Reference metadata describe statistical concepts and methodologies used for the collection and generation of data. They provide information on data quality and, since they are strongly content-oriented, assist users in interpreting the data. Reference metadata, unlike structural metadata, can be decoupled from the data.
Health Statistics Department, The General Directorate of Health Information Systems
1.3. Contact name
Confidential because of GDPR
1.4. Contact person function
Confidential because of GDPR
1.5. Contact mail address
Dumlupinar Bulvari Sehit Mehmet Bayraktar Caddesi No:3 Kat:3 Cankaya/ANKARA TÜRKİYE Postal Code: 06800
1.6. Contact email address
Confidential because of GDPR
1.7. Contact phone number
Confidential because of GDPR
1.8. Contact fax number
Confidential because of GDPR
2.1. Metadata last certified
28 February 2025
2.2. Metadata last posted
28 February 2025
2.3. Metadata last update
28 February 2025
3.1. Data description
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 (NUTS-2 Level) data are provided in absolute numbers or as a rate of a relevant population.
Data are based mainly on national registration system records (see section 18.1 ‘Source data’ for more information).
3.2. Classification system
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 are applied.
For hospital discharges, the International Shortlist for Hospital Morbidity Tabulation (ISHMT) is used.
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.
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.
National deviations: see Annex at the bottom of the page.
3.3. Coverage - sector
All Public Health Sectors (etc. Ministry of Health, Universities, Private and Others)
3.4. Statistical concepts and definitions
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 different applicable National Sources and National Registration Systems 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.
(1) all available and applicable health care staff (2) all available beds or equipment in hospitals (3) all discharges or procedures performed in all hospitals
Based on all available data, the oldest record for Türkiye dates back to 1960 and the newest to 2024. The length of the time series vary depending on the indicator. Every effort is made to ensure the time series continuity. More information about breaks in series and data gaps per variable can be found in the attached annex.
Absolute numbers at end of reference period/average number during reference period. Rate of phenomenon per reference population (e.g. per 100 000 inhabitants).
Türkiye Personal Data Protection Law: In subparagraph (b) of the first paragraph of Article 28 of Personal Data Protection Law numbered 6698, titled "Exceptions", "Processing personal data for purposes such as research, planning and statistics by anonymizing them with official statistics." provision is included. The provisions of the Law are not applied to the data processed for the purposes specified in the said provision.
Türkiye Regulation of Personal Health Data: In the first paragraph of Article 16 titled "Processing for Scientific Purposes" of the Regulation on Personal Health Data, "Scientific work can be carried out with the personal health data anonymized by the data controller within the scope of subparagraph (b) of the first paragraph of Article 28 of the Law." provision is included.
6.2. Institutional Mandate - data sharing
Joint Questionnaire on Non-Monetary Health Care Statistics, which is carried by Eurostat, OECD and WHO-Europe.
7.1. Confidentiality - policy
Constitution Of The Republic Of Türkiye & Rules Of Procedure Of The Grand National Assembly Of Türkiye Under 'Privacy of private life' Article 20 Act.4709 and Act.5982
Türkiye Personal Data Protection Law: In subparagraph (b) of the first paragraph of Article 28 of Personal Data Protection Law numbered 6698, titled "Exceptions", "Processing personal data for purposes such as research, planning and statistics by anonymizing them with official statistics." provision is included. The provisions of the Law are not applied to the data processed for the purposes specified in the said provision.
Türkiye Regulation of Personal Health Data: In the first paragraph of Article 16 titled "Processing for Scientific Purposes" of the Regulation on Personal Health Data, "Scientific work can be carried out with the personal health data anonymized by the data controller within the scope of subparagraph (b) of the first paragraph of Article 28 of the Law." provision is included.
Constitution Of The Republic Of Türkiye & Rules Of Procedure Of The Grand National Assembly Of Türkiye Under 'Privacy of private life' Article 20 Act.4709 and Act.5982
Türkiye Personal Data Protection Law: In subparagraph (b) of the first paragraph of Article 28 of Personal Data Protection Law numbered 6698, titled "Exceptions", "Processing personal data for purposes such as research, planning and statistics by anonymizing them with official statistics." provision is included. The provisions of the Law are not applied to the data processed for the purposes specified in the said provision.
Türkiye Regulation of Personal Health Data: In the first paragraph of Article 16 titled "Processing for Scientific Purposes" of the Regulation on Personal Health Data, "Scientific work can be carried out with the personal health data anonymized by the data controller within the scope of subparagraph (b) of the first paragraph of Article 28 of the Law." provision is included.
8.1. Release calendar
National Data Release calendar can be found here and it is publicly accessible.
Online database is accessible with QR code printed on published Republic of Türkiye, National Health Statistics Yearbooks.
10.4. Dissemination format - microdata access
Microdata can be provided under "Bilgi Edinme Hakkı Kanunu/Right to Information Act" with data confidentiality and protection standards regarding "Türkiye Personal Data Protection Law", "Türkiye Regulation of Personal Health Data and Regulation About Procedures" and "Principles of Data Privacy and Confidential Data Security of Official Statistics".
Health Coding Reference Server (Sağlık Kodlama Referans Sunucusu-SKRS) is a reference server that contains the coding and classification standards used in Health Information Management Systems, it presents the data used in the health field to the user in a codable structure and ensures that a common language is used in data transmission.
e-Nabız Guide; e-Nabız is a system put into service by the Ministry of Health, which collects the transactions made in all institutions providing health services in Türkiye under a common database and enables the data to be shared with the relevant institutions. Institutions providing health services create a data set (package) in xml structure and send it to e-Nabız, using the relevant methods within the framework of the determined standards.
The quality of the data meets fundamental requirements such as accuracy, timeliness, comparability, and consistency. The quality of obtained statistical indicators is evaluated by comparing the results with those of the previous year, and any outlier values are identified and analyzed. In cases of significant deviations, the data provider is contacted to clarify the reasons behind these differences. At European level, output standardisation is ensured through the definitions of the formats (list and content of target variables, data format) and the timetable of data transmission. This is complemented by Eurostat consistency, integrity checks on the submitted data so that output quality standard is reached.
12.1. Relevance - User Needs
The main users of the data are national policy-makers and national/international statistical offices which use the data for country comparisons, health policy papers and health strategies. Researchers and the general public are also using the data.
12.2. Relevance - User Satisfaction
There are no available national data on user satisfaction. Eurostat carries out an annual User satisfaction survey on a central level, see the latest results here.
12.3. Completeness
Data are considered to be complete.
13.1. Accuracy - overall
Data is accurate.
13.2. Sampling error
Not applicable as the data are based on administrative data and not on surveys.
13.3. Non-sampling error
Not applicable as the data are based on administrative data and not on surveys.
14.1. Timeliness
Dissemination of data;
Difference (months) between the date of publication of the final results and the last date of the reference period (N)=N+9
International dissemination of data; based on scheduled release dates of EUROSTAT
14.2. Punctuality
Data is shared in accordance with national and international timelines.
15.1. Comparability - geographical
Data is comparable geographically.
15.2. Comparability - over time
Data is generally comparable overtime, despite breaks in time series. See Annex at the bottom of the page for potential breaks in time series for each variable.
15.3. Coherence - cross domain
Data is coherent with those obtained through other data sources.
If data sharing has already been done and revision needed for current or previous year data/metadata, revised data/metadata is prepared for the next data request or result validation process.
If data sharing has not done yet, reported revisions are corrected in the disseminated data/metadata as soon as the correct informations have been provided.
18.1. Source data
Sources for the different indicators are given in the Annex at the bottom of the page.
18.2. Frequency of data collection
Annually.
18.3. Data collection
In Türkiye, health data and related indicators are collected from national registry systems (such as eNabız, Higher Edducation Statistics) in accordance with international standards. Survey data are also obtained from the Türkiye Health Interview Survey results, which adheres to international standards. See footnotes in annex for detailed information.
18.4. Data validation
Türkiye applies automatic and manual validation checks to the data and metadata.
Consistency checks: comparing the statistics with previous years, investigating inconsistencies in the statistics, performing macro data editing, outlier detection. Comparison of validation results with national and international published data.
18.5. Data compilation
All data collected from national health registry systems are gathered, monitored, and analyzed by the Ministry of Health. These data are published nationally in the Health Statistics Yearbooks and shared internationally through databases such as WHO, OECD, and EUROSTAT. Research data and data from other institutions are evaluated in close cooperation with the respective institutions and ministries; these data are both submitted to international databases and published annually in the Health Statistics Yearbook.
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 (NUTS-2 Level) data are provided in absolute numbers or as a rate of a relevant population.
Data are based mainly on national registration system records (see section 18.1 ‘Source data’ for more information).
28 February 2025
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 different applicable National Sources and National Registration Systems 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.
(1) all available and applicable health care staff (2) all available beds or equipment in hospitals (3) all discharges or procedures performed in all hospitals
Absolute numbers at end of reference period/average number during reference period. Rate of phenomenon per reference population (e.g. per 100 000 inhabitants).
All data collected from national health registry systems are gathered, monitored, and analyzed by the Ministry of Health. These data are published nationally in the Health Statistics Yearbooks and shared internationally through databases such as WHO, OECD, and EUROSTAT. Research data and data from other institutions are evaluated in close cooperation with the respective institutions and ministries; these data are both submitted to international databases and published annually in the Health Statistics Yearbook.
Sources for the different indicators are given in the Annex at the bottom of the page.
Annually
Dissemination of data;
Difference (months) between the date of publication of the final results and the last date of the reference period (N)=N+9
International dissemination of data; based on scheduled release dates of EUROSTAT
Data is comparable geographically.
Data is generally comparable overtime, despite breaks in time series. See Annex at the bottom of the page for potential breaks in time series for each variable.
