Joint Questionnaire between OECD, Eurostat and WHO-Europe on non-monetary health care statistics

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1 Joint Questionnaire between OECD, Eurostat and WHO-Europe on non-monetary health care statistics (with a focus on health workforce statistics) Gaëlle Balestat Meeting of OECD Health Data National Correspondents 3-4 October 2011

2 Content of the Joint Questionnaire Health employment and education Physicians Midwives, nurses and caring personnel Dentists, pharmacists, physiotherapists Hospital employment Graduates Physical and technical resources Hospitals Hospital beds Beds in nursing and residential care facilities Medical equipment virtually no change in 2011.

3 2011 Round of Joint Questionnaire 42 countries involved 34 OECD countries 8 other European countries (EU members or candidates) Same timeline as for the regular OECD questionnaire for OECD Health Data More than half of OECD countries met the deadline of end February for returning the questionnaire Data validation process from March to June, implying great cooperation between national correspondents and colleagues from international organisations Data from the JQ released on 30 June in OECD Health Data 2011

4 General improvement in data availability 2011 Change Nb % between (92 series) 2011/10 Israel 82 89% +6% Denmark 81 88% +2% Estonia 80 87% +4% Netherlands 76 83% +10% Finland 74 80% +11% Iceland 74 80% -3% Austria 73 79% +6% Ireland 69 75% +19% France 68 74% +10% Korea 67 73% -2% Germany 65 71% +1% Hungary 65 71% +12% Italy 65 71% +2% Czech Republic 63 68% +1% New Zealand 63 68% +12% Norway 61 66% +12% United States 61 66% +3% Greece 60 65% -1% Slovak Republic 60 65% +8% Average 59 64% +5% 2011 Change Nb % between (92 series) 2011/10 Average 59 64% +5% Spain 59 64% +2% Poland 59 64% 0% Australia 58 63% -1% Canada 57 62% +1% Switzerland 56 61% -2% Slovenia 55 60% -17% Portugal 54 59% +8% Turkey 46 50% +8% Japan 44 48% -2% Luxembourg 41 45% +12% Belgium 37 40% -15% Chile 33 36% +36% United Kingdom 32 35% -2% Sweden 31 34% +9% Mexico 25 27% +2%

5 Improved data availability for certain variables Professionally active health professionals Physicians by categories Beds in public and private hospitals

6 Distinction between practising, professionally active and licensed to practice

7 Definitions Practising Providing services directly to patients Professionally active Practising Working in the health system as administrators, managers, researchers, teachers, etc. (excluding direct contact with patients) Licensed to practice All health professionals who are licensed to practice, including practising or nonpractising (e.g. unemployed, retired, working abroad)

8 Progress in data availability Practising Professionally active Licensed to practice / / /10 Physicians Midwives Nurses Caring personnel Dentists Pharmacists

9 Progress in data quality Data allocated more accurately according to each concept Sources and methods improved by several countries Example of ideal S&M for practising physicians: Source of data: German Medical Association, Medical practitioner statistics and Federal Statistical Office, Health Care Personnel 2009, data released in December See Reference period: 31 st of December. Coverage: - Data contain the number of physicians that are actively practising medicine in public and private institutions and provide services directly to patients (head-count data). - Data include general practitioners, specialists, interns and resident physicians and foreign physicians licensed to practice and actively practising medicine in the country. - Data exclude dentists, stomatologists, qualified physicians working abroad, working in administration, research and industry positions, unemployed and retired physicians.

10 Greece Austria Norway Portugal Switzerland Iceland Sweden Czech Republic Germany Spain Denmark Israel Italy Estonia France Ireland Australia Hungary Slovak Republic Belgium Netherlands Finland Luxembourg United Kingdom New Zealand Canada Slovenia United States Japan Poland Mexico Korea Turkey Chile Per 1000 population Number of physicians, Practising Professionally active Licenced to practice Source: OECD Health Data 2011.

11 Per 1000 population Practising vs Professionally active Physicians, 2009 Practising Professionally active % 2% 9% 7% 0% 22% 8% 7% 13% 1% 6% 3% 7% 3% On average: +7% Source: OECD Health Data 2011.

12 Per 1000 population Practising vs Licensed to practice Physicians, 2009 Practising Licensed to practice % 45% 79% 44% 35% 29% 81% 54% 28% 9% 23% 65% 51% 60% 19% 30% 60% 24% On average: +43% Source: OECD Health Data 2011.

13 Iceland Switzerland Belgium Denmark Norway Ireland Germany Sweden Luxembourg United States New Zealand Australia United Kingdom Finland Japan Canada Netherlands France Czech Republic Slovenia Austria 1 Italy Hungary Estonia Slovak Republic Portugal Poland Spain Israel Korea Greece Mexico Turkey Chile 2 Per 1000 population Number of nurses, Practising Professionally active Licenced to practice Austria reports only nurses employed in hospitals. 2. Chile includes nurses working in the public sector only. Source: OECD Health Data 2011.

14 Per 1000 population Practising vs Professionally active Practising Nurses, 2009 Professionally active % 37% 21% 9% 6% 25% 33% 3% 11% 33% 2% 1% 4% 33% On average: +15% Source: OECD Health Data 2011.

15 Per 1000 population Practising vs Licensed to practice Practising Nurses, 2009 Licensed to practice % 67% 58% 66% 15% 43% 108% 20% 75% 18% 34% 39% 13% 59% On average: +48% Source: OECD Health Data 2011.

16 Conclusion Increase in data availability and quality But There are still data gaps There are still gaps in metadata provided on data coverage (e.g. inclusion/exclusion of interns/residents)

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