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Transcript of Surgical Procedures (shortlist) - European ec. Surgical procedures (shortlist) ... - European Group

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    Eurostat Health care activities

    Hospital aggregates Definitions

    Updated: July 2018

    Hospital aggregates: Inpatient care

    Inpatient care discharges (all hospitals)

    An inpatient discharge is the release of a patient who was formally admitted into a hospital for treatment and/or care and who stayed for a minimum of one night (see definition for hospital inpatient discharges below). Only the total number of inpatient discharges in all hospitals is requested (no breakdown by diagnostic categories).

    Inpatient care average length of stay (ALOS) (all hospitals)

    Average length of stay (ALOS) is calculated by dividing the number of bed-days by the number of discharges during the year (see definition for hospital ALOS below). Only the overall average length of stay in all hospitals is requested (no breakdown by diagnostic categories).

    Hospital aggregates: Curative (acute) care

    Curative (acute) care Curative care comprises health care contacts during which the principal intent is to relieve symptoms of illness or injury, to reduce the severity of an illness or injury, or to protect against exacerbation and/or complication of an illness or injury that could threaten life or normal function (HC.1 in the SHA classification). Inclusion - All components of curative care of illness (including both physical and mental/psychiatric illnesses) or treatment of injury - Diagnostic, therapeutic and surgical procedures - Obstetric services Exclusion - Other functions of care (such as rehabilitative care, long-term care and palliative care)

    Curative (acute) care discharges

    A hospital discharge is the formal release of a patient from a hospital. Inclusion - Discharges from all hospitals, including general hospitals (HP.1.1), mental health hospitals (HP.1.2), and other specialised hospitals (HP.1.3) - Deaths in hospital - Transfers to another hospital - Discharges of healthy newborns Exclusion - Transfers to other care units within the same hospital

    Curative (acute) care bed-days

    A bed-day (or inpatient day) is a day during which a person admitted as an inpatient is confined to a bed and in which the patient stays overnight in a hospital. Inclusion - Bed-days in all hospitals, including general hospitals (HP.1.1), mental health hospitals (HP.1.2), and other specialised hospitals (HP.1.3)

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    - Bed-days of healthy newborns Exclusion - Day cases Notes - The number of bed-days should be counted as the date of discharge minus the date of admission (for example, a patient admitted on the 25th and discharged on the 26th should be counted as 1 day).

    Curative (acute) care average length of stay (ALOS)

    Average length of stay (ALOS) is calculated by dividing the number of bed-days by the number of discharges during the year (see definitions for bed-days and discharges). Inclusion - ALOS in all hospitals, including general hospitals (HP.1.1), mental health hospitals (HP.1.2), and other specialised hospitals (HP.1.3) - ALOS for healthy newborns Exclusion - Day cases Notes - The length of stay of a patient should be counted as the date of discharge minus the date of admission (for example, a patient admitted on the 25th and discharged on the 26th should be counted as 1 day).

    Curative (acute) care occupancy rates

    The occupancy rate is calculated as the number of beds effectively occupied (bed-days) for curative care (HC.1 in SHA classification) divided by the number of beds available for curative care multiplied by 365 days, with the ratio multiplied by 100. Occupancy rate = Total number of bed-days during the year / (Number of beds available * 365 days) * 100

    Country specific notes

    Belgium, Bulgaria, Czech Republic, Denmark, Germany, Estonia, Ireland, Greece, Spain, France, Croatia, Italy, Cyprus, Latvia, Lithuania, Luxembourg, Hungary, Malta, Netherlands, Austria, Poland, Portugal, Romania, Slovenia, Slovakia, Finland, Sweden, United Kingdom, Iceland, Liechtenstein, Norway, Switzerland, Montenegro, former Yugoslav Republic of Macedonia, Albania, Serbia, Turkey

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    Belgium

    Hospital aggregates: Inpatient care Source of data: Service Public Fdral Sant Publique, Scurit de la chane alimentaire et Environnement, Direction gnrale de lOrganisation des tablissements de soins (Federal Public Service of Health, Food Chain Safety and Environment), Rsum Clinique Minimum (RCM) (Minimal Clinical Data). Coverage: - Inpatient care: All hospital stays (in acute and chronic institutions). It includes all stays with a minimum of one night and all deaths, including all those who died immediately after hospitalisation. - These data exclude the not factured newborns, and the small number of people not registered as man or woman. The first part of the long term stays is kept. (Data on hospital discharges and ALOS by diagnostic categories refer to inpatients with a LOS

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    This places are used mainly for activities in the field of medical oncology, radiotherapy psychiatry, dialysis treatment and etc. The persons who had undergone such treatment on places for short stay are excluded from the Inpatient discharges. Deviation from the definition up to 2013: Hospices are included too.

    Hospital aggregates: Curative (acute) care Data not available.

    Czech Republic

    Hospital aggregates: Inpatient care Discharges Source of data: - Since 2007: Institute of Health Information and Statistics of the Czech Republic. National Registry of Hospitalised Patients. - Until 2006: Institute of Health Information and Statistics of the Czech Republic, National Health Information System (survey on bed resources of health establishments and their utilisation). Coverage: - Data refer to number of hospitalisations in general hospitals and specialised therapeutic institutes (excluding balneologic institutes and convalescence homes for children). Deviation from the definition: - Until 2006: Hospitalised newborns are excluded. - Until 2006: Transfers from one department to another one at the same hospital are considered as two hospitalisations. Day cases of patients treated in bed care departments are not excluded. Break in time series: 2007. - Until 1999 data cover only establishments of the Health Sector. From 2000 data cover also health establishments of other central organs. ALOS Source of data: - Since 2007: Institute of Health Information and Statistics of the Czech Republic. National Registry of Hospitalised Patients. - Until 2006: Institute of Health Information and Statistics of the Czech Republic, National Health Information System (survey on bed resources of health establishments and their utilisation). Coverage: - Data on inpatient care relate to general hospitals and specialised therapeutic institutes (excluding balneologic institutes and homes for children). Deviation from the definition: - Until 2006: Same-day separations are included in the data. Break in time series: 2007. Note: Until 2006: Discharges and ALOS for inpatient care are different from discharges and ALOS for all causes (reported in the hospital discharge and ALOS data by diagnostic categories) due to the use of different sources and methodologies.

    Hospital aggregates: Curative (acute) care Discharges Source of data:

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    - Since 2007: Institute of Health Information and Statistics of the Czech Republic. National Registry of Hospitalised Patients. - Until 2006: Institute of Health Information and Statistics of the Czech Republic, National Health Information System (survey on bed resources of health establishments and their utilisation). Coverage: - Data refer to number of hospitalisations in university hospitals and acute care hospitals. - Until 2006: Hospitalised newborns are excluded. Deviation from the definition: - Until 2006: Transfers from one department to another one at the same hospital are considered as two hospitalisations. Day cases of patients treated in bed care departments are not excluded. Break in time series: 2007. - Until 1999 data cover only establishments of the Health Sector. From 2000 data cover also health establishments of other central organs. ALOS and occupancy rates and bed-days Source of data: - Since 2007: Institute of Health Information and Statistics of the Czech Republic. National Registry of Hospitalised Patients. - Until 2006: Institute of Health Information and Statistics of the Czech Republic, National Health Information System (survey on bed resources of health establishments and their utilisation). Coverage: - Data on acute care relate to all inpatient care provided in university hospitals and acute care hospitals. - Until 2006: Newborns are excluded. Deviation from the definition: - Until 2006: Same-day separations are included in the data. Break in time series: 2007.

    Denmark

    Hospital aggregates: Inpatient care Source of data: National Board of Health, The National Patient Register. Discharges Coverage: - Data includes both somatic and psychiatric hospitals. Break in time series: 2000, 2005. - The data prior to 2005 includes all admissions. The data from 2005 onwards use the 24-hour stay definition, which explains the lower data values. - From 2000 onwards, the data no longer include transfer from one department to another department within the same hospitals. ALOS Coverage: - Psychiatric and somatic hospital departments. - Nursing homes and private hospitals are not included. Break in time series: 1995, 2001. - ALOS: From 1995, psychiatric hospitals are included. - From 2001, the calculation of ALOS does not include day cases.

    Hospital aggregates: Curative (acute) care

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    Source of data: National Board of Health, The National Patient Register. Coverage: Discharges - Data includes both somatic and psychiatric hospitals. - F