HHE 2018 | Page 18

number of beds was accompanied by a slight increase in the number of private inpatient beds, which are inpatient beds owned by not-for-profit and for-profit private institutions. But the share of private hospital beds – where figures are available – was still quite low in most countries, with percentages higher than 30% only in Spain (31.4%), chart 7 Number of hospital beds in 2015 and number of beds lifted (added) since 2000 Number of beds in 2015 Number of beds lifted/added since 2000 Finland -15,173 Sweden -7,780 Lithuania -10,676 Denmark -8,547 Ireland -9,258 Latvia -9,512 Slovenia -1,430 Estonia -3,304 Luxembourg -183 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 Greece -5,555 Switzerland -7,205 Portugal -2,942 Slovakia -11,161 0 10,000 20,000 30,000 40,000 50,000 60,000 Spain -9,713 Netherlands -6,549 Belgium -9,909 Hungary -14,428 Czech Republic -11,593 Austria +1,464 0 25,000 50,000 75,000 100,000 125,000 150,000 Germany -70,149 France -73,992 Poland -3,139 Italy -73,992 United Kingdom -70,149 0 150,000 300,000 450,000 600,000 750,000 18 HHE 2018 | hospitalhealthcare.com Italy (32.0%), Greece (34.7%), France (37.7%), Cyprus (47.6%) and Germany (59.3%) (Chart 9). Between 2000 and 2014, the number of acute hospitals decreased significantly all over Europe. A total of 357 acute care hospitals were closed in Germany, 193 in France, 170 in Italy and 122 in Switzerland. The rate of acute care hospital beds for 100,000 inhabitants in 2015 in EU ranged from 226 in Sweden to 611 in Germany. The highest figures were observable in Belgium (565), Austria (566) and Lithuania (608) while the lowest figures were in Spain (241), Denmark (246) and Italy (264). Between 2000 and 2015, the number of acute care hospital beds per 100,000 population registered an average reduction of 20.5% in the EU. The most significant decreases were in Latvia (-44.6%), Denmark (-42.3%), Estonia (-38.7%) and Italy (-37.4%). The only exceptions were Ireland (+1.8%) and Netherlands (+18.4%) (Chart 10). The reduction in the number of hospital beds regards especially the public providers. In the countries where data are available, this trend is associated with an increase of hospital beds in private structures. This is the case for Austria, Denmark, Finland, Greece, Latvia and Portugal. The countries that registered a decrease in both categories are the Czech Republic, Estonia, France, Germany, Hungary, Italy, Slovenia and Spain. The number of acute care admissions involves the entire pathway of hospitalisation of a patient, who normally stays in hospital for at least 24 hours and then is discharged, returns home, is transferred to another facility or dies. Last data available for this figure is from 2014. The rates of acute care hospital admissions in the European countries were quite dissimilar, ranging from 7.8% in Cyprus to 24.6% in Austria. The average length of stay measures the total number of occupied hospital bed-days, divided by the total number of admissions or discharges. In 2014, the average length of stay in acute care hospitals ranged from 5.2 bed-days in Malta to 7.6 bed-days in Germany. In Serbia, this value is 8.4 bed-days.