Health Statistics for the Nordic Countries 2013 Nordic Medico-Statistical Committee 100:2013 Health Statistics in the Nordic Countries 2013 Health Statistics in the Nordic Countries 2013 Members of the Editorial Committee for Health Statistics in the Nordic Countries Denmark Linda Saaby Kongerslev Statens Serum Institut Faroe Islands Chief Medical Officer Høgni Debes Joensen National Board of Health Branch Manager Terji Petersen Heilsumálaráðið Greenland Chief Medical Officer Flemming Kleist Stenz National Board of Health Finland Research Professor Mika Gissler National Institute for Health and Wel- fare THL Åland Health Care Inspector Eivor Nikander Ålands landskapsregering Iceland Consultant Margrét Björk Svavarsdóttir Ministry of Welfare Norway Statistical Advisor Jens-Kristian Borgan Statistics Norway Sweden Researcher Ingalill Paulsson Lütz The National Board of Health and Wel- fare NOMESCO’s Editor: secretariat Jesper Munk Marcussen Layout and graphics: Lene Kokholm Translation: Executive Office, Christina Gry Paulsen © Nordic Medico-Statistical Committee Copenhagen 2013 ISBN 978‐87‐89702‐84‐1 Contents Contents Preface ....................................................................... 8 Chapter I Organization of the Health Services ..................................... 9 Introduction ....................................................................................... 9 1.1 Current and future changes in the health services ................................... 9 1.2 Organization and responsibility for the health sector .............................. 15 1.3 Organization and supervision of health services and health care personnel .... 24 1.4 Complaints about health services and health care personnel ..................... 25 Chapter II Population and Fertility .................................................. 27 Introduction ...................................................................................... 27 2.1 Population and population trends ...................................................... 27 2.2 Fertility, births, infant mortality and contraception ................................ 35 Chapter III Morbidity, Medical Treatment, Accidents and Medicinal Products ........................................................ 44 Introduction ...................................................................................... 44 3.1 Diseases related to lifestyle ............................................................. 44 3.2 Cancer ...................................................................................... 53 3.3 Medical consultations and immunization schemes .................................. 64 3.4 Discharges, bed days, average length of stay and patients treated ............... 67 3.5 Surgical procedures ....................................................................... 91 3.6 Accidents and self-inflicted injury ................................................... 113 3.7 Development in consumption of medicinal products ............................. 114 5 Contents Chapter IV Mortality and Causes of Death ......................................... 142 Chapter V Resources ................................................................ 165 Introduction .................................................................................... 165 5.1 Financing of health services ........................................................... 165 5.2 User charges for health care services per 1 January 2011 ........................ 166 Medical visits ................................................................................... 166 Reimbursement for pharmaceutical products ............................................. 169 Treatment in hospitals ......................................................................... 172 Reimbursement for dental treatment ....................................................... 173 Maximum user charges ......................................................................... 177 5.3 Health care expenditure ............................................................... 179 5.4 Health care personnel ................................................................. 184 5.5 Capacity and services in hospitals .................................................... 189 Appendices Further information ..................................................... 196 NOMESCO's Publications Since 1995 ................................... 201 6 Contents Symbols used in the tables: Figures not available or too unreliable for use .. Information not applicable . Less than half of the unit used 0.0/0 Nothing to report (value nil) - Five year averages are always written as 20xx-xy Two year averages are always written as 20xx/xy Data are always calculated in relation to the respective age groups 7 Preface Preface The 2013 version of NOMESCO’s Health Statistics in the Nordic Countries is now avail- able. Since 1966, NOMESCO has worked to promote and publish comparable Nordic health statistics. As a permanent part of the work, this annual publication is published with the latest data in the health area. Health Statistics in the Nordic Countries presents data concerning population trends, illness, hospital treatment and causes of death. Furthermore, a description of the health sector in the Nordic countries, its structure and resources is provided. Health Statistics in the Nordic Countries consequently provides an annual cross section of the health care areas in the Nordic countries. This version comprises the latest available data as per the summer of 2013. The lat- est data year may consequently be 2012 or 2011. Previous versions are available at www.nom-nos.dk, where also our database and more specialized publications from projects carried out by NOMESCO can be found. As from 2011, the publication will no longer be designated by the latest data year, but instead by the year of production. Therefore the title is Health Statistics in the Nordic Countries 2013. Nordic Medico-Statistical Committee (NOMESCO), October 2013 8