LUXEMBOURG A1 Population 497.793 506.966 518.348 A2 Area (square Km) 2.590 2.590 2.590 A3 Average population density per square Km 192,20 195,74 200,13 A4 Birth rate per 1000 population 11,33 11,59 10,88 A5 Death rate per 1000 population 7,09 7,14 7,18 A DEMOGRAPHIC AND SOCIO-ECONOMIC INDICATORS A6 Life expectancy at birth (years) 81,55 81,49 81,65 A6a Men 78,88 78,78 79,15 A6b Women 83,91 83,94 83,92 A7 Real Gross Domestic Product (GDP) PPP$ per capita 79.351,90 84.763,70 88.796,90 Page 1 of 7
B1 Healthcare coverage of population The statutory healthcare system covers almost the entire population. B2 Gate-keeping system No B3 Total health expenditure, PPP$ per capita 4.613,86 4.402,83 4.246,25 B4 Public sector health expenditure as % of total health expenditure 86,58% 85,53% 84,06% Source: OECD Health Data, October 2013 B HEALTHCARE SYSTEM B5 Total health expenditure as % of Gross Domestic Product (GDP) 8,20%...... B5a Public sector health expenditure as % of GDP 6,90% 6,62% 6,48% B5b Private sector health expenditure as % of GDP 1,32% 1,24% 1,22% B6 Expenditure on inpatient care per capita (PPP$)......... B7 Public inpatient expenditure as % of total inpatient expenditure......... B8 Total inpatient expenditure as % of total health expenditure......... Funding model combines essentially social security and private B9 Public funding insurances. Page 2 of 7
C HOSPITAL GOVERNANCE The not-for-profit hospitals are owned and managed either by the local C1 Administration and management authorities or by not-for-profit organisations, very often religious orders. The Ministry of Health supervises the entire hospital system. It relies on C2 Surveillance authority three hospital "regions" (North, South and Centre). Page 3 of 7
Hospital budgets are negotiated every two years between each hospital D1 Hospital financers and the Union of Health Insurances CNS (Caisse Nationale de Santé). The hospital budgets are shared: A part is enforceable and another nonenforceable D2 Modes of payment for funding through the CNS (Caisse Nationale de Santé). The enforceable share is funded out of a global budget determined annually of fix costs, variable costs and bonuses. D HOSPITAL FINANCING D3 Use of DRGs The government pays 80% of the footloose and real estate investments of D4 Hospital investments projects for the new construction or modernisation of hospitals as well as of costly devices and equipment indicated in the hospital plan. The remaining 20% are usually funded by the CNS by means of depreciations. Page 4 of 7
E1 Public / Private ownership The hospital system consists of 50% public and 50% private hospitals. E1a % of hospitals private for profit E1b % of hospitals private not for profit There are three categories of hospitals: E2 Categories - local hospitals; - general hospitals; - specialised hospitals. E3 Total number of hospitals 12 12 12 E4 All hospitals per 100.000 population 2,41 2,37 2,32 E TOTAL HOSPITAL CARE PROVISION E5 Total number of hospital beds 2.721 2.721... E5a Public inpatient hospital beds (number and % of all beds)......... E5b Private inpatient hospital beds (number and % of all beds).................. E6 All hospital beds per 100.000 population 546,61 536,72... E7 Number of inpatient care admissions/discharges 78.545 76.973 79.006 E8 Inpatient care admissions/discharges per 100 population 15,78% 15,18% 15,24% E9 Average length of stay for all hospitals (beddays) 9,15 9,27 8,80 Page 5 of 7
F1 Number of acute care hospitals 5 5... F1a Acute care hospitals as % of all hospitals 41,67% 41,67%... F2 Acute care hospitals per 100.000 population 1,00 0,99... F3 Number of acute care hospital beds 2.112 2.112... F3a Acute care hospital beds as % of all hospitals beds 77,62% 77,62%... F ACUTE CARE HOSPITAL PROVISION F4 Acute care hospital beds per 100.000 population 424,27 416,60... F5 Number of acute care hospital admissions/discharges 76.602 74.886 77.053 F6 Acute care admissions/discharges per 100 population 15,39% 14,77% 14,87% F7 Average length of stay for acute care hospitals (bed-days) 7,43 7,54 7,29 F8 Bed occupancy rate for acute care hospitals 71,90% 71,30% 71,50% Page 6 of 7
G1 Number of General Practitioners (GPs) 395 414 424 G1a General Practitioners per 100.000 population 79,35 82 82 G1b Population per one GP 1.260 1.225 1.223 G2 Number of physicians 1.346 1.404 1.429 G HEALTHCARE WORKFORCE G2a Number of physicians per 100.000 population 270,39 277 276 G3 % of physicians working in hospitals......... G4 Number of nurses 5.710 5.786 6.031 G4a Nurses per 100.000 population 1.147,06 1.141,30 1.164 G5 % of nurses working in hospitals......... G6 Number of nurses per doctor 4,24 4,12 4,22 Page 7 of 7