Statistics Poland

ul. Niepodległości 208,

00-925 Warszawa

Social Survey and Labour Market Department

Social Survey and Labour Market Department

Statistics Poland

ul. Niepodległości 208,

00-925 Warszawa

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.

Ambulatory care: consultations provided by doctors and dentists conducting a non publicly funded medical practice are excluded.

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

Time coverage depends on data availability, e.g  

physicians at NUTS 2 level - since 2019 (by voivodship - since 1999)

Hospital beds by NUTS 2 - since 2018, (by voivodship - since 2003)

Hospital resources - since 2009

non-resident discharges - since 2018

consultation - since 1950, immunisation - since 2009, screening - since 2004, hospital aggregates - since 1980,

Inpatient care - since 1980, discharges - since 2005, exams - since 2014, procedures - since 2005, physicians - since 1960, Hospitals - since 1985, hospital beds - since  2003, medical technology - since 1998,0, physicians by age and gender - since 2019

Not applicable

Absolute numbers at end of reference period/average number during reference period.

Rate of phenomenon per reference population (e.g. per 100 000 inhabitants).

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.

Dz. U. /Journal of Laws/ of 1997 no. 88 item 439 ACT of 29 June 1995 on Official Statistics

1)       no identifiable individual data, i.e. statistical data which can be linked and identified with a specific natural person, as well as information and statistical data characterising the economic and financial performance of entities of the national economy conducting economic activity, may be published or made available if a given aggregation consists of less than three entities or the share of one entity in a given aggregation is greater than three quarters of the whole thing;

2)       in the case of national economy entities in accordance with Article 38, paragraph 3 of the Act, the information and statistical data referred to in paragraph 2 may be published if a person authorized to represent the entity has given written consent to publish specific data characterizing the economic and financial performance of the entity;

There is a national release calendar for the statistical outputs from the process being reported. This calendar is publicly accessible.

Editorial Title-Plan of the Statistics Poland and RSO: https://stat.gov.pl/en/questions-and-orders/editorial-title-plan-of-the-statisics-poland-and-rso/

Publication announcements: https://stat.gov.pl/en/questions-and-orders/publication-announcements/

units of official statistics shall disseminate the output statistical information in a professional manner (in line with professional and ethical standards), ensuring equal treatment of all users, in accordance with applicable legislation;

public statistics shall ensure equal, equivalent and simultaneous access to the output statistical information, and in particular to basic values and indicators which the President of Statistics Poland is obliged to publish under separate legal regulations. The output statistical information shall not be made available to any user before the date of dissemination. Dates for their dissemination must be announced in advance;

the output statistical information is disseminated with unambiguous methodological explanations in order to avoid misinterpretation and misuse;

The executive summary of policy for handling statistical data is available at the website: https://bip.stat.gov.pl/en/activity-of-public-statistics/policy-for-handling-statistical-data-executive-summary/

Data are yearly disseminated

Hospital discharges, Hospital Aggregates, Procedures: None.

Data on medical personnel calculated on a basis of administrative sources (in Polish): https://stat.gov.pl/obszary-tematyczne/zdrowie/zdrowie/zasoby-kadrowe-w-wybranych-zawodach-medycznych-na-podstawie-zrodel-administracyjnych-w-latach-2019-2020,28,1.html

Emergency rescue services activity: https://stat.gov.pl/en/topics/health/health/emergency-rescue-services-activity-in-2021,14,5.html

Outpatient health care : https://stat.gov.pl/en/topics/health/health/outpatient-health-care-in-2021,10,6.html

Pharmacies and pharmaceutical outlets: https://stat.gov.pl/en/topics/health/health/pharmacies-and-pharmaceutical-outlets-in-2021,8,6.html

First aid and emergency medical services in 2021:https://stat.gov.pl/en/topics/health/health/first-aid-and-emergency-medical-services-in-2021,7,6.html

Hospital discharges, Hospital Aggregates, Procedures:

Report on HEALTH STATUS OF POLISH POPULATION AND ITS DETERMINANTS (edited every 2 years)

 (pdf version available from webpage): Raport: Sytuacja zdrowotna ludności Polski i jej uwarunkowania – NIZP PZH - PIB

(Polish and English version)

Health and health care in ..... https://stat.gov.pl/en/topics/health/health/health-and-health-care-in-2021,1,14.html

Health care in households: https://stat.gov.pl/en/topics/health/health/health-care-in-households-in-2020,2,6.html

Health status of population in Poland in 2019: https://stat.gov.pl/en/topics/health/health/health-status-of-population-in-poland-in-2019,4,2.html

Hospital discharges, Hospital Aggregates, Procedures:

a maps at webpage; https://bazawiedzy.pzh.gov.pl/atlas

Local data bank: https://bdl.stat.gov.pl/bdl/start

Anonymized micro data is provided for scientific purposes to research and teaching institutions. 

Hospital discharges, Hospital Aggregates, Procedures:

Aggregated and tabular data are provided to commercial institutions, e.g. insurance companies.

In 2014, data on hospital discharges was used for Policy Paper, justifying Poland's efforts with funds for the needs related to the strategy regarding the reduction of health inequalities in health and access to health services

Nationwide General Hospital Morbidity Study as a source of data about Polish population health Anna Poznańska 1, Paweł Goryński 1, Wojciech Seroka 1, Jakub Stokwiszewski 1, Paweł Radomski 1, Bogdan Wojtyniak 1 PMID: 31134776

DOI: 10.32394/pe.73.08

Data from the study are available on internet portals in the form of tables and maps and raw data is available for advanced users for scientific analyzes

Data on hospital discharges are delivered in the form specified by Eurostat OECD and WHO to these organizations.

Hospital discharges, Hospital Aggregates, Procedures:

Methodological aspects are described in the work cited above.

Data Users can get detailed information about the data record structure, sending data from hospitals to NIH and about logical checks of transmitted data from the study from  webpage: http://www.statystyka.medstat.waw.pl/Informacyjna.html  

Metadata for specific items are presented in Methodological reports:

Methodological report. Health and health care statistics − Statistics Poland’s reports: https://stat.gov.pl/en/topics/health/health/methodological-report-health-and-health-care-statistics-statistics-polands-reports,16,2.html

Methodological report. Emergency rescue services activity: https://stat.gov.pl/en/topics/health/health/methodological-report-emergency-rescue-services-activity,15,1.html

Bulletin of Public Information / Activity of Official Statistics / Quality in statistics

Hospital discharges, Hospital Aggregates, Procedures:

Every year, NIH sends a report on hospital discharges to the Ministry of Health and in this report discussed problems related to the quality and completeness of data in the reporting year.

The quality policy is based on continuous improvement of statistical processes and products in order to meet and satisfy the users’ needs, reduce respondents’ burden and to decrease the costs of statistical production. Quality in official statistics is based on the European Statistical System definition of quality and defined by the following six criteria:

• relevance
• accuracy
• timeliness and punctuality
• accessibility and clarity
• comparability
• coherence

In addition, when assessing the quality of statistics costs and burden on respondents and confidentiality, transparency and data security issues are considered. The Act of 29 June 1995 on Official Statistics is recognized by Statistics Poland as Polish Commitment on Confidence in Statistics.

Activities focused on quality improvements are in line with the following international and European standards:

• Bulletin of Public Information / Activity of Official Statistics / Quality in statistics
• Recommendation of the OECD Council on Good Statistical Practice
• Regulation (EC) No 223/2009 of the European Parliament and of the Council of 11 March 2009 on European statistics (amended on May 2015 - a link to the amendment)
• European Statistics Code of Practice

The European Statistics Code of Practice (CoP) is the cornerstone of the quality framework and sets the standards for developing, producing and disseminating European statistics. It is the result of work on development of a quality strategy in the European Statistical System and the instrument to enhance independence, integrity and accountability of statistical authorities. Its current version was revised and endorsed by the European Statistical System Committee (ESSC) on 16^th November 2017.

In 2019 the European Statistical System Committee approved additional document supporting the implementation of indicators included in the Code of Practice i.e. the Quality Assurance Framework of the European Statistical System (ESS QAF) which contains methods, tools and good practices suggested to be used.

The quality policy of Polish Official Statistics and the standard tools for measuring, assessing and monitoring the quality of statistical surveys are presented in the study Vademecum of Quality in official statistics. Vademecum is recommended to be applied by producers of European statistics including Other National Authorities (ONAs) in order to provide high quality data.

The user needs are considered in the scope of the work on the Program of statistical surveys of official statistics, developed annually. 

The user satisfaction is considered in the scope of the work on the Program of statistical surveys of official statistics, developed annually. 

Hospital discharges, Hospital Aggregates, Procedures:

The requirements and legal regulations regarding the conduct of the study are formally fulfilled

Data on Hospital Beds and Beds in Residential Long-Term Care Facilities - Completeness 100

Number of hospital beds for somatic care, breakdown by function - Completeness 100

Number of hospital beds for psychiatric care - Completeness 100

Number of beds in residential long-term care facilities- Completeness 100

Data on ambulatory health care - Completeness 100

Hospital discharges, Hospital Aggregates, Procedures:

The most serious source of errors is matching the coding of the cause of hospitalization to the best valuation of the benefit reimbursed by the payer (insurance found).

The high non-response influences data results in case there is no possibility to compensate missing data (e.g statistics of doctors or dentists). 

Sampling error exists in household surveys such as European Health Interview Surveys. Other surveys are based on reports and cover all population.

Standard error for selected variables in EHIS is presented in annex: https://stat.gov.pl/obszary-tematyczne/zdrowie/zdrowie/stan-zdrowia-ludnosci-polski-w-2019-r-,6,7.html

Not applicable.

Hospital discharges, Hospital Aggregates, Procedures:

In theory, according to legal regulations, 20 days after discharge from hospital, in practice there are significant differences between hospitals and regions.

Other statistics: The timeliness organisation of statistics is the deadlines for submitting data and publishing results are specified annually in the program of statistical surveys.

In accordance with applicable legal regulations, the data set is closed at the end of the reporting year and the data is published in the following year.

There are no differences between regions in the legal regulations (definitions) of data collection, but there are differences in the completeness of data.

Hospital discharges, Hospital Aggregates, Procedures:

Not applicable. Data are fully comparable over time.

Methodological changes influence the comparability over time.

Medical personnel - significant methodological change in 2019, estimations based on administrative data.

There are some problems with the comparability of data from different sources, which result from the way data is collected and the purpose of these data.

Statistical outputs within the data set are consistent.

Hospital discharges, Hospital Aggregates, Procedures:

Costs of NIH only 189 000 plz. 

- Increasing the automation of the process of transferring data from the hospital to the public statistics system will reduce the burden on hospital employees

- Currently, the degree of computerization is different.

The statistical data revision policy and publication errors treatment policy is published on the website

https://bip.stat.gov.pl/en/activity-of-public-statistics/the-statistical-data-revision-policy-and-publication-errors-treatment-policy/

The statistical data revision policy and publication errors treatment policy is published on the website

https://bip.stat.gov.pl/en/activity-of-public-statistics/the-statistical-data-revision-policy-and-publication-errors-treatment-policy/

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

Depending on availability of data the source of data are: statistical surveys based on reports, questionnaire surveys, administrative data.

Annual.

The European Health Interview Survey - EHIS takes place every 5 years.

Biuletyn Informacji Publicznej GUS / Działalność statystyki publicznej / Badania statystyczne / PBSSP na 2021 - wersja interaktywna / Część I. Informacje o badaniach.

(http://form.stat.gov.pl/formaty/cz1-badania-lista.php?rok-pbssp=2021)

1.29.01 The state of health of the population. Health monitoring

1.29.06 Health care medical staff

1.29.07 Health care infrastructure and its functioning

Data validation includes completeness, comparability and accounting compliance checks

Non-response is the the most common reason for imputation.    

Not applicable

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