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Up and down in specialist health service
statistikk
2011-06-28T10:00:00.000Z
Health
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helse_statres, Specialist health service - StatRes (discontinued), hospital, health enterprise, health region, mental health care, psychiatric institutions, substance abuse care, substance abuse treatment institutions, somatic health services, operating costs, investments, health personnel (for example doctors, nurses, psychologists), specialists, bed treatment, beds, day treatment, involuntary admissions, polyclinic consultations, follow-up care, discharges, ambulance assignments, ambulance cars, ambulances, ambulance boats, air ambulancesHealth services , Health
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Specialist health service - StatRes (discontinued)2010

This statistics has been discontinued. Consult the statistics Specialist health service.

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Up and down in specialist health service

Costs in specialist health service reached NOK 94 billion in operating costs and 98 000 man-years. The costs decreased because of an accountancy adjustment due to the pension reform.

Key figures for StatRes - specialist health service

StatRes includes key figures on input, output, outcome, productivity and activity in specialist health services produced by the governmental institutions (Health enterprises). Updated key figures for StatRes were published 28 June 2011 .

In 2010 the Norwegian specialist health service cost NOK 94 billion including depreciation. The costs decreased by 5 per cent from 2009. The decrease is caused by an accounting adjustment due to the pension reform. The costs increased when this adjustment is accounted for.

The number of contracted man-years adjusted for long-term leave amounted to 97 800. Man-years increased by 0.7 per cent from 2009 to 2010. The number of beds amounted to 21 000, with no increase from 2009. The number of outpatient treatments reached 6.9 million; an increase of 10 per cent.

Health enterprises owned by the central government (StatRes) accounted for 88 per cent of the costs in 2010. The Health enterprises accounted for the same proportion of the man-years. 75 per cent of the beds belonged to the health enterprises, while 93 per cent of the outpatient consultations were conducted by these enterprises.

Specialist health service and StatRes, 2006-2010. Key figures
  2010 2009-2010 2006-20103
  Absolute figures Per cent Per cent
Specialist health service, 2006-2010. Key figures1      
Expenditure inclusive depreciation. NOK million 94 118 -5 16
Beds 21 044 -4 -10
Discharges in 1 000  962 390 1 4
Bed-days in 1 000 6 530 452 -2 -8
Out-patient consultations in 1 000 6 906 988 10 35
Day-cases in 1 000  506 075 -23 -27
Contracted man-years adjusted for long term leaves 97 777 1 .
       
StatRes - Specialist health service, 2006-2010. Key figures2      
Expenditure own production inclusive depreciation. Million NOK 83 262 -6 17
Beds 15 766 -5 -13
Discharges in 1 000  865 860 1 6
Bed-days in 1 000 4 948 297 -3 -10
Out-patient consultations in 1 000 6 409 939 9 33
Day-cases in 1 000  438 467 -26 -28
Contracted man-years adjusted for long term leaves StatRes-specialist health service 85 775 1 .
1  The specialist health service includes production in both private sector and the Government.
2  StatRes includes specialist health services produced by the governmental institutions (Health enterprises).
3  Corrected from "2009" to "2006" 28 June 2011 at 10.25 am.

Specialist health service - regional level

South-East is by far the largest health region. In this region the operating costs including depreciation amounted to NOK 51 billion in 2010. The Western region was the second largest with NOK 18 billion. Furthermore, Mid-Norway cost NOK 13 billion and North was NOK 11 billion.

South-East accounted for 51 600 contracted man-years adjusted for long term leave. In West this number was 17 900, in Mid-Norway 12 700 and in North 10 800. North had the highest number of man-years per 1 000 capita; 23 man-years. The number of contracted man-years adjusted for long-term leave does not include hired labour.

The South-East region accounts for 46 per cent of all beds and 56 per cent of out-patient treatments. The increase in the number of out-patient treatments was highest in West, but changes in registration routines caused a break in the time series. The number of beds decreased in all the regions.

Fewer beds, more day treatments at general hospitals and institutions

The total operating costs related to general hospitals and institutions in 2010 were close to NOK 58 billion. By the end of 2010 there were around 14 500 beds totally, where 12 100 beds at general hospitals. That is a decrease compared to 2009 and in accordance with the development during the last years. There were approximately 857 000 in-patient discharges, more than 4 700 000 out-patient consultations and close to 428 000 day-cases in general hospitals in 2010. The average length of an in-patient stay was 4.5 days compared to 4.6 days in 2009. Due to a change in the hospital financing system these figures are not comparable with figures for out-patient consultations and day-cases that were published in previous years. Read more: Patient statistics, 2009 . The number of day treatments in private rehabilitation institutions doubled in 2010. In 2010, the total number of contracted man-years adjusted for long-term leave in general hospitals and other somatic institutions was close to 65 700. In general hospitals, physician man-years represent 15 per cent of 63 000, and professional nurses 40 per cent.

Specialist health service, general care,2006-2010. Key figures
  2010 2009-2010 2006-2010
Absolute figures Per cent Per cent
Expenditure, general hospitals and institutions, inclusive depreciation. Million NOK 57 590 -9 .
Beds 14 516 -5 -11
Discharges in 1000  894 0 4
Bed-days in 1 000 4 539 -2 -7
Out-patient consultations1 in 1 000 4 713 . .
Day-cases1 in 1 000  439 . .
Contracted man-years adjusted for long term leaves, general hospitals and institutions 65 677 0 .
1  The numbers can not be compared directly with previous years, due to a minor change in the hospital financing system.

More outpatient treatments in mental health care

Total operating costs for mental health care declined from 2009 to 2010. As in previous years the number of out-patient consultations increased and the number of beds decreased. The number of beds for children and adolescents remained on the same level as previous years. Average length of stay per admission is 26 days, half compared to 2002. Adults over 18 were on average 7 days less in institutions than children and adolescents.

Mental health care 2006-2010. Key figures
  2010 2009-2010 2006-2010
  Absolute figures Per cent Per cent
Expenditure, mental health care, inclusive depreciation. Million NOK 16 668 -7 16
Beds 4 658 -2 -13
Discharges in 1 000 54 2 9
Bed-days in 1 000 1 415 -3 -15
Out-patient consultations in 1 000 2 001 6 36
Contracted man-years adjusted for long term leaves, mental health care 18 588 2 .

More man-years in multidisciplinary specialist substance abuse treatment

Total operating costs for multidisciplinary specialist substance abuse treatment increased from 2009 to 2010. The number of man-years for psychologists and physicians in multidisciplinary specialist substance abuse treatment increased by 15 percent from 2009 to 2010, while the increase was 3 percent for drug abuse treatment in general. Number of beds has remained stable compared with 2009. There is still growth in outpatient consultations, but growth has decreased compared with previous years.

Multidisciplinary specialist substance abuse treatment 2006-2010. Key figures
  2010 2009-2010 2006-2010
  Absolute figures Per cent Per cent
Expenditure, multidisciplinary specialist substance abuse treatment, inclusive depreciation. Million NOK 3 400 4 47
Beds 1 870 0 4
Discharges in 1 000 13 6 3
Bed-days in 1 000  577 0 3
Out-patient consultations in 1 000  193 3 81
Contracted man-years adjusted for long term leaves, Multidisciplinary specialist substance abuse treatment 3 217 3 .

Specialist physicians and psychologists with independent operating agreements

The number of specialist physicians and psychologists with independent operating agreements in 2010 was approximately 1 200. This number has been stable in recent years.

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