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Australia, Austria, Belgium, Canada, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Korea, Luxembourg, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Slovak Republic, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States,

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Psychiatric care beds in hospitals

Psychiatric care beds in hospitals (HP.1) are hospital beds accommodating patients with mental health problems (part of HC.1 in the SHA classification).

Inclusion:
- All beds in mental health and substance abuse hospitals (HP.1.2)
- Beds in psychiatric departments of general hospitals (HP.1.1) and of specialty (other than mental health and substance abuse) hospitals (HP.1.3)

Exclusion:
- Beds allocated to non-mental curative care (part of HC.1)
- Beds allocated to long-term nursing care in hospitals (HC.3)
- Beds for rehabilitation (HC.2)
- Beds for palliative care.

Sources and Methods

Australia

*Data represent the sum of psychiatric beds in public hospitals, public psychiatric hospitals and private psychiatric hospitals:
Australian Institute of Health and Welfare 2007. Mental health services in Australia 2004-05. AIHW Cat. No. HSE 47. Canberra: AIHW (and previous issues and unpublished information from the 2008 issue on this topic).
Australian Institute of Health and Welfare 2008. Australian hospital statistics 2006-07. AIHW Cat. No. HSE 55. Canberra: AIHW (and previous issues). Also at www.aihw.gov.au.
Australian Bureau of Statistics. Private hospitals, Australia. Cat. No. 4390.0.Canberra: ABS.
* From 1993, as per OECD definition. Includes beds in stand-alone psychiatric hospitals, as well as psychiatric beds co-located in acute public and private hospitals.
* Beds until 1992 are those in stand-alone psychiatric hospitals only.

Austria

Federal Ministry of Health and Women (Bundesministerium für Gesundheit und Frauen ): Austrian Hospital Statistics (Krankenanstaltenstatistik), as of 31 December.

Belgium

Federal Public Service – Health, Food Chain Safety and Environment, DG1, Data management.
* The data refers to the number of available beds the 1st of January.
* The following institutions are excluded: military hospitals and medical centres, prison health services, sanatoriums, accommodation for handicapped and old people's homes, and rest homes or homes offering medical care.
* Authorised beds are beds which have been budgeted for and installed in compliance with official standards.
* Since 1/3/94, hospitals for chronic diseases were closed. They were previously counted as hospitals for long stay.
* Beds indexes included in the calculation up to 2005 are:
(A) neuropsychiatry,
(A1) day care in neuropsychiatry
(A2) night care in neuropsychiatry
(K) infantile neuropsychiatry
(K1) day care in infantile neuropsychiatry
(K2) night care in infantile neuropsychiatry
(Q) psychiatric care institutions
(IHP) initiative for a protected inhabitat
(TFB) familial placing
(TFP) places in familial milieu and
(VP) psycho-geriatrics.
* The increase in psychiatric care beds in 1996 is due to the creation of beds in psychiatric care institutions and initiatives for a protected inhabitat.
* From 2006, data exclude beds in psychiatric care institutions and initiatives for a protected inhabitat.

Canada

Canadian Institute for Health Information, Canadian MIS Database, 1995/96-2006/07.
* Beds in psychiatric hospitals are shown, rather than beds in psychiatric departments of all hospitals.
* Includes beds in both psychiatric short-stay and psychiatric long-stay hospitals. Excludes beds in psychiatric departments of general hospitals.

Czech Republic

Institute of Health Information and Statistics of the Czech Republic. National Health Information System (survey on bed resources of health establishments and their exploitation).
* Psychiatric care beds encompass beds in psychiatric institutes and beds in psychiatric departments (wards) of general hospitals .

Denmark

National Board of Health.
* Data is taken from http://www.sst.dk/publ/tidsskrifter/nyetal/pdf/2006/16_06.pdf.
* Beds in private hospitals are not included.

Finland

* Data not available.

France          

Ministère de la Santé, de la Jeunesse et des Sports - Direction de la Recherche, des Études, de l’Évaluation et des Statistiques (DREES). Statistique Annuelle des Établissements de santé publics et privés (SAE). See http://www.sae-diffusion.sante.gouv.fr/Collecte_2007/ and www.sante.gouv.fr/drees/seriestat/pdf/seriestat27.pdf.
* Psychiatric care beds include beds for general psychiatry and child psychiatry in all hospitals (psychiatric hospitals and others).

Germany

Federal Statistical Office, Hospital statistics – basic data, Fachserie 12, Reihe 6.1.1. (see http://www.destatis.de or http://www.gbe-bund.de)
* Psychiatric care beds in hospitals comprise beds in mental health hospitals (HP1.2) in all sectors (public, not-for-profit and private).
* Beds in psychiatric departments in other types of hospitals e.g. general hospitals (HP1.1) or in prevention and rehabilitation homes (HP1.3) are excluded.
* In German “mental health hospitals” mean hospitals exclusively with psychiatric, psychotherapeutical or psychiatric, psychotherapeutical and neurological beds. For the years 2002 and 2004 hospitals exclusively with neurological beds were also included. Before 2002 and after 2004 hospitals exclusively with neurological beds are reported under general hospitals.

Greece    

General Secretariat of the National Statistical Service of Greece.
* Coverage: Data refer only to long-term care beds in hospitals and to psychiatric beds.      

Hungary

Gyogyinfok (Health Care Information Center of Ministry of Health, Social and Family Affairs). www.gyogyinfok.hu.
* Psychiatric care beds: available acute psychiatric care beds on December 31.

Iceland

* Data not available.

Ireland

* Up to 2003 source is Department of Health and Children. From 2004, source is the Annual Reports of the Mental Health Commission.
* Up to and including 1986 figures refer to beds in public psychiatric hospitals and beds in psychiatric units in acute hospitals only. From 1987 beds in private psychiatric hospitals are also included.

Italy

Source: Ministry of Health - Health Information System.
http://www.ministerosalute.it/servizio/sezSis.jsp?label=ssn.
* Coverage: All public, non-profit and private hospitals are registered.
* Periodicity: yearly.
* Beds in psychiatric departments of general hospitals (HP.1.1).
* Psychiatric care beds include beds for infant patients with mental health diseases.       

Japan  

Ministry of Health, Labour and Welfare, "Survey of Medical Care Institutions"; "Hospital Reports".        

Korea          

Ministry of Health and Welfare, Yearbook of Health and Welfare Statistics.
* As of December 31.

Luxembourg

National Health Insurance (CNS).
* Data included in the budget.
* Note that on January 1st, 2009 the Union of Sickness Funds changed its denomination to « National Health Insurance ».
* A series complying with the OECD’s request with regard to psychiatric beds in general hospitals (HP.1.1), psychiatric hospitals and beds for drug addicts (HP.1.2) is only available from 2004. In other specialised establishments, funded psychiatric beds do not exist.
* It is important to note that the beds included in the selection are in specialised psychiatric institutions which mainly provide psychiatric rehabilitative care on a medium and long-term basis and have only a small number of beds for acute psychiatry (around 30 acute beds compared to 288, 227, 207 and 2007 medium and long-stay beds from 2004 to 2007).
* The comment concerning day patients remains valid; exclusion from the data presented is not possible.

Mexico          

Ministry of Health. Bulletin of Health Information and Statistics. National Health System, Vol. 1.

Netherlands

From 2002 onwards: data from the Dutch Health Authority.
Prismant surveys of hospitals.

New Zealand

* Data not available.

Norway          

Statistics Norway.

Poland

Central Statistical Office, Statistical Yearbook.
* From 2003 onwards, beds in psychiatric hospitals and psychiatric wards in general hospitals, including data from the Ministry of National Defense and the Ministry of the Interior and Administration.  
        
Portugal

National Statistical Institute – Health Statistics (published annually).
* A specific questionnaire is addressed to all kinds of institutions with in-patient care.

Slovak Republic

National Health Information Center (NHIC).
* Since 2000 data are provided by Ministry of Interior, Ministry of Transportation, Posts and Telecommunications, Ministry of Justice and Ministry of Defense data.
* Psychiatric care beds = (number of beds in psychiatric hospitals + beds in psychiatric long term nursing care beds + beds in psychiatric and gerontopsychiatry departments of hospitals + beds in hospital departments for drug addictions treatment and centers for drug addictions treatment).

Spain  

All beds in Psychiatric hospitals and beds in psychiatric departments of general hospitals.
Since 1996:
* Statistics on Health Establishments Providing Inpatient Care, provided by Ministry of Health and Consumer Affairs. http://www.msc.es/estadEstudios/estadisticas/estHospiInternado/inforAnual/home.htm.

Sweden  

Federation of Swedish County Councils.

Switzerland

* Data not available.

Turkey          

General Directorate of Curative Services, Ministry of Health.

United Kingdom

* Calculated by The Information Centre for Health and Social Care (http://www.ic.nhs.uk) for UK using data from:
England - NHS beds Department of Health (DH) (http://www.performance.doh.gov.uk/hospitalactivity/data_requests/beds_open_overnight.htm);
Northern Ireland - the Department for Health, Social Services and Public Safety (http://www.dhsspsni.gov.uk/index/stats_research/stats-pubs/stats-hospital_community_statistics.htmstats-hospital_community_statistics#hospital);
Scotland - Information Services Division NHS Scotland (http://www.isdscotland.org/isd/information-and-statistics.jsp?pContentID=3426&p_applic=CCC&p_service=Content.show& );
Wales - Health Service for Wales (HSW) (http://www.statswales.wales.gov.uk/index.htm).
* Data cover non-private beds only.   
* Data are for financial years (1-April to 31-March). Data for e.g. financial year 2005/06 are presented as 2005.  
* Northern Ireland - Psychiatric beds cover Mental Health (including Old Age Psychiatry) and Learning Disability.

United States

American Hospital Association (AHA), AHA Annual Survey of Hospitals Database. Unpublished data. Health Forum LLC, an affiliate of the American Hospital Association.
Coverage: AHA-registered and non-registered hospitals in the United States. U.S. hospitals located outside the United States are excluded.
Periodicity: Data collected annually.
Deviation from the definition: Data matches OECD definition:
* Estimates are from hospital and inpatient care facilities, such as psychiatric hospitals and alcohol and other chemical dependency treatment institutions.
* United States estimates do not include day care beds. United States estimates refer to beds maintained (i.e. open and ready-to-receive patients).
* Any bed that is set up and staffed for use by inpatients is counted as a bed in a facility. For the AHA, the count is the average number of beds, cribs and paediatric bassinets during the entire reporting period.
* United States estimates refer to beds maintained (i.e. open and ready-to-receive patients).
Deviation from the calculation method: Calculation methods match OECD definition.
Break in time series: No breaks in time series.

                                                   

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Source OECD HEALTH DATA 2009, November 09	Last update: 06/16/2009