Sub-directorate of Health Statistics (Sous-direction Observation de la santé et de l'Assurance-maladie)

DREES

78-84 Rue Olivier de Serres

75015 Paris

FRANCE

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 (Directive - 2005/36 - EN - EUR-Lex (europa.eu)).

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 and residential care facilities

(3) all discharges or procedures performed in all hospitals

Complete national territory

For some data sets, time series are available from 1974 onwards. However, the availability of the data varies across data sets.

Not applicable

The data are published in absolute numbers or rate per inhabitants.

Calendar year; depending on the data set this can be annual average data or data as reported by 31st December.

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.

Data collection had to abide by the principles on confidentiality defined in the following laws :

• the General Data Protection Regulation (GDPR) ;
• the law n°78-17 said "Informatique et Libertés", in which are defined the national provisions mentioned in the GDPR ;
• the law n°51-711 on obligation, coordination and secret in the matter of statistics. This law defines the legal conditions in which data collection is realised by the national statistical administrations in France.

The data collection process was organised so that :

- the Ministry of Health has no access to information directly identifying the individuals, except those from health professionals directories publicly available ;

- all transmissions of information are made according to protocols respecting the state of the art for security ;

- the servers of the Ministry of Health are secured and protected by state of the art security protocols. Especially, the list of persons having access to microdata files is restricted to authorized persons.

Main indicators data are disseminated according to a release calendar.

Espace presse | Direction de la recherche, des études, de l'évaluation et des statistiques (solidarites-sante.gouv.fr)

In line with the French legal framework and the European Statistics Code of Practice main indicators data are disseminated on DREES website respecting professional independence and in an objective, professional and transparent manner in which all users are treated equitably. The detailed arrangements are described here : Règles de mise à disposition de l’information | Direction de la recherche, des études, de l'évaluation et des statistiques (solidarites-sante.gouv.fr).

Yearly

Résultats+de+recherche | Direction de la recherche, des études, de l'évaluation et des statistiques (solidarites-sante.gouv.fr)

Résultats+de+recherche | Direction de la recherche, des études, de l'évaluation et des statistiques (solidarites-sante.gouv.fr) 

• Démographie des professionnels de santé - DREES (shinyapps.io)
• Les établissements de santé - édition 2022 | Direction de la recherche, des études, de l'évaluation et des statistiques (solidarites-sante.gouv.fr)
• Explore — DATA.DREES (solidarites-sante.gouv.fr)

All micro-data are accessible for researchers.

None

Many data sources are used to produce these statistics. 

• Statistique Annuelle des Établissements (SAE, DREES): La Statistique annuelle des établissements (SAE) | Direction de la recherche, des études, de l'évaluation et des statistiques (solidarites-sante.gouv.fr)
• Répertoire Partagé des Professionnels intervenant dans le système de santé (RPPS, ANS) et Répertoire Adeli: La démographie des professionnels de santé | Direction de la recherche, des études, de l'évaluation et des statistiques (solidarites-sante.gouv.fr)
• Programme de médicalisation des systèmes d’information (PMSI, ATIH) : Présentation | Publication ATIH (sante.fr)
• Système national des données de santé (SNDS) : Qu’est-ce que le SNDS ? | Health Data Hub (health-data-hub.fr)
  
• Enquête Écoles (DREES) : https://drees.solidarites-sante.gouv.fr/sources-outils-et-enquetes/lenquete-annuelle-sur-les-ecoles-de-formation-aux-professions-de-sante
• Enquête Emploi en Continu (EEC, INSEE) :Enquête emploi en continu | Insee
  
• Appariement CNAM-DGFIP 2017 (DREES) : https://drees.solidarites-sante.gouv.fr/sources-outils-et-enquetes/lappariement-insee-dgfip-cnam

General quality management principles and procedures are described here : https://drees.solidarites-sante.gouv.fr/drees.

See section 10.6 for each data source.

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Revisions, if any, are reported in the appendix at the bottom of the page, in the "source of the data" section of the variable concerned. 

See Annex

Annual

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