HHE HOPE 2019 | Page 9

CHART 8 Number of hospital beds per 100,000 inhabitants in 2016 and percentage of beds per 100,000 lifted (or added) since 2006 2016 Variation between 2006 and 2016 Germany -3% Hungary -12% -27% Latvia -3% Austria -8% Czech Republic -6% Lithuania -15% France -43% Finland -14% Slovak Republic Poland +3% -11% Belgium Luxembourg -15% Estonia -14% -16% Switzerland -45% Ireland Greece -14% The Netherlands -24% Slovenia -6% -21% Italy -31% Denmark -27% United Kingdom Portugal -2% Spain -10% -19% Sweden 0 200 400 600 800 1,000 illness or injury, reduce the severity of an illness or injury, or to protect against exacerbation and/ or complication of an illness or injury that could threaten life or normal function. Curative care includes all components of curative care of illness (including both physical and mental/psychiatric illnesses) or treatment of injury; diagnostic, therapeutic and surgical procedures and obstetric services. It excludes rehabilitative care, long-term care and palliative care. In 2016, the rates of acute care hospital discharges in the European countries were quite dissimilar, ranging from 10% in the Netherlands and Italy to 24% in Austria and Denmark. The average length of stay measures the total number of occupied hospital bed-days, divided by the total number of discharges. In 2016, the average length of stay in acute care hospitals ranged from 5 bed-days in the Netherlands and Greece to 8 bed-days in Germany and Luxembourg. Between 2006 and 2016 the number of inpatient discharges in acute care hospitals remained on average stable; however, the indicator varied consistently across the EU member states. Major decreases were registered in Latvia (–36%), Hungary (–25%) and Italy (–23%), whereas major increases were registered in Germany (+17%), Poland (+20%) and Switzerland (+25%). The link between the rate of admissions and the length of stay can be a very sensitive issue for hospitals, because it is commonly acknowledged that too short a length of stay may increase the risk of re-admissions, resulting in consequent waste of resources not only for the hospital but also for the patients and their carers. At the same time, staying too long in a hospital may indicate inappropriate settlements of patients, causing also a waste of resources. Chart 11 compares the rate of hospital discharges and the average length of stay in acute care hospitals in 2016. The last updated data shows that the average European figures corresponds to a mean rate of discharges by 16% CHART 9 Beds in private owned hospitals as % of beds in all hospitals: Years 2002, 2008, 2016 2002 100 2008 2016 100 80 59 60 46 31 27 7 10 n.a. 0 22 16 20 9 HHE 2019 | hospitalhealthcare.com 6 6 6 5 3 2 1 31 32 32 35 38 40 1