NOK 12,500 per inhabitant to specialist health services
speshelseregn, Specialist health service, accountsHealth services , Health

Specialist health service, accounts2002



This is an archived release.

Go to latest release

NOK 12,500 per inhabitant to specialist health services

Final figures show that total expenses within specialist health services were NOK 56 billion in 2002. This amounts to an average of NOK 12,500 per inhabitant. Expenditures to general hospitals increased by 13 per cent from 2001, and expenditures to psychiatric institutions rose by 8 per cent.

Total expenditures include general hospitals, psychiatric institutions, ambulances, the care and treatment of substance abusers, administration and personnel and recruitment costs, but exclude depreciation.

Gross current expenses (excl. depreciation) distributed on type of
activity. 1998-2002. Million NOK
  2002 2001 2000 1999 1998
Total 56 503 47 992 42 160 39 197 36 480
General hospital 43 796 38 813 33 954 31 406 29 117
Psychiatric institutions for adults 8 310 7 895 7 075 6 778 6 383
Psychiatric institutions for children and adolescents 1 579 1 240 1 059  973  901
Ambulances 1 716 -- -- -- --
Administration in the regional enterprises  410 -- -- -- --
Health care and treatment of substance abusers  121 -- -- -- --
Personnel and expenses related to recruitment  566 -- -- -- --

Increased expenses to general hospitals

About 75 per cent of total expenses are related to general hospitals. Final figures show that gross operating expenditures, excluding depreciation, were NOK 44 billion in 2002, an increase of 13 per cent from 2001. Wages and salaries increased by 7 per cent from 2001 and 2002, and constituted about 70 per cent of total expenditures.

Expenses to psychiatric institutions

Final figures show an increase in gross current expenditures (exclusive depreciation) to psychiatric institutions of 8 per cent from 2001 to 2002, to a total of NOK 10 billion. Expenditures to institutions for children and adolescents constitute 16 per cent of gross expenditures, a slight increase from 2001.

Revenue in the specialist health service

Total revenue for specialist health services for 2002 amounts to NOK 60 billion. The major source was patient- and treatment- related grants and reimbursements, which constituted 50 per cent of total revenue. The diagnosis- related group revenue was the second largest source with 28 per cent. About 1 billion NOK came from out-of-pocket payments from patients.

Gross revenue distributed, by type of revenue and
region. 2002. Million NOK
Revenue in the specialist health service 60 208
Sales revenue  898
DRG revenue 17 049
Revenue from guest patients 2 181
Revenue from National Insurance Administration 4 023
Out-of-pocket payments from patients  901
Other patient and treatment related revenues 1 227
Patient and treatment related grants and reimbursements1 32 928
Other revenues 1 001
1  Other patient and treatment related revenues consist of codes
33 and 35. Enterprises have made use of both codes for investment grants.

Expenditures distributed on health regions

Previously, the accounts for general hospital and psychiatric institutions have been published per county, but are now published per health region. The regions have a responsibility for its inhabitants to secure the access to health services. It is therefore relevant to show figures for the regions in relation to its inhabitants. It has been necessary to adjust the figures in order to calculate the expenditures on a regional level. In order not to include expenditures related to patients from other regions, the expenditures have been adjusted for income received for patients from other regions. Expenditures related to patients treated outside their own region are included in the expenditures of the region where the patient is a resident. The majority of the health enterprises treat patients in their own region.

The regional figures include the administration costs related to the regional health enterprise, the health enterprises under the regional enterprise and expenditures of private institutions with operating agreements with either the regional enterprise or one of the health enterprises. The expenditures of these private institutions are adjusted for the value of the operating agreement in order to avoid double counting, since this is already a part of the accounts from the enterprises. It has not been possible to conduct a full consolidation of the accounts within the regions and it is therefore not adjusted for transactions between enterprises within the same health region.

The total for the country is calculated by adding the figures for the 5 regions together with operating expenditures for private institutions with no operating agreements.

The Norwegian Hospital Reform

The Norwegian Hospital Reform introduced 1 January 2002 resulted in the central government taking over the responsibility for all public hospitals. The reform also involved the hospitals to be operated as health enterprises. Previously, the majority of hospitals were run by the counties' health administrations. The government now also finances all or some of the services of private hospitals (foundations and commercial ones). Several aspects influence the comparability with previous years. For example, the principles behind the accounts have changed and the accounts now include some expenses, which were not previously included. One should therefore be cautious when interpreting the changes over time.