Measure - HFA_543


Code
HFA_543
Data state
Published
Data set(s)
HFA
Data Mart ID
583
DATA_MASK
-1
Created on
Data updated on
Metadata updated on
Notes updated on

UNIT_TYPE
CONTACTS_PERS
EXTERNID
6300
DATA_SOURCE
HFA
DATA_TYPE_REPRESENTATION
RATIO

Classification(s)
HFA explorer [L]
HFA-DB classification [A]

Short name En
Outpatient contacts per person per year
Full name En
Outpatient contacts per person per year
Data set notes En
HFA
The following abbreviations are used in the indicator titles:
•    SDR: age-standardized death rates (see HFA-DB user manual/Technical notes, page 13, for details)
•    FTE: full-time equivalent
•    PP: physical persons
•    PPP$: purchasing power parities expressed in US $, an internationally comparable scale reflecting the relative domestic purchasing powers of currencies.

Measure note En
Outpatient contacts per person per year
Indicator code: E992801.T

The total number of primary health care or ambulatory care contacts divided by the population. An outpatient contact is one episode of examination/consultation performed by a physician or by a nurse in the presence of a physician, in relation to one outpatient at one time and location, normally at the physician's office or the patient's home. The number of outpatient contacts includes: patient's visit to physician's office; physician's visit to patient's home or other place; call for ambulance; day-patient cases. The number of outpatient contacts excludes: telephone calls for consultation purposes; visits for prescribed laboratory tests; contacts to perform prescribed and scheduled treatment procedures, e.g. injections, physiotherapy etc.; visits to dentist. Definition of outpatient: A person attending a PHC (Primary Health Care) unit or outpatient department in an outpatient establishment or hospital and who makes use of the diagnostic or therapeutic service but does not occupy a regular hospital bed.

Definition of day patient: A patient who does not require inpatient care but who needs specialized observation or health care or treatment from hospital during a limited number of hours of the day and who returns to his home for the evening meal and the night. These patients can occupy specialized beds (e.g. recovery beds, beds for special purposes or belonging to special health devices). If a day patient occupies a regular hospital bed, then this case is not considered as a case of hospitalization and thus 'consumed' bed days are not included in the number of regular days of stay. Day-patient care is one of the forms of ambulatory care.



For countries participating in the Joint Eurostat / OECD / WHO Europe data collection on health care activities (for year 2012 those were: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania,, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, The former Yugoslav Republic of Macedonia, Turkey and United Kingdom), following definition was used:

Doctor consultations (in all settings)



Average number of consultations/visits with a physician per person per year.



Inclusion

- consultations/visits at the physician’s office

- consultations/visits in the patient’s home

- consultations/visits in outpatient departments in hospital



Exclusion

- telephone contacts

- visits for prescribed laboratory tests

- visits to perform prescribed and scheduled treatment procedures, e.g. injections, physiotherapy etc.

- visits to dentists

- visits to nurses_
Country notes En
ALB
Ministry of Health.
ARM
Source of data: National Health Information Analytic Center, Ministry of Health of the Republic of
Armenia http://moh.am/?section=static_pages/index&id=625&subID=824,29.
Data collected annually, reference period: 31 December.
AUT
Source: Main Association of Austrian Social Security Organisations Includes persons insured by
social security.
BEL
Source: National Institute for Health Insurance. This number includes advice, patient's visit to
physician's office (general practitioners and specialists); physician's visit to patient's home and
medical assistance during urgent transfer to a hospital (in an ambulance).
1. Day patient cases are not included.
2. The number refers to the number of contacts with patients who are not self-employed / divided by
the population of people who are not self-employed.
BIH
Public Health Institute - Annual report of outpatient departments. Available up to the war time on
yearly basis. PHI war period just for the part of FBIH. Number of examinations/consultations
performed by physicians at the physician's office in the primary health care.

Public Health Institute of Federation of B&H; Department for Health Statistics and Informatics
Public Health Institute of Republic of Srpska- Department for Social medicine, with Health
Organization and Health Economics. Law on health evidence and statistical research in health. Annual
report of primary health care services;
Department for Health of Brcko District;
HRV
The 1995 figure does not include X-ray, ultrasound, EEG, ECG and epidemiology service examinations.
CYP
Attendances at general, rural and special hospitals and health centres of the public sector only.
CZE
Source: Institute of Health Information and Statistics of CR (IHIS CR). Surveys on activity of
health establishments. Coverage: Until 1999 data covers only establishments of the Health Sector.
From 2000 data covers also health establishments of other central organs.
Included are: telephone calls for consultation purposes; visits for prescribed laboratory tests;
contacts to perform prescribed and scheduled treatment procedures, e.g. injections, physiotherapy,
etc.; visits to dentist and treatment in First medical aid.
DNK
Data from 1995 onwards include telephone consultations.
EST
Source: annual reporting, National Institute for Health Development.
FIN
Source: Hospital Discharge Register, THL (National Institute for Health and Welfare). Since 2009,
visits in the private sector have been taken from Social Insurance Institution and not from regional
data sources, which remain incomplete due to restructuring of regional administrations.
GEO
Source: National Centre for Disease Control and Public Health of Georgia (NCDC) (http://www.ncdc.ge)
DEU
Consultations with doctors represent only the number of cases of physicians? treatment according to
reimbursement regulations under the Social Health Insurance Scheme. These consultations with doctors
don?t include preventive medical check-ups and screening examinations. One case of treatment only
counts the first contact in three months even if the patient consults his doctor more often.
Therefore a substantial under-reporting has to be assumed.
Source: Federal Ministry for Health, KG-3 Statistics (statutory health insurance: accounts for
practitioner and dental treatment), KM-6 Statistics (statutory health insurance: insured persons).


Additional information:
In the BARMER GEK physician report 2010 (successor product of the GEK-report on ambulatory care)
data of a study on doctors? consultations were published. For the survey the Barmer GEK, a
compulsory German health insurance fund, has analyzed ambulatory data of 1.7 million insured persons
of the former Gmunder Ersatzkassen (GEK) for the years 2004 to 2008 and extrapolated them on the
total population. Information on calendar days on which physicians provided individual services to
individual patients form the basis for the analysis on doctors? consultations for the years 2004 to
2007. Doctor?s consultations per inhabitant:
2004: 16.4
2005: 16.9
2006: 17.1
2007: 17.7
With the newly established accounting allowances for the ambulatory medical care in 2008, a direct
counting is no longer possible. The procedure for the calculation of doctors? consultations,
selected so far, leads to incomplete results, which cannot be compared with the prior year results.
However, the study assumes, that the practising physicians invoiced on the average 7.5 cases of
treatment per insured person. If one takes into account that, in former years, 2.5 consultations per
case of treatment have been registered, you get a number of 18.1 doctors? consultations per
inhabitant for the year 2008. Corresponding analyses on dental and dentosurgical treatments are not
available.
HUN
Physician consultations include contacts of family practice, outpatient care, CT and MRI. By
definition, we did not include the episodes of dental care and laboratory and pathology
examinations.
ISL
Includes all contacts with physicians in public health centres and with self-employed general
practitioners, also with specialists in their private practices outside hospitals and ambulant
contacts in hospitals. Source: Directorate of Health.[S?2]
ISR
Source: Use of Health Services Surveys: 1-3/1993, 1996/97, 1999/2000, 2009, Central Bureau of
Statistics and Ministry of Health.
ITA
Source from 1991: Istat Helth Interview Survey \Healthconditions and use of health services\".
Day-patient cases are not included"
LVA
The number of outpatient contacts excludes calls for ambulance as they form a separate group of
health care services in Latvia.
LTU
Source: Up to 2005: LHIC annual report data. From 2006: HI HIC data from annual reports and
Compulsory Health Insurance Database.
MLT
This includes primary health centre contacts, private hospitals, district dispensaries and renal
unit encounters and outpatient contacts in the public hospital service. Excludes visits to the A and
E Departments (emergency department).
MNE
Calculated for PHC services as total number of primary health care or ambulatory care contacts
divided by the population.
NLD
Statistics Netherlands: Health Interview Survey. Number of contacts with general practitioner and
specialist per person in the population. Due to change in the modes of interviewing, there is a
break in the trend from 2010 onwards.
POL
Source: Ministry of Health.
PRT
Source of data: National Statistical Institute Coverage: National
ROU
Includes treatments carried out by the physician (dressings, injections)
SRB
Source: Institute of Public Health of Serbia. Data do not include consultations/visits in outpatient
departments in hospital.
SVK
Due to privatization in the health sector, not all units are included for 1993-1996.
SVN
Institute of Public Health of the Republic of Slovenia, Ljubljana 1996.
ESP
Measured using a standard questionnaire during a health interview of a representative sample of the
population not institutionalised. Question: Have you consulted a doctor for any problem, discomfort
or illness in the last two weeks? If answer is affirmative, how many times did you see the doctor?
Average number of consultations in one year per person in the population. Figures computed excluding
missing values.
Source: Ministry of Health and Consumer Affires. National Health Survey 1987, 1993, 1995, 1997,
2001 and 2003. (www.msc.es/)
SWE
Visits at outpatient departments, health center units, both public and private. Source: Annual
statistics of County Councils.
TUR
The data does not include private outpatient clinics. These clinics offering outpatient health care
services are not classified as inpatient health care facilities as they do not have patient beds for
inpatient treatment. Source: General Directorate of Curative Services. Method: Covers visits to the
Ministry of Health-affiliated primary health care facilities and all inpatient treatment facilities.
TKM
Source of data: Administrative medical statistics, forms: ?Report of a health-care setting? and
039/y ?Statement of visits? records?.
UKR
In establishments under Ministry of Health only.
Source: Centre of Health Statistics, Ministry of Health.
GBR
Source of Data: Calculated by the Information Centre for Health and Social Care (the IC:
http://www.ic.nhs.uk) using data from:
England, Scotland and Wales: Office for National Staistics (ONS) General Household Survey.
Northern Ireland: Continuous Household Survey (GP consulations) and Northern Ireland Statistics and

Research Agency (Outpatient visits).
- Pre 2003: data for Great Britain only. Data for the UK from 2003-2008. 2009: data for
Great-Britain only.
- Data not available for 1997 or 1999 as the General Household Survey was not carried out in those
years.
- An approximation of the number of National Health Service General Practice consultations per
person per year
over a 12-month period derived from the ONS General Household Survey in Great Britain and from the
Continuous
Household Survey in Northern Ireland for all ages in private households, giving average number of
consultations
with a National Health Service general practitioner per year. To this has been added the mean
number of NHS
hospital outpatient department consultations per person per year. Until 2008 this has been added to
the mean number
of NHS hospital outpatient department consultations per person per year. 2009 figures refer only to
GP
Consultations per person per year over a 12 month period.
- Figures do not include consultations of physicians in the independent sector and do not take into
account
consultations of specialists outside hospital outpatient departments.
- NHS GP consultations component (from the General Household Survey) of the figures comprises home
visits, GP
surgery consultations, consultations with a GP at a health centre, and telephone consultations.
- Caution should be exercised when comparing one year to another as variations caused by averaging
male/female
rates from the General Household Survey can exaggerate differences between one year and another
(this would
account for a large part of the 0.6 difference between 1996 and 1998, for example).
- Data from the surveys from 2003 are grossed and weighted. Data from Annual Abstracts are for
financial years.
- In 2005, the GHS changed from a financial year to a calendar year.
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Short name Ru
Среднее число амбулаторных контактов, на человека в год
Full name Ru
Среднее число амбулаторных контактов, на человека в год
Data set notes Ru
Measure note Ru
992801 Среднее число приемов амбулаторных больных на человека в год Всемирная организация здравоохранения Общее число приемов в связи с оказанием амбулаторной или первичной медико-санитарной помощи, поделенное на численность населения. Прием амбулаторного больного представляет собой эпизод единовременного обследования/консультации, проводимой врачом или медсестрой в присутствии врача в отношении одного амбулаторного больного в каком-нибудь одном месте, обычно в кабинете врача или у больного на дому. В статистику приемов амбулаторных больных входит следующее: посещение больным кабинета врача; посещение врачом больного на дому или в каком-либо другом месте; случаи вызова скорой медицинской помощи; прием пациентов в дневных стационарах. В статистику приемов амбулаторных больных не входит следующее: разговоры по телефону в целях получения консультации; сдача лабораторных анализов по назначению врача; встречи с медработниками с целью выполнения предписанных или запланированных лечебных процедур, например, инъекций, физиотерапии и т.д.; посещение зубного врача. Определение амбулаторного больного: лицо, посещающее подразделение ПМСП или амбулаторное отделение в поликлиническом учреждении или больнице, а также пользующееся услугами диагностики или лечения, но не занимающее стандартную больничную койку. Определение пациента, проходящего лечение в дневном стационаре: пациент, который не нуждается в стационарной помощи, но ему показано либо специализированное наблюдение, либо медицинская помощь, либо лечение в условиях стационара в течение ограниченного количества часов в дневное время, и который возвращается домой, чтобы там поужинать и переночевать. Такие пациенты могут занимать специализированные койки (например, койки для выздоравливающих, койки для специальных процедур или койки под специальную медицинскую аппаратуру). Если пациент дневного стационара занимает стандартную больничную койку, то такой случай не считается госпитализацией, и, следовательно, <использованные> койко-дни не включают в статистику дней пребывания в стационаре. Помощь пациентам дневного стационара является одной из форм амбулаторной помощи.

Country notes Ru
AUT
ALB
ARM
BEL
BIH
HUN
DEU
GEO
DNK
ISR
ISL
ESP
ITA
CYP
LVA
LTU
MLT
NLD
POL
PRT
ROU
SRB
SVK
SVN
GBR
TKM
TUR
UKR
FIN
HRV
MNE
CZE
SWE
EST
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Fact id (internal) COUNTRY COUNTRY_GRP MEASURE_TYPE (Obsolete) SEX YEAR Value Display Value