221681
/en/helse/statistikker/helsetjko/aar
221681
Growth in expenditure and man-years continuous
statistikk
2015-06-25T10:00:00.000Z
Health;Public sector
en
helsetjko, Municipal health care service, municipal health care service, operating costs, health centres, school health service, health checks, health personnel (for example physiotherapists, health visitors, midwives), nursing home residentsKOSTRA , Health services , Public sector, Health
false
The target group for the statistics is broad and covers both expert users (such as health authorities, health services and researchers), the media and general public. Primary users of the article are the general public, media and students.

Municipal health care service2014

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Growth in expenditure and man-years continuous

In 2014, nearly NOK 15 billion was spent on municipal health care services. This is an 8 per cent growth since 2013. As in previous years, the largest share of spending and man-years is related to diagnostics, treatment, rehabilitation and habilitation. The number of health examinations at public health centres continuous to rise.

Municipal health services, key figures
201420142013 - 20142010 - 2014
Absolute figuresPer 10 000 inhabitantsPercentage change1Percentage change1
1Percentage change is based on absolute figures
Man-years for physicians in the municipal health service5 325.410.32.512.2
Man-years for physiotherapists4 596.28.91.37.2
Absolute figuresPer inhabitantPercentage change1Percentage change1
Gross operating expenditure municipal health in total (1 000 NOK)14 958 1342 895.68.032.6
Gross operating expenditure. Preventive health (enviormental health care) (1 000 NOK)1 199 825232.34.042.5
Gross operating expenditure. Diagnosis, treatment and rehabilitation, function 241, (1 000 NOK)10 713 0832 073.88.131.4
Absolute figuresPer 10 000 inhabitants 0-20 yearsPercentage change1Percentage change1
Gross operating expenditure. Preventive health (enviormental health care) (1 000 NOK)3 045 2262 297.89.033.2
Man-years health centers and school health4 380.833.12.68.7

There has been a relatively constant growth in gross operating expenditure related to municipal health care services for many years, and the increase continued from 2013 to 2014. The expenditure amounted to almost NOK 15 billion, which corresponds to 8 per cent growth measured in current prices. During the 5-year period from 2010 to 2014, the rise in expenditure was 32.6 per cent. In 2014, the health care services amounted to 4.2 per cent of total municipal expenditure. 

Increased expenses over time in all areas of municipal health care services

Diagnostics, treatment, rehabilitation and habilitation represent the greatest item of expenditure within the municipal health care service. In 2014, the expenditure for these purposes was NOK 10.7 billion, and the amount has risen by 8 per cent since 2013. 

The expenditure related to prevention in the form of services provided by public health centres and school health care amounted to NOK 3 billion in 2014. This is an increase of 9 per cent from the previous year. The municipal expenditure for other preventive health services in the municipalities, such as public health centres for the elderly or immigrants, was NOK 1.2 billion; an increase of 4 per cent since 2013. 

More health examinations at public health centres

Almost all children in Norway attend health check-ups at the health centres in the municipalities. Ninety-nine per cent of new-borns had a health examination before they were eight weeks old. There has been a yearly increase since 2012 in the share of children being examined at health centres, both for the youngest and the older children. It continues to be the case that the percentage of children receiving health examinations falls as a child ages. 

In 2014, the number of man-years serving the public health centres and the school health care was nearly 4 400; 2.6 per cent more than in 2013. The community nurses carry out more than half of the man-years within these services. Community nurses had the biggest growth in man-years, with 7 per cent from 2013.

More GP agreements, shorter lists

The number of agreements between municipalities and general practitioners (GPs) has risen over time, and in 2014 there were more than 4500 such agreements. Two out of five GPs are women, and the percentage of female GPs has risen steadily over the past five years. The figures show that every fifth GP is an immigrant to Norway. On average, GPs have a list of 1 132 patients, and the number is decreasing from 1 178 in 2010. In 2014, each patient had 2.66 GP consultations on average. (For more information about GPs, see: https://www.ssb.no/en/helse/statistikker/fastlegetj/aar/2015-06-12#content

The agreements made between municipalities and GPs regulate to what extent the GP provides services other than tasks directly associated with regular patient treatment. In total, the number of man-years with medical doctors in the municipalities was 5 325 in 2014, up 2.5 per cent from the previous year. Man-years provided by physiotherapists increased by 1.3 per cent, and reached nearly 4 600.