European Health Information Gateway

European Health Information Gateway

Hospitals, total

Full name:
Hospitals, total number
Unit:
number of facilities
Type of measure:
Population-weighted country group average, Count
Visualizations:
Data source:
European database on human and technical resources for health (HlthRes-DB)
Data source notes:
HlthRes-DB provides a wide range of statistics on human and technical resources for health and offers data on non-monetary health care resources collected through the joint work of the Statistical Office of the European Union (Eurostat), the Organisation for Economic Co-operation and Development (OECD) and WHO/Europe. It contains nearly 200 indicators on human and technical resources for health.

Human resources indicators: Indicators include the number and density of a wide range of health personnel (such as physicians, nurses, midwives, dentists, pharmacists and health care assistants), according to three different concepts (those practising, professionally active and licensed to practice). Information on employment in hospitals and numbers of medical and other graduates is also available.

Technical resources data: Data include the number and density of hospitals and hospital beds, stratified by ownership of facility (public, non-profit-making private and for-profit private), in addition to the number of beds for long-term care.

HlthRes-DB also contains indicators on the availability of the following medical equipment: computed tomography (CT) scanners, magnetic resonance imaging (MRI) units, positron emission tomography (PET) scanners, gamma cameras, digital subtraction angiography units, mammographs, radiation therapy equipment and lithotriptors.

Coverage: HlthRes-DB contains data from the 53 Member States in the WHO European Region. To be updated yearly, usually in late summer, it is currently available in English and Russian.

More information: http://www.euro.who.int/en/data-and-evidence/databases/european-database-on-human-and-technical-resources-for-health-hlthres-db
Indicator notes:
Hospitals, total number
Indicator code: hosp.total

Hospitals (System of Health Accounts, HP.1, http://www.oecd.org/health/healthpoliciesanddata/1841456.pdf) comprise licensed establishments primarily engaged in providing medical, diagnostic, and treatment services that include physician, nursing, and other health services to in-patients and the specialised accommodation services required by in-patients. Hospitals may also provide out-patient services as a secondary activity. Hospitals provide in-patient health services, many of which can only be provided using the specialised facilities and equipment that form a significant and integral part of the production process. In some countries, health facilities need in addition a minimum size (such as number of beds) in order to be registered as a hospital (see SHA 1.0 Manual).
Inclusion
- General hospitals
- Mental health and substance abuse hospitals
- Speciality (other than mental health and substance abuse) hospitals
Country notes:
Albania
Note: A number of small hospitals were closed during the reform in the early 1990s, which causes a sharp decline in the number of hospitals.
Andorra
Note: A number of small hospitals were closed during the reform in the early 1990s, which causes a sharp decline in the number of hospitals.
Armenia
Source of data: National Information and Analytical Center of Health, Ministry of Health of the Republic of Armenia (RIATSZ) Republican Research and Information Health Centre and the National Statistic Service of the Republic of Armenia, Report form ? 2 “Therapeutic and prophylactic activity of hospitals”, http://healthinfo.am/Statistical%20Report.htm, Statistical book, Armenia, English version (zip) 2009.
Reference period: 31 December.
Austria
Source of data: Austrian Federal Ministry of Health, Hospital Statistics.
Reference period: 31st December.
Coverage: Complete (HP.1).
Azerbaijan
Source of data: The State Statistical Committee of the Republic of Azerbaijan.
Reference period: data as of December 31.
Note: A 32% decrease in number of hospitals in 2010 is related to the health reform in the country.
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.
Coverage: All institutions recognised as hospitals are covered.
Bosnia and Herzegovina
Source: Public Health Institute FB&H, Hospital service in FB&H, Public Health Institute Republica Srpska, Hospital service in Republica Srpska.
Bulgaria
Source of data: National Statistical Institute, Exhaustive annual survey
Reference period: 31st December
Coverage: All types of hospitals are included. Dispensaries with beds are also included. Dispensaries are medical establishments in which doctors with the assistance of other personnel actively find, diagnose, treat and periodically observe patients with psychiatric, lung, dermato-venerological and oncological diseases. Since 2010 the pulmonary dispensaries are transformed into specialized hospitals, dermato-venereological dispensaries – into Dermato-venereological centres, oncological dispensaries – into Complex oncological centres, psychiatric dispensaries – 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
Coverage: Prison hospital not included. Reorganization process of Croatian health system resulted in significant changes in number of health institutions - some were closed or reorganized which caused significant decrease in number of hospitals and general hospitals in 1994. Starting from 2009 data do not include community care centres providing both in-patient and out-patient services primarily engaged in out-patient services.
Break in time series: 2009.
Cyprus
Source of data: Statistical Service of Cyprus, Public sector administrative sources and Private Clinics Inspectors for the Private Sector.
Reference period: 31st December.
Coverage: Public and Private Sectors. Not-for-profit privately owned hospitals have not been counted.
Czechia
Source of data: Institute of Health Information and Statistics of the Czech Republic. Registry of Health Establishments.
Reference period: 31st December.
Coverage: Hospitals and specialised therapeutic institutes (excluding balneologic institutes, convalescence homes for children, institutes for long-term patients and hospices).
Denmark
Data not available.
Estonia
Source of data:
- Since 1st January 2008 National Institute for Health Development, Department of Health Statistics. www.tai.ee.
- Data from routinely collected health care statistics submitted by health care providers (monthly statistical report "Hospital beds and hospitalisation") and from the Registry of Health Board (in-patient care licences).
Reference period: 31st of December.
Coverage:
- All hospitals HP.1 (public and private sector) are included.
Note:
- The decrease in the number of hospitals after 1991 was the result of the first reorganisation wave of the health care system of the independent country. The concentration of the changes in terms of the number of health care providers is most well-observed when comparing figures from 1994 and 1995.
- In 2002 the Government of Estonia introduced the Hospital Master Plan that anticipates an optimum number of hospitals and hospital beds necessary to provide acute health care services taking into account the number of the population of Estonia and the population forecasts. Therefore, existing hospitals were reorganised, some became out-patient care providers, and some were closed or consolidated. This change can be called the second wave of the reorganisation of the Estonian health care system.

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.
Coverage: All hospitals.
Break in time series: 2000. The series was recalculated from 2000 onwards to correspond to the SHA 2011 definitions.
France
Source of data: Ministere de la Sante et des Sports - Direction de la Recherche, des Etudes, de l'Evaluation et des Statistiques (DREES). Data are from the “Statistique Annuelle des Etablissements de sante (SAE)”. NB: This survey has been recasted in 2014 for the data concerning 2013 (review and update of the questionnaire, change of the unit surveyed [legal entity ( geographical establishment], improvement of the consistency between the survey and an administrative source of data on the activity of hospitals). Though the principles of the survey remain the sames, some concepts and some questions have changed: this can lead to break in series for year 2013.
Reference period: 31st December.
Coverage:
- Data refer to metropolitan France and D.O.M. (overseas departments).
- Data from 2000 include only hospitals with capacities for complete or partial hospitalisation (which differs from conventions used in the previous years). For the public sector, it is the legal entities that are taken into account from 2000 to 2012 (there can be several geographical establishments); for the private sector, it is establishments.
- From 2013, we count the number of 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
Reference period: 31st December 2012
Coverage: All hospitals existing in the country are included.
Note: A number of small hospitals were closed during the reform in the early 1990s, which causes a sharp decline in the number of hospitals. Since 2011 an ongoing reform of the hospital sector has caused sharp changes of the number of hospitals.
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
1.1 and ibid., Fachserie 12, Reihe 6.1.2, table 1.1; http://www.destatis.de or http://www.gbe-bund.de.
Reference period: 31st December.
Coverage:
- Hospitals comprise all types of hospitals (HP.1.1, 1.2 and 1.3) in all sectors (public, not-for-profit and private).
- Included are general hospitals, mental health hospitals and prevention and rehabilitation facilities.
- Long-term nursing care facilities are excluded.
Greece
Source of data: Hellenic Statistical Authority (EL.STAT.).
Reference period: 31st December.
Hungary
Source of data: From 1994 Hungarian National Health Insurance Fund (OEP), Statistical Yearbook. www.oep.hu.
Coverage: Number of hospitals at the end of the year (including public, not-for-profit and for-profit hospitals) under contract with Hungarian National Health Insurance Fund (OEP), as well as 2 prison infirmaries run by the Ministry of Justice. Does not include hospitals not under contract with OEP. The number of these hospitals is negligible.
Iceland
Source of data:
- Up to 2006: The Directorate of Health.
- From 2007: The Ministry of Welfare.
Coverage:
- Up to 2006, the number of hospitals includes specialized and general hospitals, rehabilitation institutions and a treatment centre for alcohol and drug abusers. All nursing homes and retirement homes are excluded.
- From 2007, Hospitals refer to health care facilities with 24-hour access to a hospital physician.
Break in time series: 2007.
Ireland
Source of data: Department of Health and Children and Mental Health Commission.
Coverage: Since 2009, figures refer to HP1 hospitals, both public and private. Data are comprised of general (acute) hospitals, approved psychiatric centres and specialty hospitals.
Break in time series: Up to 2008, figures refer to publicly funded acute hospitals, district/community hospitals, geriatric hospitals and psychiatric hospitals. Private short-stay hospitals were not included.
Israel
Source of data: The data are based on the Medical Institutions License Registry maintained by the Department of Medical Facilities and Equipment Licensing and the Health Information Division in the Ministry of Health.
Reference period: End of the year.
Coverage: Includes all acute care, mental health and specialty hospitals; excludes nursing and residential care facilities. * Note: The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.
Italy
Source of data: Ministry of Health – General Directorate of digitalization, health information system and statistics - Office of Statistics. http://www.stage.ministerosalute.it/portale/temi/p2_6.jsp?lingua=italiano&id=3835&area=statisticheSS N&menu=pubb.
Coverage: Data up to 2003 included public hospitals but not all private hospitals; only private hospitals accredited by the National Health Service were included. Since 2004 all private hospitals are counted; private hospitals not accredited by the National Health Service are also included. The previous definition has been modified in order to make this indicator coherent with the hospital discharge indicators referring to all hospitals, both public and private.
Break in time series: 2004.
Kazakhstan
Source: Ministry of Health of the Republic of Kazakhstan.
Reference period: 31December.
Latvia
Source of data: Centre for Disease Prevention and Control.
Reference period: 31 December.
Note: Reduction in year 2009 due to restructuring and health care reforms.
Lithuania
Source of data: Health Information Centre of Institute of Hygiene, data of entire annual survey of health establishments. Report “Health Statistics of Lithuania”, available from http://sic.hi.lt/html/en/hsl.htm.
Reference period: 31st December
Coverage: The numbers of hospitals excludes nursing hospitals.
Luxembourg
Source of data: Ministere de la Sante, service juridique.
- Hospital infrastructure, medical equipment and running costs of hospitals are funded by public funds in the same way for all types of hospitals.
Malta
Source of data: Data collated at Directorate for Health Information and Research from Department of Health Care Standards and Services within Ministry for Energy and Health and from establishments themselves.
Coverage: During the year 2011 one of the privately owned hospitals has terminated its operations. During the year 2012 a privately owned rehabilitation hospital began operating. 2013: A small private hospital is now being included under the hospital sector since it is licensed for overnight stays.
Montenegro
Source of data: The source for all data submitted is the Institute of Public Health. Some additional information can be found in Health Statistical Yearbooks available at http://www.ijzcg.me/
Reference period: December 31st.
Coverage: Only hospitals from the public sector are included. There are also 5 Stationary Medical Centres. A Stationary Medical Center is a public health institution which carries out policlinic and stationary health activities and is located at the primary health care centre. The Stationary Medical Centers have been excluded from the total number of hospitals from 2002.
Netherlands
Source of data: Statistics Netherlands.
- 1987-2002: Survey;
- 2002-2005: Prismant survey;
- 2006 onwards: Annual reports social account.
Coverage: Refers to organisations, not locations.
Break in time series: Break in 2010 due to inclusion of for-profit privately owned hospitals.
Norway
Data not available.
Poland
Source of data: The Ministry of Health, the Ministry of National Defence (until 2011) and the Ministry of Interior, and the Central Statistical Office.
Reference period: 31st December.
Coverage:
- The number of hospitals comprises general hospitals (supervised by the Ministry of Health, the Ministry of National Defence and the Ministry of Interior and Administration) and psychiatric hospitals.
- 2004-2006 Health resort hospitals and health resort sanatoria are excluded because of complex structure of the Health Resort Treatment.
- From 2007 onwards, health resort hospitals are included.
- Prison hospitals are excluded.
Break in time series:
- Since 2004: Hospitals of the Ministry of National Defence and the Ministry of the Interior and Administration are included.
- Since 2007: Health resort hospitals are included.
Portugal
Source of data: Statistics Portugal - Hospital Survey.
Reference period: 31st December.
Coverage:
- The Hospital Survey began in 1985. This survey covers the whole range of hospitals acting in Portugal: hospitals managed by the National Health Service (public hospitals with universal access), non-public state hospitals (military and prison) and private hospitals.
- In 2012, the data series number of hospitals was redefined according to the concept of separate hospital establishments. For example, a hospital centre with three different establishment counts now as three hospitals.
Republic of Moldova
Source of data: Ministry of Health of the Republic of Moldova, National Centre for Health Management, Annual statistical report N30, enclosure 1 “On hospital activities of health care institutions” 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.
Reference period: data as of 31st December.
Coverage: From 1970 to 1998, data refer only to the public sector. General hospitals were classified according to Law No. 95/2006 on Health Reform regulates the entire health system. Break in the series: 1999. In 2009, 14 new private hospitals were established. Also, two public hospitals were reorganized, after this reorganisation being formed smaller public hospitals (in order to improve their activity)
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
Source: Health Authority.
Serbia
Source of data: Institute of Public Health of Serbia, Decree on Health Institutions Network Plan (Official Gazete of RS, No 37/12). http://www.batut.org.rs/
Reference period: 31. December.
Coverage: Data for Kosovo-Metohija province are not included in the coverage of data for the Republic of Serbia. Data from health institutions under other ministries (military services, prisons, social services) than the Ministry of Health are not included. Data from private health sector are not included.
Slovakia
Source of data: National Health Information Center.
- “Annual report S (MZ SR) 1 – 01 on network of health care providers” for data up to 2008.
- “Report on network of health care providers” since 2009.
Reference period: 31st December.
Coverage:
- Hospitals are counted according to the recommendations and definitions following the SHA version
1.0.
- Hospitals in the territory of the Slovak Republic (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).
Break in time series: Break in 2005 due to change in a statistical finding in accordance with Act No 578/2004 on health care providers. Time series revised in accordance with final agreement on classification in the Slovak Republic.
Slovenia
Source of data: National Institute of Public Health, Slovenia.   
Reference period: 31st December.
Spain
Source of data:
- Before 1996: National Statistics Institute and Ministry of Health and Consumer Affairs. Statistics on Health Establishments Providing Inpatient Care (available hospitals). http://www.ine.es/jaxi/menu.do?type=pcaxis&path=/t15/p123&file=inebase&L=0.
- From 1996 to 2009: Ministry of Health, Social Services and Equity from Statistics on Health Establishments Providing Inpatient Care (ESCRI). http://www.msssi.gob.es/estadEstudios/estadisticas/estHospiInternado/inforAnual/homeESCRI.htm.
- Since 2010: Ministry of Health, Social Services and Equity from Specialised Care Information System (Sistema de Informacion de Atencion Especializada - SIAE).
Coverage:
- All public and private hospitals in Spain are included.
Break in time series: 2010.
- ‘Health Consortia’ included since 2010. Health consortia is an organizational model consisting of more than one hospital, but for the purpose of providing data in the questionnaire (and operating issues) they are accounted for as a single hospital. Very few hospitals are involved.
Sweden
Source of data: Federation of County Councils (data for 1980-2003). From 2001 Swedish Association of Local Authorities and Regions/SALAR
Coverage: There is no distinction made in Sweden between hospitals and acute care (short-stay) hospitals.
Note: From 2004 there is no information on how many hospitals there are in Sweden. There is no consistent definition of what a hospital is.
Switzerland
Source of data:
- Since 1997: FSO Federal Statistical Office, Neuchatel, hospital statistics; yearly census.
- Until 1996: Data from the Hospital Association (H+), Bern.
Break in time series:
- 2007: change in data source.
- 2010: Hospital statistics have been revised (data year 2010); new delimitation of hospital entities and elimination of artificial double counting for some hospitals (e.g. because of multiple activity).

TFYR Macedonia
Source of data: Institute for Public Health-Skopje. Report for hospitals (3-21-60).
Reference period: 31st December.
Break in time series:
- 1987: Methodological segregation of the “State hospital” from a single entity to a number of smaller entities in 1987.
- 2008: Legal segregation of the Clinic of surgery to 7 separate entities in 2008.
Turkey
Source of data:
- From 2000 onwards: General Directorate for Health Services, Ministry of Health.
- Up to 1999: Health Statistics Yearbook - Ministry of Health.
Coverage: Total number of hospitals in the MoH, universities, the private sector and others are included in the data. MoND-affiliated hospitals not included until 2011.
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.
Ukraine
Source of data: Centre of Health Statistics, Ministry of Health, Report form ? 20 “report of a health care facility” of the Ministry of Health, other agencies and private entities.
Reference period: 31 December.
Break in time series: 2009, before 2009 data included only health care facilities reporting to the Ministry of Health, starting from 2009 data coverage is complete.
United Kingdom
Data not available.
Uzbekistan
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.