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HELLENIC REPUBLIC Piraeus, May 26, 2017 HELLENIC STATISTICAL AUTHORITY PRESS RELEASE HOSPITAL CENSUS, 2015 The Hellenic Statistical Authority (ELSTAT) announces the data of the annual census survey on hospitals for the year 2015. The number of hospitals in Greece remained stable in 2015 (compared with 2014), amounting to 283. On the basis of the available data on the legal status of hospitals, most of the hospitals (54.8%) are private (Table 1, Graph 1). Year Legal entities of private law Table 1. Hospitals by legal status and specialty, 2012-2015 Health care units of legal entities of public law Private clinics Total General Specialized Combined specialties 2012 5 133 164 302 187 106 9 2013 4 125 161 290 178 103 9 2014 4 124 155 283 176 101 6 2015 4 124 155 283 172 103 8 350 Graph 1. Hospitals by legal status, 2012-2015 300 5 4 4 4 Legal entities of private law 250 200 164 161 155 155 Private clinics 150 100 50 0 133 125 124 124 2012 2013 2014 2015 Health care units of legal entities of public law Information Division of Social Statistics Section of Health and Social Security and Protection Statistics Alexandra Zografou, Konstantinos Giasafakis Tel: +30 213 135 2746 Fax: +30 213 135 2397 E-mail: social_stat@statistics.gr

During the period 2012-2015 the number of hospitals in Greece has been recording a downward trend and more specifically, the number of hospitals decreased by 4.0% in 2013-2012 and by 2.4% in 2014-2013. In 2015 no change was recorded in the number of hospitals in comparison with 2014. In the period before 2014, there were changes as regards the legal status of the health care units of Legal Entities of Public Law (abolishment of the hospitals run by the Social Insurance Institute IKA ETAM, by virtue of the Law 3918/2011) and the Psychiatric Hospitals which merged and were integrated in Public Hospitals as psychiatric departments. As far as the private clinics are concerned, in 2015, four clinics discontinued their operation, three clinics were licensed and begun to operate and one clinic restarted its operation after one year of discontinuation. As regards hospital specialties, 60.8% of hospitals are general hospitals, while 36.4% are specialized hospitals. The majority of specialized hospitals are Neuropsychiatric and Obstetrics-Gynecology hospitals. The remaining 2.8% are mixed specialties hospitals (combined) (Table 1, Graph 2). Graph 2. Hospitals by specialty, 2015 Neuropsychiatric 17.7% Obstetrical- Gynaecological 8.8% General 60.8% Pathological 3.5% Other 2.1% Combined 2.8% Paediatrics 1.8% Cancer 1.4% Ophthalmological 1.1% As regards the percentage distribution of hospitals into the 13 Regions of Greece, it is observed that most of the hospitals (34.3% of the total number of hospitals all over Greece) are located in Attiki, followed by Kentriki Makedonia (15.9%) and Thessalia (12.0%). The smallest number of hospitals is recorded in the islands (Regions of Ionia Nisia, Voreio Aigaio and Notio Aigaio) and in Ipeiros, the four aforementioned Regions accounting for 9.3% of the total number of hospitals in Greece, in 2015 (Table 2, Graph 3). 2

Table 2. Hospitals by Region (NUTS 2), 2012-2015 Regions 2012 2013 2014 2015 Percentage distribution Total 302 290 283 283 100% Attiki 110 102 101 97 34.3% Voreio Aigaio 8 7 7 7 2.5% Notio Aigaio 7 7 7 7 2.5% Kriti 15 15 15 15 5.3% Anatoliki Makedonia, Thraki 15 17 17 17 6.0% Kentriki Makedonia 47 45 42 45 15.9% Dytiki Makedonia 11 11 11 11 3.9% Ipeiros 7 7 7 7 2.5% Thessalia 35 33 33 34 12.0% Sterea Ellada 13 12 11 11 3.9% Ionia Nisia 5 5 5 5 1.8% Dytiki Ellada 18 18 16 17 6.0% Peloponnisos 11 11 11 10 3.5% Graph 3. Distribution of hospitals by Region (NUTS 2), 2012-2015 120 100 80 60 40 20 0 2012 2013 2014 2015 3

During the period 2012-2015, a downward trend is observed in the number of available in-patient hospitalization beds, while the corresponding number of day-care beds has been growing (Table 3). Table 3. Number of hospital beds by type, 2012-2015 Year In-patient hospitalization beds Day-care beds Total beds 2012 49,100 2,993 52,093 2013 46,510 3,022 49,532 2014 46,160 3,548 49,708 2015 45,945 3,764 49,709 During the period 2012-2015, a decrease is observed in the medical personnel employed in the hospitals of Greece. A similar trend is also recorded for the nursing personnel, as well as for the assistant nursing personnel of hospitals (i.e. ancillary paramedical staff) (Graph 4). Graph 4. Hospital personnel by personnel category, 2012-2015 45,000 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5,000 0 2012 2013 2014 2015 Medical Personnel 27,000 25,161 24,577 23,669 Nursing Personnel 39,559 38,782 37,842 37,320 Assistant Nursing Personnel 7,023 6,463 6,389 5,988 4

EXPLANATORY NOTES Hospital Census The Hospital Census is conducted on a yearly basis. The data are presented at the level of Greece total and at the level of NUTS 2 Regions, aiming at covering national needs in statistical information. Reference period The data refer to the hospitals and clinics on the 31th of December of the reference year. Coverage The survey covers all the hospitals at NUTS 1, NUTS 2 and NUTS 3 levels, in accordance with Regulation 1319/2013. Time coverage The survey has been conducted since 1992 Definition of basic variables Methodology Bed capacity Bed capacity is distinguished in: the Legal Bed Capacity on the basis of the Organization of the Hospital or the operation license of the clinic and the Available Beds Capacity which is the number of beds available for hospitalization. There are in-patient hospitalization beds and day-care beds. In addition, the beds are presented by specialty department of the hospital, namely Pathology, Surgery, Psychiatric etc. or trans-specialty. Medical personnel The medical specialties of the personnel are as follows : haematologists, radiologists, allergologists, anaesthesiologists, gastroenterologists, general practitioners, dermatologists, immunologists, occupational doctors, coroners, cardiologists, clinical chemistry, social medicine, cytologists, obstetriciansgynaecologists, microbiologists, neurologists, neurosurgeons, nephrologists, dentists, orthopaedics, urinologists, ophthalmologists, hygienists, pneumonologists, physical medicine and rehabilitation, surgeons of general surgery, psychiatrics, otorhinolaryngologists, oncologists, intensive care specialists, doctors under specialization and doctors with no specialty. Non-medical personnel The categories of non-medical personnel are: administrative personnel, nursing personnel, paramedical personnel, social care personnel, organizationinformatics personnel, technical personnel, food and nutritional care personnel, administrative care personnel. The data are collected by the Health and Social Security and Protection Statistics Section of ELSTAT from the hospitals and clinics all over Greece. Data derive, on a census basis, from the local units which fill in a specially designed questionnaire collecting data on the hospital characteristics, (beds, medical and non-medical personnel, medical equipment, etc.). No international classification system is applied, instead, the survey questionnaire includes, for the purpose of computer processing of the data, specific codes defined by ELSTAT for hospitals, medical specialties, categories of non medical personnel by educational level and for medical equipment. The reference basis is the Hospital Register of ELSTAT, where each unit has a unique identification code, a geographical code, address, etc. The Register is updated with any changes (creation of new units, abolishment of units, etc) Furthermore, in case a private unit is idle (e.g. on account of renovation, provisional withdrawal of operation license, etc) this unit is not included in the total number of hospitals. 5

References The data of the survey are made available concomitantly to all interested parties through the tables which are posted on the website of ELSTAT at the link Statistics>Population and Social Conditions> Health>Health Care>Hospitals and local health centers. Equal access of users to data is governed by the European Statistics Code of Practice with respect to professional independence, and in an objective, professional and transparent way, in which all users are treated equally. Users who want to have more detailed data, or data that are not available on the website can submit to ELSTAT a request at the following e-mail address: data.dissem@statistics.gr 6