European Health Information Gateway

European Health Information Gateway

Health care assistants employed by hospital, total

Full name:
Health care assistants employed by hospital, total number
Unit:
number of professionals
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:
Health care assistants employed by hospital, total number
Indicator code: hosp_empl.assistants

Number of health care assistants (see definition of health care assistants above) directly employed by a hospital.
Country notes:
Armenia
No data available.
Austria
Source of data: Austrian Federal Ministry of Health, Hospital Statistics.
Reference period: 31 December.
Coverage:
- Head counts/FTE of lower qualified nurses and assistants ("Pflegehilfsdienste und Sanitatshilfsdienste") employed by hospitals (HP.1).
- FTE: Up to 2007, data include "Associate professional nurses". From 2008, both associate professional nurses and health care assistants are displayed separately, causing a break between 2007 and 2008 regarding health care assistants.
Azerbaijan
Data not available.
Belarus
Note: No data available.
Belgium
Source of data: SPF Sante publique - Service comptabilite des hopitaux.
Reference period: 31st December.
Bosnia and Herzegovina
Source: Public Health Institute of FB&H, Human resources in hospital service in FB&H Public Health Institute of Republica Srpska, Human resources in hospital service in Republica Srpska
Bulgaria
No data is currently available for health care assistants employed by hospitals and caring personnel. According to the National Classification of Occupations and Duties, consistent with the International Standard Classification of Occupations (ISCO-08), the code 5321 includes hospital attendans (caring personnel) and persons responsible for hygiene. Persons included in this group do not have any medical education, knowledge or training. The tasks they perform are as follow: assisting patients whit personal and therapeutic care needs such as personal hygiene, dressing; positioning, lifting and turning patients and transporting them in wheelchairs or on movable beds; maintaining patients' environmental hygiene standards, such as cleaning patient rooms and changing bed-linen. All these persons are included in the group “Other staff employed in hospitals” - non health professionals working on a basic labour contract in inpatient health establishments.
Croatia
Source of data: Croatian National Institute of Public Health, Health Manpower Register
Reference period: data on December 31
Coverage: public and private health sectors included
Cyprus
Data not available.
Czechia
Source of data: Institute of Health Information and Statistics of the Czech Republic. Annual report on health personnel.
Reference period: 31st December.
Coverage:
- Providers: Hospitals and specialised therapeutic institutes (excluding balneologic institutes, convalescence homes for children, institutes for long-term patients and hospices).
- Professions: Auxiliary nurses.
- Measurement units: Head counts (employees on payroll and employers), FTE (employees on payroll, employers and contractual workers).
Denmark
Source of data:
- Head counts: Statens Serum Institut, Labour Register for Health Personnel.
- FTE: The joint municipal payroll data office (KRL).
Reference period:
- Head counts: 31st December. Data show the number for January first the following year.
- FTE: yearly average.
Coverage: Only public section of health staff is included.
Note: FTE figures are based on the employee's job description, while head counts figures are based on employee’s education.
Estonia
Source of data: Annual report, National Institute for Health Development, Department of Health Statistics.
Reference period:
- 1980-2012: 31st of December.
- Since 2013: November.
Coverage: For 2006-2010 the head count distribution is made according to their main occupational activity.
Break in time series: 2013
- 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
Source of data: THL Health Personnel Statistics; National Institute for Health and Welfare. The data are based on the Employment Register kept by Statistics Finland.
Reference period: Data refer to information for the whole year.
Coverage: Professionals working in hospitals listed by their primary employment.
Break in time series: 2007 due to a change in the classification of economic activities.
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)”.
Reference period: 31st December.
Coverage: Data refer to metropolitan France and D.O.M. (overseas departments).
Estimation method: Until 2008, fixed-term contracts were not counted in the head count nor in the FTE. Only the paid monthly average FTE is known. The FTE of fixed-term contracts are estimated by the paid monthly average FTE. Head counts cannot be estimated.
Break in time series:
- From 2009 onwards, head counts of fixed-term contracts are also included for the non medical staff. Previously only head counts of rolling contracts and holders and trainees of the public service were counted.
- From 2011 onwards, the number of persons employed in nursing structures or in nurses and midwives schools juridically depending of hospitals are not counted. From 2013, we count the number of geographical establishments for all the sectors (public and private). The number of hospital persons employed is clearly less impacted by the recast than the number of hospitals. Nonetheless, in this recast, the change of the unit surveyed results in a better quality of data collected in general (less double counting than before), so that it can improve marginally the quality of the number of persons employed
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.
Reference period: 31 December.
Coverage: The provided data cover all regions except separatist regions, Abkhazia and South Osetia. Data for those two regions are unavailable.
Note: The numbers include junior health personnel, attendants, stretcher-bearers, assistants and matrons.
Germany
Data not available.
Greece
Source of data: Hellenic Statistical Authority (EL.STAT.).
Reference period: 31st of December.
Hungary
Source of data: Hungarian Central Statistical Office. “Report on personnel of health service” per ICHA-HP categories: 1.1(General hospitals); 1.2 (Mental health and substance abuse hospitals); 1.3 (Specialty hospitals).
Reference period: 31st December.
Iceland
Data not available. Health care assistants are included in “Other staff employed in hospitals”.
Ireland
Source of data: HR Management Information, Health Service Executive.
Reference period: 31st December.
Coverage:
- Data refer to publicly funded acute hospitals only. All employees under the aegis of Acute Services are included.
- Historical data has been restated to cover re-structured health service configuration. Some years' data may remain unchanged.
Israel
Source of data: The data are based on the Labour Force Survey which is conducted routinely by the Central Bureau of Statistics and includes persons who had worked for at least one hour during the week before the survey, for pay, profit or other consideration.
Estimation method:
- The data are subject to variations due to sample errors and wide confidence intervals.
- Full-time equivalents (FTE) was measured by the number of hours actually worked by health personnel divided by the average hours worked in full-time jobs in Israel.
Break in time series:
- From January 2012, the Central Bureau of Statistics has made a transition from a quarterly system of measuring labour force characteristics to a new and improved system that better suits the latest international recommendations on employment and unemployment - Monthly Labour Force Survey. Therefore the 2012 data refer to the entire labour force (including the military service) and not to the civilian labour force, as it was before.
- In addition to the transition to a monthly survey, in 2012 a new Standard Industrial Classification of Economic Activities based on ISIC was implemented as well as a new Standard Classification of Occupations based on ISCO-08. The numbers for 2012 are still reported according to the previous classifications, but the numbers for 2013 are based on the new classifications. Sanitarians working in hospitals were included in "health care assistants" in the previous classification while according to the new classification they are included in "other health service providers" (explaining the strong decrease in the number of "health care assistants" in 2013).
Further information: http://www.cbs.gov.il/publications/labour_survey04/labour_force_survey/answer_question_e_2012.pdf. http://www.cbs.gov.il/publications12/economic_activities11/pdf/e_print.pdf.
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
Data not available. (This category of workers is included in “Other staff employed in hospital”).
Kazakhstan
Source: Ministry of Health of the Republic of Kazakhstan.
Reference period: 31December.
Latvia
Source of data: Centre for Disease Prevention and Control; Statistical Report.
Reference period: 31 December.
Lithuania
Source of data: Health Information Centre of Institute of Hygiene, data of entire annual survey of health establishments.
Reference period: 31st December
Coverage: Data for all hospitals excluding nursing hospitals. Service contracts with non-employed health professionals are excluded.
Luxembourg
Data not available.
Malta
Sources of the data: Data comes from the establishments themselves.
Reference period: 31st December. For 2009, the figure of 1356, head count, includes 194 working on contract. Figures for 2010 onwards include contracted workers.
Montenegro
Note: The category does not exist.
Netherlands
Source of data: Statistics Netherlands.
- 1999-2002: survey;
- 2002-2005: Prismant survey;
- 2006 onwards: Annual reports social account, combined with BIG register and SSB data.
- 2012: Data based on BIG Register (register of (para)medical professions); SSB database (micro-integrated database of Statistics Netherlands with data from the municipal register, tax register, social security, and business register). 2013: included in Other staff employed in hospitals
Norway
Source of data: Statistics Norway; Register-based statistics on employment of health-care personnel.
Reference period: 3rd week of November.
Deviation from the definition: Data refer to economically active professionals.
Coverage:
- The figures provided give the number of practising personnel within HP1. There is no guarantee that these professionals actually work in patient care as data refer to education the individuals have rather than the job they hold within the HP structure.
- The health sector in Norway underwent a large reorganisation in 2001. Figures are therefore provided from 2002.
Break in time series: 2009. New calculation method.
Poland
Data not available.
Portugal
Source of data: Statistics Portugal - Hospitals 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.
- Includes all “other nursing staff” employed by hospitals since 1999. (Before 1999, data are included in “Other health service providers employed in hospital”).
- Information on full time equivalents is not available.
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 health personnel are not included.
Romania
Source of data: 2000-2006: Ministry of Public Health. 2007:National Institute of Statistics, Activity of Sanitary Units – annual survey performed by NIS
Reference period: data as of 31st December.
Coverage: For the period 2000-2006 the data cover only Ministry of Health network. For 2007 data cover public and private sector. In health care assistants employed in hospitals was included the health care personnel (another then nurses and midwives): infant care personnel, sanitary technicians, laboratory assistants, registering clerks, masseur, autopsy assistant and statistician specialised in health statistics, medical physical trainer, ergo therapy trainer and other categories of medical staff with equivalent upper secondary level of education. Break in series: 2007.
Russian Federation
Source of data: Annual reporting form ?30 «Information about medical organization", 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.
Note: Data comprise junior medical personnel.
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: The method 3) For countries which do not have any detailed information on working hours has been used to convert head counts into FTE data.
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:
- Data are available for FTE hospital employment in Hospitals - HP1 (according to the recommendations and definitions following the SHA version 1.0.) in the territory of the Slovak Republic (i.e. general hospitals, specialty hospitals, sanatoriums - i.e. hospitals providing long-term care for the chronically ill and hospitals providing rehabilitation and related services to physically challenged or disabled people).
- There are no data available for head count.
Break in time series:
- 2008: Physiotherapists are included (only for this year).
- 2009: Data source changed from “Annual report S (MZ SR) 1 – 01 on network of health care providers” for years 2008 and earlier and “Report on network of health care providers”.
Slovenia
Source of data: National Institute of Public Health, Slovenia, National Health Care Providers Database. With this database, data on hours worked (FTE) and jobs (number of contracts) were not available.
Reference period: 31st December.
Break in time series: 2012.
- Until 2012: health care assistants who were individually registered in National Health Care Providers Database.
- From 2012: health care assistants who were individually registered in National Health Care Providers Database and the number of health care assistants which are reported only as aggregated data from health care providers to the National Health Care Providers Database. Health care providers report following categories of employed staff as aggregated data:
- health care workers with less than 4 years of secondary education (includes predominantly health care assistants) and
- non health care workers with less than university education.
Spain
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).
Coverage:
- All public and private hospitals in Spain are included.
- FTE data are not available.
Sweden
Data not available.
Switzerland
Source of data: FSO Federal Statistical Office, Neuchatel; hospital statistics; yearly census.
Estimation method: Until 2009, the hospital employment estimate was made with data on professions from 75% of hospitals.
Break in time series: Since 2010, hospital statistics have been revised; no estimation needed.
Tajikistan
Data not available.

TFYR Macedonia
Source of data: Institute for Public Health –Skopje. Report for hospitals (3-21-60).
Reference period: 31st December.
Break in time series:
- 2007: Methodological change in inclusion and exclusion criteria was introduced in line with EUROSTAT in 2007.
Turkey
Data not available.
Turkmenistan
Data not available.
Ukraine
Data not available.
United Kingdom
Data not available.
Uzbekistan
Data not available