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20834
Increase in expenses and activity (preliminary figures)
statistikk
2004-06-23T10:00:00.000Z
Health
en
speshelse, Specialist health service, 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 days, beds, day treatment, admissions, 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 service2003

For the statistical years up to 2008, both preliminary and final figures were published for these statistics. This release is based on preliminary figures. More recent final figures are available in the statistics’ archive. As from 2009, only final figures are published.

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Increase in expenses and activity (preliminary figures)

In 2003 health enterprises had costs related to specialist health service that amounted to almost NOK 63 billion. This was an increase of nearly NOK 6,4 billion or 11 per cent from 2003. This corresponds to NOK 13 700 per inhabitant in 2003, as compared with 12 500 per inhabitant in 2002.

An increasing share of the total costs to psychiatric health care, goes to children and adolescents. From 1990 to 2001 the share rose from 10 to 13 per cent, and the rise continues. In 2003 17 per cent of the costs connected with psychiatric health care were related to children and adolescents.

Restructures

In January 2002 the Norwegian hospital reform was introduced, in which the responsibility for hospitals and institutions in specialist health service was transferred from the counties to the state, by 5 Regional Health Enterprises (RHE). This causes challenges when producing comparable statistical time series. Hospitals and institutions are organized in Health Enterprises, and these are organized under the Regional Health Enterprises. Due to the restructures in 2003, the number of health enterprises was reduced from 43 at the end of 2002 to 31 at the end of 2003. Consequently there are fewer and larger health enterprises, extensive restructures has especially been carried out in Eastern Norway RHE and Southern Norway RHE. Eastern Norway RHE was reduced from 15 Health Enterprises in 2002 to include 7 Health Enterprises in 2003.The corresponding reduction in Southern Norway RHE is from 13 to 10, while Mi-Norway RHE included 5 Health Enterprises, which is one less than the number in 2002 (for more information about the restructures, see "Om statistikken"/"About the statistics").

Specialist health service. 2000-2003. Key figures, accounts
 
 20002001200212003
 
Gross current expenses, specialist health care, exclusive depreciation. NOK million    42 160    47 992    56 503    62 881
Gross current expenses, somatic hospitals and institutions, exclusive depreciation. NOK million33 95438 81343 79648 977
Gross current expenses, specialist psychiatric care, exclusive depreciation. NOK million7 0757 8958 3109 113
Gross current expenses, specialist psychiatric care for children and adolescents, exclusive depreciation. NOK million1 0591 2401 5791 877
     
Gross current expenses per inhabitant, specialist health care, exclusive depreciation. NOK2--12 50013 700
Gross current expenses per inhabitant, somatic hospitals and institutions, exclusive depreciation. NOK27 6008 6009 70010 700
Gross current expenses per inhabitant 18- years, specialist psychiatric care, exclusive depreciation. NOK22 1002 3002 4002 600
Gross current expenses per inhabitant 0-17 years, specialist psychiatric care for children and adolescents, exclusive depreciation. NOK21 0001 2001 5001 700
 
1 From 2002, gross current expenses incl. ambulances, health care and treatment of substance abusers and administration in the regional enterprices. Previously, these expenses were incl. in the counties' health administrations.
2 Corrected from NOK million to NOK .

More day treatment in hospitals

The growth in expenses is accompanied by a growth in activity at hospitals and institutions. In somatic hospitals there was in 2003 registered approximately 42 000 more overnight stays than in the year before, the equivalent of an increase of almost 5,4 per cent. The number of day treatments rose with almost 15 per cent, to a value close to 206 200 stays. Statistics Norway has not recorded such a high increase in overnight stays since 1989, when activity values based on data about individuals became the source for data. The average length of overnight stays in somatic hospitals are steadily decreasing, it was on average 5,4 stays in 2003, compared with 5,7 stays in 2002. There has also been increase in outpatient consultations in hospitals. More then 3,2 million outpatient consultations were recorden in 2003, an increase of 4,6 per cent compared to the year before.

Specialist health service. 1990-2003. Key figures, activity
 
 199019952000200120022003
 
Beds25 18721 96722 53322 54422 66222 827
Discharges     646 910     676 541     764 546     801 939     820 660     869 156
Bed-days in 1 0007 4776 6366 8256 9296 9186 928
Out-patient consultations in 1 00012 9433 7934 3474 3863 9934 218
Day-cases in 1 000200 470 613 584 625
 
1 From 2002, data from Norwegian Patient Register (NPR) is used in somatics.
2 Day-cases in general hospitals were incuded in out-patient consultations until 2002.

...and outpatient consultations in psychiatric health care

While the annual growth in personnel the last year was relatively low, the strong growth in outpatient consultations, that has been noticeable the recent years, continued. In psychiatric health care for adults over 91 000 more consultations were recorded in 2003 than in the year before. This corresponds to an increase of 15 per cent. The number of outpatient consultations carried out in 2003 in psychiatric health care for children and adolescents, i. e. persons under the age of 18 years increased as well. 52000 more consultations were recorded in 2003 than in 2002, which is an increase of as much as 24 per cent.

Outpatient treatment in institutions and outpatient clinics is supplied by offers from private doctors (specialists) and clinic psychologists. Health enterprises and regional health enterprises has entered into operation agreements with these. There are no statistics over how many consultations they carry out. In total, there were recorded approximately 1130 man-labour years for privates with an operation agreement, and this number includes both specialists in somatic specialties and psychiatrist, as well as clinical psychologists.

Specialist health service. 1990-2003. Key figures, personnel
 
 19902199522000200120022003
 
Man-years1, total    63 062    67 098    80 297    82 929    85 442    87 797
Man-years1, physicians5 6806 7009 0019 2799 3009 667
Man-years1, psychologists 7661 0741 7581 8112 0022 134
Man-years1, nurses and midwives19 23723 99627 47227 93229 01930 079
Man-years1, auxiliary nursing personnel10 3279 1078 3968 2918 2258 142
Man-years1, other occupational therapists8 0498 64512 61514 16414 89615 817
Man-years1, administration and service19 00218 89020 88721 45221 99921 956
 
1 Man-years is the number of full-time employees and part-time employees (converted to full-time employees)
at the end of the year. Overtime is not included.
2 Do not include the ambulance service.

More personnel in treatment

From 2002 to 2003 the total number of personnel in the specialist health services has increased with approximately 2 350 man-labour years, or 2,8 per cent. This is personnel in all the areas in the specialist health services and include all hospitals and institutions defined as specialist health services, in addition to ambulance service, private medical specialists and clinical psychologists who has an operating agreement with health enterprises or regional health enterprises. Private hospitals and specialist institutions without an operating agreement are included as well.

The growth from 2002 to 2003 was particularly high for personnel in treatment, this concerning both psychiatric health care for adults and for children and adolescents. In psychiatric health care for children and adolescents the increase is most noticeable regarding psychologists and clinical psychologists. With a total growth of 100 man-labour years, 36 man-labour years concerns these categories of personnel.

In 2003 the growth in man-labour years in psychiatric health care for adults seemed to flatten out. The amount of the growth was about 1,5 per cent, compared to just over 3 per cent the two previous years. However, this growth regards qualified personnel, such as doctors, psychologists, nurses and other personnel with college education related to treatment of patients.

In somatic hospitals the growth recorded in man-labour years was 3 per cent at the end of 2003. This corresponds to 1 850 more man-labour years than by the end of 2002. For personnel attached to treatment and care the growth has been more distinct than regarding personnel attached to administration, service and operating services.

While reviewing changes concerning numbers of man-labour years some matters must be kept in mind. The restructuring of the sector and changed registration routines in the health enterprises can give a wrong impression of the changes. As a consequence, what seem to be changes might be the effect of a changed registration practice. The strong growth apparent in personnel in somatic hospitals is mainly attached to hospitals in Northern Norway RHE, especially Universitetssykehuset in Nord Norge.

Development of day-and-night offer to adolescents

At the end of 2003 the number of beds in institutions in psychiatric health care for children and adolescents was 336, an increase of as much as 24 beds from the end of 2002. Such an increase from one year to another has not been recorded earlier in these institutions. The number of beds has increased in all regions, except from in health region North.

Fewer beds for adults

Throughout 2003 the number of beds in institutions in psychiatric health care for adults continued to fall. By the end of the year it was 5 301 such beds. At the same time, the number of discharges after overnight stays increased, while the average duration of the stays went down. In 2003 the average was 42 overnight stays per discharge, in comparison with 56 overnight stays in 2000 and 123 in 1990.

See also:
Psychiatry
Ambulance service
Account
Somatc care
Specialists with operating agreements