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Hospital Registers
Monthly Country Report
                                                                                           WALNUT
Finland, May 2011
                                                                                                   M ED IC A L

You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source.



Finland
  Total Healthcare Expenditure: €15.453 billion
  Total Population: 5,378,000
  124 hospitals in 12 regions




Hospital Registers is a series of online databases of more than 24,000 hospitals                                              © Walnut Medical
in North America and Europe. For more information visit www.HospitalRegisters.com                      Contact: Amanda Mason +44 (0)1763 223223

                                                                         Page 1
Hospital Registers
Monthly Country Report
                                                                                               WALNUT
Finland, May 2011
                                                                                                         M ED IC A L

You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source


                   Population                                                                 Population
                                                                                                Thousands
The population of Finland is calculated to be 5.378
million in mid-2010 and by mid-2060 it is estimated          4,000                                                                        45.5
that it will be 6.213 million. This represents a very        3,500                                                                        45
modest increase of only 15.5% over 50 years,                 3,000                                                                        44.5
equivalent to an average annual increase of 0.24%.
                                                             2,500                                                                        44
Over the next 50 years the population below 15 years         2,000                                                                        43.5
of age will increase slightly from 860,000 to 930,000.       1,500                                                                        43
At the same time the economically active population
will decrease slightly, falling from 3.549 million to
                                                             1,000                                                                        42.5
3.479 million.                                                 500                                                                        42
                                                                 0                                                                        41.5
As in all European countries, the older section of the
population will increase rapidly. In the 50 years                        2010        2020     2030       2040       2050          2060
between 2010 and 2060, the numbers of those over
65 will almost double from 986 thousand to 1.802                                    0 to 14   15 to 64      65 +       Ave. Age
million. Although this increase in the elderly
population is severe, it is not as bad as in similarly
sized countries such as Ireland.

Overall, the average age will increase from 42.5 years
in 2010 to 45.1 in 2060.

Hospital Registers is a series of online databases of more than 24,000 hospitals                                                 © Walnut Medical
in North America and Europe. For more information visit www.HospitalRegisters.com                         Contact: Amanda Mason +44 (0)1763 223223

                                                                         Page 2
Hospital Registers
Monthly Country Report
                                                                                                   WALNUT
Finland, May 2011
                                                                                                           M ED IC A L

 You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source.

             Healthcare Expenditure                                                    Healthcare Expenditure
                                                                                               Inpatient       Day Surgery
Total healthcare expenditure was €15.453 billion in 2008.
                                                                                                 16.3%            1.2%        Outpatient
The greatest single cost was primary care which accounted
for €2.844 billion closely followed by medical inpatient care                                                                   10.6%
at €4.489 billion. The total cost of all hospital medical
treatment was €4.292 billion, 28.1% of the total budget.                    Travel & Other
                                                                                 3.2%                                                      Psychiatric Care
                                                                     Investment                                                                 3.9%
Medical goods cost a total of €2.626 billion (17.2%), split
                                                                        5.1%
between pharmaceuticals (€2.232 billion) and medical
devices (€394 million).                                              Administration
                                                                          2.4%
                                                                                                                                    Primary
All the other categories of healthcare expenditure were               Medical                                                      Healthcare
relatively small. Care of the elderly currently consumes 5%           Products                                                       18.6%
of the budget, equivalent to €768 million. This is just above           2.6%          Pharmaceuticals
expenditure on student and occupational health. However,                                  14.6%
the growing elderly population is bound to cause this
expenditure to increase while the cost of student and
occupational health will remain static.                                                                                                        Dentistry
                                                                                                                                                 6.4%
Although some categories of healthcare expenditure will
                                                                                           Private
not change, the increase in the elderly population will force                            Expenditure                          Occupational &
the cost of most sectors of healthcare to rise. The extra                                   6.0%               Elderly Care      Student
costs will have to be funded by a gradually diminishing                                                           5.0%             4.1%
economically active population.

Hospital Registers is a series of online databases of more than 24,000 hospitals                                                   © Walnut Medical
in North America and Europe. For more information visit www.HospitalRegisters.com                           Contact: Amanda Mason +44 (0)1763 223223

                                                                         Page 3
Hospital Registers
Monthly Country Report
                                                                                                 WALNUT
Finland, May 2011
                                                                                                   M ED IC A L

You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source.


                                                                                         Hospitals By Type
            Acute       Psychiatric Day Case

                    1          1            0        Ahvenanmaa

                 12            2            0                Häme

                    7          4            0         Keski-Suomi

                    6          4            0              Kuopio

                    9          1            0                 Kymi

                    3          2            0                Lappi                                                                       Acute

                                                           Mikkeli                                                                       Psychiatric
                    4          1            0
                                                                                                                                         Day Case
                    7          1            0                 Oulu

                    1          2            0       Pohjois-Karjala

                 11            2            0         Turku ja Pori

                 27            4            0             Uusimaa

                    7          2            3                Vaasa

                                                                      0       5     10      15     20       25        30       35



Hospital Registers is a series of online databases of more than 24,000 hospitals                                               © Walnut Medical
in North America and Europe. For more information visit www.HospitalRegisters.com                       Contact: Amanda Mason +44 (0)1763 223223

                                                                          Page 4
Hospital Registers
Monthly Country Report
                                                                                              WALNUT
Finland, May 2011
                                                                                                    M ED IC A L

You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source.



                          Private non- Private for                                  Hospitals by Ownership
             Public
                              profit      profit

                      2            0            0     Ahvenanmaa
                  13               0            1             Häme
                      9            0            2      Keski-Suomi
                      8            0            2           Kuopio

                      9            0            1              Kymi

                      5            0            0             Lappi                                                              Public & Military

                      5            0            0           Mikkeli                                                              Private non-profit
                                                                                                                                 Private for profit
                      7            0            1              Oulu

                      3            0            0    Pohjois-Karjala

                  12               0            1      Turku ja Pori

                  28               0            6          Uusimaa

                      8            0            1             Vaasa

                                                                       0      5     10   15    20      25      30       35



Hospital Registers is a series of online databases of more than 24,000 hospitals                                              © Walnut Medical
in North America and Europe. For more information visit www.HospitalRegisters.com                      Contact: Amanda Mason +44 (0)1763 223223

                                                                           Page 5
Hospital Registers
Monthly Country Report
                                                                                                  WALNUT
Finland, May 2011
                                                                                                    M ED IC A L

You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source.

                                                                                    Hospitals by Size and Type


     Size         Psychiatric     Acute
    (Beds)                                        30
       1 to 200         11            28
                                                  25
    201 to 500           7            22
  501 to 1,000           0            10          20

                                                   15
                                                                                                                                        Psychiatric
   Note                                            10                                                                                   Acute

   These figures describe hospitals with               5
   inpatient facilities. Day case
   establishments are excluded.                        0

                                                               1 to 200
                                                                                     201 to 500
                                                                                                     501 to 1000




Hospital Registers is a series of online databases of more than 24,000 hospitals                                              © Walnut Medical
in North America and Europe. For more information visit www.HospitalRegisters.com                      Contact: Amanda Mason +44 (0)1763 223223

                                                                          Page 6
Hospital Registers
Monthly Country Report
                                                                                                       WALNUT
Finland, May 2011
                                                                                                                  M ED IC A L

You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source.

                                                                                    Hospitals by Size and Ownership
                                                                                Private for profit     Private non-profit       Public & Military


                                 Private
      Size         Private for             Public &
                                  non-
     (Beds)           profit               Military
                                  profit                          40
        1 to 200         3          0         36
                                                                  35
     201 to 500          0          0         29
   501 to 1,000          0          0         10                  30

                                                                  25

                                                                  20

Note                                                               15

                                                                   10
These figures describe hospitals with inpatient
facilities. Day case establishments are excluded.                      5
                                                                       0

                                                                               1 to 200
                                                                                                     201 to 500
                                                                                                                            501 to 1,000



Hospital Registers is a series of online databases of more than 24,000 hospitals                                                          © Walnut Medical
in North America and Europe. For more information visit www.HospitalRegisters.com                                  Contact: Amanda Mason +44 (0)1763 223223

                                                                           Page 7
Hospital Registers
Monthly Country Report
                                                                                                      WALNUT
Finland, May 2011
                                                                                                              M ED IC A L

You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source

Finnish healthcare trends
The Finnish health care system offers universal coverage for a                     Vulnerable groups like the disabled are also covered. Reimbursement is
comprehensive range of health services. It is funded mainly through                calculated based on a set of fixed fees, which means that there may be
general taxation. A key feature of the system is decentralisation. The             some level of co-payment.
national administration defines general health policy guidelines and
directs the health care system at the state level. The national Ministry of        Employers must provide preventative healthcare but KELA reimburses
Social Affairs and Health is responsible for social security, social welfare       50% of the cost. Some larger companies also provide medical treatment
and health services policy. The ministry sets broad development goals,             and other health services.
prepares legislation and other key reforms, overseeing their
implementation.                                                               Private healthcare is expanding in Finland. Private health services offer
                                                                              mainly physiotherapy, private GP care, occupational healthcare and
The majority of Finnish health care services are organized and provided by laboratories. The Finns can receive partial reimbursement for private
the municipal health care system. There are currently 348 municipalities, health care .
each with an average population of less than 6,000. Municipalities levy
taxes and receive state subsidies. Specialist care in the municipal system is Finland has made huge progress in healthcare over the last 50 years and
provided by 20 hospital districts, each of which is owned and funded by its has increased life expectancy considerably. However, the challenges over
member municipalities. Each hospital district has at least one main           the next 50 years will be concerned with the growing elderly population.
hospital and possibly a number of smaller establishments.                     Healthcare funding can only come from taxing a gradually shrinking
                                                                              working population. The Finnish economy is heavily dependent on exports
The government social insurance agency called Kansanelakelaitos or more and any downturn in the global economy will have a direct effect on
commonly known as KELA, is responsible for the state contribution             healthcare provision. In the medium term, co-payments are likely to
system. KELA reimburses citizens for most healthcare treatment. State         increase, the private healthcare system will grow further and overall
healthcare is only available if you are employed and paying into the          taxation must increase just to maintain the current level of care.
healthcare insurance fund or if you are a dependant of an employed
person. Preventive healthcare, maternity care and child health are free.
Hospital Registers is a series of online databases of more than 24,000 hospitals                                                        © Walnut Medical
in North America and Europe. For more information visit www.HospitalRegisters.com                                Contact: Amanda Mason +44 (0)1763 223223

                                                                          Page 8

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Finland

  • 1. Hospital Registers Monthly Country Report WALNUT Finland, May 2011 M ED IC A L You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source. Finland  Total Healthcare Expenditure: €15.453 billion  Total Population: 5,378,000  124 hospitals in 12 regions Hospital Registers is a series of online databases of more than 24,000 hospitals © Walnut Medical in North America and Europe. For more information visit www.HospitalRegisters.com Contact: Amanda Mason +44 (0)1763 223223 Page 1
  • 2. Hospital Registers Monthly Country Report WALNUT Finland, May 2011 M ED IC A L You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source Population Population Thousands The population of Finland is calculated to be 5.378 million in mid-2010 and by mid-2060 it is estimated 4,000 45.5 that it will be 6.213 million. This represents a very 3,500 45 modest increase of only 15.5% over 50 years, 3,000 44.5 equivalent to an average annual increase of 0.24%. 2,500 44 Over the next 50 years the population below 15 years 2,000 43.5 of age will increase slightly from 860,000 to 930,000. 1,500 43 At the same time the economically active population will decrease slightly, falling from 3.549 million to 1,000 42.5 3.479 million. 500 42 0 41.5 As in all European countries, the older section of the population will increase rapidly. In the 50 years 2010 2020 2030 2040 2050 2060 between 2010 and 2060, the numbers of those over 65 will almost double from 986 thousand to 1.802 0 to 14 15 to 64 65 + Ave. Age million. Although this increase in the elderly population is severe, it is not as bad as in similarly sized countries such as Ireland. Overall, the average age will increase from 42.5 years in 2010 to 45.1 in 2060. Hospital Registers is a series of online databases of more than 24,000 hospitals © Walnut Medical in North America and Europe. For more information visit www.HospitalRegisters.com Contact: Amanda Mason +44 (0)1763 223223 Page 2
  • 3. Hospital Registers Monthly Country Report WALNUT Finland, May 2011 M ED IC A L You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source. Healthcare Expenditure Healthcare Expenditure Inpatient Day Surgery Total healthcare expenditure was €15.453 billion in 2008. 16.3% 1.2% Outpatient The greatest single cost was primary care which accounted for €2.844 billion closely followed by medical inpatient care 10.6% at €4.489 billion. The total cost of all hospital medical treatment was €4.292 billion, 28.1% of the total budget. Travel & Other 3.2% Psychiatric Care Investment 3.9% Medical goods cost a total of €2.626 billion (17.2%), split 5.1% between pharmaceuticals (€2.232 billion) and medical devices (€394 million). Administration 2.4% Primary All the other categories of healthcare expenditure were Medical Healthcare relatively small. Care of the elderly currently consumes 5% Products 18.6% of the budget, equivalent to €768 million. This is just above 2.6% Pharmaceuticals expenditure on student and occupational health. However, 14.6% the growing elderly population is bound to cause this expenditure to increase while the cost of student and occupational health will remain static. Dentistry 6.4% Although some categories of healthcare expenditure will Private not change, the increase in the elderly population will force Expenditure Occupational & the cost of most sectors of healthcare to rise. The extra 6.0% Elderly Care Student costs will have to be funded by a gradually diminishing 5.0% 4.1% economically active population. Hospital Registers is a series of online databases of more than 24,000 hospitals © Walnut Medical in North America and Europe. For more information visit www.HospitalRegisters.com Contact: Amanda Mason +44 (0)1763 223223 Page 3
  • 4. Hospital Registers Monthly Country Report WALNUT Finland, May 2011 M ED IC A L You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source. Hospitals By Type Acute Psychiatric Day Case 1 1 0 Ahvenanmaa 12 2 0 Häme 7 4 0 Keski-Suomi 6 4 0 Kuopio 9 1 0 Kymi 3 2 0 Lappi Acute Mikkeli Psychiatric 4 1 0 Day Case 7 1 0 Oulu 1 2 0 Pohjois-Karjala 11 2 0 Turku ja Pori 27 4 0 Uusimaa 7 2 3 Vaasa 0 5 10 15 20 25 30 35 Hospital Registers is a series of online databases of more than 24,000 hospitals © Walnut Medical in North America and Europe. For more information visit www.HospitalRegisters.com Contact: Amanda Mason +44 (0)1763 223223 Page 4
  • 5. Hospital Registers Monthly Country Report WALNUT Finland, May 2011 M ED IC A L You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source. Private non- Private for Hospitals by Ownership Public profit profit 2 0 0 Ahvenanmaa 13 0 1 Häme 9 0 2 Keski-Suomi 8 0 2 Kuopio 9 0 1 Kymi 5 0 0 Lappi Public & Military 5 0 0 Mikkeli Private non-profit Private for profit 7 0 1 Oulu 3 0 0 Pohjois-Karjala 12 0 1 Turku ja Pori 28 0 6 Uusimaa 8 0 1 Vaasa 0 5 10 15 20 25 30 35 Hospital Registers is a series of online databases of more than 24,000 hospitals © Walnut Medical in North America and Europe. For more information visit www.HospitalRegisters.com Contact: Amanda Mason +44 (0)1763 223223 Page 5
  • 6. Hospital Registers Monthly Country Report WALNUT Finland, May 2011 M ED IC A L You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source. Hospitals by Size and Type Size Psychiatric Acute (Beds) 30 1 to 200 11 28 25 201 to 500 7 22 501 to 1,000 0 10 20 15 Psychiatric Note 10 Acute These figures describe hospitals with 5 inpatient facilities. Day case establishments are excluded. 0 1 to 200 201 to 500 501 to 1000 Hospital Registers is a series of online databases of more than 24,000 hospitals © Walnut Medical in North America and Europe. For more information visit www.HospitalRegisters.com Contact: Amanda Mason +44 (0)1763 223223 Page 6
  • 7. Hospital Registers Monthly Country Report WALNUT Finland, May 2011 M ED IC A L You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source. Hospitals by Size and Ownership Private for profit Private non-profit Public & Military Private Size Private for Public & non- (Beds) profit Military profit 40 1 to 200 3 0 36 35 201 to 500 0 0 29 501 to 1,000 0 0 10 30 25 20 Note 15 10 These figures describe hospitals with inpatient facilities. Day case establishments are excluded. 5 0 1 to 200 201 to 500 501 to 1,000 Hospital Registers is a series of online databases of more than 24,000 hospitals © Walnut Medical in North America and Europe. For more information visit www.HospitalRegisters.com Contact: Amanda Mason +44 (0)1763 223223 Page 7
  • 8. Hospital Registers Monthly Country Report WALNUT Finland, May 2011 M ED IC A L You are free to use any data or commentary from this report provided you acknowledge Walnut Medical as the source Finnish healthcare trends The Finnish health care system offers universal coverage for a Vulnerable groups like the disabled are also covered. Reimbursement is comprehensive range of health services. It is funded mainly through calculated based on a set of fixed fees, which means that there may be general taxation. A key feature of the system is decentralisation. The some level of co-payment. national administration defines general health policy guidelines and directs the health care system at the state level. The national Ministry of Employers must provide preventative healthcare but KELA reimburses Social Affairs and Health is responsible for social security, social welfare 50% of the cost. Some larger companies also provide medical treatment and health services policy. The ministry sets broad development goals, and other health services. prepares legislation and other key reforms, overseeing their implementation. Private healthcare is expanding in Finland. Private health services offer mainly physiotherapy, private GP care, occupational healthcare and The majority of Finnish health care services are organized and provided by laboratories. The Finns can receive partial reimbursement for private the municipal health care system. There are currently 348 municipalities, health care . each with an average population of less than 6,000. Municipalities levy taxes and receive state subsidies. Specialist care in the municipal system is Finland has made huge progress in healthcare over the last 50 years and provided by 20 hospital districts, each of which is owned and funded by its has increased life expectancy considerably. However, the challenges over member municipalities. Each hospital district has at least one main the next 50 years will be concerned with the growing elderly population. hospital and possibly a number of smaller establishments. Healthcare funding can only come from taxing a gradually shrinking working population. The Finnish economy is heavily dependent on exports The government social insurance agency called Kansanelakelaitos or more and any downturn in the global economy will have a direct effect on commonly known as KELA, is responsible for the state contribution healthcare provision. In the medium term, co-payments are likely to system. KELA reimburses citizens for most healthcare treatment. State increase, the private healthcare system will grow further and overall healthcare is only available if you are employed and paying into the taxation must increase just to maintain the current level of care. healthcare insurance fund or if you are a dependant of an employed person. Preventive healthcare, maternity care and child health are free. Hospital Registers is a series of online databases of more than 24,000 hospitals © Walnut Medical in North America and Europe. For more information visit www.HospitalRegisters.com Contact: Amanda Mason +44 (0)1763 223223 Page 8