European Health Information Gateway

European Health Information Gateway

General hospitals, total

Full name:
General hospitals, total number
Unit:
number of facilities
Type of measure:
Population-weighted country group average, Count
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:
General hospitals, total number
Indicator code: hosp.genHosp

General hospitals (System of Health Accounts 1.0, HP.1.1) comprise licensed establishments primarily engaged in providing diagnostic and medical treatment (both surgical and non-surgical) to in-patients with a wide variety of medical conditions. These establishments may provide other services, such as out-patient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services (see SHA 1.0 Manual).
Inclusion
- General acute care hospitals
- Community, county, and regional hospitals (other than speciality hospitals)
- Hospitals of private non-profit-organisations (e.g. Red Cross) (other than speciality hospitals)
- Teaching hospitals; university hospitals (other than speciality hospitals)
- Army, veterans, and police hospitals (other than speciality hospitals)
- Prison hospitals
Note: System of Health Accounts 1.0 is available from http://www.oecd.org/health/healthpoliciesanddata/1841456.pdf.
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.1.1).
- Excludes army, police and prison hospitals (these are included in HP.1.3).
Azerbaijan
Data not available.
Belarus
Note: Data not available.
Belgium
Source of data: Federal Public Service Health, Food Chain Safety and Environment.
Coverage: Data exclude specialty hospitals, mental health and substance abuse hospitals.
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 December
Coverage: All general hospitals (HP.1.1) are included.
Croatia
Source of data: Croatian National Institute of Public Health, Hospital structure and function database
Coverage: Prison hospital not included. Reorganization process of Croatian health system resulted in significant changes in number of health institutions - some were closed or reorganized which caused significant decrease in number of hospitals and general hospitals in 1994. Starting from 2009 data do not include community care centres providing both in-patient and out-patient services primarily engaged in out-patient services.
Break in time series: 2009.
Cyprus
Source of data: Statistical Service of Cyprus, Public sector administrative sources and Private Clinics Inspectors for the Private Sector. Validity of the source: Regarding the private sector, all medical institutions have been included irrespectively if they refer to general hospitals or speciality hospitals. Unfortunately no information is available in order to distinguish between general and speciality hospitals.
Reference period: 31st December.
Coverage: Public and Private Sectors. Not-for-profit privately owned hospitals have not been counted.
Czechia
Source of data: Institute of Health Information and Statistics of the Czech Republic. Registry of Health Establishments.
Reference period: 31st December.
Coverage: University hospitals and acute care hospitals.
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 hospitals HP.1.1 (public and private sector) are included.
- 1980 and 1985-1989 include only data from the former system of the Ministry of Health. Hospitals providing only psychiatric, tuberculosis and long-term care are excluded. For 1981-1984 the number is estimated on the basis of non-general hospitals in 1985.
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.
- 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.
-
Finland
Source of data: National Institute for Health and Welfare (THL), Care Register for Institutional Health Care.
Coverage: All 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). 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 geographical 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.
Germany
Source of data: Federal Statistical Office, Hospital statistics (basic data of hospitals); Statistisches Bundesamt, Fachserie 12, Reihe 6.1.1, table 2.2.1; http://www.destatis.de or http://www.gbe-bund.de.
Reference period: 31st December.
Coverage:
- The number of general hospitals (HP.1.1) comprises general hospitals in all sectors (public, not-for-profit and private).
- Mental health hospitals, prevention and rehabilitation facilities and long-term nursing care facilities are excluded.
Greece
Source of data: Hellenic Statistical Authority (EL.STAT.).
Reference period: 31st December.
Coverage: Number of acute care (short-stay) hospitals (excluding psychiatric hospitals, tuberculosis and geriatric or nursing hospitals).
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: Hospitals under contract with the National Health Insurance Fund, except for psychiatric hospitals, alcohol and drug detoxification hospitals (HP.1.2) and specialist hospitals (HP.1.3).
Iceland
Source of data:
- Up to 2006: The Directorate of Health.
- From 2007: The Ministry of Welfare.
Coverage:
- Up to 2006, all hospitals with an average length of stay of 30 days or less. Rehabilitation institutions (2) and an alcoholic treatment centre are excluded.
- From 2007: Hospitals refer to health care facilities with 24-hour access to a hospital physician.
Break in time series: 2007.
Ireland
Source of data: Department of Health and Children.
Coverage: Since 2009, figures refer to HP1.1 hospitals, both public and private. Data are comprised of general (acute) hospitals only and exclude specialty hospitals such as paediatric, maternity and orthopaedic hospitals.
Break in time series: Up to and including 1996, figures refer to publicly funded acute hospitals where the average length of stay is 18 days or less. From 1997 on figures refer to Health Service Executive network hospitals only. Private hospitals are not included in the years preceding 2008.
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 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 - 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:
- Since 2004 data refer to public and private hospitals, including private hospitals not accredited by the National Health Service. The previous definition has been modified in order to make this indicator coherent with the hospital discharge indicators referring to all hospitals, both public and private.
- Since 2008, data do not include hospitals exclusively dedicated to rehabilitative care.
Break in time series: 2004, 2008.
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. Starting with 2000 optimization of heath care service providers was gradually started. As the result of this the number of hospitals was reduced by either merging hospitals or closing them down. Also number of beds in hospitals diminished. State and local government institutions were the ones witnessing the changes most of all. This process continues also now – new type of hospitals has been formed -”care hospitals”, but there is no clear definition setting where this type of hospitals should be included according to Health provider (HP) classification. Currently these hospitals are included in General hospitals group. Break in series: 2000.
Note: Reduction in year 2009 due to restructuring and health care reforms.
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: All hospitals excluding tuberculosis, rehabilitation, psychiatric and substance abuse, 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. As the number of beds in rural hospitals was quite small the changes in number of hospital beds were insignificant.
Luxembourg
Source of data: Rapport general de l’Inspection Generale de la Securite Sociale.
Malta
Source of data: Data collated at Directorate for Health Information and Research from Department of Health Care Standards and Services within Ministry of Health and from establishments themselves.
Coverage: During the year 2011 one of the privately owned hospitals has terminated its operations. 2013: A small private hospital is now being included under the hospital sector since it is licensed for overnight stays.
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.
Netherlands
Source of data: Statistics Netherlands.
- 1987-2002: Survey;
- 2002-2005: Prismant survey;
- 2006 onwards: Annual reports social account.
Coverage: Refers to organisations, not locations.
Norway
Source of data: Statistics Norway. Business register/Statistics on Specialist Health Services.
Poland
Source of data: The Ministry of Health, the Ministry of National Defence (until 2011) and the Ministry of Interior. Central Statistical Office gathers data from ministries and publishes.
Reference period: 31st December.
Coverage:
- All general hospitals (supervised by the Ministry of Health, the Ministry of National Defence and the Ministry of Interior and Administration). In Poland the category of general hospitals comprises regional hospitals (i.e. voivod hospitals and poviats hospitals) and also specialised hospitals.
- Prison hospitals, psychiatric hospitals and health resort hospitals are excluded.
Portugal
Source of data: Statistics Portugal - Hospital Survey.
Reference period: 31st December.
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.
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: 2008 – 2012:Ministry of Public Health. Since 2013: National Institute of Statistics, Activity of Sanitary Units – annual survey performed by NIS.
Reference period: data as of 31st December.
Coverage: General hospitals were classified according to Law No. 95/2006 on Health Reform regulates the entire health system.
Russian Federation
Data not available.
San Marino
Data not available
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. Data from private health sector are not included.
Slovakia
Source of data: National Health Information Center.
- “Annual report S (MZ SR) 1 – 01 on network of health care providers” for data up to 2008.
- “Report on network of health care providers” since 2009.
Reference period: 31st December.
Coverage:
- Hospitals are counted according to the recommendations and definitions following the SHA version
1.0.
- Hospitals in the Slovak Republic (general hospitals in territory of Slovak Republic).
Break in time series: Break in 2005 is due to change in a statistical finding in accordance with Act No 578/2004 on health care providers. Time series revised in accordance with final agreement on classification in Slovak Republic.
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:
- Number of available general hospitals plus other available hospitals with an average length of stay of 30 days or less.
- All public and private hospitals in Spain are included.
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.
Sweden
Source of data: Federation of County Councils (data for 1980-2003). From 2001 Swedish Association of Local Authorities and Regions/SALAR
Coverage: There is no distinction made in Sweden between hospitals and acute care (short-stay) hospitals.
Note: From 2004 there is no information on how many hospitals there are in Sweden. There is no consistent definition of what a hospital is.
Switzerland
Source of data:
- Since 1997: FSO Federal Statistical Office, Neuchatel, hospital statistics; yearly census.
- Until 1996: Data from the Hospital Association (H+), Bern.
Break in time series:
- 2007: change in data source.
- 2010: Hospital statistics have been revised (data year 2010); new delimitation of hospital entities and elimination of artificial double counting for some hospitals (e.g. because of multiple activity).
Tajikistan
Data not available.

TFYR Macedonia
Source of data: Institute for Public Health-Skopje. Report for hospitals (3-21-60).
Reference period: 31st December.
Turkey
Source of data:
- From 2000 onwards: General Directorate for Health Services, Ministry of Health.
- Up to 1999: Health Statistics Yearbook - Ministry of Health.
Coverage: Total number of general hospitals in the MoH, universities, the private sector and others are included. MoND-affiliated facilities not included until 2011.
Break in time series: MoND-affiliated facilities are included since 2012.
Turkmenistan
Data not available.
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 agencies and private 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.