The Danish Health Data Authority (Sundhedsdatastyrelsen)

Departement for Analysis, Statistics and Economics, ASØ

Ørestads Boulevard 5

DK-2300 Copenhagen S

Statistics on healthcare non-expenditure provide information on healthcare human resources, healthcare facilities, and healthcare utilisation.
The people active in the healthcare sector (doctors, dentists, nurses, etc.) and their status (graduates, practising, migration of doctors and nurses, etc.)
The available healthcare technical resources and facilities (hospital beds, beds in residential care facilities, medical technology, etc.)
The health activities or patient contacts undertaken (hospital discharges, surgical procedures, ambulatory care data, etc.).

Annual national and regional data are provided in absolute numbers or as a rate of a relevant population.
Data are based mainly on administrative records (see section 18.1 ‘Source data’ for more information)

For the collection data on healthcare non- expenditure, the classifications used in the System of Health Accounts (SHA) and its related set of International Classification for the Health Accounts (https://www.oecd.org/health/health-systems/1841456.pdf) are applied.

For hospital discharges, the International Shortlist for Hospital Morbidity Tabulation (ISHMT) is used. (https://circabc.europa.eu/ui/group/c1b49c83-24a7-4ff2-951c-621ac0a89fd8/library/6ff71dd5-8200-4fe4-a610-a7707cd47c4d)

For Health Employment, the Directive 2005/36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications apply (https://eur-lex.europa.eu/eli/dir/2005/36/2020-04-24).

Definitions of mandatory variables are laid down in Commission Regulation (EU) 2022/2294.

Where possible, the statistics are separated by sex (male/female), age group and NUTS2 region.

The Eurostat manual on healthcare non-expenditure statistics provides an overview of the classifications, both for mandatory variables and variables provided on voluntary basis.

National deviations: see Annex at the bottom of the page.

Public health.

The healthcare non-expenditure statistics describe the public health sector from a non-monetary perspective. The statistics explain the number or rate of different healthcare resources, facilities and utilisations. A wide range of indicators are collected from a multitude of sources and therefore, details pertaining to individual variables are given in the Annex.

Definitions of mandatory variables are laid down in Commission Regulation (EU) 2022/2294.

The Eurostat manual on healthcare non-expenditure statistics provides an overview of the classifications, both for mandatory variables and variables provided on voluntary basis.

National changes of statistical concepts and national definitions deviating from Regulation (EU) 2022/2294: see Annex at the bottom of the page.

Registered health professionals or health care facility categories.

(1) all health care staff

(2) all available beds or equipment in hospitals or in nursing 

(3) all discharges or procedures performed in all hospitals

Complete national territory - except Greenland and the Faroe Islands.

Most data are available from 1992 through 2022.

HealthEmployment

Physicians:

- GP 1994-2022

- All other 1980-2022

Midwives: 1980 - 2022 (Practising from 1992)

Nurses: 1980 - 2022 (Practising from 1992)

Caring personal care workers: 1992-2022

Dentists: 1980 - 2022 (Practising from 1992)

Pharmacists: 1980 - 2022 (Practising from 1992)

Physiotherapists: 1992 - 2022

HealthActivities

Doctor consultations: 1990 -2022

Teleconsultations: 2015 - 2022

Diagnostic exams: 2003 - 2021

Procedures: 1990 - 2021

Immunisation: 2002-2022

Screening: 2008 - 2022

Hospital Aggregates: varying from 1963 - 2022

Physical Resources

Hospital beds by function: 1987 - 2022

Hospital beds by sector: 1997 - 2022

Nursing beds: 1990 - 2022

Medical Technology: 2000 - 2022

Workforce migration: 2000 - 2022

Eurostat module

Staff regional: 1993 - 2022

Hospital beds: 1997 - 2022

Hospital technical resources: 2000 - 2004

Not applicable

Absolute numbers at the end of the period.

Calendar year.

Regulation on Community statistics on public health and health and safety at work (EC) No 1338/2008

Commission Regulation (EU) 2022/2294 on statistics on healthcare facilities, healthcare human resources and healthcare utilisation

Gentlemen’s agreement

Joint Questionnaire on Non-Monetary Health Care Statistics, which is carried by Eurostat, OECD and WHO-Europe.

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We have a combined calendar for all the health data we publish accessible at our website.

We don't publish data selected for EUROSTAT other in via EUROSTAT's websolution, and we don't publish when data are transmitted to EUROSTAT.

See attached URL

General policy: we publish a lot of data concerning the Danish health care system. We have a release calendar accessible for all. Data, which are not published, but presented to collaborators are delivered upon request - as long as the single Danish citizen are not recognisable in the data.  Hence data delivered to EUROSTAT are not published in the release calendar.

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In Denmark reporting of data on hospital and employees follow government notices. The government notice applies to both public and private administered hospitals and cannot deviate.  

Data on i.e. inpatient, discharge, procedures has to be reported following https://sundhedsdatastyrelsen.dk/-/media/sds/filer/rammer-og-retningslinjer/patientregistrering/lpr_indberetningsvejledninger/tidligere-version-2,-d-,0/lpr_indberetningsvejledning_2022_v,-d-,2,-d-,0.pdf

Likewise data on employment has to comply to https://skat.dk/data.aspx?oid=2234866

In Denmark the government notices on reporting ensure data quality.

We have a strict legislation with government notices on how hospitals, pharmacies and physicians from the primary sector etc. have to report data to national registries. Data from the hospital sector is transferred every night the National Health Data Authority, and we continuously check data. Every single day we send data back to the regions so they can correct errors. We use a password protected website.

Users of healthcare non-expenditure statistics are international organisations such as OECD, WHO and EU, and national policy makers and researchers.

Data on healthcare non-expenditure statistics are widely used by different authorities in a national as well as on regional level. We don't produce the exact the same tables as data send to Eurostat, but relevant data on healthcare human resources, healthcare facilities, and healthcare utilisation is presented through our webpage sundhedsdatastyrelsen.dk.

The Danish Health Data Authority and the data presented is evaluated every year by The Ministry of the Interior and Health. 

All the analysis sent to Eurostat are based on updated full national registries.

Not applicable as we don't estimate data.

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We report data from different Danish registries. Some of the registries are updated faster than others.

Data on workforce is based on the Danish Labour Register for Health Personnel. The register is updated with a 2½ year delay.

Data on heath acitivities and resources are updated with no time lag.

We did deliver data by the end of February. Two of the files were flawed. They have been corrected.

The statistics are comparable between regions.

Data are comparable over time, even though we have breaks in the time series.

Data on workforce is based on the Danish Labour Register for Health Personnel. The registry is located in Statistics. We have full access, and there is no incoherence in the data. 

All data reported are consistent.

We have an estimated cost of 200 working hours.

We don't have a policy, since we don't disseminate data submitted to EUROSTAT.

There are no revisions to report.

- Data regarding people active in the healthcare sector (doctors, dentists, nurses, etc.) and their status (graduates, practising, migration of doctors and nurses, etc.) derives from the Labour Register for Health Personnel. The Labour Register for Health Personnel has information on education, employment status, job position etc. Data is primarily used for work force analysis.

- Data on available healthcare technical resources and facilities (hospital beds, beds in residential care facilities, medical technology, etc.) are bsaed on administrative data from the five Danish regions, who are responsible for delivery of primary and hospital-based care. 

- Data on health activities or patient contacts undertaken (hospital discharges, surgical procedures, ambulatory care data, etc.) comes from the Danish National Patient Registry (DNPR, link to article in the annexes). The registry is an population-based administrative registry, which has collected data from all Danish hospitals since 1977 with complete nationwide coverage since 1978. Aims of the DNRP are:

1. Form the basis of the Danish Health and Medicines Authority's hospital statistics,
2. Form the basis of health economics calculations,
3. Provide the Danish authorities with data to support hospital planning,
4. Provide data to support the authorities responsible for hospital inspection,
5. Monitor the frequency of various diseases and treatments,
6. Provide a sampling frame for longitudinal population-based and clinical research,
7. Facilitate quality assurance of Danish health care services,
8. Provide hospital physicians with access to patient’s hospitalization histories.

- Labour Register for Health Personnel is compiled annually.

- Administrative data from the five Danish region are collected on a daily basis.

- The Danish National Patient Registry is collected on daily basis.

Data are sent to The Danish Health Data Authority and to Statistics Denmark on government notices. 

All analysis has been compared to previous cycles. We have compared data with not completely similar data, but with Danish publications. See annexes.

All analysis have been done in SAS - all SAS programmes have been well documented. 

Not applicable.

We have no other comments.