Health establishments as of 31.12.


Time series: Zdr_2.1.1_Mr_EN.xls

HEALTH ESTABLISHMENTS AS OF 31.12.2018
(Number)
Establishments Number Beds
Health establishments for hospital aid 346 53 173
Hospitals 322 50 927
of which:
Multi profile hospitals 185 37 489
Specialized hospitals 137 13 438
Dermato-venereological centres 5 50
Complex oncological centres 7 1 174
Mental health centres 12 1 022
Outpatient health establishments 2 066 1 253
Diagnostic and consulting centres 114 307
Medical centres 734 884
Dental centres 52 4
Medical-dental centres 51 58
Medical-diagnostical and medical-technical laboratories 1 115 -
Other health establishments 145 2 086
of which:
Centres for urgent medical aid 27 -
Hospices 47 1 175
Homes for medico-social care for children 13 909
Regional health inspections 28 -
National centres without beds 5 -
17.06.2019
In-patient, out-patient and other health care establishments - Health establishments
Contact
Contact organisation

National Statistical Institute

Contact organisation unit

"Health and Justice Statistics" Department

Contact name

Evelin Yordanova

Contact person function

Head of department

Contact mail address

2, P. Volov Str.; 1038 Sofia, Bulgaria

Contact email address

[email protected]

Contact phone number

+359 2 9857 459

Contact fax number
Metadata update
Metadata last certified17 June 2019
Metadata last posted17 June 2019
Metadata last update17 June 2019
Statistical presentation
Data description

Data on health network by type of health establishments, types of beds and their regional distribution, according to Nomenclature of territorial units for statistics (NUTS 2 and 3) are presented.

When analyzing the data the following has to be taken into consideration, the number of health establishments and the number of beds has changed not only as a result of opening or closure of establishments, but also because of the reorganization or merging of establishments.

Classification system

· The health network has been worked out according to the Law on Health Establishments;

· Classification of Territorial Units for Statistical Purposes in Bulgaria (NUTS);

· The beds in in-patient health establishments are presented according to the Eurostat statistical grouping (till 2014) and Revised Eurostat statistical grouping;

 

Sector coverage

The survey covers all of health establishments - in-patient, outpatient health establishments and other health establishments. Health establishments attached to other offices are included in the total number but not included in the distribution by districts.

Health establishments for hospital aid include all hospitals and centres with beds (former dispensaries).

Outpatient health establishments include medical centres, dental centres, medical-dental centres, diagnostic and consulting centres, medical-diagnostical and medical-technical laboratories.

Other health establishments include centres for urgent medical aid, centres for transfusion haematology, hospices, national centres without beds, regional health inspections, homes for medico-social care for children.

Data on beds in health establishments refer to the all de facto operating beds as well as beds temporary out of use for a period of less than six months. The number of beds for temporary use is excluded.

Statistical concepts and definitions

When analyzing the data the following has to be taken into consideration some specific particularities on medical servicing. The health establishments are not directly connected to the servicing of population of a given settlement or even of municipality. A great part of health establishments serve the population of a given region or a group of municipalities, and the specialized health care establishments - oncological, dermato-venereological, psychiatric, pulmonary and other service the population of 2 or 3 regions. The establishments under central administration, regardless of their location, serve the population from the whole country.

Data on beds in health establishments refer to the all de facto operating beds as well as beds temporary out of use for a period of less than six months. The number of beds for temporary use is excluded.

According to harmonized methodology applied by Eurostat, WHO and OECD till 2014, beds in in-patient health establishments (hospitals and medical centres with beds) are grouped in statistical grouping, as follow:

  • Curative (acute) care beds;
  • Psychiatric care beds;
  • Long-term care beds (excl. psychiatric beds);
  • Other hospital beds.

Detailed statistical data on the number of beds in hospitals by types from annual statistical surveys, conducted by the National Centre for Public Health and Analysis are provided as these surveys are included in the National Statistical Programme.

Psychiatric care beds - All disclosed beds in Mental health hospitals and Mental health centres are included.

The number of beds in hospital facilities for long term treatment in all health establishments, including these in specialized hospitals for further and long-term medical treatment and Specialized hospitals for further and long-term medical treatment and rehabilitation, are included in the number of Beds for long term care.

The group Other beds covers beds for physiotherapy and rehabilitation, beds for day care and home care.

Since 2015 a revised statistical grouping is applied:

  • Curative care beds,
  • Rehabilitative care beds,
  • Long term care beds,
  • Other hospital beds.

Psychiatric care beds are included in the distribution by type of beds.

Since 2016, according to the amendments of Ordinance No. 49 of the Ministry of Health in 2010, "Places for short stay" are introduced, as well as the hospital beds’nomenclature is updated.

The application of statistical methodology with respect to statistical grouping of types of beds in hospitals is validated by Eurostat for all member states.

Indicators Hospital beds per 100 000 of the population are calculated based on the number of the population as of 31.12. of the relevant year.

Statistical unit

Statistical units are health establishments.

Statistical population

All health establishments covered by the survey.

Reference area

Covered by territory of the Republic of Bulgaria. The regional data is according to administrative-territorial division of the country as of 31.12. of the relevant year.

Time coverage

2001 - 2018

Base period

Not applicable.

Unit of measure

Number

Reference period

31.12. of the reference year

Institutional mandate
Legal acts and other agreements

· Regulation (EC) No 1338/2008 of the European Parliament and of Council of 16 December 2008 on Community statistics on public health and health and safety at work;

· Law on Statistics;

· Law on Health;

· Law on Health Establishments;

· Ordinance № 1/27.02.2013 of the Minister of Health for the provision of medico-statistical information and information on health establishments medical activities.

Data sharing

Since 2010, Eurostat, the Organisation for Economic Co-operation and Development (OECD) and the World Health Organization (WHO) started procedure of joint data collection on non-monetary health care statistics (health care activities).

Confidentiality
Confidentiality - policy

· Law on Statistics;

· 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.

Confidentiality - data treatment

Individual data are not published in accordance with article 25 of the Law on Statistics. The publishing of individual data can be performed only in accordance with article 26 of the same law.

Release policy
Release calendar

The date of the statistical information release is shown in the Release Calendar presenting the results of the statistical surveys carried out by the National Statistical Institute.

Release calendar access

The calendar is available on the NSI website: http://www.nsi.bg/en/node/480

User access

Data on Health establishments is published on the NSI website, section Health in accordance with the Law on Statistics and the European Statistics Code of Practice respecting the professional independence and aimed at objectivity, transparency and equal treatment of all consumers.

Frequency of dissemination

Annually.

Accessibility and clarity
News release

Annual press release.

Publications

· Health Services;

· Statistical yearbook;

· Statistical Reference Book;

· Brochure "Bulgaria";

· Regions, Districts and Municipalities in Bulgaria.

On-line database

Data on Health establishments are available to all users of the NSI website under the heading Health - In-patient, out-patient and other health care establishments - Health establishments: http://www.nsi.bg/en/node/5574

Online database of Eurostat:

http://epp.eurostat.ec.europa.eu/portal/page/portal/health/public_health/data_public_health/database

Micro-data access

Not applicable.

Other

Information service on request, according to the Rules for the dissemination of statistical products and services in NSI.

Documentation on methodology

· Methodological notes;

· Definitions and data collection specifications on health care statistics (non-expenditure data) - Eurostat.

Quality documentation

Not available.

Quality management
Quality assurance

Reporting forms are collected by the Regional Health Inspections, which guarantees full coverage and quality of data. Data on beds in health establishments are verified by those of special statistical surveys, conducted by the National Centre for Public Health and Analysis.

Quality assessment

Not applicable.

Relevance
User needs

Data on main non-monetary indicators on health care statistics (health care activities) are provided annually to Eurostat, World Health Organization (WHO) and Organisation for Economic Co-operation and Development (OECD) via joint annual questionnaire filled-in in strict compliance with the prescribed terms and forms of presentation of the data. Within these annual questionnaires filled data are also provided to other European and international organizations.

The data are provided annually to National Centre for Public Health and Analysis, Ministry of Health and its territorial units - Regional Health Inspections, whose functions are to formulate policies in the field of health care at national and regional level.

Data users of health information at national and regional level are the National Assembly of the Republic of Bulgaria, the executive and local authorities, National Health Insurance Fund.

Upon request data is provided to research institutes, universities, NGOs and other users in conformity with the rules established in NSI.

User satisfaction

Not applicable.

Completeness

Data are exhaustive, by type of health establishments and the number of beds in them.

Accuracy and reliability
Overall accuracy

Exhaustive survey.

Sampling error

Not applicable.

Non-sampling error

Not applicable.

Timeliness and punctuality
Timeliness

T+5 months

Punctuality

Data are disseminated according to the Release Calendar presenting the results of the statistical surveys carried out by the National Statistical Institute.

Coherence and comparability
Comparability - geographical

The data are comparable for all regions of the country. When analyzing the data the following has to be taken into consideration some specific particularities on medical servicing. The health establishments are not directly connected to the servicing of population of a given settlement or even of municipality. A great part of health establishments serve the population of a given region or a group of municipalities, and the specialized health care establishments - oncological, dermato-venereological, psychiatric, pulmonary and other service the population of 2 or 3 regions. The establishments under central administration, regardless of their location, serve the population from the whole country.

Comparability - over time

The data are comparable from 2001 year.

Coherence - cross domain

Not applicable.

Coherence - internal

Not applicable.

Cost and burden

Not applicable.

Data revision
Data revision - policy

Not applicable.

Data revision - practice

Not applicable.

Statistical processing
Source data

Data source is the reporting form filled in by health establishments, which are covered by the study.

Data source for number of Homes for medico-social care for children and beds in them is the survey "Homes for medico-social care for children" conducted by NSI.

Data source for the distribution of hospital beds in accordance with the statistical grouping applied by Eurostat are surveys conducted by the National Centre for Public Health and Analysis.

Frequency of data collection

Annually

Data collection

The process of collection of reporting forms is carried out by the National Statistical Institute and Regional Health Inspections online or through a paper documents. Data entry is carried out online by the respondents or by the RHIs or RSOs (for the paper documents).

Data validation

The application of statistical methodology with respect to the statistical grouping of types of hospitals beds for all member states are validated by Eurostat.

Data compilation

Data entry is carried out online by the respondents or by the RHIs or RSOs (for the paper documents).

The data is consolidated at national level, by adding information from the survey "Homes for medico-social care for children" as well as information on health establishments and medical personnel attached to other ministries.

Adjustment

Not applicable.

Comment
Metadata Structure Definition in SDMX 2.1: ESMS_MSD+BNSI+2.0+SDMX.2.1.xml
Metadata Structure Definition in SDMX 2.0: ESMS_MSD+BNSI+2.0+SDMX.2.0.xml
  • Monday, 17 June 2019 - 11:00

    The number of health establishments for hospital aid as of 31.12.2018 was 346 with 53 173 beds. 322 of them were hospitals with 50 927 beds.

    The number of out-patient health establishments was 2 066 with 1 253 beds and other health establishments were 145 with 2 086 beds in them.

    At the end of 2018 29 667 physicians were in practice under the basic labour contracts in health establishments. Dentists were 7 240, as 6 347 worked in practices that had signed contract with National Health Insurance Fund. Medical specialists on ‘Health cares’ who worked on a basic labour contract in health establishments were 46 332. 30 589 of them were nurses and 3 155 - midwives.

  • Friday, 10 May 2019 - 11:00

    The number of detached crèches and groups in kindergartens functioning in the country as of 31.12.2018 was 840 with 33 226 places in them.

    The number of children accommodated in crèches at the end of the year was 31 939. 16 449 of them were boys, and 15 490 - girls.

    The total number of places in crèches per 100 children aged up to 3 years as of 31.12.2018 was 17.3 and the coverage of children brought up in crèches - 16.6 per 100 children aged up to 3 years.

  • Friday, 15 June 2018 - 11:00

    The number of health establishments for hospital aid as of 31.12.2017 was 346 with 52 744 beds. 322 of them were hospitals with 50 519 beds.

    The number of out-patient health establishments was 2 043 with 1 263 beds and other health establishments were 144 with 2 179 beds in them.

    At the end of 2017 30 078 physicians were in practice under the basic labour contracts in health establishments. Dentists were 8 355, as 7 456 worked in practices that had signed contract with National Health Insurance Fund. Medical specialists on ‘Health cares’ who worked on a basic labour contract in health establishments were 46 702. 30 955 of them were nurses and 3 207 - midwives.

  • Friday, 27 April 2018 - 11:00

    The number of detached crèches and groups in kindergartens functioning in the country as of 31.12.2017 was 837 with 32 970 places in them.

    The number of children accommodated in crèches at the end of the year was 32 429. 16 738 of them were boys, and 15 691 - girls.

    The total number of places in crèches per 100 children aged up to 3 years as of 31.12.2017 was 16.9 and the coverage of children brought up in crèches - 16.6 per 100 children aged up to 3 years.

  • Friday, 16 June 2017 - 11:00

    The number of health establishments for hospital aid as of 31.12.2016 was 345 with 51 816 beds. 321 of them were hospitals with 49 589 beds.

    The number of out-patient health establishments was 2 029 with 1 163 beds and other health establishments were 140 with 2 193 beds in them.

    At the end of 2016 29 539 physicians were in practice under the basic labour contracts in health establishments. Dentists were 8 011, as 7 174 worked in practices that had signed contract with National Health Insurance Fund. Medical specialists on 'Health cares' who worked on a basic labour contract in health establishments were 46 930. 30 976 of them were nurses and 3 254 - midwives.

  • Friday, 12 May 2017 - 11:00

    The number of detached crèches and groups in kindergartens functioning in the country as of 31.12.2016 was 829 with 32 611 places in them. The number of places in the country has increased with 571, or with 1.8% compared to the previous year.

    The number of children accommodated in crèches at the end of the year was 32 476. 16 851 of them were boys, and 15 625 - girls.

    The total number of places in crèches per 100 children aged up to 3 years as of 31.12.2016 was 16.5 and the coverage of children brought up in crèches - 16.4 per 100 children aged up to 3 years.

  • Monday, 5 December 2016 - 11:00

    The survey is a part of the European Health Survey System in the framework of the European Statistical System. The EHIS aims at measuring on a harmonized basis and with a high degree of comparability among EU Member States, the health status, life style (health determinants) and health care services use of the EU citizens.

    NSI presents final results based on the conducted in 2014 EHIS.

  • Friday, 17 June 2016 - 11:00

    According to the preliminary data of the NSI the number of health establishments for hospital aid as of 31.12.2015 was 348 with 51 933 beds. 322 of them were hospitals with 49 028 beds.

    The number of out-patient health establishments was 1 915 with 1 044 beds and other health establishments were 136 with 2 394 beds in them.

    At the end of 2015 29 093 physicians were in practice under the basic labour contracts in health establishments. Dentists were 7 513 and medical specialists on 'Health cares' - 47 349.

  • Thursday, 12 May 2016 - 11:00

    The number of detached crèches and groups in kindergartens functioning in the country as of 31.12.2015 was 812 with 32 040 places in them. The number of places in the country has increased with 1 516, or with 5.0% compared to the previous year.

    The number of children accommodated in crèches at the end of the year was 32 124. 16 497 of them were boys, and - 15 627 girls.

  • Friday, 19 June 2015 - 11:00

    The number of health establishments for hospital aid as of 31.12.2014 was 349 with 51 505 beds. 323 of them were hospitals with 48 680 beds.

    The number of out-patient health establishments was 1 931 with 956 beds and other health establishments were 145 - 3 160 beds in them.

    At the end of 2014 28 842 physicians were in practice under the basic labour contracts in health establishments.

    For the first time the National Statistical Institute is publishing data on distribution of practicing physicians by sex and age.

    As of 31.12.2014 it was as follow: 
    12 827 (44.5%) were males and 16 015 (55.5%) - females.
    The largest was the share of physicians in the age group 45 - 54 years - 10 301 persons or 35.7%.
    The young physicians aged up to 35 years were 2 356 persons or 8.2%, while the elderly (aged 65 and over) - 3 557 or 12.3%. 
     

Pages

  • Statistical Yearbook 2018
    The National Statistical Institute (NSI) has the pleasure to present to the attention of national and foreign users of statistical information the 86th edition of the ‘Statistical Yearbook of the Republic of Bulgaria’ in printed and electronic format.

    It provides current statistical information about the demographic, economic and social development of the country for 2012 - 2017 in different territorial and classification aggregations and breakdowns.

  • Health Services 2018
    The National Statistical Institute informs users of statistical information in the field of social statistics that the annual publication Health Services 2018 (in Bulgarian only) is already available.

    The publication Health Services is a joint edition of the National Statistical Institute and the National Centre for Public Health and Analyses at the Ministry of Health.

    The data sources are the statistical surveys carried out by the both institutions.

    In the publication data are systematized as follows:

  • Statistical Yearbook 2017 in infographics
    The National Statistical Institute of Bulgaria offers a different view of the statistical information included in the 85th edition of the Statistical Yearbook of the Republic of Bulgaria.

    The publication is intended for a wider audience as statistical data are presented in a plain and easy understandable way.

    The current state and changes in the socio-economic and cultural life in the country are presented not in the traditional way in tables and text, but through infographics - images, graphics and other visualization tools.

  • Statistical Yearbook 2017
    The National Statistical Institute (NSI) has the pleasure to present to the attention of national and foreign users of statistical information the 84th edition of the ‘Statistical Yearbook of the Republic of Bulgaria’ in printed and electronic format.

    It provides current statistical information about the demographic, economic and social development of the country for 2012 - 2016 in different territorial and classification aggregations and breakdowns.

  • Bulgaria 2018
    The National Statistical Institute presents the bilingual (Bulgarian/English) brochure Bulgaria 2018 to users of statistical information. The brochure is addressed to a wide range of users (international institutions, business, students, experts etc.) and changes the traditional presentation of statistical information by offering an innovative structure with a parallel translation in English. The publication contains topical statistical information about the demographic, social and economic development of the country over the 2013 - 2017 period.
  • Health Services 2017
    The National Statistical Institute informs users of statistical information in the field of social statistics that the annual publication Health Services 2017 (in Bulgarian only) is already available.

    The publication Health Services is a joint edition of the National Statistical Institute and the National Centre for Public Health and Analyses at the Ministry of Health.

    The data sources are the statistical surveys carried out by the both institutions.

    In the publication data are systematized as follows:

  • Bulgaria 2017
    The National Statistical Institute presents the bilingual (Bulgarian/English) brochure Bulgaria 2017 to users of statistical information. The brochure is addressed to a wide range of users (international institutions, business, students, experts etc.) and changes the traditional presentation of statistical information by offering an innovative structure with a parallel translation in English. The publication contains topical statistical information about the demographic, social and economic development of the country over the 2012 - 2016 period.
  • Statistical Yearbook 2016
    The National Statistical Institute (NSI) has the pleasure to present to the attention of national and foreign users of statistical information the 84th edition of the ‘Statistical Yearbook of the Republic of Bulgaria’ in printed and electronic format.

    It provides current statistical information about the demographic, economic and social development of the country for 2011 - 2015 in different territorial and classification aggregations and breakdowns.

  • Health Services 2016
    The National Statistical Institute informs users of statistical information in the field of social statistics that the annual publication Health Services 2016 (in Bulgarian only) is already available.
    The publication Health Services is a joint edition of the National Statistical Institute and the National Centre for Public Health and Analyses at the Ministry of Health.

    The data sources are the statistical surveys carried out by the both institutions.

  • Bulgaria 2016
    The National Statistical Institute presents the bilingual (Bulgarian/English) brochure Bulgaria 2016 to users of statistical information. The brochure is addressed to a wide range of users (international institutions, businessmen, students, experts etc.) and changes the traditional presentation of statistical information by offering an innovative structure with a parallel translation in English. The publication contains topical statistical information about the demographic, social and economic development of the country over the 2011 - 2015 period.

Pages