Specialist health service - StatRes (discontinued), 2010

Regional level and per health enterprise

Annual publication of indicators for the Specialist health service - StatRes, and the annual publication of more detailed specialist subject statistics in June. .

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The central government specialist health service forms part of StatRes – State resource use and results. The purpose of StatRes is to show the level of resources that the state uses, what this input provides in terms of activities and services in the various government activities, and what outcomes can be seen from the input. Its aim is to provide the general public and the authorities with more knowledge of state-run activities.

StatRes was initiated as a project in 2005, and was first published in October 2007. StatRes is developed in collaboration with the Ministry of Government Administration and Reform, which also finances part of the work.

The specialist health service was established as a pilot project within StatRes in March 2007, somewhat later than other pilot projects. The scope of indicators at the time of launch was limited, and plans have been drawn up to extend these in the coming years.

Most of the time series in the StatRes specialist health service date back to 2002, when the state took over responsibility from the county authorities. After the hospital reform in 2002, the services were organised under five regional health authorities (RHF). Within each RHF, hospitals and institutions were divided into a number of health enterprises (HF). During the period, two of the regional health authorities merged into one, a number of regional health authorities changed their internal organisation, health enterprises were closed down and new ones created. An overview of the reorganisation during the period is available here.

On 1 June 2007, Health South RHF merged into one regional health authority; Health South-East RHF. In published statistics, the statistics year 2006 used the classifications that were applicable up to 1 June 2007.

Multidisciplinary specialist substance abuse treatment was made an integral part of the specialist health service, and incorporated into the regional health authorities' area of responsibility as from 1 January 2004.

The target group for StatRes is the general public and the authorities. The general public is defined here as statistics users with some knowledge of and interest in central government activities, and who for various reasons are interested in or have a need for information on central government resource use and what this provides in the form of various activities, services and results. These can include interested electors and taxpayers, the media, politicians, school pupils and students. StatRes also aims to provide the general public with information that supplements the information used in the daily management of the various central government activities.

In June every year, Statistics Norway publishes seven different sets of statistics for areas within the specialist health service, which also form the basis for the StatRes Specialist Health Service publication. For an overview of the complete publication, see the Focus on page, Specialist Health Service.

The individual statistics are available at the following links:

Specialist health service

Specialist health service, accounts

Specialist health service, general care

Specialist health service, psychiatric institutions

Specialist health service, substance abuse treatment

Specialist health service, ambulance service

Specialist health service, specialists with operating agreements with the health enterprises

Patient statistical data based on data collected from Norwegian patient registers published by Statistics Norway in April. , cf. Norwegian patient register.

The ordinary statistics provide an overview of the total specialist health service, i.e. in addition to the health enterprises’ activity, private activities are also included.

Data on personnel are not currently published in the StatRes specialist health service in order to avoid confusion in relation to ordinary statistics for the specialist health service, which are based on personnel details provided in questionnaries. In the collective statistics on the Health and social services personnel, various official registers at an individual level are used in order to provide an overview of health and social services personnel. These statistics are published at a higher aggregated level than the specialist subject statistics and StatRes.

There are discrepancies between the two data sources if they are aggregated at a comparable level (health enterprises).

Statistics Norway is carrying out research with a view to publishing statistics for personnel in the specialist health service by using register data from the next publication of the ordinary statistics in June 2009. In this case, the next publication of StatRes in autumn 2009 will also contain personnel data.

The data collected by Statistics Norway, and that forms the data basis for the StatRes specialist health service is also used in the SAMDATA reports published by Sintef Health Research.

Act relating to the specialist health service etc. of 2 July 1999, no. 61, § 5.6 and the Statistics Act of 16 June 1989, no. 54 § 2.1f

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The statistics include government-owned specialist health services, organised into regional health authorities (RHF) and health enterprises (HF). Private hospitals and institutions with or without an operating agreement are excluded.

The primary data source is Statistics Norway’s collection of data from the specialist health service, through extractions from accounts and questionnaires.

The primary data source for StatRes health is Statistics Norway’s collection of data from the specialist health service, through extractions from accounts and questionnaires. Indicators on contracted man-years are compiled from administrative registers. See About the statistics for more details on the data sources for the specialist health service.

The indicator on perinatal mortality is compiled from the Norwegian Institute of Public Health, Norgeshelsa (www.norgeshelsa.no). Data source: Medical Birth Registry at the Norwegian Institute of Public Health, and the data on time of death from sentrale folkeregister.

Indicators on operating costs per DRG and relative level of costs are computed in the SAMDATA Report by Sintef (www.samdata.no).

The indicator on average waiting period for ordinary effected referrals and the indicator on adjusted DRGs are compiled from the Norwegian Directorate of Health.

The statistics are based on a full census of all regional health authorities (RHF) and health enterprises (HF), including underlying hospitals and health institutions.

Private hospitals and institutions with an operating agreement with regional health authorities are included in the statistics on specialist health services, but are excluded from StatRes.

File extractions (accounts) and electronic forms, and a description in About the statistics for the specialist health service.

See About the statistics for the specialist health service.

3.6.1 Expenses

Expense estimates in the StatRes specialist health service deviate at the aggregated level from the estimate that is made in ordinary statistics for the specialist health service. Accounts overview for the specialist health service. Expenses are presented at the following three levels:

1. Health enterprise level (HF/RHF): The expenses show all operating costs in the health enterprises (sector 110) adjusted for purchase of health services from other institutional units, i.e. internal trade and costs for the treatment of guest patients (from own and other regions). Purchase of partial health services in the hospital treatment is considered input in the production and is inclluded in the cost figures. Purschase of lab/x-ray services and rental of health personnel are considered input in the hospital production.

2. Health region level: At a regional level, the expenses correspond to total operating costs of the enterprises in the region. The expenses are adjusted for internal trade and guest patient flows.

3. National level: The total operating costs of the health enterprises in the country.

3.6.2 Contracted man-years adjusted for long term leaves The number of full-time jobs and part-time jobs calculated as full-time equivalents adjusted for doctor-certified sickness absence and maternity leave.

3.6.3 Costs per DRG

DRG : Diagnosis-related groups. The number of DRG is calculated in line with regulations set by the Norwegian Directorate for Health IS-1520.

Indicators from SAMDATA The following indicators are originally compiled in the SAMDATA Report. For more information on background and definitions, see www.samdata.no.

Operating costs within DRG : Operating costs including capital costs within the activities valid for the DRG system. Not all the hospital activities are defined within DRG. The capital cost share related to DRG-activity is set equal to the share of DRG-activity to the total operating costs.

Operating costs per DRG : Operating costs within DRG divided by the number of DRGs.

Relative level of costs : Operating costs within DRG per DRG in one hospital compared to the average cost/DRG-level.

3.6.4 Perinatal Mortality Since 1967 all Norwegian births are registered in the Medical Birth Registry. The indicator "perinatal mortality" is originally published by the Norwegian Institute of Public Health. Perinatal mortality is defined as children dying under birth or in the first week of living.

Stillbirths in the 28th week of pregnancy or later (or stillbirths over 1000g or 35cm), plus all live born babies who died during the first week of life (0 - 6th day). Number of perinatal deaths and perinatal deaths per 1000 births in the reporting year (all live births plus all stillbirths in the 28th week of pregnancy or later, or stillbirths over 1000g or 35cm).

3.6.5 Waiting period The statistics on average waiting period for ordinary effected referrals is compiled from The Norwegian Directorate of Health. A referral is regarded as ordinary when consultations are succeeded and treatment is started.

3.6.6 Cost shares Wages and social expenses of general hospitals are calculated by adding specific accounts (500- 599) and parts of account group 71 for the individual health enterprise.

Purchases of goods and services in general hospitals are calculated by extracting wage costs from total operating costs.

On the regional and national level the operating costs are adjusted for internal trade, see 3.6.1.

See About the statistics for the specialist health service.

See About the statistics for the specialist health service.