This is an archived release.
Rise in costs continues
The total cost of specialised health care per capita increased by NOK 1 100 to NOK 16 200 in 2006. This is the highest increase in costs since the hospital reform in 2002.
The total cost of the specialised health care sector exceeded NOK 81 billion in 2006. This figure includes depreciation, but if depreciation is excluded the figure is NOK 75.8 billion, which is equivalent to a 7.9 per cent increase from 2005. The increase is partly explained by the introduction of new tasks for the health enterprises: rehabilitation, patient transport, patient damage compensation and financing TNF-restrainers (tumour necrosis factors restrainers) are some of the new tasks. However, the main reason for the increase in costs is the activity growth.
|Specialist health service. 2000-2006. Key figures, accounts|
|Expenditure, specialist health care, inclusive depreciation. NOK million||75 342||81 246|
|Expenditure, specialist health care, exclusive depreciation. NOK million||42 160||47 992||56 503||61 110||65 894||70 231||75 717|
|Expenditure, general hospitals, inclusive depreciation. NOK million||54 692||58 648|
|Expenditure, general hospitals, exclusive depreciation. NOK million||33 954||38 813||43 796||47 100||48 324||50 627||54 342|
|Expenditure, psychiatric health care for adults, inclusive depreciation. NOK million||11 314||11 924|
|Expenditure, psychiatric health care for adults, exclusive depreciation. NOK million||7 075||7 895||8 310||9 437||9 631||10 602||11 117|
|Expenditure, psychiatric health care for children and adolescents, inclusive depreciation. NOK million||2 124||2 407|
|Expenditure, psychiatric health care for children and adolescents, exclusive depreciation. NOK million||1 059||1 240||1 579||1 705||1 851||2 007||2 268|
|Expenditure, health care and treatment of substance abuse, inclusive depreciation. NOK million||2 132||2 320|
|Expenditure, health care and treatment of substance abuse, exclusive depreciation. NOK million||..||..||121||122||1 774||2 049||2 223|
|Expenditure per inhabitant, specialist health care, inclusive depreciation. NOK||16 200||17 400|
|Expenditure per inhabitant, specialist health care, exclusive depreciation. NOK||-||-||12 500||13 400||14 300||15 100||16 200|
|Expenditure per inhabitant, general hospitals, inclusive depreciation. NOK||11 800||12 500|
|Expenditure per inhabitant, general hospitals, exclusive depreciation. NOK||7 600||8 600||9 700||10 300||10 500||10 900||11 600|
|Expenditure per inhabitant 18 years and over, psychiatric health care for adults, inclusive depreciation. NOK||3 200||3 300|
|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||3 100|
|Expenditure per inhabitant 0-17 years, psychiatrichealth care for children and adolescents, inclusive depreciation. NOK||1 900||2 200|
|Expenditure per inhabitant 0-17 years, psychiatrichealth care for children and adolescents, exclusive depreciation. NOK||1 000||1 200||1 500||1 600||1 700||1 800||2 100|
|Expenditure per inhabitant, health care and treatment of substance abuse, inclusive depreciation. NOK||500||500|
|Expenditure per inhabitant, health care and treatment of substance abuse, exclusive depreciation. NOK||0||0||0||0||400||400||500|
|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 from 2003 were corrected June 27th 2005.|
The largest growth in costs took place within psychiatric health care for children and adolescents, increasing by 13 per cent since 2005. Costs related to general hospitals increased by 7.3 per cent, while costs related to psychiatric health care for adults increased by 4.9 per cent. Costs for substance abuse treatment increased by 8.5 per cent.
72 per cent of the total costs were spent on general hospitals. This figure is almost unchanged from 2005. Psychiatric health care for adults and psychiatric health care for children and adolescents accounted for 14.7 per cent and 3 per cent of the total costs respectively. Substance abuse treatment accounted for 2.9 per cent.
For the first time, figures for the financial results of the health enterprises are published. Only one of the 29 health enterprises has reported a positive balance.
|Specialist health service. 2000-2006. Key figures, activity|
|Beds||22 533||22 544||22 662||22 774||24 086||23 861||23 427|
|Discharges||764 546||801 939||820 660||869 320||1 885 605||912 694||924 255|
|Bed-days in 1 000||6 825||6 929||6 918||6 920||7 220||7 286||7 127|
|Out-patient consultations in 1 0002||4 347||4 386||3 993||4 378||4 568||4 848||5 101|
|Day-cases in 1 000||470||613||584||623||3 648||679||693|
|1||For institutions within substance abuse treatment the number of discharges is not available for 2004.|
|2||Data from Norwegian Patient Register (NPR) is the main source for this information. I 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 for 2004.|
Increasing activity in specialist health service
There has been an increase in the overall activity in the specialist health service. This applies to hospitalisations and day-cases as well as out-patient consultations. The biggest increase is seen in the number of out-patient consultations, where the figures show a total of 5.1 million, an increase of 5.2 per cent from 4.8 million in 2005. The number of day-treatments increased by 2.2 per cent in 2006. Discharges after hospitalisation increased by 1.3 per cent. The number of bed-days decreased by 2.2 per cent, however. So did the number of beds, as about 1.8 per cent fewer beds were available in total.
Continued increase in man-years - mostly for psychologists
The number of man-years in the specialised health care sector reached almost 95 000 in 2006. This is an increase of more than 2 200 man-years, or 2.4 per cent, from 2005. Psychologists accounted for the highest increase, with a growth of 7.5 per cent compared to 2005. With the exception of auxiliary nursing personnel, there has been a rise in all main personnel categories. Whilst auxiliary nursing personnel decreased by 3.1 per cent, the number of man-years for nurses rose by 2.7 per cent, and the corresponding figure for physicians was 3.2 per cent.
|Specialist health service. 2000-2006. Key figures, personnel|
|Man-years, total||80 297||82 929||85 442||87 897||91 364||92 700||94 923|
|Man-years, physicians||9 001||9 279||9 300||9 690||10 189||10 515||10 854|
|Man-years, psychologists||1 758||1 811||2 002||2 134||2 388||2 548||2 738|
|Man-years, nurses and midwives||27 472||27 932||29 019||30 115||31 114||31 387||32 219|
|Man-years, auxiliary nursing personnel||8 396||8 291||8 225||8 142||7 821||7 513||7 281|
|Man-years, other occupational theraphists||12 615||14 164||14 896||15 842||18 073||18 361||19 196|
|Man-years, adminstration and service||20 887||21 452||21 999||21 974||21 780||22 347||22 636|
Increased activity in general hospitals
The development for general hospitals mirrors the situation in the sector as whole. The number of day-cases increased by 7.4 per cent in 2006. The number of discharges increased by 1.0 per cent to about 861 000. In total, more than 3.5 million out-patient consultations were given. The total number of bed-days in general hospitals fell by 2.7 per cent from 5.0 million in 2005 to 4.9 million in 2006. The development towards shorter overnight stay continued in 2006. An average stay lasted 5.0 days in 2006, compared to 5.1 days in 2005.
The general hospitals had around 13 900 beds in total at the end of 2006; a decrease of about 100 beds compared to 2005.
Large increase in bed-days and out-patient consultations within substance abuse treatment
In recent years, the number of bed-days in substance abuse treatment has increased by about 4 000 to more than 561 000 in 2006. The number of beds was constant from 2005 to 2006. A large proportion of these are ad-hoc-places (sold freely without contracts with regional health enterprises). About half of the institutions are publicly owned. The number of out-patient consultations increased by almost 25 per cent to about 87 200 in 2006. This increase is partly due to better reporting routines. The number of man-year rose by about 10 per cent.
Psychiatric health care: large increase in out-patient consultations
The number of out-patient consultations within psychiatric health care rose by 10.7 per cent to more than 1.4 million in 2006. The bed capacity for adults decreased slightly (49 beds), while the number of beds for children and adolescents remained stable. The number of bed-days in the psychiatric health care was about 1.58 million for adults, while the figure for children and adolescents was about 84 000.
Increasing use of ambulance services
From 2005 to 2006 the number of ambulance service tasks rose from 497 000 to almost 530 000. The total mileage covered by ambulance cars and boats was more than 29 million kilometres in 2006.
Specialist health service structure
Following the hospital reform of 2002, Norway was divided into five regional health enterprises (RHE). Hospitals and institutions were organised as health enterprises (HE) under the regional health enterprises. In 2002, the number of health enterprises was 43. Due to continued restructuring of the enterprises, the number has been reduced since then. For more information about the restructuring, see this link (norwegian only).
Cooperation with SINTEF Helse
The quality assurance of health enterprise accounting figures has been carried out in cooperation with SINTEF Helse. The aim of the cooperation has been to reduce and eventually eliminate the discrepancy in accounting figures between the two institutions. SINTEF Helse has been responsible for the Samdata reporting since 1986. There have at times been large differences in the estimates for total costs. In 2005, specialist health service expenditure came to NOK 70.2 billion according to Statistics Norway and NOK 68.3 billion according to Samdata figures. The difference is partly due to a different basis for estimation. For 2006, the differences between Statistics Norway and SINTEF Helse have been reduced considerably.
Did you find what you were looking for?
Thank you for your feedback!
Your answer will be used to improve ssb.no.
Sorry, something wrong happened. Try again.