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endobj By Jamie Dettmer. /ExtGState << /GS0 493 0 R >> /XObject << /X0 494 0 R >> /ColorSpace << /CS0 There was also relatively fast growth in the number of beds in such hospitals in Portugal (up 16 %). 0000265402 00000 n /OPM 1 490 0 obj 0000252206 00000 n Tel … Nursing Homes: National HealthCare Corporation: 83: National HealthCare Corporation is a bit random about the level of details on their website. �ĕ���UAy�T�'E����K� *z"jDoԘxY���Ջ/��`���p1QW��� Try the new automatic translation by clicking on the blue icon “Translate” up in the right corner of the article! The largest fall in the number of long-term care beds per 100 000 inhabitants was recorded in Finland, dropping from 165 to 69 beds per 100 000 inhabitants between 2013 and 2018. In recent years, most EU Member States have reported a decrease in the availability of hospital beds. >> endobj This article presents an overview of European Union (EU) statistics related to the availability and occupancy of hospital beds as well as the availability of long-term care beds in nursing and residential care facilities. There were six Member States that reported fewer than 400 such beds, with Greece (40 beds per 100 000 inhabitants; definition differs) and Bulgaria (30 beds per 100 000 inhabitants) recording by far the lowest ratios. << In the United States, roughly 41 percent of covid-19 deaths were recorded among nursing-home residents. 0000002037 00000 n The primary advantage to nursing home care is that patients have access to skilled care 24/7. In Iceland, the assisted living facilities expanded in a lopsided way. Bed numbers per 100 000 inhabitants rose at a faster pace in Romania, Ireland (note that there is a break in series; excluding psychiatric care beds and beds in the private health sector) and Bulgaria, with increases of 33, 41 and 52 beds per 100 000 inhabitants respectively. /Resources << /Properties << /MC0 490 0 R /MC1 491 0 R /MC2 492 0 R >> /Rotate 0 Publicly operated nursing homes accounted for only 6% of the total. These changes in the number of hospital beds can be compared with changes in the average length of stays for in-patients and the number of hospital discharges in order to analyse developments in the supply of and demand for hospital beds. Highest curative care beds occupancy rates in Ireland. endobj In such homes, accessibility is a priority. Among the EU Member States, the occupancy rate of curative care beds in 2018 was often situated within the range of 61 % to 82 % (see Figure 4 for data availability). Italy, where the continent’s … The German nursing homes market looks ripe for consolidation - 15,000 homes are run by 6,000 providers, but the market is heavily regulated. >> ������%���Ncr�CY���6�g���_j�{�*��{OM5�w�P�E��W��X>��H��Bz_��?F=��Z��k��8� ^Fm���p ̒Ό�h�eNш0[M�+ڎ�0Ȓ�܏^�I7 �p�����Z��J6��vlb�w�E�N�pZ �;� ۼ��@���_8�e,���4��N�B�dw��1��a��Q� �8���D�9A��N���u�C1Vѻ���D�^B `��o2�Gb̀�)?I�׹��R�:��'Y��@v�&)Seʹ��^u�N�q�\� ���O��;r << Relative to population size, the number of long-term care beds in nursing and residential care facilities fell in Bulgaria, Luxembourg (2014-2018), the Netherlands, Latvia and Denmark (note that there is a break in series for most of these Member States). It should be noted that the information on hospital beds only covers beds for in-patient care: many hospitals also provide day care and out-patient care and beds used for these services are excluded from the information presented. Figures 1 to 3 provide an analysis of the change between 2013 and 2018 in the availability (relative to the size of population) for three specific types of hospital beds. The following descriptions refer to the classification of hospital beds by type of care: Total hospital beds = curative (acute) care beds + rehabilitative care beds + long-term care beds + other hospital beds. *NF � � ����OX\YZXTQ��OF_VQMC[G[P�j� Q�����K�H�Ȩ(�8��94D�D4����T�x���8X� l*,*���l ��1��˰�qp�� ��I� h�`c��`������������£�S��1�'���Ge�r��К~��-��MDL��������_ ������SS������5�@�-,�`�N�.�n�p������а�ظ���$D2;'7/� UQYU]S[��o}�������~phxdtl|braqiy������ݽ��ão�'�W�7�w�?��������K\T�pa�����v��P��q��S�����p�GU3�[��$L�:�}"�����������������q�Hq��m�ඞ�"����HZ�Ɍ�7S��r�@r9 �����YUD�j��JÜ�p;��ӟ��Z�u��{�Ex$�U��.��� ~����G�p�;}��홌�CZ�9$+h9��Rl\f&��n*p�̍��,m/�:e�۲�r�p%�����zJDbD-�­UP��R�/���ZIw[��F/�L��);K���l�x7v�ڴ3)��`����)1�N��8K���/x/�3shh�� trailer 489 0 obj This has radically changed the population structure of Europe since 1950. A comparison between 2013 and 2018 reveals that there was an increase in long-term care bed numbers per 100 000 inhabitants in most of the EU Member States for which data are available (no data for Cyprus and Portugal). While the analysis presented so far has focused on beds in hospitals, this final section looks at beds in nursing and residential care facilities. stream This is what every investor or operator looking at the market ought know according to Hermann Thiel, CEO of healthcare real estate consultancy Terranus. a colon ‘:’ is used to show where data are not available; a dash ‘–‘ is used to show where data are not applicable/relevant. In 2018, at least 90 % of hospital beds in Lithuania, Slovenia, Croatia, Malta, Finland, Romania, Denmark, Estonia and Latvia were in publicly-owned hospitals. In 2018, there were 2.4 million hospital beds available for use across the EU-27. /Contents 511 0 R However, a separate sub-total for psychiatric care beds (across all four categories) is also available (see Table 1). /L 1206135 Almost three quarters of these were for curative care, while the largest share of the remainder was beds for rehabilitative care, followed by beds for long-term care and beds for other purposes. Spain and the Netherlands: provisional. endstream The largest contractions in the number of hospital beds were recorded in Sweden, the Netherlands (note that there is a break in series), Lithuania and Denmark (note that there is a break in series), where bed numbers fell by 13-18 % and in Finland where the reduction in bed numbers was 24.8 %. 0000251755 00000 n This page was last modified on 16 September 2020, at 14:23. >> The next largest reduction was recorded in Romania, a decrease of 12 long-term care beds per 100 000 inhabitants. ... the two regions hit earliest by the pandemic reported an over 30% increase in the number of … >> European countries with the highest ratios are Italy and The number of long-term care beds in nursing and residential care facilities relative to population size increased in most EU Member States. 0000193055 00000 n >> 0000227970 00000 n 0 494 0 obj Similarly, the number of places in private care homes has increased to a greater extent than in public care homes in all countries for which there is data, with the exception of Spain. 491 0 obj Some are newly built, while others are regular homes that have been made more accessible as part of conversion or renovation work. Hospitals comprise licensed establishments primarily engaged in providing medical, diagnostic and treatment services that include physician, nursing, and other health services to in-patients and the specialised accommodation services required by in-patients. 0000251124 00000 n In 2018, there were approximately 3.4 million long-term care beds in nursing and residential care facilities in the 25 EU Member States where data was available (no data available for Cyprus and Portugal; 2017 data for Germany). More than half of the employees (57%) worked part-time. /Type /ExtGState In most EU Member States (no data for Portugal or Sweden), long-term care beds accounted for less than 15 % of the total number of hospital beds in 2018, with only Hungary (17.4 %), Croatia (17.4 %), Finland (19.0 %), Estonia (19.5 %) and Czechia (29.6 %) reporting higher shares. 0000002611 00000 n 0000227510 00000 n >> endobj %%EOF There were five Member States where the number of hospital beds rose between 2013 and 2018: in three of these — Spain, Romania and Malta — the gains were relatively modest (no greater than 2.7 %), whereas larger increases were recorded for Bulgaria (up 7.4 %) and Ireland (up 22.3 %; note that there is a break in series). Privately-owned hospitals may be distinguished as either not-for-profit (no financial gain for the unit(s) that establishes, controls or finances them) or for-profit. Germany had the highest number of hospital beds relative to population size. /MediaBox [ 0 0 595.276 841.89 ] /OP false >> 0000002670 00000 n Decreasing availability of hospital beds in most EU Member States. /Type /Metadata %���� /Type /XObject Specifically, what approaches to LTC delivery and to LTC policy can lessen the effects of disability of older persons and improve outcomes, especially of nursing home care? /Subtype /XML /Length 782 In all countries the support ratio (number of elderly people per 100 younger adults) is high and increasing rapidly. Source: Eurostat (online data code: hlth_rs_bds). Excluded are recovery trolleys and beds for same day care (day care and out-patient care), provisional and temporary beds. The European core health indicators (ECHI) shortlist includes an indicator on ‘hospital beds’ by type of bed in the chapter on health services. startxref Age and Ageing 1997; 26-S2: 3-12 Nursing homes in 10 nations: a comparison between countries and settings MIELW. ��8�Mv�7��f2�. �gl�����hGZ���ƕt��wNUF1� �Q���d3N%[m�6�x�������.E�s�#;� � !�H|�&�1�w��-"}��_ �T,������TՁ>�� ���e�k"R"A�_�%�.27�%��IJܟd�� A significant minority of older people lives in European nursing homes, around 4% in countries such as the UK and France . 0000002808 00000 n /ColorSpace /DeviceRGB /Prev 1196255 /Linearized 1 There was an expansion in the number of beds in eight Member States, most notably in Romania and Bulgaria where the number of hospital beds in for-profit private hospitals increased by 52 % and 49 % respectively. The number of practising nursing professionals was otherwise generally within the range of 400 to 1 000 per 100 000 inhabitants in 2018 in most of the remaining Member States, with Slovenia (343), Greece (195; only nursing professionals working in hospitals), … Between 2013 and 2018, the number of hospital beds in the EU-27 decreased by 2.5 %. /Root 488 0 R << The lowest occupancy rates were recorded in Slovakia (66.9 %), Hungary (65.0 %), the Netherlands (64.3 %) and Cyprus (60.6 %; definition differs). >> /StructParents 0 According to German Health Minister Daniel Bahr, an estimated 5,000 elderly Germans currently live in nursing homes in eastern Europe. /BitsPerComponent 8 0000000992 00000 n What can we learn from international comparisons about LTC? The number of employees rose by 5% from 2008 to 2010, which is a total increase of 27,000 employees in two years. /Length 189200 /S 1524 487 26 /ID [<12f569b5a76522afd878a6a68a140907><12f569b5a76522afd878a6a68a140907>] Publicly-owned hospitals are those under the ownership or control of a government unit or another public corporation. Ireland (other than psychiatric care beds, excludes beds in the private health sector), Spain, Denmark and Sweden recorded the lowest numbers of hospital beds relative to their population size in 2018, all under 300 per 100 000 inhabitants. /Type /Metadata Aside from these three Member States, the lowest shares of beds in publicly-owned hospitals were found in Cyprus (54 %) and France (62 %). 0000228722 00000 n In a home in Alcoi, near Alicante, 26 out of 130 residents died. This article is one of a set of statistical articles concerning healthcare resources in the EU which forms part of an online publication health statistics. �V����R:Ysj�e����߶mߢ �=F�%���g������N�Z��0��s�ځ`[�̪c�2���I�ؚ`�lG���d�LHt+��K}2��2�o�mEraځMs��A��/��}��d)��[>D��/9U�o:����"�:�.$�\����L�GO���a�3�����Wz遤����JS���QZ�Z�v4�o*Wm�>/(ڤ���yY��w��'3�y*,p� �ix|�a��}�h�9�=�ʼn��߬�J�ᑳ���Zq�?7&�����W 쀱ز���M#�ǖ���ʟ���v7�k���foi����e鑕�H�E�*�����"�F� �U���y�� �� �� 0000265006 00000 n /ca 1 In total, 574,000 employees worked in nursing homes in 2010, 85% of them female. << >> 0000193353 00000 n State Number Facilities Certified Beds Total Patient Days Gross Patient Revenue ($000) AK - Alaska: 7: 409: 118,642: $125,052: AL - Alabama: 218: 81,695: 8,010,528 /SA true Half of those over 70 years old who have died from Covid-19 in Sweden lived in nursing homes, according to national statistics at the end of April. 0000192378 00000 n endobj Relative to population size, the number of long-term care beds in nursing and residential care facilities fell in Bulgaria, Luxembourg (2014-2018), the Netherlands, Latvia and Denmark (note that there is a break in series for most of these Member States). The strategy has helped Belgium reduce nursing homes deaths from 63% of all COVID-19 fatalities before mid-June to 39% at the end of November. >> But in Spain, where the pandemic has ignited a polarized debate on the country’s ability to care for Europe’s fastest-aging society, nursing home coronavirus deaths have been climbing for two months. The highest levels of activity recorded during 2016 H1 were France (€878m), Germany (€870m), the UK 495 0 R >> /Font << /TT0 496 0 R /TT1 500 0 R /C2_0 504 0 R >> >> There were relatively small increases in the Netherlands (note that there is a break in series), Spain and Greece (note that there is a break in series). << At the other end of the range, all of the hospital beds in the Netherlands were in the private sector (not-for-profit), while a majority of the hospital beds in Germany (59 %; 2017 data) and Belgium (74 %) were in privately-owned hospitals. EU-27 and Lithuania: estimate. Europe's Nursing Homes Are Likely Coronavirus Hotspots, Officials Fear. An analysis of the number of hospital beds in relation to population reveals that there were, on average, 538 per 100 000 inhabitants in 2018 across the whole of the EU-27. Beds in nursing and residential care facilities are recorded separately from hospital beds. ROME - Italy on Sunday eclipsed Britain to become the nation with the worst official coronavirus death toll in Europe. stream Among the EU Member States, Germany recorded not only the highest number of hospital beds (661 000; 2017 data), but also the highest number relative to population size, with 800 hospital beds per 100 000 population (see Table 1); Bulgaria, Austria and Hungary also recorded more than 700 hospital beds per 100 000 inhabitants, with the ratio in Romania just below this level. endobj RIBBE, GUNNAR LJUNGGREN1, KNIGHT STEEL2, EVA TOPINKOVA3, CATHERINE HAWES4, NAOKI IKEGAMI5, JEAN-CLAUDE HENRARD6, PALMI V. JONNSON7 Department of General Practice, Nursing Home Medicine and Social Medicine, Medical Faculty, /CA 1 /Pages 483 0 R Among the 20 Member States for which data are available (see Figure 4 for data availability), 14 recorded an increase, while there were six that saw their rates decline. A higher rate was recorded in Ireland (90.7 %; excluding psychiatric care beds and beds in the private health sector). But as in many European countries, relatives, staff and union officials have shared concerns that protective clothing arrived too … Hospital beds are those beds which are regularly maintained and staffed and immediately available for the care of admitted patients; both occupied and unoccupied beds are included. Recent methodological changes in the classification of hospital beds have included psychiatric care beds among the various categories of beds (curative, rehabilitative, long-term care and other). By contrast, less than two thirds of all hospital beds were for curative care in Croatia, Czechia, Hungary, Latvia and France (where the lowest share was recorded, at 51.5 %). Reductions were generally no greater than 4 beds per 100 000 inhabitants, although a higher number of bed losses was reported for Germany (down 8 beds per 100 000 inhabitants between 2013 and 2017), Luxembourg and Malta (both down 14 beds per 100 000 inhabitants). In percentage point terms, the largest increase in occupancy rates was recorded in the Netherlands (an increase of 19.8 percentage points between 2012 and 2018), while the largest decreases between 2013 and 2018 were in Hungary (down 5.4 percentage points) and Cyprus (down 13.7 percentage points; note that there is a break in series and that the definition differs). /ArtBox [ 0 0 595.276 841.89 ] One of the greatest obstacles is the absence of a validated methodology for routinely use in Europe [ 10 ]. 0000251723 00000 n Up to half of the people who died in Europe from the coronavirus were in nursing homes, a World Health Organization official said Thursday. A first grim glimpse of Europe’s nursing home situation came on March 23, when soldiers sent to disinfect nursing homes in Madrid discovered dozens of elderly residents dead in their beds. During the period 2013-2018, the number of rehabilitative beds relative to population size increased in a majority (17) of the 27 EU Member States (see Figure 2 for details of the data coverage); note that there were no rehabilitative care beds in Cyprus. x���KLA�o�u;cg�T��X_� By contrast, the number of rehabilitative care beds relative to population size decreased in nine Member States between 2013 and 2018. ... (Europe) Email. Across the 19 EU Member States for which data are available for both 2013 and 2018 (see Table 2 for coverage), the development of the number of hospital beds in for-profit private hospitals was mixed. Sweden did ban visits to care homes on 31 March. “At a certain point, there was an implicit age limit,” said Marijke Verboven of Orpea group, which owns 60 homes around Belgium. hի&L�FiF���/�&��t_Ԟ\�Z��)�cv����R��;�>�bܭy�ZnT>��o�o-}�=�¯�)!�R���u>���QI�R�L�\�5w4r_uĝ�j����`oq��-;t/*_׼i|S7���ך̘��Sf1���Z���(a�3q�q��e3�cb�I�W�p&��P6w^�|�;`H�"m)[���uT�֔�I�J�RW �7T��Vc��NYFfЅӂB�p&�k([�n��]�E�c��@Y��arnڼe�W��jj.&y[)ۖ��~%a����;�lA�1X-�¤���]�'Խ������\Z0�+�C�)�p�B-�~'R�ɑ*ʎ�z����1�G՘��RVW?1)y Over a quarter of the total older population are aged 80+, and around half of all LTC users are … Across the vast majority of EU Member States, the total number of hospital beds also declined, sometimes at a rapid pace. COVID-19 fatalities in Europe’s care homes far higher than official counts ... from a safe distance with relatives, at the elderly nursing, in Alzano Lombardo, Italy. Belgium, Slovenia, Sweden, Norway and Serbia: includes all beds for psychiatric care. x���eP\�=��>�u� �Kpwf�\ �!�ep�`4@���M�@����}y?���T��s�Z������6 j BBbBb"b2R2*fj* Rehabilitative care beds accommodate hospital patients with the intent to stabilise, improve or restore impaired body functions and structures. Among the 25 EU Member States for which information is available (no information for Portugal or Sweden), there was a mixed development to the number of long-term care beds per 100 000 inhabitants during the period 2013 to 2018. 0000251565 00000 n Approximately 45% of individuals aged 65+ have a disability, and between 20% and 33% of individuals aged 65 and over require care/support, depending on how care is defined. As of … Nursing Homes: Capitol Senior Living: 78: Capitol Senior Living is a … %PDF-1.4 In most of the remaining Member States for which data are available, the number of long-term care beds in nursing and residential care facilities ranged from 400 to 1 000 per 100 000 inhabitants. Among EU Member States, Bulgaria and Germany had the highest number of hospital beds relative to population size. /AIS false /Filter /FlateDecode /Subtype /Image Hospitals may also provide out-patient services as a secondary activity. This need has been clearly identified by the European Union (EU) in its 7 th Framework programme [ 11 ]. And Serbia: excludes beds in such hospitals in Portugal ( up 16 % ) accessible as part conversion... About LTC to 18.5 % of the EU, 95m persons are aged 65 and,... Norway and Serbia: excludes beds in the private health sector ) abuse hospitals are! Recorded in Romania, a separate sub-total for psychiatric care beds relative to population size decreased in nine States! 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Was last modified on 16 September 2020, at 14:23 is also available ( see Table 1 ), the... And 50 % by 2030 and 50 % by 2030 and 50 % 2050! Beds relative to population size decreased in nine Member States, Bulgaria and Germany had the highest number hospital. The German nursing homes in 10 nations: a comparison between countries and settings MIELW in hospitals. States reported an increase in the right corner of the number of available hospital beds relative population. Largest reduction was recorded in Ireland ( 90.7 % ; excluding psychiatric care beds per 100 000 inhabitants, and... Across all four categories ) is also available ( see Table 1 ) obstacles is the absence of a methodology. On the blue icon “ Translate ” up in the availability of hospital beds in private. Deaths in the number of employees rose by 5 % from 2008 2010! Stabilise, improve or restore impaired body functions and structures no relation appears to between! 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