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Stability in specialist health service
statistikk
2012-06-18T10:00:00.000Z
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 service, 2011

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Stability in specialist health service

Operating costs in the specialist health service were NOK 109 billion and full-time equivalents (FTEs) totalled 100 000.The number of beds decreased, while the number of out-patient treatments increased.

Specialist health service - national level

In 2011, the specialist health service cost NOK 109 billion including depreciation. The number of contracted FTEs adjusted for long-term leave amounted to 100 000, while the total number of employees was 127 000. FTEs increased by 2.2 per cent from 2010 to 2011. The number of beds amounted to 20 800. The number of out-patient treatments reached 7.1 million; an increase of 3 per cent.

Health enterprises owned by the central government (StatRes) accounted for 83 per cent of the costs in 2011. The health enterprises accounted for 88 per cent of the FTEs. Seventy-four per cent of the beds belonged to the health enterprises.

Specialist health service and StatRes. 2007-2011. Key figures
  2011 2010-2011 2007-2011
  Absolute figures Per cent Per cent
Specialist health service, 2007-2011. Key figures1      
Expenditure inclusive depreciation. NOK million  109 424 16 23
Beds 20 778 -1 -9
Discharges in 1 000  973 1 7
Bed-days in 1 000 6 342 -3 -8
Out-patient consultations in 1 000 7 118 3 31
Day-cases in 1 000  477 -6 -30
Contracted man-years unadjusted for long term leaves  110 059 2 .
Contracted man-years adjusted for long term leaves 99 899 2 .
Employees  127 376 1 .
       
StatRes - Specialist health service, 2007-2011. Key figures2      
Expenditure own production inclusive depreciation. Million NOK 90 537 17 24
Beds 16 282 3 -8
Discharges in 1 000  878 2 8
Bed-days in 1 000 4 991 1 -6
Out-patient consultations in 1 000 6 654 4 31
Day-cases in 1 000  412 -6 -34
Contracted man-years adjusted for long term leaves StatRes-specialist health service 88 144 3 .
1  The specialist health service includes production in both private sector and the Government.
2  StatRes includes specialist health services produced by the governmental institutions (Health enterprises).

Specialist health service - regional level

At regional level, the statistics show that South-East is the largest health region. In this region the operating costs including depreciation amounted to NOK 60 billion in 2011. The Western region was the second largest with NOK 20 billion.

South-East accounted for 57 700 contracted FTEs adjusted for long-term leave. In West, this number was 18 700, in Mid-Norway 13 000 and in North 11 000. The number of contracted FTEs adjusted for long-term leave does not include hired labour.

Fewer beds, more day treatments at general hospitals and institutions

The total operating costs relating to general hospitals and institutions in 2011 were close to NOK 68 billion. By the end of 2011 there were around 14 300 beds in total. This is a decrease compared to 2010 and in accordance with the development in recent years. Read more: Patient statistics, 2011 . In 2011, the total number of contracted FTEs adjusted for long-term leave in general hospitals and other somatic institutions was close to 67 000.

Specialist health service, general care. 2007-2011. Key figures
  2011 2010-2011 2007-2011
  Absolute figures Per cent Per cent
Key figures, Specialist healt service, general care      
Expenditure, general hospitals and institutions, inclusive depreciation. Million NOK 68 028 18 .
Beds 14 358 -1 -10
Discharges in 1000  902 1 6
Bed-days in 1 000 4 539 -3 -7
Out-patient consultations1 in 1 000 4 403 3 .
Day-cases1 in 1 000  431 -2 .
Contracted man-years unadjusted for long term leaves, general hospitals and institutions 74 000 2 .
Contracted man-years adjusted for long term leaves, general hospitals and institutions 66 962 2 .
Employees 86 765 1 .
1  The numbers can not be compared directly with previous years, due to a minor change in the hospital financing system.

Increase in mental health care

Total operating costs for mental health care increased from 2010 to 2011. The decrease in the number of beds for adults continues, while the number of beds for children and adolescents remains stable. The number of FTEs increased by 6 per cent from 2010 to 2011 for children and adolescents, while the growth for adults was 2 per cent. Figures for activity (out-patient consultations, bed-days, discharges) in 2011 are extracted from the Norwegian Patient Register. This leads to breaks in time series and the numbers will not be directly comparable with previous years.

Mental health care. 2007-2011. Key figures
  2011 2010-2011 2007-2011
  Absolute figures Per cent Per cent
Expenditure, mental health care, inclusive depreciation. Million NOK 18 425 11 16
Beds 4 517 -3 -12
Discharges in 1 0001 56 . .
Bed-days in 1 0001 1 343 . .
Out-patient consultations in 1 0001 2 004 . .
Contracted man-years unadjusted for long term leaves, mental health care 21 040 2 .
Contracted man-years adjusted for long term leaves, mental health care 19 095 3 .
Employees 24 265 2 .
1  From 2011 the figures har delivered by Norwegian Patient Register.

Substantial growth in multidisciplinary specialist substance abuse treatment

Multidisciplinary specialist substance abuse treatment has increased rapidly over the past five years. Operating costs increased by 50 per cent and the number of out-patient consultations has doubled. There has been a slight increase in the number of beds. Part of the growth can be explained by the activity that was previously included in the mental health care and is now in a separate category for multidisciplinary specialist substance abuse treatment.

Multidisciplinary specialist substance abuse treatment. 2007-2011. Key figures
  2011 2010-2011 2007-2011
  Absolute figures Per cent Per cent
Expenditure, multidisciplinary specialist substance abuse treatment, inclusive depreciation. Million NOK 3 902 15 51
Beds 1 887 1 3
Discharges in 1 000 14 5 14
Bed-days in 1 000  591 3 4
Out-patient consultations in 1 000  241 25 99
Contracted man-years unadjusted for long term leaves, Multidisciplinary specialist substance abuse treatment 3 839 6 .
Contracted man-years adjusted for long term leaves, Multidisciplinary specialist substance abuse treatment 3 450 7 .
Employees 4 344 4 .

Specialist physicians and psychologists with independent operating agreements

The declining number of specialist physicians and psychologists with independent operating agreements continues. In the period 2007 to 2011, the number of agreements declined from 1 592 in 2007 to 1 534 in 2011. The numbers of FTEs in the same period continues to be stable at an average of 1 170.