European Health Information Gateway

European Health Information Gateway

Psychiatric care beds, per 100 000

Full name:
Psychiatric care beds, per 100 000 population
Unit:
beds 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:
Psychiatric care beds, per 100 000 population
Indicator code: hospBed.psych.rate This indicator shares the definition with the parent indicator "Psychiatric care beds, total number".

Psychiatric care beds in hospitals (HP.1) are hospital beds accommodating patients with mental health problems (part of HC.1 in the SHA classification).
Inclusion
- All beds in mental health and substance abuse hospitals (HP.1.2)
- Beds in psychiatric departments of general hospitals (HP.1.1) and of specialty (other than mental health and substance abuse) hospitals (HP.1.3)
Exclusion
- Beds allocated to non-mental curative care (part of HC.1)
- Beds allocated to long-term nursing care in hospitals (HC.3)
- Beds for rehabilitation (HC.2)
- Beds for palliative care
Note: System of Health Accounts 1.0 is available from http://www.oecd.org/health/healthpoliciesanddata/1841456.pdf.
Country notes:
Albania
Source: Ministry of Health.
Andorra
Source: Ministry of Health.
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.
Deviation from the definition: Non-psychiatric beds in mental health hospitals (HP.1.2) are excluded; beds for psychiatric same-day care are included (360 beds approx. in 2012) and beds for alcohol and substance abuse are included.
Note: In 2014, the data have been changed for the complete time series, because non-psychiatric care beds in HP 1.2 have been excluded.
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 of data: Official Statistics Yearbook "Health in the Republic of Belarus", the Ministry of Health.
Reporting period: 31 December.
Coverage: Data provided only covers the healthcare organizations subordinate to the Ministry of Health and departmental health organizations.
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 up to 2005 are: (A) neuropsychiatry (A1) day care in neuropsychiatry (A2) night care in neuropsychiatry (K) infant neuropsychiatry (K1) day care in infant neuropsychiatry (K2) night care in infant neuropsychiatry (Q) psychiatric care institutions (IHP) initiative for a protected housing (TFB) family placing (TFP) home placement (VP) psycho-geriatrics.
- The increase in psychiatric care beds in 1996 is due to the creation of beds in psychiatric care institutions and initiatives for a protected housing.
Break in time series:
- From 2006, data exclude beds in psychiatric care institutions and initiatives for a protected housing.
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, 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: Psychiatric care beds in HP.1 Hospitals include all psychiatric care beds in hospitals and in psychiatric dispensaries; 2001-2003: Data for psychiatric care beds are revised. The revision was done in order to provide the harmonised data and the psychiatric beds from specialised dispensaries are also included.
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. Beds for physiotherapy and rehabilitation at Mental health hospitals (HP 1.2) are excluded from Other beds and are included in Psychiatric care beds. Since 2010 the psychiatric dispensaries are transformed into Mental health centres. The activities and functions of the centres and dispensaries are same.
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
Source of data: Statistical Service of Cyprus, Public sector administrative sources. Validity of the source: For the years 1985, 1987, 1995 and 2000 figures were obtained from the Census of Doctors, Dentists and Clinics.
Reference period: 31st December.
Coverage: Psychiatric beds refer to public sector only: General hospitals and Athalassa special (long-term care) hospital. As regards the private sector, the beds used for psychiatric care are included in the curative care beds, since they are also used for curative care.
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.
- Psychiatric care beds encompass beds in Psychiatric institutes and beds in psychiatric departments (wards) of University and Acute care hospitals.
Break in time series: 2000.
Denmark
Source of data:
- National Board of Health, The National Patient Register (the publication "Hospital statistics 2004").
- National Board of Health (2010: internal hospital beds database has been used).
Reference period: Annual average. Break in the series: Before 1987, psychiatric residential home beds were included in the number of psychiatric care beds. From 1986 to 1987 the psychiatric care beds for elderly patient living in retirement homes were moved from the Danish Health System to being the responsibility of the Danish Social Services. This is the reason for the drop in the psychiatric care beds in 1987.
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.
- Cots for neonates, day beds, provisional and temporary beds, and beds in storerooms are also excluded from the hospital beds.
- Beds in welfare institutions are excluded.
- The decrease in the number of hospital beds after 1991 was the result of the first reorganisation wave of the health care system of the independent country.
- 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.
- Data for 2003-2011 are recalculated. (Small changes from reviewing the HP classification of institutions providing in-patient care according to the new SHA 2011).
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.
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).
- Psychiatric care beds include all beds in mental health in general as well as other hospitals and beds for substance abuse treatment only when the head of the unit is a psychiatrist. Otherwise these beds are counted either as curative care beds or long-term care beds.
- 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
Source: Ministry of Health-
Note: 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
Source of data: Federal Statistical Office, Hospital statistics (basic data of hospitals), Statistisches Bundesamt, Fachserie 12, Reihe 6.1.1, table 2.1.3; http://www.destatis.de or http://www.gbe-bund.de.
Reference period: Annual average.
Coverage:
- Psychiatric care beds in hospitals comprise beds in mental health hospitals (HP.1.2) and beds in psychiatric departments of general hospitals (HP.1.1) in all sectors (public, not-for-profit and private).
- In Germany, “mental health hospitals” are defined as hospitals exclusively with psychiatric, psychotherapeutical or psychiatric, psychotherapeutical and neurological beds.
- Excluded are beds for rehabilitation.
Greece
Source of data: Hellenic Statistical Authority (EL.STAT.), Hospital Census.
Reference period: Annual average.
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 psychiatric care hospital beds run by hospitals under contract with Hungarian National Health Insurance Fund (OEP).
Reference period: 31st December.
Break in time series:
- In 2007, the number of acute psychiatric beds in hospitals under contract with Hungarian National Health Insurance Fund (OEP) decreased significantly.
- Since 2007, the number of hospital beds in justice hospitals is included.
Iceland
Source of data:
- Up to 2006: The Ministry of Health and Social Security, Directorate of Health.
- From 2007: The Ministry of Welfare.
Reference period: Annual average.
Estimation method: 1989-1995: Registered beds in psychiatric wards until 1988. Beds calculated from bed-days and 90% occupancy rate.
Coverage: Psychiatric care beds in hospitals (health care facilities with 24-hour access to a hospital physician).
Break in time series: 2007. . Including rehabilitative care beds in psychiatric departments
Ireland
Source of data:
- For 2004 onwards: Mental Health Commission Annual Reports.
- For data up to and including 2003: Department of Health and Children.
Coverage:
- Since 2004, data refer to beds in approved centres, as defined by the Mental Health Act 2001. A centre which provides for the care and treatment of persons suffering from mental illness or mental disorder must be registered with the Mental Health Commission to become an approved centre. Data refer to psychiatric beds in acute hospitals and in all psychiatric hospitals in the main. A small number of beds in other in-patient facilities are also included.
Break in time series:
- Up to and including 1986, figures refer to beds in public psychiatric hospitals and beds in psychiatric units in acute hospitals. From 1987 on, beds in private psychiatric hospitals are also included. Data from 2009 has been revised in 2015 due to ongoing developmental work on the System of Health Accounts, in particular the statistical categorisation of hospitals into the SHA HP classifications. This has had the effect of reducing the numbers of psychiatric beds reported.
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 mental care beds in acute care, mental health and specialty 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.
Reference period: Annual average.
Coverage:
- All public, not for-profit and private hospitals are registered.
- Beds in psychiatric departments of general hospitals (HP.1.1). (There are no mental health and substance abuse hospitals in Italy).
- Psychiatric care beds include beds for infant patients with mental health diseases.
Kazakhstan
Source: Ministry of Health of the Republic of Kazakhstan.
Reference period: 31December.
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.
Luxembourg
Source of data: National Health Insurance (CNS) - data included in the budget.
Reference period: Annual average.
Coverage:
- Includes psychiatric beds in general hospitals (HP.1.1), psychiatric hospitals and drug rehabilitation beds (HP.1.2). These data have only been available since 2004. In other specialised establishments, funded psychiatric beds do not exist.
- It is important to note that the beds included in this selection are in specialised psychiatric institutions which mainly provide psychiatric rehabilitative care on a medium-term and long-term basis and have only a small number of beds for acute psychiatry (around 30 acute beds compared to 288, 227, 207 and 207 medium and long-stay beds from 2004 to 2007).
Malta
Source of data: Joint collation by Directorate for Health Information & Research, Health Care Services Standards, Health Division within Ministry for Energy and Health and Individual Institutions.
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.
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 public sector were included.
Netherlands
Source of data:
- 1990-2000: Annual survey Statistics Netherlands.
- 2001-2002: Psychiatric care beds in general hospitals and university hospitals: Prismant; psychiatric care beds in psychiatric hospitals: annual survey Statistics Netherlands.
- 2003 onwards: NZA (Dutch Health Authority).
Reference period:
- 1990-2000: Annual average.
- 2001 onwards: 1st January.
Coverage:
- Until 2001: Beds in psychiatric hospitals and beds in psychiatric wards of general and university hospitals.
- From 2002: Beds in psychiatric hospitals and beds in psychiatric wards of general and university hospitals; excludes beds in psychiatric hospitals of the Ministry of Justice.
- Beds in sheltered dwellings (so called RIBW- en) are excluded.
- 2010 and later: Not available.
Deviation from the definition:
- 1990-1994: Average number of licensed beds.
- 1995-2005: Actual number of beds (average).
- 2006 onwards: Licensed beds.
Break in time series: 1995, 2001 and 2006 due to changes in the data source and coverage.
Norway
Source of data: Statistics Norway. Specialist Health Services. Annual data collection.
- See http://www.ssb.no/speshelse_en/.
Reference period: Annual average.
Break in time series: 2002. The hospitals were transferred from the municipalities to the central government in 2001.
Poland
Source of data: The Ministry of Health, the Ministry of National Defense (until 2011), the Ministry of Interior. Reference period: 31st December.
Coverage:
- From 2003 onwards, beds in psychiatric hospitals and psychiatric wards in general hospitals, including data on army hospitals (the Ministry of National Defence and the Ministry of the Interior).
Portugal
Source of data : Statistics Portugal - Hospital Survey.
Reference period: Average between the quarters.
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.
- Data include beds from psychiatric and substance abuse treatment hospitals.
Break in time series: 1999. Emergency beds are excluded since 1999.
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 are due to multiple changes in the sanitary network from Romania and the aim to have a more efficient sanitary activity. Starting with 1992 hospitals analysed their efficiency as related to, among others, the number of beds (according to the Ministry of Health policies) and it can be noticed that, as result, the number of beds decreased considerably. In addition, some of the hospital units located in other counties than the base hospitals were converted in independent units (hospitals). Therefore, in 1992, parallel with a significant decrease in the number of hospital beds, an increase in the number of hospitals can be observed. Break in the series: 1999.
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.
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: Psychiatric care beds: number of beds in psychiatric hospitals and beds in psychiatric long term nursing care beds and beds in psychiatric and gerontopsychiatry departments of hospitals as well as beds in hospital departments for drug addiction treatment and centres for drug addictions treatment.
Slovenia
Source of data: National Institute of Public Health, Slovenia, National Hospital Health Care Statistics Database. Reference: Annual average.  
Coverage: specialized hospitals and psychiatric department of general hospital.
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 mental health hospitals and in psychiatric departments of general hospitals (HP.1.1) and of specialty hospitals (other than mental health and substance abuse). Substance abuse is treated in mental health hospitals and curative care 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 (previously 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 (includes beds for psychiatric care and long-term care) can be estimated to be about 500 average disposable beds between 2000 and 2001).
Break in time series: 2001.
Switzerland
Source of data: FSO Federal Statistical Office, Neuchatel, hospital statistics; yearly census.
Estimation method: Until 2002 (included), extrapolation to correct for partial coverage of hospitals.

TFYR Macedonia
Source of data: Institute for Public Health-Skopje. Report for hospitals (3-21-60).
Reference period: 31st December.
Turkey
Source of data: General Directorate for Health Services, Ministry of Health.
Coverage:
- Psychiatric care beds are beds in all psychiatric hospitals in the MoH, universities, the private sector and others (except for the Ministry of National Defence hospital beds until 2011).
- Psychiatric care beds in general hospitals are not included.
- The decrease in the number of psychiatric care beds in 2007 is due to the temporary closure of beds for renovation in three psychiatric hospitals.
Break in time series: MoND-affiliated facilities are included since 2012.
Turkmenistan
Data Source: Ministry of Health and Medical Industry of Turkmenistan, the state statistical reporting forms and activities of the network of health facilities.
Reporting period: December 31st.
Coverage: Data provided by the Ministry of Health and Medical Industry of Turkmenistan, without the
Inclusion of data from other ministries and departments.
Note: Psychiatric care beds includes beds for substance abuse treatment from year 2000.
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
Source of data:
- England - Department of Health, from KH03, England;
- Northern Ireland - Hospital Activity Statistics from Department of Health, Social Services and Public Safety, Korner Return Kh03a;
- Wales - Health Statistics Wales, http://wales.gov.uk/topics/statistics/headlines/health2010/0114/?lang=en;
- Scotland - ISD Scotland, NHS National Service Scotland; http://www.isdscotland.org/Health-Topics/Finance/Costs/Files/ISD(S)1_Manual.pdf.
Reference period: Annual average.
Coverage:
- Does not include private sector.
- Data are for financial years (1st April to 31st March). E.g. data for financial year 1st April 2008 - 31st March 2009 are presented as 2008.
- Wales: Includes beds for mental illness and learning disabilities.
Break in time series:
- England: The data from 2010 are lower because the methodology changed. From Quarter 1 2010/11 the KH03 collection was changed to a quarterly collection. The classification for bed occupancy was changed from ward type to the consultant specialty of the responsible consultant. This followed consultation with the NHS, as concerns had been expressed that the ward classifications, which were set in the late 1980s, were no longer relevant.
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.