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

Table explanation

Description topics

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.

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.

Some groups of drugs

Drugs for obstructive airway diseases

ATC-code: R03.

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).

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.

Care for the disabled

Persons with a care package (zzp) Care for the disabled

Care for persons with physical, mental or sensory disabilities based on a care severity package (zzp) in the Disability Care Sector (GHZ).

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).

Somatic condition

Persons with an indication for residential care based on a somatic condition

Somatic condition:

Current physical illness or condition. A condition that is characterized by stable phases and can (still) be cured or improved by medical and/or paramedical treatment in the event of aggravation has as its basis somatic disease, and not the basis physical disability.
If there are permanent limitations that are not caused by disorders of the nervous system or the musculoskeletal system (bone/muscle system, joints and connective tissue), the basis for somatic condition also applies. This is also the case in a terminal situation.

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.

Psychiatric disorder

Persons with an indication for residential care based on a psychiatric disorder

Psychiatric disorder

Disorder in which one or more symptoms are caused by factors located in the psyche. The term psychological disorder is also used for this.

As of January 1, 2009, the basis of indication 'psychosocial problem' is no longer used. Indications from before 2009 with the basis for indication 'psychosocial problem' that are still valid in the reporting period are included under the basis for indiction 'psychiatric disorder'.

Physical disability

Persons with an indication for residential care based on a physical disability

Physical handicap

Physical limitation as a result of disorders of the nervous system and the musculoskeletal system (bone / muscular system, joints and connective tissue) where no functional improvement is possible and there is no terminal situation.

Mental disability

Persons with an indication for residential care based on a mental disability

Mental disability

Disability in which the person scores below average on a general intelligence test (IQ of 70 or lower) and has permanent limitations in the area of social skills. Both have arisen before the age of 18.
Based on historical considerations, there is agreement in the Netherlands that, if there are severe and chronic limitations in social skills, learning disabilities and/or behavioral problems, an IQ score between 70 and 85 may also be interpreted as an intellectual disability. This is then referred to as a mild intellectual disability.

Sensory disability

Persons with an indication for residential care based on a sensory disability

Sensory disability
Visual or auditory communication disability or a (very) severe speech/language problem. The speech/language problem has an in-person cause. This can be either neurobiological or neuropsychological factors. Speech/language disorders must be distinguished from communication problems that result from syndromes such as autism and mental disability.

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).

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.

Care supply

Quantitative data on care providers: distance to care provider, institutions with small profitability, share of overhead in institutions.

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.

8720+87301 Care for the disabled

Institutions providing care for disabled persons, in SBI classes 8720 and 87301.

SBI class 8720 includes:
- Care and counselling in a protected environment (full-time residence) of patients with mental retardation and severe mental retardation;
- Provision of training, development and employment activities as daytime activities for mentally disabled and elderly people with dementia;
- Care farms (farmyard occupational therapy for people with disabilities).

SBI class 87301 includes:
- Care and counselling in a protected environment of patients with a physical or sensory disability;
- Provision of training, development and employment activities as daytime activities for people with a physical or sensory disability.

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.

8720+87301 Care for the disabled

Institutions providing care for disabled persons, in SBI classes 8720 and 87301.

SBI class 8720 includes:
- Care and counselling in a protected environment (full-time residence) of patients with mental retardation and severe mental retardation;
- Provision of training, development and employment activities as daytime activities for mentally disabled and elderly people with dementia;
- Care farms (farmyard occupational therapy for people with disabilities).

SBI class 87301 includes:
- Care and counselling in a protected environment of patients with a physical or sensory disability;
- Provision of training, development and employment activities as daytime activities for people with a physical or sensory disability.

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).