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Specialist health service - StatRes

Specialist health service - Statres includes general hospitals, psychiatric care and treatment of substance abusers, ambulance services og specialists with an operating agreement with a (regional) health enterprise. The services are organized through regional health enterprises/authorities. For the time being indicators for general hospitals, psychiatric care and treatment of substance abusers are included. Indicators for treatment in general hospitals by main diagnoses groups (ICD-10) are included from 2008. These indicators are under development and will in coming years be expanded with indicators for man-labour years and others. Statistics for private sector are also published to ensure coherence with other statictics on this field in the Statbank.

Input

Input indicators show the resources used by the health enterprises in their own production. Purchase of privately produced health services is excluded. The input indicators on operating costs are presented by the type of service; general hospitals, psychiatry, drug abuse treatment etc.

2008 2009 2010
Own production specialist health services (mill. NOK) 83 981 88 263 83 262
Own production general care (mill. NOK) 60 896 56 626 51 200
Compensation of employees in per cent of own production general care 66 65 61
Purchase of goods and services in per cent of own production general care 34 35 39
Own production psychiatry for adults (mill. NOK) 12 251 12 817 11 759
Own production psychiatry for children and adolescents (mill. NOK) 2 756 2 966 2 785
Own production health care and treatment for substance abuse (mill. NOK) 1 594 1 778 1 833
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Contracted man-years adjusted for long term leaves

The statistics on contracted man-years in the specialist health service is compiled from a new data source administrative registers. 2008 is the the first statistical year of this time series. The table shows contracted man-years adjusted for long term leaves by type of service

2009 2010
Contracted man-years adjusted for long term leaves in specialist health services 84 887 85 861
Contracted man-years adjusted for long term leaves in specialist health services, per 1000 inhabitants 17,47 17,45
Contracted man-years adjusted for long term leaves in general hospitals 59 567 59 904
Contracted man-years adjusted for long term leaves in psychiatry 16 169 16 545
Contracted man-years adjusted for long term leaves in drug abuse treatment 1 464 1 644
Contracted man-years adjusted for long term leaves in ambulance service 1 984 2 084
Contracted man-years adjusted for long term leaves in shared services 5 704 5 684

Activities and services

Indicators on the activities and services in the specialist health services of the Central Government include the production of the health enterprises. The table below shows figures on beds, discharges, bed-days, and outpatient treatments.

2008 2009 2010
Beds in specialist health service 16 936 16 598 15 766
Bed-days in specialist health service 5 131 439 5 086 848 4 948 297
Discharges in specialist health service 821 639 856 606 865 860
Day cases in specialist health service 576 706 593 225 438 467
Outpatient treatments in specialist health service 5 430 128 5 874 366 6 409 939
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Discharges, day cases, bed days in general hospitals by main diagnoses - To view the main diagnoses use the link: Relevant StatRes tables in StatBank Norway, at the top of the page, table no 06981

2008 2009 2010
Discharges 765 707 803 773 808 593
Day cases 505 314 525 945 388 360
Outpatient consultations 3 723 226 4 054 052 4 521 008

Productivity and unit costs

To give an estimate on unit costs in a hospital there is a need for a cost weight measure. The cost of one bed-days is highly dependant on the type of treatment a patient is recieving. By using DRGs, Diagnosis-related groups, one has a cost-weight of different treatments in general hospitals. Unit costs are in the tables below defined as operating costs per DRG. The figures are compiled from the SAMTATA Report (www.samdata.no). Because of some differences in the statistical populations the unit cost figures are not comparable to other StatRes-indicators (see "about the statistics"). The statbank also includes figures on the relative level of costs between health enterprises.

2008 2009 2010
Relative level of cost (per cent) 1,0 1,0 1,0
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Outcomes

Figures on waiting periods are compiled from the Norwegian Directorate of Health. A referral is regarded as ordinary when consultations are succeeded and treatment is started.

2008 2009 2010
Average waiting time (days) 73 76 78
Median wait (days) 48 49 50
90 percentile wait (days) 162 167 174
Percentage of deadline breaches (per cent) 17 18 18
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Related indicators

Since 1967 all Norwegian births are registered in the Medical Birth Registry. The indicator "perinatal mortality" is originally published by the Norwegian Institute of Public Health. In the Statres-tables below perinatal mortality is presented by sex. Regional figures are presented in the statbank.

2006 2007 2008
Perinatal mortality 4,6 4,9 4,3
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Statres indikator

National quality indicators

2007 2008 2009 2010
Share of corridor patients as percentage of all beds (per cent) 2,6 2,0 2,0 2,2
Percentage of discharge summaries sent within 7 days of hospital discharge (per cent) 61 63 68 72
Percentage of hip operations within 48 hours (per cent) 91 93 93 92
Percentage of aborted surgeries (per cent) 8,1 7,4 7,6 6,9
Percentage of elective Caesareans (per cent) 7,1 6,1 5,7 1,0
Percentage of acute Caesareans (per cent) 11,6 12,0 11,5 7,3
Percentage of patients with cerebral infarction who receive thrombolytic treatment (per cent) ... ... ... ...
Third and fourth degree obstetric anal sphincter ruptur (per cent) ... ... ... 2,3
Diabetes leg/foot amputations pr 1000 inhabitants (per 1000 inhabitants) ... ... ... 3
Time from referral to first treatment colon cancer (days) ... ... ... 24
Time from referral to first treatment lung cancer (days) ... ... ... 37

National quality indicators - mental health care

2010
Registration of main condition, mental health care for children and adolescents. Axis 1: Clinic psychiatric syndrom 62,6
Registration of main condition, mental health care for children and adolescents. Axis 2: Spec. Disturbances of development (per cent) 36,8
Registration of main condition, mental health care for children and adolescents. Axis 3: Mental level (per cent) 45,0
Registration of main condition, mental health care for children and adolescents. Axis 4: Somatic conditions (per cent) 35,3
Registration of main condition, mental health care for children and adolescents. Axis 5: Deviant psycho social relations (per cent) 57,7
Registration of main condition, mental health care for children and adolescents. Axis 6: Global assessment scale CGAS (per cent) 56,7
Registration of legal basis, mental health care for adults (per cent) 75
Share of patients with specified diagnosis by discharge (per cent) 73
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