Ministère de la Santé - Direction de la santé

Pôle support à l'innovation - Service épidémiologie et statistique

Direction de la santé

20, rue de Bitbourg

L-1273 Luxembourg

Luxembourg

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, health care facility categories, health care activities.

(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

The coverage depends on the module and the variable:

Eurostat module

Health activities module

Health employment module

Physical resources module

Workforce migration module: no data available.

Not applicable.

Absolute numbers at end of reference year or average number during reference period. More details in the annex "sources and methods".

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 

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

Regulation (EC) No 223/2009 on European statistics (recital 24 and Article 20(4)) of 11 March 2009 (OJ L 87, p. 164), stipulates the need to establish common principles and guidelines ensuring the confidentiality of data used for the production of European statistics and the access to those confidential data with due account for technical developments and the requirements of users in a democratic society.

The GDPR (EU) 2016/679 of the European Parliament and of the Council of 27^th of April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data.

We receive aggregated, non confidential data. The persons/institutions who send us the data are habilitated to treat confidential data (within the institutions' missions, professional secrecy, security IT measures, etc.)

There is no formal release calendar.

Not applicable.

For data related to the hospital sector (hospitals, day care places, hospital beds, ICU beds), a document elaborated by the National Health Observatory, the "carte sanitaire", is published every 2 years according to the law of march 2nd, 2021 Journal officiel du Grand-Duché de Luxembourg (public.lu). The "carte sanitaire" is published with a press release and available on the website Carte Sanitaire 2021 - Portail Santé - Luxembourg (public.lu)

Data related to beds in residential long-term care facilities are published annually in the activity report of the Ministry of Family Affairs, Integration and the Greater Region. The activity report of the Ministry of Family Affairs, Integration and the Greater Region is available on their website https://mfamigr.gouvernement.lu/fr/publications.html

Some data related to health activities but not exactly those requested by the questionnaire are published in the general report of the "Inspection générale de la sécurité sociale" which is available on Rapport général sur la sécurité sociale 2022 - Inspection générale de la sécurité sociale // Le gouvernement luxembourgeois. Other publications on the same thema are available on Publications - Inspection générale de la sécurité sociale // Le gouvernement luxembourgeois and on Informatiounssystem iwwer Sozial Ofsécherung a Gesondheet - Inspection générale de la sécurité sociale // Le gouvernement luxembourgeois

The "carte sanitaire" is disseminated every 2 years.

The activity report of the Ministry of Family Affairs, Integration and the Greater Region is available every year.

The general report of the "Inspection générale de la sécurité sociale" is published every year.

Carte Sanitaire 2021 - Portail Santé - Luxembourg (public.lu)

Rapport d'activité 2022 du ministère de la Famille, de l'Intégration et à la Grande Région (gouvernement.lu)

Rapport général sur la sécurité sociale 2023 - Inspection générale de la sécurité sociale // Le gouvernement luxembourgeois

Data regarding hospitals --> carte sanitaire published every 2 years Carte Sanitaire 2021 - Portail Santé - Luxembourg (public.lu)

Nursing beds --> activity report of the Ministry of Family Affairs, Integration and the Greater Region every year Rapport d'activité 2022 du ministère de la Famille, de l'Intégration et à la Grande Région (gouvernement.lu)

Inspection générale de la sécurité sociale --> Rapport général sur la sécurité sociale 2023 - Inspection générale de la sécurité sociale // Le gouvernement luxembourgeois

Other data--> no proper publication

Not available.

Not available.

Not available.

Please see annex for the methodology applied to each variable.

Each institution which provides statistics has its procedures and does it's own quality management.

Each institution which provides statistics has its procedures and does it's own quality management.

Not available.

Important international stakeholders: WHO, Eurostat, OECD;

Important national stakeholders: parliament and public administrations;

Students (such as medicine students, health professions and public health professionals) requiring data/indicator for master or PhD thesis;

Media, civil society and citizens interested in a specific health topic.

Not available.

• Physical resources module: all needed statistics are available except the statistics related to critical care adult beds because intensive care levels are not clearly identified.
• Health activities module: all needed statistics are available.
• Eurostat module: all needed statistics are available.
• Health employment module: needed statistics are not available because the register of doctors and health professionals is not operational for the moment. Work is ongoing to create a new register.
• Workforce migration module: Luxembourg is not able to provide reliable information on Health Workforce Migration due to its specificities:
  • Luxembourg nationals often obtain their diplomas/qualifications abroad, mainly because education is not available in Luxembourg for several health professions. Hence, using the country where the qualification was obtained as a criteria to assess migratory status is not pertinent.
  • Nearly half of Luxembourg’s population is of foreign origin and some Luxembourg nationals choose to live across the borders. Thus, using nationality as a criteria to assess migratory status is not pertinent.

High accuracy.

Not applicable.

Not applicable.

Data is generally available 1 or 2 years later (depending on the variable). It is the time to collect the data and do all the quality control on the data.

The available data is delivered on time.

In Luxembourg, there is no subnational level of collecting, coding, transmitting data. NUTS 0 = NUTS 1 = NUTS 2.

Methodology can change over time in Luxembourg. Every change in methodology is described in the annex (Sources and Methods) and if the data is not comparable a break in series is specified.

The source of data is unique, most of the data is provided by national authorities.

The data are consistent within a given data set.

Once the joint questionnaire received, we (the unit of charge of the coordination of the questionnaire) send data requests to 7 different contacts from 6 different units/organisations and do the follow-up with them. The cost is mostly time spent by the questionnaire coordinator and the contacts to fill in the questionnaire.

No planned revisions.

No planned revisions.

Source data for the different variables are given in the Annex at the bottom of the page.

Annual.

Every year, when the data collection for the JQNEHCS is launched, the data responsible disseminate parts of the questionnaire and the document "sources and methods" to previously identified contact persons from other units and organisations (see source of data in the document "sources and methods" which is an annex). These persons fill in the data, update the document "sources and methods" and send the updated documents to the data responsible.

The variables related to "medical technology" of the module Physical resources are updated by the radioprotection unit of the directorate of health

The variables related to screening programmes are updated by the Center in charge of the cancer screening programmes coordination

The variables related to hospitals are updated by the National Health Observatory

The modules Health activities and the number of non resident discharges are updated by the Inspection Générale de la Sécurité Sociale

The number of ceasarian procedures is updated by the perinatal health monitoring system (Directorate of Health and Luxembourg Institute of Health)

The number of Beds in residential long-term care facilities is updated by the Ministry of Family Affairs, Integration and the Greater Region

When the data responsible receives the updated data from the different contact institutions, he verifies that the updates are coherent and ask questions if there is a big variation between years. He checks the methods and the compliance of the national definition and calculation with Eurostat definitions.

Not applicable.

Not applicable.

No comment.