20824
/en/helse/statistikker/speshelse/arkiv
20824
Increase in costs, decrease in treatments
statistikk
2008-06-18T10:00:00.000Z
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 service2007

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Increase in costs, decrease in treatments

Costs in the specialist health service including depreciation rose by 9.1 per cent in 2007. The increase was 9.7 per cent excluding depreciation, the largest increase since the hospital reform. Day-treatments and discharges of in-patients declined and the growth in man-years was low.

Total costs for the specialist health service amounted to NOK 88.6 billion in 2007, including depreciation. The costs per capita were NOK 18 700, an increase of NOK 1300. This represents an overall increase of about NOK 7.4 billion from 2006, which is partly attributable to the costs of pensions. The costs of wages increased by 12.6 per cent from 2006 and amounted to NOK 56.5 billion in 2007. The costs of pensions amounted to NOK 7.6 billion compared to NOK 4.4 billion in 2006. But the main reason for the growth in costs was the growth in activities.

Specialist health service. 2000-2007. Key figures, accounts
  2000 2001 20021 20032 20042 2005 20063 2007
Expenditure, specialist health care, inclusive depreciation. NOK million           75 342 81 246 88 625
Expenditure, specialist health care, exclusive depreciation. NOK million   42 160   47 992   56 503   61 110   65 894   70 231   75 717   83 090
Expenditure, general hospitals, inclusive depreciation. NOK million           54 692 358 661 63 869
Expenditure, general hospitals, exclusive depreciation. NOK million 33 954 38 813 43 796 47 100 48 324 50 627 354 365 59 520
Expenditure, psychiatric health care for adults, inclusive depreciation. NOK million           11 314 11 924 13 238
Expenditure, psychiatric health care for adults, exclusive depreciation. NOK million 7 075 7 895 8 310 9 437 9 631 10 602 11 117 12 454
Expenditure, psychiatric health care for children and adolescents, inclusive depreciation. NOK million           2 124 2 407 2 636
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 2 484
Expenditure, health care and treatment of substance abuse, inclusive depreciation. NOK million           2 132 2 320 2 577
Expenditure, health care and treatment of substance abuse, exclusive depreciation. NOK million .. ..  121  122 1 774 2 049 2 223 2 484
                 
Expenditure per inhabitant, specialist health care, inclusive depreciation. NOK           16 200 17 400 18 700
Expenditure per inhabitant, specialist health care, exclusive depreciation. NOK - - 12 500 13 400 14 300 15 100 16 200 17 500
Expenditure per inhabitant, general hospitals, inclusive depreciation. NOK           11 800 12 500 13 500
Expenditure per inhabitant, general hospitals, exclusive depreciation. NOK 7 600 8 600 9 700 10 300 10 500 10 900 11 600 12 600
Expenditure per inhabitant 18 years and over, psychiatric health care for adults, inclusive depreciation. NOK           3 200 3 300 3 600
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 3 400
Expenditure per inhabitant 0-17 years, psychiatrichealth care for children and adolescents, inclusive depreciation. NOK           1 900 2 200 2 400
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 2 300
Expenditure per inhabitant, health care and treatment of substance abuse, inclusive depreciation. NOK            500  500  500
Expenditure per inhabitant, health care and treatment of substance abuse, exclusive depreciation. NOK 0 0 0 0  400  400  500  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 and 2004 were corrected June 27th 2005.
2  The figures from 2006 were corrected June 27th 2008.

There was a strong growth in costs in all activity areas in 2007. With an increase of 11.1 per cent from 2006, the largest growth took place within substance abuse treatment. Costs related to general hospitals increased by 8.9 per cent, costs for psychiatric health care for adults by 11 per cent and costs for psychiatric health care for children and adolescents 9.5 per cent.

General hospitals accounted for 72 per cent of the total costs. This share was almost unchanged from 2005. In comparison, psychiatric health care for adults accounted for 15 per cent, psychiatric health care for children and adolescents accounted for 3.0 per cent and substance abuse treatment accounted for 2.9 per cent.

Since 2006 Statistics Norway has published net results for the health enterprises. In 2007, none of the enterprises reported a positive net result.

Specialist health service, 2000-2007. Key figures, activity
  2000 2001 2002 2003 2004 2005 2006 2007
Beds 22 533 22 544 22 662 22 774 24 086 23 861 23 427 22 906
Discharges  764 546  801 939  820 660  869 320 1885 605  912 694  924 255  910 116
Bed-days in 1 000 6 825 6 929 6 918 6 920 7 220 7 286 7 127 6 877
Out-patient consultations in 1 0002 4 347 4 386 3 993 4 378 4 568 4 848 5 101 5 390
Day-cases in 1 000  470  613  584  623 3648  679  693  687
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 substance abuse institutions the number of day-cases are not available for 2004.

Decrease in discharges of in-patients and day-cases

There was a decrease in discharges of in-patients and day-cases in the specialist health service from 2006 to 2007. On the other hand there was an increase in out-patient consultations, a trend which continued from 2005. The total decrease in day-treatments was 1 per cent, but there was an increase in day-treatments in hospitals and substance abuse treatment and a decrease in psychiatric care. The total decrease in discharges of in-patients was 1.5 per cent, but again there were variations from activity area to activity area. There was a decrease in discharges of in-patients in hospitals and in psychiatric care and an increase in substance abuse treatment. The increase in the number of out-patient consultations was 5.6 per cent and there was an even development or increase in all areas. The number of beds decreased by about 2.2 per cent in total.

Continued increase in man-years - mostly for psychologists

The number of man-years in the specialist health service in 2007 was almost 95 800. Compared to 2006, this figure has grown by 900 man-years, equivalent to an increase of 1 per cent. This growth is lower than in 2006, when it was 2.4 per cent. Nurses represent the largest group of employees in the specialist health service. With an increase of 5.1 per cent, psychologists had the highest increase. Man-years for physicians and nurses increased by 2.6 per cent and 1.7 per cent respectively. With the exception of auxiliary nursing personnel, the rise is prevalent in all large categories of personnel, but the size varies. Auxiliary nursing personnel decreased by 5.4 per cent.

Specialist health service. Key figures, personnel. 2000-2007
  2000 2001 2002 2003 2004 2005 2006 2007
Man-years, total   80 297   82 929   85 442   87 897   91 364   92 700   94 923   95 793
Man-years, physicians 9 001 9 279 9 300 9 690 10 189 10 515 10 854 11 144
Man-years, psychologists 1 758 1 811 2 002 2 134 2 388 2 548 2 738 2 878
Man-years, nurses and midwives 27 472 27 932 29 019 30 115 31 114 31 387 32 219 32 780
Man-years, auxiliary nursing personnel 8 396 8 291 8 225 8 142 7 821 7 513 7 281 6 884
Man-years, other occupational theraphists 12 615 14 164 14 896 15 842 18 073 18 361 19 196 19 360
Man-years, adminstration and service 20 887 21 452 21 999 21 974 21 780 22 347 22 636 22 748

Fewer beds in general hospitals, low increase in man-years

At the end of 2007, there were around 13 600 beds in general hospitals, a reduction of 300 compared to 2006 and in line with the development in recent years. The total number of man-years rose by less than 0.4 per cent to 65 400, but the figures varied between the personnel groups. Physicians had an increase in the number of man-years of 2.7 per cent, nurses 1 per cent, other personnel with higher education 2.8 per cent, and midwives 4.2 per cent, while there was a decrease in man-years for auxiliary nursing personnel of almost 7 per cent.

Day treatment continued to increase in general hospitals, fewer discharges after stays

In 2007, the trend with more out-patient consultations and day cases in general hospitals continued. The number of out-patient consultations was 3 700 000, an increase of 185 000 or 5.2 per cent. The number of day cases rose to 568 000, an increase of 4.4 per cent. There were 811 000 discharges after stays, a decrease of 1.6 per cent from 2006. For more information, go to Patient statistics, 2007 .

More certified personnel and beds within substance abuse treatment

From 2006 to 2007, the number of physicians and psychologists increased by 19 per cent and total man-years within substance abuse treatment increased by 8.6 per cent. The number of bed-days increased by 8 000 to 569 000 from 2006 to 2007, while the number of beds increased by 3 per cent. The number of beds within detoxification/abstinence treatment, long-term treatment and after-care/continued treatment increased, while the number of short-term treatments declined.

Psychiatric care; Specialists and out-patient consultations on the rise

The number of man-years for physicians and psychologists increased by 1.3 and 7.1 per cent from 2006 to 2007. The share of specialised physicians increased from 54 per cent to 57.5 per cent, while the share of specialized psychologists increased from 42.9 per cent to 44.1 per cent. The number of out-patient consultations increased by 7 per cent from. The number of beds in institutions for children and adolescents was stable, while the number of beds for adults continued to decline.

Increasing use of ambulance services

The number of ambulance service assignments rose by 4 per cent to almost 550 000 in 2007. On the other hand, the number of operating hours fell by 4 per cent to 84 000 hours per week. The number of ambulances was relatively stable.

Small decrease in specialists with agreements

In 2007, the regional health enterprises had 1 592 agreements with specialists in medicine and psychology, a decrease of 24 from 2006. Psychologists represent the largest group of specialists.

Specialist health service structure

With the Norwegian hospital reform in 2002 the country was divided into five regional health enterprises (RHF). Hospitals and institutions were organised as health enterprises (HE) and placed under the regional health enterprises.

As of 1 June 2007, Helse Øst RHF merged with Helse Sør RHF and became Helse Sør-Øst RHF. As of 2007, the statistics for the Helse Sør-Øst RHF are available on regional level.

The number of health enterprises was 43 in 2002. Due to continued restructuring, this number had been reduced to 28 in 2007. For more information about the restructuring, see overview . (In Norwegian only)

See also :

Psychiatry

Ambulance service

Account

Somatic care

Specialists with operating agreements

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