Health, lifestyle, health care use and supply, causes of death; key figures

Health, lifestyle, health care use and supply, causes of death; key figures

Periods Births, deaths and life expectancy Crude birth rate (0/00) Births, deaths and life expectancy Live births to teenage mothers (number) Births, deaths and life expectancy Live births to 40+ mothers (number) Births, deaths and life expectancy Some causes of death All causes of death (per 10 000 of the population) Births, deaths and life expectancy Some causes of death Malignant neoplasms (per 10 000 of the population) Births, deaths and life expectancy Some causes of death Diseases of the circulatory system (per 10 000 of the population) Births, deaths and life expectancy Some causes of death Road accidents (number) Births, deaths and life expectancy Some causes of death Suicide and self-inflicted injury (number) Births, deaths and life expectancy Perinatal mortality Pregnancy duration at least 24 weeks (per 1 000 births) Births, deaths and life expectancy Life expectancy At birth, men (years) Births, deaths and life expectancy Life expectancy At birth, women (years) Births, deaths and life expectancy Life expectancy in perceived good health At birth, men (years) Births, deaths and life expectancy Life expectancy in perceived good health At birth, women (years) Health and disease Self-perceived health less than good (%) Health and disease Hospital admissions by some diagnoses Malignant neoplasms (per 10 000 of the population) Health and disease Hospital admissions by some diagnoses Diseases of the circulatory system (per 10 000 of the population) Health and disease Sickness absence (%) Use of health care services Average period of hospitalisation (days) Use of health care services Individuals with supplied drugs All drugs (%) Use of health care services Individuals with supplied drugs Some groups of drugs Diabetes drugs (%) Use of health care services Individuals with supplied drugs Some groups of drugs Beta blocking agents (%) Use of health care services Individuals with supplied drugs Some groups of drugs Antibiotics (%) Use of health care services Contacts with health professionals General practitioner (GP) (number) Use of health care services Wlz/AWBZ-funded long term care Persons aged 80 or older (number) Use of health care services Wlz/AWBZ-funded long term care Use of Wlz/AWBZ-funded residential care Total residential care (x 1 000) Use of health care services Wlz/AWBZ-funded long term care Use of Wlz/AWBZ-funded residential care Nursing and care (x 1 000) Use of health care services Wlz/AWBZ-funded long term care Indications for residential care Total indications residential care (x 1 000) Use of health care services Wlz/AWBZ-funded long term care Indications for residential care Psychogeriatric disorder (x 1 000) Use of health care services Youth care Total of youth care (0 to 23 year) (%) Determinants of health Smoking behaviour (12 years or older) Smokers (%) Determinants of health Smoking behaviour (12 years or older) Heavy smokers (%) Determinants of health Heavy drinkers (12 years or older) (%) Determinants of health Overweight Seriously overweight (obese) (20+) (%) Determinants of health Overweight Seriously overweight (obese) (4-20 yrs) (%) Education and labour market Mbo nursing graduates (number) Education and labour market Hbo nursing graduates (number) Education and labour market Medicine graduates (university) (number) Expenditures on care Expenditure on care Total expenditure by care providers (billion euro)
2001 12.6 3,569 4,344 87.5 23.5 29.7 996 1,473 9.2 75.8 80.7 61.8 61.6 19.2 113 168 5.5 8.2 . . . . 4.0 516,637 . . . . . 33.3 9.8 13.6 9.6 2.5 . 2,512 2,996 50.8
2010 11.1 2,536 6,088 81.9 25.5 23.5 597 1,600 5.7 78.8 82.7 63.9 63.0 19.7 209 234 4.2 5.6 70.1 4.4 9.7 23.2 4.2 647,994 254 . 325 74 . 25.6 4.9 9.4 11.4 3.1 . 2,622 3,699 85.8
2018 9.8 1,323 5,984 89.0 26.0 21.9 628 1,829 4.9 80.2 83.3 64.2 62.7 21.7 248 196 4.3 5.2 65.9 4.7 9.1 19.8 5.3 778,914 212 132 297 92 9.7 21.0 3.1 8.5 15.4 2.6 5,720 4,449 2,729 101.0
2019 9.8 1,259 6,184 87.1 25.9 21.5 617 1,811 5.1 80.5 83.6 64.8 63.2 21.3 262 198 4.4 5.2 65.4 4.7 9.0 19.2 5.2 798,820 214 134 307 99 10.0 20.4 2.8 8.1 15.0 2.2 5,870 4,495 2,675 107.3
2020 9.7 1,194 6,261 97.2 26.0 21.1 589 1,823 . 79.7 83.1 66.4 65.8 18.5 . . 4.7 . . . . . 5.1 822,088 . . . . 9.7 18.9 3.0 7.4 14.2 2.5 5,970 4,667 2,560 116.2
Source: CBS.
Explanation of symbols

Table description


This table provides an overview of the key figures on health and care available on StatLine. All figures are taken from other tables on StatLine, either directly or through a simple conversion. In the original tables, breakdowns by characteristics of individuals or other variables are possible.
The period after the year of review before data become available differs between the data series.
The number of exam passes/graduates in year t is the number of persons who obtained a diploma in school/study year starting in t-1 and ending in t.

Data available from: 2001

Status of the figures:
Most figures are definite.
Figures reported for the last year are provisional for:
- causes of death;
- perinatal mortality at pregnancy lasting at least 22 weeks (WHO);
- diagnoses known to the general practitioner;
- hospital admissions by some diagnoses;
- average period of hospitalisation;
- supplied drugs;
- AWBZ/Wlz-funded long term care;
- youth care;
- physicians and nurses employed in care;
- Mbo health care graduates;
- Hbo nursing graduates / medicine graduates (university);
- profitability and operating results at institutions.
Figures reported for the last two years are provisional for:
- persons employed in health and welfare.
For expenditures of care, figures for 2020 are provisional; the figures for 2018-2019 are revised provisional.

Changes as of 24 August:
More recent figures have been added for:
- crude birth rate;
- live births to teenage mothers;
- causes of death;
- life expectancy;
- life expectancy in perceived good health;
- diagnoses known to the general practitioner;
- persons employed in health and welfare;
- persons employed in healthcare;
- expenditures on care.

Changes as of 9 June 2021:
Series on Mbo health care graduates have been replaced by series on Mbo nursing and caring graduates.
New series have been added on youth care and indications for long term care.
Series on AWBZ/Wmo-funded nonresidential care have been removed.

When will new figures be published?
New figures will be published December 2021.

Description topics

Births, deaths and life expectancy
Crude birth rate, the number of live births to teenage mothers and older mothers, some causes of death, perinatal mortality, life expectancy and healthy life expectancy.
Crude birth rate
Live born children per thousand of the average population.
Live births to teenage mothers
Live born children to mothers younger than 20 years at the infant's birth.

Mother’s age (exact):
The number of whole years that have passed since the mother's date of birth.

Live born child:
A baby showing some sign of life after birth, regardless of the duration of pregnancy.
Live births to 40+ mothers
Live born children to mothers aged 40 years or older at the infant's birth.

Mother’s age (exact):
The number of whole years that have passed since the mother's date of birth.

Live born child:
A baby showing some sign of life after birth, regardless of the duration of pregnancy.
Some causes of death
Deaths by main primary cause of death per 10 000 of the average population.
In addition to relative figures for road traffic accidents and suicides, absolute numbers are also presented.

The basis for the classification and coding used for mortality by cause of death is the International Classification of Diseases and Related Health Problems (ICD; World Health Organisation (WHO)), version 10.

Average population
The average population in agegroup L for year t is calculated as follows:
((Population in agegroup (L) on January 1st year t)+
(Population in agegroup (L) on January 1st year t+1))/2.
The calculation of the average of children at the age of zero years differs from this definition and has been calculated as follows:
((live births in year t)+(children aged zero years on 1 January of year t+1))/2.
All causes of death
Total of all causes of death.
ICD-codes:
ICD-10: A00-Y89;
ICD-9: 001-E999;
ICD-8: 000-E999.
Malignant neoplasms
Malignant neoplasms, cancer.
ICD-codes:
ICD-10: C00-C97;
ICD-9: 140-208;
ICD-8: 140-209.
Diseases of the circulatory system
Diseases of the circulatory system.
ICD-codes:
ICD-10: I00-I99;
ICD-9: 390-459;
ICD-8: 390-458.
Road accidents
Road accidents.
ICD-codes:
ICD-10: See table explanation for a link to the complete list of 4-digit codes.
ICD-9: E810-E819, E826-E829;
ICD-8: E810-E819, E825-E827, E940-E941
Suicide and self-inflicted injury
Suicide and self-inflicted injury.
ICD-codes:
ICD-10: X60-X84;
ICD-9: E950-E959;
ICD-8: E950-E959.
Perinatal mortality
The total number of still births plus babies who died within a week after birth.

Still birth:
Baby who showed no sign of life after birth such as breathing, heart/muscle activity.
Pregnancy duration at least 24 weeks
Still births after a pregnancy of at least 24 weeks plus (all) babies who died within a week after birth.
Life expectancy
The number of years someone of a certain age is expected to live, assuming the mortality risk remains the same.
At birth, men
At birth, women
Life expectancy in perceived good health
The number of years a person can expect to live in perceived good health, assuming the mortality risk and risks for good/poor health remain the same.

People are considered healthy when answering 'good' or 'very good' to the CBS Health Survey question 'How is your health in general?' .
At birth, men
At birth, women
Health and disease
Perceived health, contacts with the GP and hospital admissions for some diagnoses, sickness absence
Self-perceived health less than good
People answering 'moderate', 'poor' and 'very poor' to the question 'Generally speaking, how is your health?'. Other possible answers are 'good' or 'very good'.
Hospital admissions by some diagnoses
Clinical and day care admissions and observations without overnight stay in general and university hospitals and two hospitals specialising in one type of disease.

Diagnoses are recorded according to the 'International Classification of Diseases'. Up to 2013 version 9 was used (ICD-9-CM), From 2013 onwards version 10 (ICD-10) is used.

Diagnoses are classified according to the International Shortlist for Hospital Morbidity Tabulation (ISHMT). Categories are definied slightly different using ICD-9 (up to 2013) or ICD-10 (from 2013).

Figures on diagnoses refer to the principal diagnosis registered at each admission, as indicated at discharge form the hospital.

The figures are expressed per 10 000 of the population in the year under review.
Malignant neoplasms
Malignant neoplasms, cancer.
ICD-codes:
ICD-9: 140-208
ICD-10: C00-C97.
Diseases of the circulatory system
Diseases of the circulatory system.
ICD-codes:
ICD-9: 390-434, 436-445, 447-459
ICD-10: I00-I99.
Sickness absence
Sickness absence rate.
The number of days employees are absent because of illness (excluding maternity leave) as a percentage of the total number of working or calendar days.
Use of health care services
Average period of hospitalisation, supplied drugs, number of contacts with health care providers, AWBZ/Wlz- funded long term care, including persons older than 80 in the population, youth care.
Average period of hospitalisation
Number of nursing days in a given period divided by the number of patients admitted.
Individuals with supplied drugs
The number of persons prescribed drugs that are reimbursed under compulsory health care insurance, expressed as a percentage of the total population. The total population consists of all people registered in the municipal population register (GBA) in the year under review.

Based on article codes, the drugs are classified by ATC class (Anatomical Therapeutic Chemical classification system). In this WHO (World Health Organization) classification, drugs are divided into different groups according to the organ or system which they affect and/or their therapeutic and chemical characteristics.

All drugs
Some groups of drugs
Diabetes drugs
ATC-code: A10.
Beta blocking agents
ATC-code: C07.
Antibiotics
Antibacterials for systemic use, antibiotics
ATC-code: J01.
Contacts with health professionals
Number of contacts with general practitioners and physiotherapists/exercise therapist in the 12 months preceding the survey date.
Due to changes in methodology and questionnaire, data before and after 2010 cannot fully be compared.
General practitioner (GP)
Contacts with a GP in the Netherlands:
- visits to a GP,
- GP home visits,
- telephone consultations,
- other contacts
Includes contacts with locums and emergency GP service; excludes contacts with GP surgery assistant/nurse.

Due to changes in methodology of the health interview questionniare in 2014, figures before and after are not completely comparable
Wlz/AWBZ-funded long term care
Residential care funded under the Chronic Care Act (Wlz) and (before 2015) under the Exceptional Medical Expenses Act (AWBZ).

Persons aged 80 or older
The population aged 80 or older on 1 January of the year under review, as registered in the municipal population register (BRP).
Use of Wlz/AWBZ-funded residential care
The number of persons aged 18 years or older at the end of the year (second Friday of November) receiving residential care, funded under the Chronic Care Act (Wlz) and (before 2015) under the Exceptional Medical Expenses Act (AWBZ), and for which a personal contribution was paid.

Residential care includes all care received in kind in an institution, for which a personal contribution must be paid and the costs of which are borne by the Wlz/AWBZ.
Short stay in an institution is also included.



Persons under 18 years of age do not have to pay a personal contribution.



As of 2011, residential care is classified according to the type of care received, expressed in care severity packages (zzp's).

There are zzps for Nursing and Care (VV), Disability Care (GHZ) and Long-Term Mental Health Care (GGZ) sectors.

Total residential care
The total number of persons receiving residential care in nursing homes, care for the disabled or mental health care.

In some cases the type of care is not known.
This may occur in the following situations:
- in the case of an older needs assessment for AWBZ-funded care, remaining valid for the duration of the needs assessment
- in the case of short-term stay.
- in the case of Wlz/AWBZ-care paid with a personal budget (PGB).
Nursing and care
Persons with a care package (zzp) Nursing and Care

Care for the elderly and chronically ill on the basis of a care package (zzp) in the Nursing and Care (VV) sector.
Indications for residential care
The number of persons who have an indication for residential care financed by the General Act on Exceptional Medical Expenses (AWBZ) or Long-Term Care Act (Wlz) on the reference date.

This concerns only persons who are registered in the population registry on the reference date.
The reference date is the second Friday in November.

Indication
The right to a certain type and amount of care as determined by the Centre for Healthcare Indication (Centrum Indicatiestelling Zorg (CIZ).
Total indications residential care
Total of persons for whom a basis of indication has been recorded.

Basis of indication
Reason why someone cannot perform certain activities independently and needs help to do so. A basis of indication must be present in order to be eligible for care financed by the General Act on Exceptional Medical Expenses (AWBZ) or Long-Term Care Act (Wlz). The basis of indication is determined independently by the Centre for Healthcare Indication (Centrum Indicatiestelling Zorg, CIZ).
Psychogeriatric disorder
Persons with an indication for residential care based on a psychogeriatric disorder

Psychogeriatric disorder

Disease or disorder in or of the brain (partly) as a result of old age. This condition is often accompanied by impairment of the thinking ability, emotional life, intellect and memory. Sometimes there is also a decrease in motor functions and a decrease in social self-reliance.
Youth care
Persons up to the age of 18 who have made use of youth assistance, youth protection or juvenile rehabilitation at any time during the reporting period. In exceptional cases, the help or care is continued until the age of 23.
Total of youth care (0 to 23 year)
The total of youth assistance, youth protection and juvenile rehabilitation, carried out under the responsibility of the municipality in accordance with the Youth Act (2014).
Determinants of health
Determinants of health: factors influencing health.

Data on smoking, alcohol consumption, exercise, obesity and high blood pressure, derived from the CBS Health Survey.
Smoking behaviour (12 years or older)
Data on smoking behaviour refer to persons of age 12 years and over.
Smokers
Percentage of persons in the population who answered 'yes' to the question: 'Do you smoke occasionally?'.
Heavy smokers
Percentage of persons in the population who smoke 20 cigarettes a day or more.
Heavy drinkers (12 years or older)
Percentage of persons in the population aged 12 years or older who are heavy drinkers. Up to 2012 the definition of a heavy drinker was a person that drinks at least 6 glasses of alcohol on one day at least once a week. From 2012 onwards there is a distinction between men and women. For men still goes that a heavy drinker is a person who drinks at least 6 glasses of alcohol on one day at least once a week. For women goes that a heavy drinker is a person who drinks at least 4 glasses of alcohol on one day at least once a week. Due to this change in definition the figures of before 2012 and from 2012 onwards cannot be compared very well.
Overweight
The Body Mass Index (BMI) is a frequently used measure to determine whether a person is underweight or overweight. It is calculated by dividing a person's weight (in kilograms) by their height (in metres) squared, based on self-reported measures. For children under 12 years of age, weight and height are reported by the parents. Adults with a BMI of 25 kg/m² or more are overweight, with a BMI of 30 kg/m² or more seriously overweight (obese). For children, age-specific cut-off points are used.

Data on respondents with unknown weight or height and respondents with an improbable weight for their height are not used. Until 2013, date were excluded for persons aged 20 years or older with a BMI lower than 14 or higher than 45 kg/m² and persons younger than 20 years with a BMI lower than 10 or higher than 45 kg/m². From 2014, for both age groups the upper limit of BMI has been increased to 50 kg/m², whereas the lower limit has not been changed.

Due to changes in methodology of the health interview questionniare in 2014, figures before and after are not completely comparable.
Seriously overweight (obese) (20+)
Percentage of persons in the population aged 20 years or older with a Body Mass Index (BMI) of 30.0 kg/m² or higher.
Seriously overweight (obese) (4-20 yrs)
Percentage of persons aged between 4 and 20 years with a BMI of 30.0 kg/m² or higher (18 and 19 year olds) or between the corresponding age-specific cut-off points for persons under 18 years of age.
Education and labour market
Mbo nursing graduates
Graduates of senior secondary vocational education (mbo) with a qualification to become a nurse
Hbo nursing graduates
Graduates form higher professional education (hbo) with a bachelor's degree in nursing.
Medicine graduates (university)
Persons with a university masters degree in medicine.
Expenditures on care
Expenditure on care
Expenditure on health and social care including child care, by type of supplier. All activities within the area of health and social care are considered, irrespective of whether it concerns a major or minor activity of the economic units. These figures refer to a broader definition than internationally used in the System of Health Accounts, that refers to health care including long term nursing care (health).
Total expenditure by care providers
Total expenditure on all providers of health and social care.