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/en/helse/statistikker/speshelse/arkiv
20820
Female dominance in specialist health
statistikk
2009-06-18T10:00:00.000Z
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 service2008

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Female dominance in specialist health

The specialist health service had a total cost of NOK 95 billion in 2008. The total costs increased by 7 per cent from 2007. The number of beds and day cases fell. Personnel in the specialist health service are dominated by women.

Total costs in the specialist health service reached NOK 95 billion in 2008; NOK 19 700 per inhabitant. The costs increased by 7 per cent from the previous year. The increase is lower than from 2006 to 2007. Two thirds of the costs in the specialist health service are generated by general hospitals, psychiatric health care counts for 17 per cent, while 3 per cent of the costs are substance abuse treatment.

Wages are the dominant cost component in the specialist health service, with 64 per cent of the total. Medicines and other medical consumption goods account for 9 per cent of the costs.

Specialist health service, 2000-2008. Key figures, accounts
  2000 2001 12002 20032 20042 2005 22006 2007 2008
Expenditure, specialist health care, inclusive depreciation. Million NOK                 75 342       81 246       88 625       94 667
Expenditure, specialist health care, exclusive depreciation. Million NOK 42 160       47 992       56 503       61 110        65 894 70 231 75 717 83 090 89 281
Expenditure, general hospitals, inclusive depreciation. Million NOK           54 692 58 661 63 869 67 847
Expenditure, general hospitals, exclusive depreciation. Million NOK 33 954 38 813 43 796 47 100 48 324 50 627 54 365 59 520 63 565
Expenditure, psychiatric health care for adults, inclusive depreciation. Million NOK           11 314 11 924 13 238 14 180
Expenditure, psychiatric health care for adults, exclusive depreciation. Million NOK 7 075 7 895 8 310 9 437 9 631 10 602 11 117 12 454 13 479
Expenditure, psychiatric health care for children and adolescents, inclusive depreciation. Million NOK           2 124 2 407 2 636 2 875
Expenditure, psychiatric health care for children and adolescents, exclusive depreciation. Million NOK 1 059 1 240 1 579 1 705 1 851 2 007 2 268 2 484 2 723
Expenditure, health care and treatment of substance abuse, inclusive depreciation. Million NOK           2 132 2 320 2 577 3 021
Expenditure, health care and treatment of substance abuse, exclusive depreciation. Million NOK .. ..  121  122 1 774 2 049 2 223 2 484 2 900
                   
Expenditure per inhabitant, specialist health care, inclusive depreciation. NOK           16 200 17 400 18 700 19 700
Expenditure per inhabitant, specialist health care, exclusive depreciation. NOK - - 12 500 13 400 14 300 15 100 16 200 17 500 18 600
Expenditure per inhabitant, general hospitals, inclusive depreciation. NOK           11 800 12 500 13 500 14 100
Expenditure per inhabitant, general hospitals, exclusive depreciation. NOK 7 600 8 600 9 700 10 300 10 500 10 900 11 600 12 600 13 200
Expenditure per inhabitant 18 years and over, psychiatric health care for adults, inclusive depreciation. NOK           3 200 3 300 3 600 3 800
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 3 600
Expenditure per inhabitant 0-17 years, psychiatrichealth care for children and adolescents, inclusive depreciation. NOK           1 900 2 200 2 400 2 600
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 2 500
Expenditure per inhabitant, health care and treatment of substance abuse, inclusive depreciation. NOK            500  500  500  600
Expenditure per inhabitant, health care and treatment of substance abuse, exclusive depreciation. NOK 0 0 0 0  400  400  500  500  600
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 27.th 2005.

The number of out-patient consultations continues to increase, the number of day cases continues to fall and the number of discharges varies.

Seventy per cent of all beds in the specialist health service belong to general hospitals, 22 per cent belong to psychiatric health care, while substance abuse treatment accounts for 8 per cent.

Specialist health service, 2000-2008. Key figures, activity
  2000 2001 2002 2003 2004 2005 2006 2007 2008
Beds       22 533       22 544       22 662       22 774       24 086       23 861       23 427       22 906       22 101
Discharges  764 546  801 939  820 660  869 320 1 885 605  912 694  924 255  910 116  923 017
Bed-days in 1 000 6 825 6 929 6 918 6 920 7 220 7 286 7 127 6 877 6 719
Out-patient consultations in 1 0002 4 347 4 386 3 993 4 378 4 568 4 848 5 101 5 390 5 789
Day-cases in 1 000  470  613  584  623 3 648  679  693  687  636
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.

Women represent 75 per cent of personnel

The 2008 figures on personnel in the specialist health service have been compiled from administrative registers for the first time. This represents a break in the time series. The figures show that nurses are the dominant group of personnel in the specialist health service, with approximately one third of the total man-years. Medical doctors account for 12 per cent, and the corresponding figure for personnel with no health education is 25 per cent.

Specialist health service. Key figures, personnel.2000-2008
  2000 2001 2002 2003 2004 2005 2006 2007 2008
Man-years, total       80 297       82 929       85 442       87 897       91 364       92 700       94 923       95 793  94 785
Man-years, physicians 9 001 9 279 9 300 9 690 10 189 10 515 10 854 11 144 11 355
Man-years, psychologists 1 758 1 811 2 002 2 134 2 388 2 548 2 738 2 878 2 838
Man-years, nurses and midwives 27 472 27 932 29 019 30 115 31 114 31 387 32 219 32 780 32 317
Man-years, auxiliary nursing personnel 8 396 8 291 8 225 8 142 7 821 7 513 7 281 6 884 6 624
Man-years, other occupational therapists 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 ..
Other personnel with health education on a high school level .. .. .. .. .. .. .. .. 5 636
Other personnel with health education on a university or college level .. .. .. .. .. .. .. .. 12 722
Personnel with no health education .. .. .. .. .. .. .. .. 23 292

The number of man-years in the specialist health service shows that contracted man-years are dominated by women. Auxiliary nurses show the greatest female dominance, where 90 per cent of the contracted man-years are women. Medical doctors are the only educational group in which women do not dominate. The difference between men and women is less among the younger employees.

Specialist health service. Key figures, personnel. 2008
  Total Men Women
  16-39 years 40-54 years 55-66 years 16-39 years 40-54 years 55-66 years 16-39 years 40-54 years 55-66 years
Man-years, total       35 903       38 628       16 025       10 161       9 729       4 051       25 742       28 902       11 973
Man-years, physicians 4 647 3 752 1 847 2 291 2 191 1 508 2 356 1 560  339
Man-years, psychologists 1 192  857  315  366  288  156  826  569  159
Man-years, nurses and midwives 13 101 14 089 4 235 1 949 1 731  331 11 152 12 358 3 903
Man-years, auxiliary nursing personnel  887 3 060 2 253  126  374  146  761 2 687 2 106
Other personnel with health education on a high school level 8 066 9 546 4 840 3 383 3 391 1 448 4 683 6 156 3 392
Other personnel with health education on a university or college level 2 278 2 552  662  784  763  120 1 493 1 791  544
Personnel with no health education 5 732 4 771 1 872 1 260  990  345 4 470 3 782 1 528

Fifteen per cent of the input of man-years relate to persons with a foreign country of origin. Two thirds of foreign-related man-years represent persons with a European country of origin. Twenty-three per cent of the man-years for medical doctors and 28 per cent of the man-years for nurses have a foreign country of origin.

Man-years - new source of data

From the statistical year 2008, the official figures on man-years have been compiled from administrative registers.

The statistics are based on a compilation of several different administrative registers.

1) In the statistics on substance abuse treatment, administrative registers have been the data source since 2004.

2) Register-based statistics on personnel in the specialist health service include all local area units in the health enterprises and the regional health enterprises, private sector with or without an operating agreement with the health enterprises.

3) Man-years in the specialist health service that are co-organised with the municipal health service are not included.

4) For more information on the data source, selection, collection and definitions please see “ About the statistics ”, specifically chapters 3 and 4.1.

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