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/Wmo-funded long term care Persons aged 80 or older (number) Use of health care services Wlz/AWBZ/Wmo-funded long term care Wlz/AWBZ-funded residential care Total residential care (x 1 000) Use of health care services Wlz/AWBZ/Wmo-funded long term care Wlz/AWBZ-funded residential care Residential care and nursing homes (x 1 000) Use of health care services Wlz/AWBZ/Wmo-funded long term care Wlz/AWBZ-funded residential care Care for the disabled (x 1 000) Use of health care services Wlz/AWBZ/Wmo-funded long term care Wlz/AWBZ-funded residential care Mental health care (x 1 000) 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 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) Expenditures on care Expenditure on care Hospitals and medical specialists (billion euro) Expenditures on care Expenditure on care Providers of long-term care for elderly (billion euro) Expenditures on care Expenditure on care Providers of care for the handicapped (billion euro) Expenditures on care Expenditure on care Primary care practices (billion euro) Expenditures on care Expenditure on care Providers of mental health care (billion euro) Expenditures on care Expenditure on care Other care providers (billion euro) Expenditures on care Per capita care expenditure (euro) Expenditures on care Expenditure as percentage of the GDP (%) Care supply Average distance to facilities Hospital (incl. outpatients clinic) (km) Care supply Care institutions with profitability <0% Hospitals (%) Care supply Operating result per fte Hospitals (1 000 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 12.2 9.8 4.6 4.2 3.1 16.8 3,164 10.5 . . .
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 . . . 25.6 4.9 9.4 11.4 3.1 2,622 3,699 85.8 22.5 15.4 8.6 7.4 6.1 25.8 5,163 13.4 4.8 7 107.5
2017 9.9 1,410 5,866 87.7 26.2 22.3 573 1,917 4.8 80.1 83.3 65.0 63.8 20.7 245 203 4.0 5.2 65.7 4.7 9.2 19.8 5.1 764,275 211 130 75 6 21.7 3.3 8.6 14.2 2.8 4,052 2,733 97.0 26.9 17.9 10.3 8.9 6.5 26.4 5,660 13.1 4.7 14 130.5
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 75 5 21.0 3.1 8.5 15.4 2.6 4,449 2,717 100.9 28.0 18.9 10.8 9.3 6.8 27.2 5,857 13.0 4.7 12 133.6
2019 9.8 . . 87.1 25.8 21.5 617 1,811 . 80.5 83.6 64.8 63.2 21.3 . . 4.4 . . . . . 5.2 798,820 . . . . 20.4 2.8 8.1 15.0 2.2 4,495 2,666 106.2 29.1 20.2 11.4 9.7 7.1 28.7 6,120 13.1 4.8 . .
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/Wmo-funded long term 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 2019 are provisional; the figures for 2017-2018 are revised provisional.

Changes as of 15 July 2020:
More recent figures have been added for:
- crude birth rate;
- causes of death;
- life expectancy;
- life expectancy at age 65;
- life expectancy in perceived good health;
- self-perceived health;
- diagnoses known to the general practitioner;
- hospital admissions by some diagnoses;
- sickness absence;
- average period of hospitalisation;
- contacts with health professionals;
- smoking, heavy drinkers, physical activity;
- overweight;
- high blood pressure;
- persons employed in health and welfare;
- persons employed in healthcare;
- Hbo nursing graduates / medicine graduates (university);
- expenditures on care;
- average distance to facilities1
In the series of Hbo nursing graduates the figures are changed slightly as of 2013 due to revision.

When will new figures be published?
New figures will be published December 2020.

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/Wmo funded care, including persons older than 80 in the population.
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/Wmo-funded long term care
Residential care funded under the Chronic Care Act (WLZ) and (before 2015) under the Exceptional Medical Expenses Act (AWBZ) and care without institutionalisation funded under AWBZ and Social Support Act (Wmo) (until 2015).

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 (GBA).
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. Starting 2011, residential care is classified according to the type of care provided.
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).
Residential care and nursing homes
Care for the disabled
Mental health care
Long-term residence in a mental health institution
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
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.
Hospitals and medical specialists
Institutions and practices in which during day and/or night all kinds of medical specialistic curative care is offered.
Hospital: A formally recognised institution where medical specialists provide round-the-clock medical care.
Practice of medical specialist: Medical care provided by a certified medical specialist (excluding help provided in hospitals).
Providers of long-term care for elderly
Nursing homes, homecare institutions, residential care for the elderly and households.
Nursing homes: A government-recognised institution where patients who do not require hospital admittance are nursed and treated.
Homecare institutions: Institutions providing various types of assistance, e.g. home help, home nursing, maternity care. Homecare is administered to avoid admission in a hospital or nursing home.
Providers of care for the handicapped
Integrated institutions for the handicapped; Social pedagogical services; Provision of goods and services by municipalities; Interpreters for the deaf; Institutes providing guide dogs for the blind; Households.
Primary care practices
General practitioner’s (GP) practices, Practices of dentists, Paramedics and midwife practices

GP practices
Units of licensed physicians that provide general medical care to a fixed
number of registered patients.

Practices of dentists
Units that provide dental care. Dental care comprises diagnostics, preventive dental care, prosthetic and orthodontic dental care, basic dental surgery.

Paramedics and midwife practices
Physiotherapist's practices and other paramedic professionals, e.g. occupational therapists, speech therapists, dieticians, remedial
therapists, midwives, etc.
Providers of mental health care
Providers of mental health care Psychiatric hospitals, psychiatrists and ambulatory mental health services.
Other care providers
Other providers of health and social care and administration and management institutions.

Administration and management institutions:
Health Care Insurance Board (Health Insurance Fund up to 2006; Health Insurance Act since 2006; Exceptional Medical Expenses Act); Private health and social care insurance companies; Ministry of Health; local government.
Per capita care expenditure
Total care expenditure calculated per capita.
Expenditure as percentage of the GDP
Total expenditure on care expressed as a percentage of the gross domestic product (GDP).
Care supply
Quantitative data on care providers: distance to care provider, institutions with small profitability, share of overhead in institutions.
Average distance to facilities
The average distance of all residents of the Netherlands from their residential address to a number of the nearest facilities.
Hospital (incl. outpatients clinic)
The average distance of all residents of the Netherlands to the nearest hospital (including outpatients clinic), by road.

Hospital
Institution for research, treatment and nursing of the sick. Patients can be admitted to a hospital for more than 24 hours, and major surgery may be performed there.

Outpatients clinic
Location of a hospital where non-bedridden patients are treated or monitored. Patients do not stay for longer than 24 hours and no major surgery is performed there.
Care institutions with profitability <0%
Percentage of companies in a certain SBI class (SBI = Dutch Standard Industrial Classification) whose profitability is less than 0%.

Profitability

Profitability is the sum of the operating result, financial result and extraordinary items, divided by total earnings. It is an indicator of how profitable the company is.

SBI 2008: Statistics Netherlands' Standard Industrial Classification of all Economic Activities 2008.

The SBI is a systematic hierarchical classification of economic activities. The most recent version is SBI 2008. It is used by Statistics Netherlands among other things to classify business entities according to their main activity.
The SBI 2008 has six levels. The SBI codes to the level of classes (4 digits), with a number of exceptions, the same as determined by Eurostat NACE REV. 1 (Nomenclature statistique des activités économiques dans la Communauté Européenne) which is used in all EU Member States. The sub-class, denoted by 5 digits, is a further detailed breakdown by the Netherlands.
Hospitals
The total of health care institutions in SBI classes:
- 86101 University medical centres
- 86102 General hospitals
- 86103 Specialised hospitals

86101 University medical centres
Teaching hospitals and university medical centres. Hospitals where all forms of specialist medical treatment are provided during day and night time, linked to a university and approved by the Act on university education'.

86102 General hospitals
Hospitals where all forms of specialist medical treatment are provided during day and night time.

86103 Specialised hospitals
Rehabilitation centres where patients stay overnight stay and other specialised hospitals. Specialised hospitals are divided into two categories, namely: rehabilitation centres and other specialised hospitals.
A rehabilitation centre is an institution where patients can recover from an impairment or limitation of the musculoskeletal system, or learn how to cope with a disability.
A specialised hospital is an institution that provides medical and nursing care for a specific illness, disease or disorder group or to persons in a certain age group; e.g. asthma clinics, epilepsy clinics, cancer clinics, eye hospitals, orthopaedic institutions and sanatoriums.


Up to and including 2014, only health care institutions were included which were funded under the Health Insurance (Zvw) or General Exceptional Medical Expenses Act (AWBZ).
Operating result per fte
Total operating result divided by total number of full-time equivalents (fte) of employees.
The full-time equivalents is a measure of labour volume, calculated by converting all full-time and part-time jobs to full-time jobs.
An employee is a person carrying out work in return for remuneration.
Hospitals
The total of health care institutions in SBI classes:
- 86101 University medical centres
- 86102 General hospitals
- 86103 Specialised hospitals

86101 University medical centres
Teaching hospitals and university medical centres. Hospitals where all forms of specialist medical treatment are provided during day and night time, linked to a university and approved by the Act on university education'.

86102 General hospitals
Hospitals where all forms of specialist medical treatment are provided during day and night time.

86103 Specialised hospitals
Rehabilitation centres where patients stay overnight stay and other specialised hospitals. Specialised hospitals are divided into two categories, namely: rehabilitation centres and other specialised hospitals.
A rehabilitation centre is an institution where patients can recover from an impairment or limitation of the musculoskeletal system, or learn how to cope with a disability.
A specialised hospital is an institution that provides medical and nursing care for a specific illness, disease or disorder group or to persons in a certain age group; e.g. asthma clinics, epilepsy clinics, cancer clinics, eye hospitals, orthopaedic institutions and sanatoriums.


Up to and including 2014, only health care institutions were included which were funded under the Health Insurance (Zvw) or General Exceptional Medical Expenses Act (AWBZ).