This is an archived release.
Over 70 billions in health costs
The total costs of the specialized health care exceeded NOK 70,2 billion in 2005. This amount corresponds to NOK 15,100 per capita, and rose by NOK 800 since 2004.
The total cost of the specialized health care sector increased by NOK 4.3 billions, which is equivalent to a 6.6 per cent rise from 2004. The costs within psychiatric health care for grown ups and for children and adolescents have increased by 9.2 and 8.4 per cent respectively since 2004, while costs related to the general hospitals have increased only by 4.9 per cent The figures for substance abuse treatment show an increase of almost 16 per cent( 1 ). This development is also partially reflected in the figures for activity and capacity.
|Specialist health service. 2000-2005. Key figures, accounts|
|Expenditure, specialist health care, exclusive depreciation. NOK million||42 160||47 992||56 503||61 110||65 894||70 231|
|Expenditure, general hospitals, exclusive depreciation. NOK million||33 954||38 813||43 796||47 100||48 324||50 634|
|Expenditure, psychiatric health care for adults, exclusive depreciation. NOK million||7 075||7 895||8 310||9 437||9 631||10 602|
|Expenditure, psychiatric health care for children and adolescents, exclusive depreciation. NOK million||1 059||1 240||1 579||1 705||1 851||2 007|
|Expenditure, health care and treatment of substance abuse, exclusive depreciation. NOK million||..||..||121||122||1 774||2 049|
|Expenditure per inhabitant, specialist health care, exclusive depreciation. NOK||-||-||12 500||13 400||14 300||15 100|
|Expenditure per inhabitant, general hospitals, exclusive depreciation. NOK||7 600||8 600||9 700||10 300||10 500||10 900|
|Expenditure per inhabitant 18 years and over, psychiatric health care for adults, exclusive depreciation. NOK||2 100||2 300||2 400||2 700||2 700||3 000|
|Expenditure per inhabitant 0-17 years, psychiatric health care for children and adolescents, exclusive depreciation. NOK||1 000||1 200||1 500||1 600||1 700||1 800|
|Expenditure per inhabitant, health care and treatment of substance abuse, exclusive depreciation. NOK||0||0||0||0||400||400|
|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||The figures for 2003 were corrected 27 June 2005.|
Of the total costs, 72 per cent was spent on general hospitals. This share has decreased by more than one percentage-point compared to 2004. Likewise, the share of the psychiatric health care has risen by about half a percentage-point. The share for substance abuse treatment has increased by 0.3 percentage-point since 2004, reaching a total of about two billions NOK in 2005.
Reduction in number of beds within general hospitals
The general hospitals and specialized somatic institutions had a total of about 16 700 beds at the end of 2005; a decrease of more than two percent as compared to 2004. Mainly, the decline is connected to the hospitals and it is common to all health regions. For every 100 beds in this sector, 84 are found in hospitals.
but an increase in activity
The total number of bed-days in general hospitals was approximately constant from 2004 and during 2005. The number of discharges increased by 1.7 per cent; up to 809 907. The development of shortening the average length of overnight stay continued from 2004 to 2005. An average stay lasted for 5.1 days instead of 5.2 days as compared to last year. The total number of day-cases and out-patient consultations given by general hospitals increased as well. General hospitals carried out ten percent more day-cases in 2005 than the year before; the number of out-patient consultations increased by 2.6 per cent to almost 3.5 million.
and an increase in the number of beds for substance abuse treatment
Capacity within this sector has increased by about 300 beds. Many of those are ad-hoc-places (sold freely without contracts with the regional health enterprises); but the figures for the utilization capacity show that these beds were in use for three out of four days during 2005. Beds by contract had a slightly higher utilization rate, 84 percent.
Psychiatric health care: large increase in out-patient consultations
The number of beds in psychiatric health care decreased by 128 from 2004 to 2005. This corresponds to a decline by 2.3 per cent both for the grown-ups and children /adolescents. The number of bed-days in the psychiatric health care was about 1.69 million bed-days, the total figure was 1.5 percent lower than the previous year. On the other hand, the number of out-patient consultations grew by almost 26 per cent. The sector gave more than 1,3 million out-patient consultations during last year. From 2005, repayment could also be given for telephone consultations. The large increase could most likely be explained by the new rules.
About publication level for psychiatric health care
Statistics Norway has reorganized publication of activity statistics within the psychiatric health care. It will thus be possible to find three groups in this new classification: psychiatric hospitals, regional psychiatric institutions and psychiatric homes. This new pattern of publication will give the possibility to follow the development of costs in these groups once the accounting levels are ready. The quality of accounts does not permit for this in 2005.
|Specialist health service. 2000-2005. Key figures, activity|
|Beds||22 533||22 544||22 662||22 774||24 086||23 861|
|Discharges||764 546||801 939||820 660||869 320||1 885 605||912 694|
|Bed-days in 1 000||6 825||6 929||6 918||6 920||7 220||7 286|
|Out-patient consultations in 1 0002||4 347||4 386||3 993||4 378||4 568||4 848|
|Day-cases in 1 000||470||613||584||623||3 648||679|
|1||For institutions within substance abuse treatment the number of discharges is not available|
|2||Data from Norwegian Patient Register (NPR) is the main source for this information. In|
addtion Statistics Norway gathered information on out-patient consultations in private
hospitals for 2002 and 2003, 34 679 and 93 127 consultations, respectively. This information
was not included in the figures for 2004.
|3||For institutions within substance abuse treatment the number of day-cases is not available|
Continued growth in man-years
The number of man-years in the specialized health care sector was 92,700 in 2005. Compared to 2004, this amount has grown by 1336 man-years, equivalent to an increase of 1.5 per cent. With the exception of auxiliary nursing personnel, the rise is prevalent in all large categories of personnel - but the amount is varying. Whilst the nurses and midwives see an increase in man-years by 0.8 per cent, the corresponding figures for physicians and psychologists were 3.2 and 6.7 per cent respectively. This shows a further development of relatively larger increases within the highest educated personnel groups, which was already seen in 2004.
|Specialist health service. 2000-2005. Key figures, personnel|
|Man-years, total||80 297||82 929||85 442||87 897||91 364||92 700|
|Man-years, physicians||9 001||9 279||9 300||9 690||10 189||10 515|
|Man-years, psychologists||1 758||1 811||2 002||2 134||2 388||2 548|
|Man-years, nurses and midwives||27 472||27 932||29 019||30 115||31 114||31 387|
|Man-years, auxiliary nursing personnel||8 396||8 291||8 225||8 142||7 821||7 513|
|Man-years, other occupational theraphists||12 615||14 164||14 896||15 842||18 073||18 361|
|Man-years, adminstration and service||20 887||21 452||21 999||21 974||21 780||22 347|
Contracts with private practitioners are falling
The number of contracts with private practitioners is declining for the first time since 2002. The regional health enterprises had 1074 contracts with practitioners within different specialties, compared to 1096 in 2004. In all, the number of man-years by the practitioners declines only marginally.
Increasing use of ambulance services
From 2004 to 2005 the number of ambulance service tasks rose by 16,705. The total milage covered by ambulance cars and boats was more than 17,3 million miles in 2005. On average, about 35 miles are driven per assignment, while ambulances in Northern Norway had the highest average figures per assignment, of almost 55 miles. The number of assignments for the air ambulance services increased to about 16,300; rising by approximately 1 000 tasks from 2004.
Following the major Norwegian Hospital Reform (2002) the country was divided into five regional health enterprises (RHE). Hospitals and institutions were organised as health enterprises (HE) and organised under the regional health enterprises. In 2002 there were 43 such health enterprises. Due to restructuring of the enterprises in 2003, the number was reduced to 31. In 2005, 29 HE were operative. For more information about the restructuring .
About statistics of substance abuse treatment
Statistics Norway published in 2004 for the first time figures for substance abuse treatment. In 2005 there were several problems related to compatibility of computer systems and software implementation within the field. Therefore, some institutions were not able to report complete answers to the questionnaires. Two institutions have not sent information at all. Figures published for 2005 will consequently be a minimum number; even so the quality has improved from 2004.
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