data methodology requirements the list of medical specialties included in the exhaustive survey carried out by the BNSI is changed).
Croatia
Source of data: Croatian National Institute of Public Health, Health Manpower Register
Deviation from the definition: As some physician’s work as primary health care physicians they are not included up to 2008.
Deviation from the definition: maxillofacial surgeons are included up to 2008.
Break in time series: 2009.
Cyprus
Source of data: Statistical Service of Cyprus, Health and Hospital Statistics. For the years 1985, 1987, 1995 and 2000 figures were obtained from the Census of Doctors, Dentists and Clinics.
Reference period: 31st December.
Czechia
Source of data: Institute of Health Information and Statistics of the Czech Republic; Registry of Physicians, Dentists and Pharmacists.
Reference period: 31st December.
Break in time series: A new legislation on medical professions came into effect in 2004.
Denmark
Source of data: Statens Serum Institut, Labour Register for Health Personnel.
Reference period: 31st December.
Coverage:
- The data contain specialists working in hospitals, nursing and residential care facilities or in providers of ambulatory health care.
- Data refer to "practising" specialists.
- If the physician has more than one specialty, the one obtained at the latest date is counted.
Estonia
Source of data:
- Annual reports, National Institute for Health Development, Department of Health Statistics.
Reference period:
- 1980-2012: 31st of December.
- Since 2013: November.
Coverage:
- The category “Specialist medical practitioners” refers to practising physicians.
- Medical staff working in research or other areas is not included. The military area has been included since 2010.
- Resident physicians are not included in the category “Specialist medical practitioners”. Data are not available by specialties.
Break in time series: 2005 and 2013.
- Until 2004, the number of practising physicians was based on their last or main educational qualification.
- From 2005, the head count distribution is made according to their main occupational activity.
- The data collection methodology was changed in 2013. Aggregated data collection was replaced with data collection on a personal basis. From 2013, the predominant (main) area of practice is based on an occupation with the highest workload.
Finland
1) Until 2009
Source of data: Finnish Medical Association. Register of the Finnish Medical Association which is updated by a yearly survey covering all physicians licensed to practice in Finland who are not retired.
Reference period: Mid-March.
Deviation from the definition: Data refer to 'professionally active' physicians. The specialty is according to the last specialty acquired. 2) 2010
Source of data: Finnish Medical Association. Data from a survey: "Physicians’ Working Conditions and Health” 2010 survey.
Reference period: End of year.
Coverage: Survey for 7,000 physicians, response rate 54 %. The data were weighted according to sex, age group and specialisation to represent all physicians under 70 years old who are licensed to practice and living in Finland. These data concern professionally active physicians under 65 years old. Specialist physicians are classified according to their last specialty. Unspecialised physicians not working in primary care and physicians currently specialising are classified as “Medical doctors not further defined”.
Deviation from the definition: Data refer to professionally active physicians. 3) 2011
Source of data: Finnish Medical Association. Data from a survey: "Finnish Medical Association Labour Market Survey 2012”.
Reference period: March 2012.
Coverage: The survey population consisted of physicians aged under 70, resident in Finland and having a registered e-mail address in the Finnish Medical Association’s register. The survey was carried out electronically in March 2012.An e-mail invitation was sent to 18,701 physicians. A total of 5,660 physicians responded. The data were weighted according to sex, age group and specialisation to represent all physicians under 70 years old who are licensed to practice and living in Finland. These data concern professionally active physicians under 65 years old. All physicians working in primary care are classified as GP’s regardless of their specialty. The remaining specialist physicians are classified according to their last specialty. The unspecialised physicians not working in primary care and the physicians currently specialising are classified as “Medical doctors not further defined”.
Deviation from the definition: Data refer to professionally active physicians. 4) 2012
Source of data: Finnish Medical Association. Data from a survey: "Finnish Medical Association Labour Market Survey 2013”.
Reference period: March 2013.
Coverage: The survey population consisted of physicians aged under 70 years old, resident in Finland and having a registered e-mail address in the Finnish Medical Association’s register. The survey was carried out electronically in March 2013.An e-mail invitation was sent to 19 212 physicians. A total of 5 076 physicians responded. The data were weighted according to sex, age group and specialisation to represent all physicians under 70 years old who are licensed to practice and living in Finland. These data concern professionally active physicians under 65 years old. All physicians working in primary care are classified as GP’s regardless of their specialty. The remaining specialist physicians are classified according to their last specialty. The unspecialised physicians not working in primary care and the physicians currently specialising are classified as “Medical doctors not further defined”.
Deviation from the definition: Data refer to professionally active physicians.
France
Source of data: Ministere du Travail, de l’Emploi et de la Sante - Direction de la Recherche, des Etudes, de l'Evaluation et des Statistiques (DREES), Sous-Direction de l'Observation de la Sante et de l'Assurance maladie, Bureau des Professions de sante.
- Until 2010 (01/01/2011): Repertoire ADELI (DREES).
- From 2011 (01/01/2012): RPPS (Repertoire partage des professionnels de sante), ASIP-SANTE RPPS.
Reference period: 31st December.
Coverage:
- Data refer to active physicians.
- Data refer to metropolitan France and D.O.M. (overseas departments).
- All public and private hospitals and clinics are covered.
- Stomatologists and dentists are not included in the number of physicians.
- Interns and residents are not included.
Deviation from the definition:
- The data refer to active physicians.
- Interns and residents are not included.
Break in time series:
- In 2009 (01/01/2010), there is a break in the series for physicians because of a change in the statistical methodology. Therefore the evolution between 2008 and 2009 must not be interpreted as a decrease in the number of professionals. (The change in methodology had an impact of about -1.3% on the number of doctors in metropolitan France in 2009).
- In 2011 (01/01/2012), there is a second break in the series because of the change in the data source (RPPS since 2011).
Note: The new source (RPPS) makes it possible to give the number of practising specialist medical practitioners: 106396 in 2011 (compared with 113635 active specialist medical practitioners in 2011).
Georgia
Source of data: Data are based on annual statistical reports collected from health establishments to the Ministry of Health and include both, public and private sectors and also facilities working under other Ministries, such as Ministry of Justice, Ministry of Internal Affairs, and Ministry of Defence.
Reference period: 31 December 2012
Coverage: The provided data cover all regions except separatist regions, Abkhazia and South Osetia. Data for those two regions are unavailable.
Break in time series:
- 2012: In 2012 the Ministry of health revised the list of physician’s specialties, which led to different grouping of doctors and the data collection tool for Human Resources for Health has been essentially changed.
Germany
Source of data: German Medical Association, Medical practitioner statistics; special calculation by the Federal Statistical Office on base of data from the German Medical Association, http://www.gbe-bund.de or http://www.baek.de.
Reference period: 31st December.
Coverage:
- Data contain the number of specialists who are actively practising medicine in public and private institutions and provide services directly to patients (head-count data).
Greece
Source of data: Hygiene Divisions and Sections attached to prefectures, Athens Medical Association and Pireas Medical Association. Annual Doctors and Dentists survey, http://www.statistics.gr/portal/page/portal/ESYE/PAGE-themes?p_param=A2103.
Reference period: 31st December.
Deviation from the definition: Data refer to professionally active physicians. Unemployed physicians are included.
Hungary
Source of data: Office of Health Care Authorisation and Administrative Procedures.
Reference period: 31st December.
Coverage:
- Head count data. Excludes non-practising physicians, retired professionals and professionals working abroad. Includes professionals who are foreigners.
- The Office of Health Authorisation and Administrative Procedures (EEKH) provided data according to the dominant specialisation practiced during medical work.
- Residents are excluded.
Iceland
Source of data:
- 2003 and onwards: The Directorate of Health, The Register of Physicians.
- Until 2002: The Directorate of Health. Data from inpatient care institutions, health centres and The State Social Security Institute.
Reference period: 31st December.
Coverage:
- Head count data.
- Includes those physicians who are 70 years old or younger with permanent residence and registered domicile in Iceland (Icelanders or foreigners).
- Excludes retired professionals and professionals working abroad.
- May include a very small number of non-practising physicians.
- Physicians in training are not included (unless they already have another specialisation) as data are based on The Register of physicians, and only those who have gained the respected specialty are registered.
- In cases where a physician has more than one specialty, the counted specialisation is the newest specialty. Should two specialities be registered on the same day, the one that is more specialised is included.
Ireland
Source of data: Medical Council of Ireland and Health Service Executive.
Reference period: Data refer to 31st December.
Coverage:
- Data come from the registration statistics of the Medical Council of Ireland and include physicians registered by the Medical Council of Ireland who have entered and maintained their name as fully registered doctors in the Register of Medical Practitioners Specialist Division. The registered specialty does not necessarily equal the area of current practice. From 2009 the total number of specialists includes specialists in training. Data on trainees for 2009 and 2010 come from the Trainee Specialist Division. From 2011, data on trainees by specialty refer to the number of non-consultant hospital doctor posts, and is obtained from the Health Service Executive.
- Up to 2013 physicians with more than one specialty are counted within each specialty separately as data refer to the total number of doctors and not the total number of specialties. Therefore, a small number of physicians may be counted twice as it is not possible to extract them individually. For this reason, the sum of specialist groups does not equal the total specialist medical practitioners.
Deviation from the definition: Data refer to physicians licensed to practice up to 2013. From 2014, the data refer to the professionally active concept.
Break in time series:
- From 2009, data include specialists in training and general practitioners in training. Trainee data for individual specialties are not available for 2009 and 2010. Hence, the sum of the specialties is lower than the total number of specialist medical practitioners presented.
- From 2011, data exclude general practitioners in training. These were included in the data for 2009 and 2010. Data on trainees by specialty from 2011 refer to the number of non-consultant hospital doctor posts, and is obtained from the Health Service Executive.
- In 2013, only the specialty which is the physician’s main area of work is included.
- From 2014, data include only those doctors who declared themselves as active, and had worked in Ireland in the previous 12 months, ie professionally active. Only the most recent specialism was counted for doctors with more than one specialty. Data relates to the specialty registered which may be different to the area of practice.
Israel
Source of data: The data are based on the Physician License Registry maintained by the Medical Professions Division and the Health Information Division in the Ministry of Health, for which the demographic information is periodically updated from the Population Registry at the Ministry of Interior. The source of residents' data is the Israeli Medical Association.
Reference period: End of the year.
Coverage:
- Data are for the number of professionally active physicians.
- Data include last specialty and residents at the end of the year.
Deviation from the definition: Data refer to professionally active physicians.
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: ISTAT provides data produced by CEGEDIM ITALIA - One Key database. http://crm.cegedim.com/solutions/data/data-overview/Pages/onekey-database.aspx.
Reference period: 31st December.
Coverage: Data refer to practising physicians.
Kazakhstan
Source: Ministry of Health of the Republic of Kazakhstan.
Reference period: 31December.
Latvia
Source of data: Health Inspectorate of Latvia; Medical Persons' Register.
Reference period: 31 December.
Coverage: Interns and residents (except general practice) are included.
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. Predominant area of practice is used as criterion to classify physicians by categories.
Reference period: 31st December.
Coverage: Up to 2010 residents are excluded. Since 2011 residents are included in respective category of physicians.
Break in time series:
- 2011: Since year 2011, interns and residents are included in the respective category of physicians by specialities. In year 2010 and earlier, interns and residents were included in the category Medical doctors not further defined.
Luxembourg
Source of data: Direction de la Sante - Service des statistiques. Register of doctors and health professionals. Reference period: 31st December.
Coverage:
- Doctors who do not work in direct contact with patients (laboratories, administration, R&D, etc) are excluded, and interns are included.
Malta
Source of data: Specialist Registers and data from the Post Graduate Training Centre, Mater Dei Hospital.
Reference period: 31st December.
Note: Accurate figures are only available from end 2008. The predominant area of practice was used to classify physicians by categories.
Coverage: Data for 2011 has been amended since the figure for Specialist Medical Practitioners has been calculated incorrectly.
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 the public sector. The criteria used for the data was the last specialty for which doctors have received registration.
Note: the breakdown was provided for professionally active physicians
Netherlands
Source of data:
- Up to and including 1998: The BIG register (register installed by the Individual Health Care Professions Act), annual report (primary source: KNMG, Medisch Specialisten Registratie Commissie - Royal Dutch Society for the Advancement of Medicine, Medical Specialists Registration Commission).
- From 1999 onwards: Data for professionally active and licensed physicians based on BIG register (register of (para)medical professions) and SSB database (micro-integrated database of Statistics Netherlands with data from the municipal register, tax register, social security, and business register). Doctors in training: RGS (Registratiecommissie Geneeskundig Specialisten: Registration committee medical specialists); Until 2009: KNMG (Royal Dutch Society for the Advancement of Medicine).
Deviation from the definition: Data refer to professionally active physicians since 1999; data up to 1998 refer to physicians licensed to practice.
Break in time series: 1999.
Norway
Source of data:
- From 2010: Statistics Norway; Register-based statistics on employment of health-care personnel. See http://www.ssb.no/hesospers_en/.
Reference period: 3rd week of November.
Coverage:
- Data on medical specialists are based on each physician's latest specialty. Each individual may have as many as three specialties, but only one of them is counted here.
- The figures include only the specialists within HP1-HP3. Specialists working outside these fields are not included.
- Interns and residents training for a specialty cannot be identified as specialists, and therefore are included in the category "Other generalist (non-specialist) medical practitioners".
Break in time series: 2009.
- Up to 2008, data include all personnel within HP1-HP3. From 2009, because of national registration and quality, it is also chosen to include physicians in HP4.
Poland
Source of data: Ministry of Health, Ministry of Interior, Ministry of National Defence.
Reference period: 31st December.
Coverage: Physicians with Grade I specialisation in any specialty, interns and physicians without specialisation.
Note: Grade I and grade II specialisations were granted when the previous system was in force. Doctors, according to Polish law, could achieve this by September 1998. Obtaining a grade II specialisation is equivalent to the current title of specialist, but the grade I specialisation is not equivalent to the title of specialist and has no counterpart in the current system of specialised training.
Portugal
Source of data: Statistics Portugal and the Portuguese Medical Association.
Reference period: 31st December.
Coverage: Histopathology/Pathological Anatomy ( Anatomia Patologica), Anaesthetics (Anestesiologia), Angiology and vascular surgery (Angiologia e Cirurgia Vascular), Cardiology (Cardiologia), Paediatric cardiology (Cardiologia Pediatrica), Cardo-thoracic surgery (Cirurgia Cardiotoracica), General surgery (Cirurgia Geral), Paediatric surgery (Cirurgia Pediatrica), Plastic surgery (Cirurgia Plastica Reconstrutiva. e Estetica), Dermatovenerology (Dermato-Venereologia), Infectious diseases (Doencas Infecciosas), Endocrinology and nutrition (Endocrinologia e Nutricao), Gastro-enterology (Gastrenterologia), Genetics (Genetica Medica), Obstetrics and gynaecology (Ginecologia/Obstetricia), Immunoallergology (Imunoalergologia), Immunohemotherapy (Imunohemoterapia), Clinical pharmacology and therapeutics (Farmacologia Clinica), Haematology (Hematologia Clinica), Sports medicine (Medicina Desportiva), Occupational medicine (Medicina do Trabalho), Physical and rehabilitation medicine (Medicina Fisica e de Reabilitacao), Internal medicine (Medicina Interna), Legal medicine/Forensics (Medicina Legal), Nuclear medicine (Medicina Nuclear), Tropical medicine (Medicina Tropical), Renal medicine (Nefrologia), Neurosurgery (Neurocirurgia), Neurology (Neurologia), Neuroradiology (Neurorradiologia), Ophthalmology (Oftalmologia), Medical oncology (Oncologia Medica), Orthopaedics (Ortopedia), Otorhinolaryngology (Otorrinolaringologia), Clinical pathology (Patologia Clinica), Paediatrics (Pediatria), Pneumology/Respiratory medicine (Pneumologia), Psychiatry Psiquiatria, Adolescent and child psychiartry (Psiquiatria da Infancia e da Adolescencia), Radiodiagnostic/Clinical radiology (Radiodiagnostico), Radiotherapy/Clinical oncology (Radioterapia), Rheumatology (Reumatologia), Public health (Saude Publica), Urology (Urologia).
Deviation from the definition:
- Data refer to physicians licensed to practice.
- Some physicians are licensed to practice in more than one specialty. These physicians are accounted in all specialties they have. Therefore the sum of physicians by categories is higher than the actual total number of physicians.
Republic of Moldova
Source of data: Ministry of Health of the Republic of Moldova, National Centre for Health Management, Annual statistical report N17 “On staff and cadres of health institutions”. http://cnms.md/areas/statistics/anyar/.
Reference period: Data as of December 31.
Coverage: Data exclude Transnistria.
Deviation from the definition: Foreign physicians are not included. Interns and residents are not included.
Romania
Source of data: Ministry of Health for the period 1994-2004, provided the medical specialist in its network. National Institute of Statistics since 2005, Activity of Sanitary Units – annual survey performed by NIS.
Reference period: data as of 31st December.
Coverage: From 1994-2004, the data cover only Ministry of Health network. From 2005-2010, the data cover public and private sector. Since 2010 data refer to practising physicians. Break in the series:
- 2005 because were included also data from private sector and other public network.
- 2006 because the physicians by specialties include the residents.
- Since 2010 data refer to practising physicians.
Russian Federation
Source of data: Annual reporting forms ?17 «Information about the medical and pharmaceutical personnel", ?30 “Information about medical organization” and ?47 “Information about activities of medical organizations”, 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.
Deviation from the definition: Interns and resident physicians are not included.
Note: The criteria used for placing physicians in the specialties: the prevailing (main) area of their practice.
San Marino
Data not available.
Serbia
Source of data: Institute of Public Health of Serbia, National register on health care human resources. Data as of December 31. http://www.batut.org.rs/.
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. Data from private health sector are not included.
Deviation from the definition: Data refer to professionally active physicians.
Slovakia
Source of data: National Health Information Center. Data are provided from the Register of Health Professionals.
Reference period: 31st December.
Coverage:
- Data are available only for the year 2007. The new Register of Health Professionals was introduced in 2007. This register is not updated every year; therefore data are available for 2007 only. Moreover, past data are not available because of a different data processing system.
Slovenia
Source of data: National Institute of Public Health, Slovenia; National Health Care Providers Database.
Reference period: 31st December.
Coverage: The National Health Care Providers Database is a registry with total (100 %) coverage of health workers.
Spain
1) Source of data: Ministry of Health, Social Services and Equity. From Primary Care Information System (SIAP). http://www.msssi.gob.es/estadEstudios/estadisticas/estadisticas/estMinisterio/siap.htm.
Reference period: 31st December.
Coverage:
- Data include number of persons who work in Health care centres of National Health System that operate as general practitioners for children between 0 and 14 years. Before 2010, interns and residents are not included. 2) Source of data:
- Up 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: 31st December.
Coverage:
- All public and private hospitals in Spain are included. Specialised out-patient clinics depending on a general hospital (National Health System) also are included.
- Number of physicians employed in hospital.
- Doctors in training (interns and residents) are included.
Deviation from the definition: Data on specialists refer only to physicians working in hospital. Hence the sum of physicians by categories does not correspond to the total number of physicians.
Sweden
Source of data: National Board of Health and Welfare, National Planning Support (NPS) register.
Reference period: 1st November.
Coverage:
- Specialists include all physicians employed within the health-care sector possessing a specialist competence (excluding competence in family medicine).
- 100 per cent coverage.
Switzerland
Source of data: FSO Federal Statistical Office, Neuchatel; Swiss Medical Association (FMH), Bern; medical statistics of physicians; yearly census.
Deviation from the definition: Interns and residents are not included.
Break in time series: 2011: former specialists in internal medicine are not registered under medical specialists but in one single category under Generalist medical practitioners, according to the Swiss medical association. Notes:
- No data on physicians in training by categories are available.
- The last obtained specialty was used as criteria for categorising doctors with more than one specialty.
Tajikistan
Data not available.

TFYR Macedonia
Source of data: Institute for Public Health –Skopje. Report for health staff in health sector (3-00-60).
Reference period: 31st December.
Coverage: Interns and residents are included. Up until 2005, the data sets for private sector are incomplete, because private sector physicians were not sending reports regularly to the relevant organisations and the data for physicians by categories does not sum up to the total number of professionally active physicians. Since 2006, more strict controls for regular reporting were put into practice by the Ministry of Health, which resulted in very accurate report sending and vastly improved evidence of health personnel. Since year 2006, private sector physicians are included and the sum of physicians by categories equals the total number of physicians.
Deviation from the definition: Physicians are 'professionally active.' Break in the series: 2006.
Turkey
Source of data: General Directorate for Health Services, Ministry of Health and ESPC Higher Education Statistics.
Coverage:
- Data include Paediatricians, Obstetricians and gynaecologists, Psychiatrists, Medical specialists, Surgical specialists and Medical interns or residents training for a specialty.
- Ministry of Health, university, private and other sectors (other public establishments and local administrations) are included. MoND-affiliated facilities are not included until 2011.
Deviation from the definition: Data refer to professionally active physicians.
Break in time series:
- MoND-affiliated facilities are included since 2012.
Turkmenistan
Source of data: Report from of the Ministry of Health and Medical Industry of Turkmenistan. ? 17 “Health employment”
Reference period: 31 December.
Coverage: Includes data from institutions under the Ministry of Health and Medical Industry of Turkmenistan, data from other Ministries or sectors not included.
Ukraine
Source of data: Centre of Health Statistics, Ministry of Health, Report form ? 17 “Health employment” of the Ministry of Health, other agencies and private entities.
Reference period: 31 December.
Deviation from the definition: data on foreign physicians are not included. Interns and residents are not included (as included into the category “Other specialists not elsewhere classified”)
Break in time series: 2009, before 2009 data included only health professionals working in the institutions reporting to the Ministry of Health, starting from 2009 data coverage is complete.
United Kingdom
Source of data:
- England: Health & Social Care Information Centre Medical & Dental Workforce Census: http://www.hscic.gov.uk.
- Scotland: Information Services Division, Scottish Workforce Information Standard System.
- Wales: Welsh Government: http://gov.wales/statistics-and-research/?topic=Health+and+social+care&lang=en.
- Northern Ireland: Department for Health, Social Services and Public Safety: http://www.dhsspsni.gov.uk/index/stats_research.
Reference period: Data as at 30th September.
Coverage:
- Does not include private sector.
- Northern Ireland: Data exclude bank staff, research fellows, clinical assistants and hospital/medical practitioners. Data from 2000 exclude staff on career breaks. The UK equivalent of interns and residents, i.e. foundation doctors and registrars, will be included in this data. Data for 2013 is not available due to the phased implementation of a new human resources IT system.
- Scotland: Data excludes locum staff.
Deviation from the definition:
- Scotland: The sum of GPs and specialists is greater than the total number of physicians due to some staff holding more than one post. There is currently no conventional way of assigning such staff to one group only.
- England: Ophthalmic Medical Practitioners (OMPs) represent a headcount so each OMP is one individual, but the Hospital and Community Health Services (HCHS) portion of the Specialist Medical Practitioners for 2010-2012 are Rolecount - so some individuals may have more than one role (i.e in several hospital trusts). Rolecount data are slightly larger than headcount figures.
Estimation method:
- Northern Ireland: Department code has been used as an approximation of specialty.
- Wales: 2006 - With the exception of GP data, these data have been estimated by applying the proportional breakdown from 2005 and 2007 to the 2006 total.
- Wales: 2014 data were not available in time for this collection and so the previous year’s figures were used instead. They will be updated with the correct data in next year’s collection.
- Northern Ireland: 2013 data remain unavailable and continue to be an estimate of 2012. The data are unavailable due to the introduction of a new HR system in 2013.
Uzbekistan
Source of data: Institute of Health and Medical Statistics, the Ministry of Health of the Republic of Uzbekistan, reporting form 15-SSV “Report on Health personnel by categories”.
Reference period: 31 December.
Coverage: data include personnel working within the system of the Ministry of Health only.
Note: the predominant area of practice was used as criteria for allocating (to categories) of doctors who have more than one specialty.