• Long–term care beds (excl. psychiatric beds), total number (Line chart)
Data set notes
European database on human and technical resources for health

Indicators: 250
Updated: 23 September 2016
Downloads: 4311

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
Long–term care beds (excl. psychiatric beds), total number
Indicator code: hospBed.longTerm

Long-term care beds in hospitals (HP.1) are hospital beds accommodating patients requiring long-term care due to chronic impairments and a reduced degree of independence in activities of daily living.
Inclusion
- Beds in long-term care departments of general hospitals (HP.1.1)
- Beds for long-term care in specialty (other than mental health and substance abuse) hospitals (HP.1.3)
- Beds for palliative care
Exclusion
- Beds in mental health and substance abuse hospitals (HP.1.2)
- Beds for rehabilitation (HC.2)
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 (annual average).
Reference period: 31st December.
Coverage: Complete (as far as long-term care facilities are approved as hospitals according to the Hospital Act; please note that long-term care is provided mostly in establishments other than hospitals).
Note: In 2014, the data have been changed for the complete time series, because some long-term care facilities for the chronically ill have been reassigned from formerly HP 1.2 to HP 1.3.
Azerbaijan
Source of data: Department of Informatics and Statistics, Ministry of Health of the Republic of Azerbaijan, form 47.
Reference period: data as of December 31.
Belarus
Source: not clear, probably Ministry of Health.
Belgium
Source of data: Federal Service of Public Health, Food Chain Safety and Environment, DG1 Organisation and Planning, Data management; Central Institution Database - Centraal Ziekenhuisbestand (CZB).
Reference period: 1st of January.
Coverage:
- Beds indexes included in the calculation are: (G) Geriatrics only in geriatrics hospitals (S4) Palliative care (S5) Chronic multi pathology (S9) Chronic condition and (V) Long-term condition treatment.
- In 1995, there is a decrease in long-term care beds in hospital due to the disappearance of V beds (long-term affection treatment).
Bosnia and Herzegovina
Data not available.
Bulgaria
Source of data: National Statistical Institute, National Centre for Public Health and Analyses at the Ministry of Health Due to structural transformations in the health care system in 2011 the National Centre for Health Information was transform into National Centre for Public Health and Analyses
Reference period: 31st of December
Coverage: beds for further treatment and continuous treatment are included; 2001 and 2002: data on long-term care beds are not available as a separate numbers and are incl. in the number of other beds in hospitals.
Break in time series:
- 2005: Beds for long term psychiatric care at Mental health hospitals (HP 1.2) are excluded from Long term care beds and are included in Psychiatric care beds.
- Since 2010 the pulmonary dispensaries are transformed into specialized hospitals, dermato-venereological dispensaries – into Dermato-venereological centres, oncological dispensaries – into Complex oncological centres. The activities and functions of the centres and dispensaries are same.
- 2011: In year 2010, legal amendments in Law on Health Establishments (Art. 20, the new para. 2) have been adopted allowing general hospitals to have disclosed structures for long-term care and treatment. Therefore the number of long-term care beds increased in 2011.
Croatia
Source of data: Croatian National Institute of Public Health, Hospital structure and function database
Reference period: 31st December Starting from 2009 data do not include community care centres providing both in-patient and out-patient services primarily engaged in out-patient services.
Coverage: Data include number of hospital beds in all public and private hospitals in Croatia, except prison hospital.
Cyprus
This category does not apply for Cyprus since the long-term care beds are included in curative care beds, due to the fact that the patients hospitalised for long-term periods do not occupy specific beds; usually they occupy curative beds in any department according to the diagnosis and the availability.
Czechia
Source of data: Institute of Health Information and Statistics of the Czech Republic. Survey on bed resources of health establishments and their exploitation.
Reference period: End of the year.
Coverage:
- Until 1999, data cover only establishments of the health sector. Since 2000, data cover all sectors.
- Long-term care beds encompass beds in departments and workplaces of after-care and nursing care in university hospitals, acute care hospitals and hospitals of subsequent care (existing since 1995).
Break in time series: 2000.
Denmark
Source of data: National Board of Health.
Coverage: Data include only palliative care beds.
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").
Reference period: 31st December.
Coverage:
- All hospitals HP.1 (public and private sector) are included.
- A large-scale legislative reform took place in the early 1990s. The Health Insurance Act of 1991 and the Health Services Organisation Act of 1994 provided the legal basis for reforms. In 1991 the provider licensing system was enhanced, which was an important precondition for decreasing hospital network capacity to enable more efficient use of resources and to ensure quality. In 1994, after a detailed review of all providers, substandard providers were closed and hospital bed structure changed as well.
Break in time series: 1994.
Note:
- 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.
Estimation method: Since 1994, calculated bed-days/365 or 366.
Note: The trend has been decreasing during the years 2009 and 2010.There are some explanations behind the figures. On the one hand patients have moved into other care facilities. On the other hand, the requested figure is an estimation including somatic care periods over 90 days. As a consequence, the shortened care periods explain part of the decrease in long-term care beds.
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).
- Long-term care beds include very long term care beds for elderly people. These persons require long-term care due to chronic impairments and a reduced degree of independence in activities of daily living. These disabled elderly persons can be looked after either in hospitals or in nursing and residential care facilities for elderly people. Since 2008, due to legal modifications, many beds formerly counted in hospitals are now considered as beds in nursing and residential care facilities.
- 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
Since 2012 annual report collected form the hospitals facilities did not contain information related to the classification of hospital beds, only the total number is available.
Germany
Data not available.
Greece
Data not available.
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: Since 1994, this includes the number of follow-up, after care, chronic pulmonary care and long-term care beds in hospitals under contract with Hungarian National Health Insurance Fund (OEP).
Reference period: 31st December.
Break in time series:
- In 2007, the number of chronic inpatient beds in hospitals under contract with Hungarian National Health Insurance Fund (OEP) increased significantly.
- Since 2007, the number of hospital beds in justice hospitals is included.
Iceland
Source of data:
- 1989-1995: The Ministry of Health and Social Security (Reports on the activities of hospitals 1989-1995).
- 1996-2006: Statistics Iceland.
- 2007 onwards: The Ministry of Welfare.
Reference period:
- Up to 1995: Annual average.
- 1996 and on: Data in December each year.
Coverage:
- 1989-1995: Beds in nursing care and geriatric care in hospitals (calculated from database on the activities of hospitals).
- 1996 -1999: Refers to available nursing beds in hospitals as well as beds in geriatric wards in hospitals.
- 1999 and on: Palliative care included.
- 2000 and on: Geriatric care beds excluded as of 2000 as they are not considered nursing care beds. (Number of beds in geriatric wards for information: 2000: 142; 2001: 148: 2002: 112; 2003: 128; 2004: 148; 2005: 167; 2006: 161; 2007: 157; 2008: 167).
- 2007 onwards: Long-term-care beds in hospitals (health care facilities with 24-hour access to a hospital physician). Beds in palliative care are included. Long-term-care beds in residential long-term care facilities are excluded.
Estimation method:
- 1989-1995: In the database on the activities of hospitals, beds are not registered. They are calculated from bed-days and a 90% occupational rate.
Break in time series:
- 1996-1999: Beds in nursing care and geriatric care beds in hospitals based on data for authorised beds from the Ministry of Health and Social Security collected by Statistics Iceland (revised February 2007). Break in series in 1996 (change from calculated beds to counting of beds).
- 2000-2006: Beds in nursing wards/care in hospitals (palliative care included). Here, beds in geriatric wards are excluded as they are not considered long-term care. Break in series in 2000 due to this.
- 2007: due to change in the coverage.
Ireland
Source of data:
- From 2009: Health Service Executive.
- Up to 2008: Department of Health and Children, Annual Survey of Long-Stay Units.
Coverage:
- Refers only to beds in the geriatric specialty in public HP1 (acute) hospitals. Private hospitals are not included.
Break in time series:
- Break in series occurs in 2009. Up to 2008, data refer to beds in public long-stay geriatric hospitals and district/community hospitals. Data come from the Annual Survey of Long-Stay Units. Approximately 80% of long-stay units respond to this survey each year. For facilities where no data was received, bed numbers were rolled forward from the previous year.
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 licensed long-term care beds in acute care, mental health and specialty hospitals; excludes beds in nursing and residential care facilities. The LTC beds in hospitals include active geriatrics beds such as geriatrics rehabilitation, sub-acute geriatrics, chronic ventilation, complex nursing care, palliative care, geriatrics nursing care and mentally frail. * 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.
Reference period: Annual average.
Coverage:
- All public, not for-profit and private hospitals are registered.
- Beds in long-term care departments of general hospitals (HP.1.1).
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; Database of hospital beds' utilization;
Reference period: Up to 1999: end of the year, from 2000: mid-year. Break in series: 2000: Change in reference period.
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 number of long term nursing care beds includes tuberculosis beds.
Luxembourg
Source of data: Direction de la Sante, Division de la Medecine Curative; Union des Caisses de Maladie - UCM - data included in the budget.
Reference period: Annual average.
Estimation method:
- Following the introduction of the ‘dependence insurance’ (assurance dependance) in 1998, long-term care beds no longer depend on hospitals.
- For the moment, it is not possible to identify palliative care beds.
Malta
Source of data: Joint collation by the Directorate for Health Information & Research, Health Care Services Standards, Health Division within Ministry for Energy and Health.
Reference period: end of the year
Coverage: Strict criteria according to definitions were used in collation of available hospital beds from 2005 onwards. This will explain the shift in numbers from other years. Changes in numbers of available beds for 2007 are mainly due to restructuring and changes in numbers of available beds with the "migration" of the main State general Hospital in Malta (St. Luke's Hospital) to the new "Mater Dei Hospital". The old State main General Hospital in Malta was closed down. However, a number of beds (155 in all) were retained as long term beds and as rehabilitation beds in Karen Grech Hospital within the grounds of the old main general hospital. The main state geriatric hospital was relicensed as a residential and nursing care institution in 2009 and this accounts for the drastic reduction of long-term care beds in hospitals at end 2009. The number of long term beds increased in 2011 due to the increase of a palliative unit in one of the state hospitals The number of long term care beds for 2013 has been amended at the figure was incorrectly inputted.Break in series: 2009
Montenegro
Data not available.
Netherlands
There are no beds allocated to Long-term care in hospitals in the Netherlands.
Norway
Data on beds in long-term care are included in beds in nursing and residential care facilities.
Poland
Source of data: The Ministry of Health, the Ministry of National Defense (until 2011), the Ministry of Interior and the Central Statistical Office.
Reference period: 31st December.
Coverage:
- From 2003- 2011 long-term care beds in hospitals comprise beds in sanatorium hospitals and long-term care wards in hospitals, including data on army hospitals (the Ministry of National Defence and the Ministry of Interior).
Break in time series: for 2008 – long-term care beds in hospitals comprise only long-term care wards (for chronically ill) in general hospitals. Health resort hospitals (i.e. sanatorium hospitals) were moved to “other hospital beds” because they have only rehabilitative beds (HC.2).
Portugal
Data not available.
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” and statistical report N1 “On activities of a private economical agent for health service provision” 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 and Ministry of Public Health.
Reference period: data as of 31st December.
Coverage: From 1970 to 1998, data refer only to the public sector. The major differences that are at the number of beds (especially to those for long term care) are due to multiple changes in the sanitary network from Romania and the aim to have a more efficient sanitary activity. For the period 1992-2004, beds for rehabilitation are included. Break in the series: 1999, 2005 and 2010 . Starting with 2010 in the statistical survey "Activity of medical units" have been collected data from residential units for disabled children, which led to an increasing the number of beds in residential long-term care units.
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
Data not available
Serbia
Source of data: Institute of Public Health of Serbia, National hospital register. 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. Data includes beds from following departments: prolonged-care and treatment, geriatric departments and palliative care departments. Data collection on long term care beds started only in year 2006 and data is not complete in the fist 2 years.
Break in time series:
- 2008: Since 2008 coverage of long term care beds in complete.
Slovakia
Source of data: National Health Information Center, regular statistical findings within the State Statistical Program. Annual report (MZ SR) 1-01 on bed fund in health care facilities in the SR.
Reference period: 31st December.
Coverage: Long-term care beds: the number of beds in special health institutes, beds in hospital departments for long-term treatment, post-care beds and beds in institutes of complex post-care and rehabilitation, and long term nursing care beds, including palliative care.
Break in time series: 2005 - change of types of facilities resulting from legal changes in accordance with Act No 578/2004 on health care providers.
Slovenia
Source of data: National Institute of Public Health, Slovenia, National Hospital Health Care Statistics Database. Reference: Annual average.
Deviation from the definition: In some hospitals beds for palliative care are not included.
Spain
Source of data :
- Before 1996: National Statistics Institute and Ministry of Health and Consumer Affairs. Statistics on Health Establishments Providing Inpatient Care. 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).
Reference period: Annual average.
Coverage:
- All public and private hospitals in Spain are included.
- Data refer to occupied beds in long-term care departments of general hospitals and beds for long-term care in specialty (other than mental health and substance abuse) hospitals.
Sweden
Source of data:
- Before 2001: Federation of Swedish County Councils and The National Board of Health and Welfare, Basarsstatistik and Statistisk Arsbok for Landsting (several issues).
- From 2001: Swedish Association of Local Authorities and Regions (previouisly The Federation of Swedish County Councils), Statistik om halso- och sjukvard samt regional utveckling Verksamhet och ekonomi i landsting och regioner (several issues).
Reference period:
- Before 2001: 31st December.
- From 2001: Annual average. As per 2001, the term average disposable beds is used.
Coverage:
- Because of the change of term for in-patient care beds, the decrease of total in-patient beds (including beds for psychiatric care and long-term care) can be estimated to be about 500 average disposable beds between 2000 and 2001).
- As per 2001, some beds not shown earlier are included. More care beds in private care are included in the later years, but some beds are still missing. As per 2001, the term average disposable beds is used.
- Long term care beds: These are beds in geriatric hospital care.
Note: The number of institutional care beds belonging to the Health Service decreased in 1992 because of the 'Adel-reform' which transferred about 31000 beds to the social sector (municipalities). These beds are now referred to as beds in nursing and residential care facilities. In 1994, additional care beds have been taken over by the municipalities.
Break in time series: 1992 and 2001.
Switzerland
Data not available.
Note: Differentiation is not possible, long-term beds are distributed in the other categories.
Tajikistan
Data not available.

TFYR Macedonia
Source of data: Institute for Public Health-Skopje. Report for hospitals (3-21-60).
Reference period: 31st December.
Note: the number of beds is smaller because the reconstruction of hospital
Turkey
There are no long-term care beds in Turkey that correspond to the description of long-term bed.
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 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. (In England, it is not possible to separate long-term care beds from curative care beds. In Wales, it is not possible to separate curative geriatric beds from long-term geriatric beds. Therefore, for consistency purposes, long-term care beds for the UK are included with curative care beds.)
Uzbekistan
Source of data: Institute of Health and Medical Statistics, the Ministry of Health of the Republic of Uzbekistan. Reference period: 31 December.
Coverage: data include facilities functioning within the system of the Ministry of Health only.