European Health Information Gateway

European Health Information Gateway

Radiation therapy equipment, % of equipment in ambulatory setting

Full name:
Radiation therapy equipment, % of equipment in ambulatory setting
Unit:
%
Type of measure:
Population-weighted country group average, Proportion
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:
Radiation therapy equipment, % of equipment in ambulatory setting
Indicator code: medTech.radiation.percAmb This indicator shares the definition with the parent indicator "Radiation therapy equipment, total number".

Number of machines used for treatment with x-rays or radionuclide.

They include linear accelerators, Cobalt-60 units, Caesium-137 therapy units, low to orthovoltage x-ray units, high dose and low dose rate brachytherapy units and conventional brachytherapy units.
Country notes:
Armenia
No data available.
Austria
Source of data: Austrian Federal Ministry of Health & Gesundheit Osterreich GmbH, Monitoring of medical technology development (Gro?gerateerhebung).
Reference period: 31st December.
Coverage: Complete.
Azerbaijan
Data not available.
Belarus
Source of data: National Research Center for Medical Technology, Information, Management and Economics of Health, Ministry of Health. Questionnaires original research "Information on medical devices and life is put into operation in health care organizations."
Coverage: Data provided only for healthcare organizations under the Ministry of Health.
Belgium
Source of data: Federal Service of Public Health, DG 1 “Organisation of health provisions”; Ministry of the Flemish community and Ministry of the French community.
Reference period: 31st December.
Coverage:
- Data include simulator units, accelerator units, cobalt units, contact therapy and stereotactic radiotherapy.
-From 2013: Radiation therapy equipment = linear accelerator, cobalt units, units for rotation therapy, surface and contact therapy equipment, stereotactic radiotherapy equipment, intraoperative radiotherapy
- Data on high-tech equipment in cabinets of ambulatory care providers are not available.
- Data correspond to the number of hospitals with this technology.
Deviation from definition: Data correspond to the number of hospitals with radiation therapy equipment (rather than the number of machines).
Bosnia and Herzegovina
Data not available.
Bulgaria
Source of data: 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: The study is with annual periodicity. All types of health establishments except hospices are included.
Croatia
Source of data: Croatian National Institute of Public Health, Medical Equipment Database
Reference period: 31st December
Coverage: Data includes radiation therapy equipment in all public and private hospitals and other health care providers in Croatia, except prison hospital.
Deviation from the definition: Includes only linear accelerators and brachytherapy systems (Cobalt-60 units, Caesium-137 units and x-ray units are not included).
Cyprus
Source of data: Up to 2004: Nicosia General Hospital, Medical Physics Department. From 2005: Ministry of Labour and Social Insurance, Department of Labour Inspection, Radiation Inspections and Control Service.
Reference period: 31st December.
Czechia
Source of data: Institute of Health Information and Statistics of the Czech Republic; Survey on medical apparatus in health establishments.
Reference period: 31st December.
Coverage:
- Until 1999, only establishments of health sector covered. From the year 2000, data cover all sectors.
- Until 1999, data relate only to number of linear accelerators, Cobalt-60 units, Caesium-137 therapy units, circular accelerators (betatrons). Since 2000, data match the definition (Radioisotope irradiators AFL brachytherapeutic with LDR/MDR, Radioisotope irradiators AFL brachytherapeutic with HDR and Radioisotope irradiators not specified also included).
Break in time series: 2000.
Denmark
Source of data: National Institute of Radiation Protection.
Reference period: 31st of December.
Break in time series: Data until 2007 for RAD units include only linear accelerators. From 2008, all types are included.
Estonia
Source of data: National Institute for Health Development, Department of Health Statistics since 2008. Validity of the source:
- Valid since 2005.
- Data on equipment were not collected routinely before 2005. Since 2006 data have been included in the annual reports of health care providers.
Reference period: 31st of December.
Coverage:
- All providers. Since 2006 data have been included in the annual reports (“Health Care Provider”).
- Devices rented from foreign firms are excluded, although the service is provided by Estonian health care providers.
- Data are collected from hospitals and ambulatory care providers. Due to the changes in the HP coding in 2014 according to the SHA2011 some providers, previously classified under HP3, were classified under HP4. To avoid data loss since 2014 also HP4 providers are included under category “ambulatory care”.
Finland
Source of data: Radiation and Nuclear Safety Authority.
Coverage: All hospitals.
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). Estimated data: to obtain this data, we have to search for hospitals equipped with accelerators or brachytherapy units; since adding the number of hospitals equipped with one or the other can result in double counting, we try to correct the double counting.
Georgia
Source: Data are based on annual statistical reports from health establishments to the Ministry of Health and include both, public and private sectors and also facilities working under other Ministries, such as Ministry of Justice, Ministry of Internal Affairs, Ministry of Defence.
Germany
Source of data: Federal Statistical Office, Hospital statistics (basic data of hospitals and prevention or rehabilitation facilities); Statistisches Bundesamt, Fachserie 12, Reihe 6.1.1, table
2.8.1 and ibid., Fachserie 12, Reihe 6.1.2, table 2.6; http://www.destatis.de or http://www.gbe-bund.de.
Reference period: 31st December.
Coverage:
- Data on medical technology include equipment installed in all types of hospitals (HP.1) in all sectors (public, not-for-profit and private).
- Additional equipment in the ambulatory sector is not counted in official statistics.
- The figures comprise linear accelerators and Tele-Cobalt units.
- Caesium-137 therapy units, low to orthovoltage x-ray units, high dose and low dose rate brachytherapy units and conventional brachytherapy units are excluded.
Greece
Source of data: Healthcare Technology Consultation Centre.
Coverage: The number of radiation therapy units (63 in 2013) consists of 39 Linear Accelerators, 10 Cobalt Units and 14 Brachytherapy systems.
Hungary
Source of data:
- Until 2007: Hungarian National Institute for Hospital and Medical Engineering (ORKI).
- From 2008: Healthcare Quality Improvement and Hospital Engineering (EMKI) (http://www.emki.hu/).
Reference period: 31st December.
Coverage:
- Equipment used in military hospitals (belonging to the Ministry of Defence) and the health institutes of the Hungarian State Railways are not included.
- The number contains only those units which are owned by health care institutions under contract with the National Insurance Fund (OEP).
Iceland
Source of data: Icelandic Radiation Safety Authority.
Reference period: 31st December.
Ireland
Source of data: Radiological Protection Institute of Ireland.
Reference period: End of each calendar year.
Coverage:
- All figures are taken from the RPII's licensing database and were calculated at the end of each calendar year. Figures reflect the number of machines licensed by the RPII in Ireland. Under the licensing system used, the RPII assigns purposes to each item of equipment which indicates the clinical use of that item e.g. mammography, fluoroscopy, CT etc. This designation is based upon data supplied from equipment users. Therefore, the figures reflect how they describe the equipment.
- For Radiation Therapy equipment, the total figure is made up of 37 linear accelerators, five Ir-192 brachytherapy units and three low/ortho voltage units.
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 radiation therapy equipment units. * 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: 1st January.
Coverage:
- For RAD units, only linear accelerator accounting is available.
- Available equipment both in hospital and territorial facilities is counted. Territory private facilities not accredited by the National Health Service are not covered. However, data on equipment in hospitals refer to both public and private hospitals, including private hospitals not accredited by the National Health Service.
Kazakhstan
Data not available.
Kyrgyzstan
Data not available.
Latvia
Source of data: Centre for Disease Prevention and Control; Statistical Report no.49 "About Diagnostic Radiology".
Reference period: 31 December.
Lithuania
Source of data: Radiation Protection Centre.
Reference period: 31st December.
Coverage: The number of licensed equipment. Since 2007 – the number of functioning equipment. Break in series: 2007.
Luxembourg
Source of data: Direction de la Sante, Service de Radioprotection.
Coverage: Includes all equipment in use.
Malta
Source of data:
- Aggregated data from Individual Institutions, Directorate of Institutional Health, Ministry of Health, the Elderly and Community Care and Occupational Health and Safety Authority (OHSA)
- For data from 2008 onwards the data sources are the Occupational Health & Safety Authority (OHSA) and Individual Institutions
Reference period: 31st December Break in Series: 2013: The number of Radiation Therapy Equipment decreased since non-operational Radiation Therapy Equipment have been removed from the figures.
Montenegro
Data not available.
Netherlands
Source of data: Nationaal Ziekenhuis instituut; Ministry of Health, Welfare and Sports: Topklinische zorg in getallen: 1992-1994. Bijzondere medische verrichtingen in getallen: 1993-1997.
Norway
Data not available.
Poland
Source of data: Ministry of Health:
- MZ-12 - report on activity and workers in outpatient specialised health care. Data as at 31st December.
- MZ-29 - report on activity of general hospital. Data as at 31st December.
- Registers of authorisations given on activating and using the x-ray machines for medical diagnostics, interventional radiology, surface radiotherapy, radiotherapy of non-cancer diseases and on activating rooms using such devices. These registers are conducted by the provincial sanitary inspectors (16 units) and once a year by the report MZ-52 – “the report on radiation hygiene”. Data are delivered once a year to Chief Sanitary Inspector. Ministry of Interior:
- MSW-33 Report on nursing and residential care facilities. Data are collected on an annual basis. Data as at 31st December.
Portugal
Source of data:
- For all sectors (inpatient and outpatient facilities): Ministry of Health - Survey of High-tech Facilities.
Coverage:
- Data include the total installed equipment.
Republic of Moldova
Data not available.
Romania
Source of data: National Institute of Statistics, Activity of Sanitary Units – annual survey performed by INS.
Reference period: data as of 31st December.
Coverage: For 2006 year the data covers all hospitals from public sector, starting with 2007 data was collected also for ambulatory sector and refers to hospitals and ambulatory care units of public and private sector.
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.
San Marino
Source: Health Authority.
Serbia
Source of data: Institute of Public Health of Serbia, Register of medical equipment of national interest. http://www.batut.org.rs/ Data as of December 31.
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.
- A revision of data within the register of medical technology was made in SR in 2004; therefore, data for CT scanners, radiation therapy units and lithotriptors were submitted only from 2003. Data for CT scanners, radiation therapy units and Lithotriptors up to the year 2003 are inconsistent, and their numbers were not submitted for the table “Medical technology available in HP1 + HP3 together”.
Reference period: 31st December.
Coverage: Medical technologies available regardless of frequency of use.
Slovenia
Source of data: Slovenian Radiation Protection Administration, registry of radiation sources in medicine and veterinary medicine.
Reference period: 31st December.
Coverage: Refers to all institutions in Slovenia.
- Number of units of radiation therapy equipment (RAD units): four accelerators, two Co-60 radiotherapy units, two low energy x-ray units and one brachytherapy unit.
Spain
Source of data:
- 1984 and 1988: Pablo Lazaro y de Mercado. "Evaluacion de Servicios Sanitarios: La Alta Tecnologia en Espana". Fondo de Investigaciones Sanitarias de la Seguridad Social (F.I.S).
- From 1992 to 2009: Ministry of Health, Social Services and Equity from National Catalogue of Hospitals (several issues). http://www.msc.es/ciudadanos/prestaciones/centrosServiciosSNS/hospitales/home.htm.
- Since 2010: Ministry of Health, Social Services and Equity from Specialised Care Information System (Sistema de Informacion de Atencion Especializada - SIAE).
Reference period: 31st December.
Coverage:
- Until 2009, data from National Catalogue of Hospitals relate only to devices available in hospitals; they do not include equipment in other health care facilities.
- Since 2010, data are available for equipment in hospitals and ambulatory sector.
Break in time series: 1992 and 2010.
- Change in data source.
- Information about medical technology and diagnostic activity for centers HP.3 included since 2010.
Sweden
Data not available.
Switzerland
Source of data: FSO Federal Statistical Office, Neuchatel.
Coverage:
- Full administrative data from the Federal Office of Public Health, Bern, Division of Radiological Protection.
- Since 2007, the data represent the number of apparatuses in use.
Deviation from the definition: 1997 - 2006 in Hospitals (HP.1) only: the data represent the number of hospitals running at least one unit.
Estimation method: Time series are not complete. Some data are available at irregular dates. To estimate data with consistent time periods, interpolation is therefore operated on punctual data from permanent administrative registers.
Break in time series:
- New data on HP1 since 2010 from FSO Federal Statistical Office, Neuchatel, hospital statistics; yearly census.
Tajikistan
Data not available.

TFYR Macedonia
Source of data: Ministry of health.
Reference period: 31st December.
Coverage: Data include only equipment from publicly owned hospitals and ambulatory sector, private sector is excluded.
Turkey
Source of data: General Directorate for Health Services, Ministry of Health.
Coverage:
- Data cover the number of devices in the MoH, university hospitals and private hospitals in addition to those used by outsourcing in Turkey.
- Linear accelerators, Cobalt-60 units and brachytherapy units are included in radiation therapy equipment.
Turkmenistan
Data Source: Ministry of Health and Medical Industry of Turkmenistan, the state statistical reporting forms for registration of personnel agencies and healthcare enterprises.
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.
Note: current reporting does not allow disaggregation of the data by hospital and ambulatory sector.
United Kingdom
Source of data:
- England: NHS, Public Health England.
- Scotland: Scottish Healthcare Supplies,
- Wales: Welsh Health Estates,
- Northern Ireland: Social Services and Public Safety.
Coverage:
- Does not include private sector.
- 2002, 2003, 2005: England and Wales. 2004: England, Wales and Northern Ireland.
Estimation method:
- Raw numbers for England and Wales have been increased pro-rata by the OECD Secretariat to provide appropriate numbers for the UK, enabling the correct computation of rates using the UK population data stored within the database.
- 2006-2007 UK figures estimated as Scottish data unavailable. 2005 Scottish data used, following agreement with the Health Protection Agency.
- 2008, 2010 and 2011: Only available data were for England. UK estimate based on a pro-rata increase using UK population data.
- 2010, 2011 and 2014 figures only include Linacs.
Uzbekistan
Data not available.