HELLENIC STATISTICAL AUTHORITY Piraeus, 25 May 2018 PRESS RELEASE HOSPITAL CENSUS, 2016

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HELLENIC REPUBLIC HELLENIC STATISTICAL AUTHORITY Piraeus, 25 May 2018 PRESS RELEASE HOSPITAL CENSUS, 2016 The Hellenic Statistical Authority (ELSTAT) announces the data of the annual exhaustive survey on hospitals for the year 2016. According to the results of the Hospital Census the number of hospitals in Greece was reduced in 2016 compared with 2015, amounting to 280 from 283 in 2015. On the basis of the available data on the legal status of hospitals, most of the hospitals (54.3%) are private during 2016 (Table 1, Graph 1). Table 1.Hospitals by legal status and category, 2013-2016 Year Legal entities of private law Health care units of legal entities of public law Private clinics Total General Specialized Combined specialties 2013 4 125 161 290 178 103 9 2014 4 124 155 283 176 101 6 2015 4 124 155 283 172 103 8 2016 5 124 151 280 173 96 11 Graph 1. Hospitals by legal status, 2013-2016 350 300 4 4 4 5 250 200 150 100 50 161 155 155 151 125 124 124 124 Legal entities of private law Private clinics Health care units of legal entities of public law 0 2013 2014 2015 2016 Information Division of Social Statistics Section of Health and Social Security and Protection Statistics Alexandra Zografou Tel: +30 213 135 2746 Fax: +30 213 135 2397 E-mail: social_stat@statistics.gr

Graph 2. Hospitals by specialty, 2016 Neuropsychiatric. 17.5% The number of hospitals during the fourth-year period (2013-2016) decreased by 3.4%. Before the year 2014, there have been 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 integration of Psychiatric Hospitals in Public Hospitals, as psychiatric departments. As regards hospital specialties, in 2016, the 61.8% of hospitals are general hospitals, while 34.3% are specialized hospitals. The majority of specialized hospitals are Neuropsychiatric (17.5%) and Obstetric- Gynaecological hospitals (7.1%). As third come the ones of mixed specialties (3.9%) (Table 1, Graph 2). Obstetric- Gynaecological. 7.1% Pathological. 3.6% Combined. 3.9% General. 61.8% Paediatrics. 1.8% Cancer. 1.4% Ophthalmological. 1.1% Other (each<1%). 1.8% 2

As regards the percentage distribution of hospitals into the 13 Regions of Greece for the year 2016, 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 percentage is recorded in the Regions of Ionia Nisia, Voreio Aigaio, Notio Aigaio and Ipeiros with the four aforementioned Regions accounting for 9.7% of the total number of hospitals in Greece (Table 2, Graph 3). Table 2. Hospitals by Region (NUTS 2), 2013-2016 Regions 2013 2014 2015 2016 Percentage distribution of 2016 Total 290 283 283 280 100% Attiki 102 101 97 98 34.3% Voreio Aigaio 7 7 7 7 2.5% Notio Aigaio 7 7 7 8 2.5% Kriti 15 15 15 15 5.3% Anatoliki Makedonia, Thraki 17 17 17 17 6.0% Kentriki Makedonia 45 42 45 45 15.9% Dytiki Makedonia 11 11 11 9 3.9% Ipeiros 7 7 7 7 2.5% Thessalia 33 33 34 32 12.0% Sterea Ellada 12 11 11 10 3.9% Ionia Nisia 5 5 5 5 1.8% Dytiki Ellada 18 16 17 17 6.0% Peloponnisos 11 11 10 10 3.5% Graph 3. Distribution of hospitals by Region (NUTS 2), 2013-2016 120 100 80 60 40 20 0 2013 2014 2015 2016 3

The number of available in-patient hospitalization beds followed a downward trend during the period 2013-2016 and specifically were reduced by 1,237 beds (2.7%) while the number of day-care beds, during the same period, recorded an increase by 592 beds (19,6%). From the comparison between the two last years a decrease by 150 beds in 2016 in relation to 2015 (4%) is observed (Table 3). Table 3. Number of hospital beds by type, 2013-2016 Year In-patient hospitalization beds Day-care beds Total beds 2013 46,510 3,022 49,532 2014 46,160 3,548 49,708 2015 45,945 3,764 49,709 2016 45,273 3,614 48,887 During the fourth year period (2013-2016), a decrease is observed in the medical personnel employed in the hospitals of the country total by 7.3% (Graph 4). A similar trend is also recorded for the assistant personnel of hospitals (i.e. ancillary paramedical staff) whereas the nursing personnel increased in the year 2016 by 1.1%. Graph 4. Hospital personnel by personnel category, 2013-2016 45,000 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5,000 0,000 2013 2014 2015 2016 Medical Personnel 25,161 24,577 23,669 23,321 Nursing Personnel 38,782 37,842 37,320 37,720 Assistant Personnel 6,463 6,389 5,988 5,827 4

EXPLANATORY NOTES Hospital Census Reference period Coverage 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. The data refer to the hospitals and clinics on the 31th of December of the reference year. The survey covers all the hospitals of the country. The NUTS0/NUTS2 codes are defined according to Commission Regulation (EU) No 1319/2013 of 9 December 2013 amending annexes to Regulation (EC) No 1059/2003 of the European Parliament and of the Council on the establishment of a common classification of territorial units for statistics (NUTS) (OJ L 342, 18.12.2013) Time coverage Definition of basic variables Methodology The survey has been conducted since 1992. 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 which are 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 transspecialty. Medical personnel by specialty. The medical specialties of the personnel are as follows : Hematologists, Radiologists, Allergists, General Pathologists, Dermatologists, Venereologists, Occupational Health specialists, Cardiologists, Social Medicine, Obstetricians-Gynecologists, Biopathologists (former Microbiologists), Neurologists, Dentists, Orthopedics, Urologists, Ophthalmologists, Physicians, Pediatricians, Language Pathologists, Pulmonologists, Surgeons of general surgery, Pediatric surgeons, Psychiatrists, Otolaryngologists, Internists and Physicians with no specialty. 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 5

hospital characteristics, (beds, medical and non-medical personnel, medical equipment, etc.). No international classification system is applied. The reference basis of the exhaustive survey is the Hospital Register of ELSTAT. The Register is updated on an annual basis with data coming from administrative sources and the survey with any changes occurred (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. 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