13. BOLNIŠNIČNA DEJAVNOST / HOSPITAL SERVICES

13. BOLNIŠNIČNA DEJAVNOST / HOSPITAL SERVICES 13-1. 0 Uvod Introduction 13-1. 1 (SR) Zdravstveni in drugi delavci po statističnih regijah, 2004 Hospital health care staff and other staff by statistical regions, 2004 13-1. 1 (ZR) Zdravstveni in drugi delavci po zdravstvenih regijah, 2004 Hospital health care staff and other staff by health regions, 2004 13-1. 2 Zdravstveni in drugi delavci v bolnišnicah po dejavnostih, 2004 Health care staff and other hospital staff by specialty, 2004 13-1. 3 (SR) Zdravstveni delavci po stopnji izobrazbe in po statističnih regijah, 2004 Hospital health care staff by level of education and by statistical regions, 2004 13-1. 3 (ZR) Zdravstveni delavci po stopnji izobrazbe in po zdravstvenih regijah, 2004 Hospital health care staff by level of education and by health regions, 2004 13-1. 4 Zdravstveni delavci v bolnišnicah po stopnji izobrazbe in po dejavnostih, 2004 Hospital health care staff by level of education and by specialty, 2004 13-1. 6 (SR) Zdravstveni delavci z visoko izobrazbo po statističnih regijah, 2004 Hospital health care staff with high level of education by statistical regions, 2004 13-1. 6 (ZR) Zdravstveni delavci z visoko izobrazbo po zdravstvenih regijah, 2004 Hospital health care staff with high level of education by health regions, 2004 13-1. 7 (SR) Zdravstveni delavci z višjo in nižjo izobrazbo po statističnih regijah, 2004 Hospital health care staff with higher non-university education and primary education by statistical regions, 2004 13-1. 7 (ZR) Zdravstveni delavci z višjo in nižjo izobrazbo po zdravstvenih regijah, 2004 Hospital health care staff with higher non-university education and primary education by health regions, 2004 13-1. 8 (SR) Zdravstveni delavci s srednjo izobrazbo po statističnih regijah, 2004 Hospital health care staff with secondary education by statistical regions, 2004 13-1. 8 (ZR) Zdravstveni delavci s srednjo izobrazbo po zdravstvenih regijah, 2004 Hospital health care staff with secondary education by health regions, 2004 13-2. 1 Število postelj, oskrbnih dni in povprečna ležalna doba v bolnišnicah, 2004 Hospital beds, hospital days and mean length of stay by hospital, 2004 13-2. 2 Število postelj, oskrbnih dni in povprečna ležalna doba po dejavnostih, 2004 Hospital beds, hospital days and mean length of stay by specialty, 2004 13-2. 3 Zasedenost bolnišnic po dejavnostih, 2004 Occupied beds by specialty, 2004 13-2. 4 Število obstoječih postelj, izpisanih bolnikov in oskrbnih dni (na 10.000 prebivalcev) po dejavnostih, 2004 Available beds, in-patients treated and hospital days, per 10.000 population, by specialty, 2004 13-2. 6 Število postelj za intenzivno zdravljenje po dejavnostih, 2004 Intensive therapy beds by specialty, 2004 13-2. 7 Število postelj za intenzivno nego po dejavnostih, 2004 Intensive care beds by specialty, 2004 13-3. 1 Gibanje bolnikov po bolnišnicah, 2004 In-patients fluctuation by hospital, 2004 13-3. 2 Gibanje bolnikov po dejavnostih bolnišnic, 2004 In-patients fluctuation by specialty, 2004 13-4 Bolnišnične obravnave (hospitalizacije in dnevne obravnave) zaradi bolezni, poškodb, zastrupitev, porodov in fetalnih smrti po regiji bivališča, 1994 2004 Hospitalizations and day cases due to diseases, injuries, poisonings, deliveries and foetal deaths by region of residence, 1994-2004 13-5. 1 Število hospitalizacij zaradi bolezni, poškodb, zastrupitev, porodov in fetalnih smrti po skupinah MKB-9, 1992-2004 Hospitalizations due to diseases, injuries, poisonings, deliveries and foetal deaths by ICD-9 group, 1995-2004 13-5. 2 Stopnja hospitalizacije zaradi bolezni, poškodb, zastrupitev, porodov in fetalnih smrti (na 1000 prebivalcev) po skupinah MKB-9, 1995-2004 Hospitalizations due to diseases, injuries, poisonings, deliveries and foetal deaths (per 1000 population) by ICD-9 group, 1995-2004 13-5. 3 Povprečno trajanje hospitalizacije zaradi bolezni, poškodb, zastrupitev, porodov in fetalnih smrti po skupinah MKB-9, 1995-2004 Average length of stay due to diseases, injuries, poisonings, deliveries and foetal deaths by ICD-9 group, 1995-2004 Slike / Pictures 433

13. BOLNIŠNIČNA DEJAVNOST / HOSPITAL SERVICES Viri in metode zbiranja podatkov: Bolnišnično dejavnost je v letu 2004 izvajalo 29 izvajalcev, med temi 3 zasebni in 26 javnih. Posredovali so dve vrsti podatkov: 1) Zbirna poročila o svojem delu pošiljajo bolnišnice območnim zavodom za zdravstveno varstvo, ki jih nato posredujejo Inštitutu za varovanje zdravja RS. Poročila o delu stacionarnega zavoda (obr. štev. 3-21-60) so polletna, vsebujejo pa podatke o organizacijskih enotah, zdravstvenih in drugih delavcih, številu bolniških postelj, številu bolniških dni ter gibanju vseh obravnavanih oseb skupno za vse vrste bolnišničnih obravnav (hospitalizacije, enodnevne obravnave, dolgotrajne dnevne obravnave, podaljšano bolnišnično zdravljenje) in za vsa področja: za bolezni, poškodbe, zastrupitve, porode, fetalne smrti in za medicinsko rehabilitacijo. Poročale so vse bolnišnice. Podatki iz zbirnih poročil (prikazani v tabelah od 13 1. do 13 3.) kažejo, da se je v letu 2004 število obravnav zaradi bolezni, poškodb in zastrupitev, porodov, in splavov in medicinske rehabilitacije (bilo jih je 362.108) v primerjavi z letom 2003 (ko jih je bilo 354.451) povečalo za 7.657 ali 2%, število bolniških oskrbnih dni pa se je povečalo za 3,8%. Število bolniških postelj se je zmanjšalo za 311 ali za 3,1%, tako da jih je bilo 9.584 ali 480 na 100.000 prebivalcev. Povprečna ležalna doba, izračunana na podlagi dejanskega letnega števila obravnavnavanih oseb in bolniških oskrbnih dni, je znašala 7,5 dneva (0,1 dneva ali 1,4% več kot v letu 2003). 2) Vhodne zapise o posamezni bolnišnični obravnavi smo z letom 1997 začeli zbirati po novi metodologiji. Nova vsebina zapisa je bila usklajena z zahtevami Svetovne zdravstvene organizacije in Evropske unije, hkrati pa smo poenotili skupne podatke pri posameznih vrstah bolnišničnih obravnav v skladu z zahtevami Zakona o zbirkah podatkov s področja zdravstvenega varstva glede zagotavljanja elementov enotnosti zdravstvenega informacijskega sistema v Republiki Sloveniji (Ur.l. 65/2000, 8093-8129) in v skladu z zahtevo Ministrstva za zdravje po poenotenju spremljanja bolnišničnih obravnav. Osnovna enota je postala epizoda. Bolnišnice pošiljajo podatke o zaključenih bolnišničnih epizodah neposredno na Inštitut za varovanje zdravja RS dvakrat letno na magnetnem mediju. V tabeli 13-4 so prikazani podatki o hospitalizacijah in dnevnih obravnavah zaradi bolezni, poškodb, zastrupitev, porodov in fetalnih smrti, v naslednjih pa o hospitalizacijah (nanašajo se na odpuščene bolnike). Podatki iz zbirk elektronskih zapisov kažejo, da je bilo v letu 2004 v slovenskih bolnišnicah 336.111 (330.215 v letu 2003) hospitalizacij in enodnevnih obravnav zaradi bolezni, poškodb, zastrupitev, porodov in fetalnih smrti, kar je 1,8% več kot v letu 2003. Število vseh hospitalizacij in enodnevnih obravnav se je povečalo pri prebivalcih večine regij, najbolj koroške (za 4,7%) in ljubljanske (za 3,9%), zmanjšalo pa se je pri prebivalcih le dveh: za 1,8% pri prebivalcih novomeške in za 1,3% pri prebivalcih celjske regije. Od tega je bilo hospitalizacij 307.256 t.j. 153,9 na 1000 prebivalcev (152,95/1000 v 2003), kar pomeni v primerjavi z letom 2003 (305.416) povečanje za 0,6 %. Najpogostejši vzroki hospitalizacij v letu 2004 so bili: novotvorbe (18,03/1000 prebivalcev), bolezni obtočil (17,92/1000), poškodbe in zastrupitve (15,26/1000), bolezni prebavil (13,96/1000), nosečnost, porod in poporodna doba (13,37/1000), bolezni dihal (12,09/1000) ter bolezni sečil in spolovil (11,46/1000). Povprečno trajanje hospitalizacije odpuščenih bolnikov je bilo 8,01 dni, kar je za 0,4 dni krajše (ali 4,6%) kot v letu 2003. Najkrajše je bilo pri dejavnikih, ki vplivajo na zdravje (4,51 dni) in pri boleznih sečil in spolovil (4,54 dni), najbolj pa se je skrajšalo pri dejavnikih, ki vplivajo na zdravje - za 1,44 dni ali 24,2%, pri stanjih, nastalih v perinatalni dobi za 1,27 dni ali 12,3%, in pri endokrinih, prehranskih in presnovnih boleznih za 0,9 dni ali 11,5% (tabela 13-5.3). HOSPITAL SERVICES Sources and metods of data collection Hospital treatment has been provided by 29 hospitals, 3 private and 26 public. From all hospitals in Slovenia aggregated reports on their services (Form 3-21-60) were sent to regional public health institutes and then to the Institute of Public Health of the Republic of Slovenia. These semiannually reports provide information on organisational units, health care and other staff, bed capacity, number of hospital days, and the number of patients receiving various in-patient and day-care services for diseases, injuries, poisonings, deliveries, foetal deaths and for all types of treatments within the framework of medical rehabilitation. The analysis of the aggregated reports showed that the number of admissions to hospital (362,108) due to diseases, injuries, poisonings, deliveries, foetal deaths and medical rehabilitation increased by 7,657 (or 2%) compared to 2003, whilst the number of hospital days increased by 3.8%. The number of hospital beds decreased by 311 or 3.1%, and it was 9,584 or 480 per 100,000 inhabitants. The average length of stay (based on the annual number of admissions and hospital days) was 7.5 days (for 0.1 days or 1.4% longer compared to 2003). 434

In 1997, a new methodology for collecting individual in-patient health care data was introduced to meet the requirements of the World Health Organization and European Union. Hospital admissions are documented as a set of episodes, i. e. in-patient care provided within one health care service. These episodes are aggregated to form a category of hospitalization, defined as hospital-based health care delivered to a patient in one hospital, and, as a rule, for more than 24 hours or overnight. Hospital statistics containing data on these episodes are sent on a computer disc to the Institute of Public Health of the Republic of Slovenia twice a year. Table 13-4 presents in-patient and day-care admissions data due to diseases, injuries, poisonings, deliveries and foetal deaths, all the following tables present only in-patient data. In 2004, 336,111 hospitalizations and day-care treatments (330,215 in 2003) were required due to diseases, injuries, poisonings, deliveries and foetal deaths - which is an increase of 1.8% on 2003. In 2004, the number of all admissions increased in majority of regions, the most in Ravne region (by 4.7%), and Ljubljana region (by 3.9%, )whilst decreased in 2 regions, the most in Novo mesto region (by 1.8%), and in Celje region (by 1.3%). 307,256 (305,416 in 2003) hospitalizations (in-patient treatments) were required due to diseases, injuries, poisonings, deliveries and foetal deaths 153.9 per 1000 (152.95 per 1000 inhabitants in 2003), an increase of 0.6% on 2003. In-patient admissions were most frequently due to neoplasms (18.03/1000 inhabitants), diseases of the circulatory system (17.92/1000), injuries and poisonings (15.26/1000), diseases of the digestive system (13.96/1000), pregnancy, delivery and puerperium (13.37/1000), diseases of the respiratory system (12.09/1000) and diseases of the urogenital system (11.46/1000. The average length of stay (based on discharges) was 8.01 days (for 0.4 days or 4.6% shorter compared to 2003); the shortest length of stay was due to factors influencing health status and contact with health services (4.51 days) and diseases of the urogenital system (4.54 days). The largest shortening was 24.2% (1.44 days) due to factors influencing health status and contact with health services, 12.3% (1.27 days) due to certain conditions originating in the perinatal period and 11.5% (0.9 days) due to endocrine, nutritional and metabolic diseases - (table 13-5.3). Definicije za poglavja 13, 13A in 13B / Definitions (Chapters 13, 13A and 13B): Bolniška postelja je redno vzdrževana in oskrbovana postelja za namestitev in 24-urno oskrbo in nego hospitaliziranih oseb in je nameščena na bolniškem oddelku ali v drugem prostoru bolnišnice, kjer je hospitaliziranim zagotovljena nepretrgana medicinska oskrba. Iz bolniških postelj so izključene: postelje za novorojenčke brez patoloških stanj, dnevne postelje, provizorične in začasne postelje. Med bolniške postelje ne štejemo postelj za posebne namene, npr. za dializo, posebne postelje v porodništvu, in postelje, ki spadajo k posebnim medicinskim napravam. Hospital bed is a regularly maintained and cared for bed for the placement, 24-hour care and treatment of hospitalised persons. It is located in a hospital ward, or some other area of the hospital, where hospitalised persons are provided with continuous medical care. Hospital beds do not include: beds for treatment of newborns without desease or disorder, day beds, provisional and makeshift beds. Hospital beds also do not include special-purpose beds, e.g., for dialysis, special beds for obstetrics and beds integrated into special medical devices. Bolnišnica je stacionarna ustanova, ki nudi 24-urno oskrbo in nego, diagnostiko, zdravljenje in rehabilitacijo oseb, običajno za bolezenska in kirurška stanja. V njej so zaposleni profesionalni zdravstveni delavci. Bolnišnica lahko izvaja storitve tudi ambulantno. Ločimo 3 tipe: splošne, specialne in univerzitetne bolnišnice. Splošna bolnišnica je bolnišnica, ki nudi vrsto storitev osebam vseh starostnih skupin z različnim zdravstvenim stanjem, boleznijo ali prizadetostjo in ni univerzitetna bolnišnica. Specialna bolnišnica je bolnišnica, v kateri so primarno hospitalizirane osebe s specifično boleznijo ali prizadetostjo enega organskega sistema, ali pa je namenjena za diagnostiko in zdravljenje bolezni in stanj pri osebah določene starostne skupine ali za diagnostiko in zdravljenje bolezni in stanj dolgotrajne narave. Univerzitetna oz. učna bolnišnica (običajno s klinikami) je javna ali zasebna bolnišnica, ki izvaja tudi poučevanje zdravnikov. Povezana je z univerzo in zaposluje specialiste z osnovno specializacijo ali subspecializacijo. Hospital is a stationary institution, providing 24-hour health care, diagnostics, treatment and rehabilitation to persons, usually for pathological and surgical conditions. It employs professional health-care workers. A hospital may perform services also on an outpatient basis. There are three types of hospitals: general, specialist and university hospitals. General hospital is an institution providing a range of services to persons of all ages with different health conditions, illnesses or afflictions, and is not a university hospital. Specialist hospital is an institution mostly treating persons with a specific illness or affliction of a single organ system, or is intended for diagnostics and treatment of an illness or condition in persons of a specific age group, or for diagnostics and treatment of long-term illnesses. University or educational hospital (usually incorporating clinics) is a public or private hospital where the training of physicians also takes place. It is associated with a university and employs specialists with a main specialty or a subspecialty. Bolnišnična epizoda je zdravstvena oskrba osebe v eni zdravstveni službi na eni lokaciji zaradi ene glavne diagnoze. Epizoda se torej prične v trenutku, ko osebo namestijo v posteljno enoto zdravstvene službe na eni lokaciji in se konča z 435

odpustom iz bolnišnice, s premestitvijo v posteljno enoto druge zdravstvene službe ali s smrtjo osebe. Izjemoma sta lahko v eni zdravstveni službi dve zaporedni bolnišnični epizodi, ko pride med hospitalizacijo zaradi patološke nosečnosti do poroda. Porod tako vedno pomeni novo bolnišnično epizodo. Hospital episode means health care of a person by a single health care service at a single location, as a result of a single main diagnosis. An episode thus commences at the moment when the person is allocated a bed unit of a health care service at a single location and ends with the person s release from hospital, with relocation to a bed unit of another health service or with the patient s death. Exceptionally, two consecutive hospital episodes may occur within a single health care service, due to pathological pregnancy during hospitalisation leading to birth. Childbirth always denotes a new hospital episode. Bolnišnična obravnava je skupen izraz za različne oblike obravnav v bolnišnični zdravstveni dejavnosti in pomeni skupek aktivnosti (opazovanje, diagnostika, zdravljenje in rehabilitacija), ki se nanašajo na zdravstveno oskrbo v stacionarni ustanovi (bolnišnici). Sem sodijo hospitalizacija, enodnevna obravnava, dolgotrajna dnevna obravnava in podaljšano bolnišnično zdravljenje. Hospital care is a common expression denoting various forms of treatment in hospital-based health care activities and means the aggregate of activities (monitoring, diagnostics, treatment and rehabilitation), which refer to the health care treatment in a stationary institution (hospital). This includes hospitalisation, day care, long-term day care and extended hospital treatment. Dolgotrajna dnevna obravnava (SZO: long-term day care, ZZZS: dnevna bolnišnica) je zdravstvena oskrba osebe, ki s prekinitvami traja daljši čas, vendar vsakokrat neprekinjeno manj kot 24 ur in ne preko noči. Osebe lahko prihajajo na dnevno obravnavo v bolnišnico več dni zapored, lahko pa tudi s presledki enkrat ali večkrat tedensko, prespijo pa doma. Največ tovrstnih primerov se pojavlja v psihiatriji. Long-term day care (SZO: long-term day care, ZZZS: day hospital) means the health care of a person, lasting an extended period of time with intermissions, with each attendance spanning a continuous period of less than 24 hours without overnight stay. A person may receive day care in a hospital for several consecutive days, or, with intermissions, once or several times a week, but spend every night at home. The greatest number of such cases occurs in psychiatry. Enodnevna obravnava (SZO: day care, ZZZS: enodnevna bolnišnica) je zdravstvena oskrba osebe, ki traja manj kot 24 ur in ne preko noči (izjema: diagnostika motenj spanja se šteje kot dnevna obravnava, čeprav je oseba v bolnišnici preko noči). Ob tem se zasedejo posebne postelje (postelje, kjer si opomorejo; postelje za posebne namene; postelje, ki so pridružene posebnim medicinskim napravam) ali redne bolniške postelje (v tem primeru to ni hospitalizacija in ta ležalna doba ni vključena v število bolniških oskrbnih dni). Day care (SZO: day care, ZZZS: day hospital) means the health care of a person, lasting less than 24 hours without overnight hospitalisation (exception: diagnosis of sleeping problems is considered day care, even though the person stays in hospital overnight.) In this case special beds are occupied (beds for recuperation; special-purpose beds; beds incorporated into special medical devices) or regular hospital beds (this is not considered hospitalisation and the bed time is not included in the number of days of hospital-based care). Glavna diagnoza je diagnoza vodilne bolezni ali stanja, zaradi katerega je bila oseba sprejeta na obravnavo v bolnišnico. Main diagnosis is a diagnosis of the main disease or condition due to which the person was admitted to hospital care. Diagnoza zunanjega vzroka opredeljuje dogodek in okoliščine, zaradi katerih je prišlo do nastanka poškodbe, zastrupitve ali drugih škodljivih posledic. Diagnosis of external cause defines the event and circumstances due to which injury, poisoning or other adverse consequences occurred. Glavna diagnoza v epizodi: je diagnoza vodilne bolezni ali stanja v epizodi, zaradi katerega je bila oseba na bolnišnični obravnavi. To je štirimestna šifra diagnoze po 10. reviziji MKB. Main diagnosis in an episode: a diagnosis of the main disease or condition in an episode, due to which the person was admitted to hospital care. It is expressed in the form of a four-digit code of diagnosis according to the 10th revision of ICD. Gravitacija je usmerjenost prebivalstva k določeni bolnišnici. Gravitacijski prebivalci so izračunani iz števila prebivalcev na osnovi deleža hospitalizacij v posamezni bolnišnici pod predpostavko, da je delež hospitalizacij v tej bolnišnici enak deležu prebivalcev, ki gravitirajo k njej. Gravitation is the orientation of the population towards a given hospital. Gravitation inhabitants are calculated from the number of inhabitants on the basis of the share of hospitalisations in a specific hospital, on the assumption that the share of hospitalisations in that hospital is equal to the share of inhabitants gravitating towards that hospital. Hospitalizacija je neprekinjena, več kot 24 ur (ali vsaj preko noči) trajajoča zdravstvena oskrba osebe v posteljni enoti bolnišnice. Začne se s sprejemom, nadaljuje z eno ali več epizodami in zaključi z odpustom. Izjemoma je hospitalizacija krajša kot 24 ur, če je bila oseba že prvi dan hospitalizacije premeščena v drugo bolnišnico ali če je v tem času umrla. Pojasnilo: Hospitalizacija je pojem zdravstvene statistike, ki je namenjena primerjavam med bolnišnicami na krovni ravni. Definirana je z dvema ključnima dogodkoma, ki opisujeta stik med osebo in bolnišnico kot pravno osebo, tj. s sprejemom na zdravljenje v bolnišnici in z odpustom iz bolnišnice. 436

Hospitalisation means uninterrupted, more than 24-hour period (or at least overnight) health care of a person in a bed unit of a hospital. It commences with admission, continues with one or more episodes and ends with release from hospital. Exceptionally, hospitalisation may be shorter than 24 hours, if the person was relocated, already the first day of hospitalisation, to another hospital, or if the person has died in the meantime. Explanation: Hospitalisation is a term of health care statistics, which is intended for comparisons between hospitals at the level of coverage. It is defined by two key events denoting the contact between the person and the hospital as a legal person, i.e., admission to hospital care and release from hospital. Intenzivna terapija je stalna, neprekinjena diagnostična in terapevtska oskrba življenjsko ogrožene osebe, ki se izvaja v intenzivnih enotah z neprekinjeno prisotnostjo zdravnika. Intenzivna nega je praviloma organizirana v okviru posamezne specialnosti, ločeno od intenzivnih enot, zdravljenje pa ne zahteva neprekinjene prisotnosti zdravnika. Intensive therapy means continuous, uninterrupted diagnostic and therapeutic care of a person whose life is in danger, taking place in intensive care units in the continuous presence of a physician. Intensive care is, as a rule, organised within the scope of individual specialties, separate from intensive care units, without the required presence of a physician. Odpust je zaključek obdobja zdravstvene stacionarne oskrbe v eni bolnišnici, ne glede na to ali se oseba vrne na svoj dom, je premeščena ali umre. V število odpustov ni vključeno: - premestitev z enega oddelka na drugega v isti bolnišnici; - kadar oseba začasno zapusti bolnišnico in je bolniška postelja zanjo še vedno rezervirana (npr. izhodi ob koncu tedna). Release means the end of a period of hospital-based care in a single hospital, regardless of whether the person returns home, is relocated or dies. The number of releases does not include: - relocation from one ward to another within the same hospital; - when a person temporarily leaves the hospital, but the hospital bed remains reserved for the said person (e.g., weekend leave). Podaljšano bolnišnično zdravljenje (PBZ) je bolnišnična obravnava, namenjena tistim osebam, ki po zaključeni diagnostični obravnavi in zastavljenem zdravljenju slednjega še ne morejo nadaljevati zunaj bolnišnice, ker bi prezgodnji odpust lahko povzročil pomembno poslabšanje bolezni ali stanja. PBZ lahko poteka v istem ali po premestitvi osebe v drugem zdravstvenem zavodu. Extended hospital care means hospital care intended for those persons who, after completed diagnostic treatment and terminated health care, still cannot continue treatment outside the hospital, because release would cause significant deterioration of the disease or condition. Extended hospital care may take place in the same or in a different health care institution following relocation. Povprečna ležalna doba je seštevek realiziranih bolniških dni v bolnišnici, deljen s številom hospitaliziranih oseb, v koledarskem letu. Pri številu oseb se upošteva začetno stanje in sprejete v bolnišnico med letom. Dan sprejema in dan odpusta se šteje kot en bolniški dan. Vir podatkov je Poročilo o delu stacionarnega zavoda (Obr. 3-21-60). Average length of stay is the sum of hospital days actually spent in a hospital, divided by the number of hospitalised persons in a calendar year. The initial status and admission to hospital during the year are taken into account in the number of persons. The day of admission and the day of release count for a single hospital day. Source of information: Treating Institute Report (Form 3-21-60). Povprečno trajanje hospitalizacije je seštevek vseh trajanj hospitalizacije pri hospitaliziranih zaradi posamezne bolezni ali stanja (ene glavne diagnoze po MKB), deljen s številom hospitalizacij (odpustov) zaradi te bolezni ali stanja v koledarskem letu. Vir podatkov je Podatkovna zbirka o bolnišničnih obravnavah IVZ RS. Mean length of hospitalisation is the sum of all periods of hospitalisation due to individual disease or condition (one main diagnosis according to ICD), divided by the number of hospitalisations (releases), due to disease or condition, in a calendar year. Source of information: Database on hospital-based health care of the Institute of Public Health. Sprejem je namestitev bolnika v posteljni enoti bolnišnice, praviloma za več kot 24 ur oziroma vsaj za eno noč, v primeru smrti ali premestitve v drugo zdravstveno ustanovo lahko za manj kot 24 ur. Te primere beležimo kot enodnevne hospitalizacije (trajanje hospitalizacije je en dan). Admission is the placement of a patient in a hospital bed unit, usually for more than 24 hours, or at least overnight. In the event of death or relocation to another health care institution, this can be less than 24 hours. These cases are recorded as day hospitalisations (duration of hospitalisation is one day). Ponovni sprejem je ponovni sprejem bolnika v isti bolnišnici zaradi iste bolezni, poškodbe, zastrupitve ali zaradi posledic te bolezni ali stanja. Posebej beležimo ponovni sprejem v enem letu po prvi hospitalizaciji in ponovni sprejem več kot eno leto po prvi hospitalizaciji. 437

Readmission is a repeat admission of a patient in the same hospital for the same disease, injury, poisoning or due to the consequences of the said disease or condition. A separate record is kept of admissions within one year after the first hospitalisation and of readmissions occurring more than one year after first hospitalisation. Trajanje hospitalizacije je seštevek trajanja zaporednih epizod pri isti osebi v eni bolnišnici (v dnevih). Če se je oseba zdravila v posteljni enoti samo ene zdravstvene službe, je trajanje epizode enako trajanju hospitalizacije. Duration of hospitalisation is the sum of all periods of consecutive episodes of the same person in a single hospital (in days). If a person received care in a bed unit of a single health care service, the period of the episode is equal to the duration of hospitalisation. Zdravstvena oskrba so vse aktivnosti, ki jih izvajajo zdravniki in drugo zdravstveno osebje pri diagnostiki, zdravljenju, rehabilitaciji in sledenju bolnikov. Health care means all activities, which physicians and other health care staff perform during the diagnosis, treatment, rehabilitation and surveillance of patients. Zdravstvena služba je področje zdravstvene dejavnosti, ki jo izvajajo organizacijske enote zavodov in zasebnih zdravstvenih delavcev. Zdravstvene službe se uporabljajo za spremljanje zdravstvene dejavnosti na državni ravni (na IVZ jih»prelivamo«v specialnosti). Health care service means the scope of health care activities performed by organisational units of institutions and private health care workers. Health care services are used for monitoring health care activities at the national level (at the Institute of Public Health these are transformed into specialties). Združevanje epizod (agregacija): je postopek združevanja posameznih zapisov (epizod), kjer je vrsta obravnave hospitalizacija. Epizode združujemo: a) po hospitalizacijah (v nov zapis se združujejo vse epizode ene osebe v eni bolnišnici v času ene hospitalizacije, pri čemer je zabeležena kot glavna diagnoza le-ta iz prve epizode), b) po specialnostih (vse epizode pri eni osebi v eni bolnišnici v okviru ene hospitalizacije v lečečih organizacijskih enotah ene specialnosti) in c) po diagnozah, ki prikazujejo bolnišnične obravnave ene osebe v eni bolnišnici v lečečih organizacijskih enotah z isto glavno diagnozo. Če je imela oseba več epizod in glavna diagnoza ni bila v vseh epizodah enaka, je oseba v tej zbirki bolnišničnih obravnav večkrat prikazana. Zato je število epizod, združenih po diagnozah, običajno večje od števila hospitalizacij. Podobno pa tudi število hospitalizacij ni nujno enako vsoti števila bolnišničnih obravnav v okviru posameznih specialnosti. Aggregation of episodes is the procedure of aggregating individual records (episodes) where the type of care is hospitalisation. Episodes are aggregated as follows: a) by hospitalisation (a new record contains aggregate episodes of a single person in a single hospital during a single hospitalisation, whereby the diagnosis of the first episode is recorded as the main diagnosis.) b) by specialty (all episodes of a single person in a single hospital within the scope of a single hospitalisation in the treating organisational unit of a single specialty) and c) by diagnosis, representing the hospital care of a single person in a single hospital within the scope of a single hospitalisation in the treating organisational unit and with the same main diagnosis. If a person was delivered more than one episode and the main diagnosis was not the same in all episodes, that person is accounted for more than once in these aggregate hospital treatments - thus the number of episodes, aggregated by diagnosis, is usually greater than the number of hospitalisations. Similarly, the number of hospitalisations is not necessarily the same as the sum of all hospital treatments within a given specialty. Reference in viri: 1) Inštitut za varovanje zdravja RS: Zdravstveni informacijski sistem bolnišničnih obravnav. Podatkovna zbirka o hospitalizacijah in dnevnih obravnavah zaradi bolezni. Metodološka navodila za leto 2002. (Ver. 1.06) 2) Inštitut za varovanje zdravja RS: Zdravstveni informacijski sistem bolnišničnih obravnav (Projekt BOLOB) - Tehnično navodilo 3) Zdravstveni statistični letopis, Slovenija 2003 CD-ROM 4) Zbirke bolnišničnih obravnav 2003, 2004 5) http://hfadb.who.dk/hfa/definitions References and sources: 1) Institute of Public Health of the Republic of Slovenia: Health care information system of hospital care. Database on hospitalisations and day care due to disease. Methodological instructions for 2002. (Ver. 1.06) 2) Institute of Public Health of the Republic of Slovenia: Health care information system of hospital care (Project BOLOB) - Technical instructions 3) Health Statistical Annual, Slovenia 2003 CD-ROM 4) Aggregate records of hospital treatments 2003, 2004 5) http://hfadb.who.dk/hfa/definitions 438

13-1. 1 ZDRAVSTVENI IN DRUGI DELAVCI PO STATISTIČNIH REGIJAH, 2004 HOSPITAL HEALTH CARE STAFF AND OTHER STAFF BY STATISTICAL REGIONS, 2004 STATISTIČNA REGIJA VSI ZDRAVSTVENI DELAVCI Hosp. health care staff DRUGI DELAVCI Other hospital staff Statistical Region All Število Number % Število Number % SKUPAJ / Total 20717 14277 68,9 6440 31,1 Pomurska 844 570 67,5 274 32,5 Podravska 3175 2344 73,8 831 26,2 Koroška 683,5 451 66,0 232,5 34,0 Savinjska 1880 1311 69,7 569 30,3 Zasavska 264 180 68,2 84 31,8 Spodnjeposavska 260 176 67,7 84 32,3 Jugovzhodna Slovenija 893 609 68,2 284 31,8 Osrednjeslovenska 9197,5 6203 67,4 2994,5 32,6 Gorenjska 1355 921 68,0 434 32,0 Notranjsko kraška 77 47 61,0 30 39,0 Goriška 1006 693 68,9 313 31,1 Obalno kraška 1082 772 71,3 310 28,7 439

13-1. 2 ZDRAVSTVENI IN DRUGI DELAVCI V BOLNIŠNICAH PO DEJAVNOSTIH, 2004 HEALTH CARE STAFF AND OTHER HOSPITAL STAFF BY SPECIALTY, 2004 DEJAVNOST Specialty VSI All ZDRAVSTVENI DELAVCI Hospital health care staff Število Number % DRUGI DELAVCI Other hospital staff Število Number % SKUPAJ / Total 20717 14277 68,9 6440 31,1 Dermatovenerologija Dermatology 152 129 84,9 23 15,1 Ginekol. - porodništvo Gynaecology and obstetrics 1503 1221 81,2 282 18,8 Infektologija Infectious diseases 321 252 78,5 69 21,5 Interna medicina Internal diseases 2908,5 2572 88,4 336,5 11,6 Invalidna mladina Disabled youth 117 93 79,5 24 20,5 Kirurgija Surgery 3331 2992 89,8 339 10,2 Nevrologija Neurology 385 328 85,2 57 14,8 Nuklearna medicina 1) Nuclear medicine 1) 89 58 65,2 31 34,8 Okulistika Ophthalmology 313 267 85,3 46 14,7 Onkologija Oncology 720 545 75,7 175 24,3 Ortopedija Orthopaedy 409 380 92,9 29 7,1 Otorinolaringologija Otorhinolaryngology 301 252 83,7 49 16,3 Pediatrija Paediatrics 837 694 82,9 143 17,1 Psihiatrija Psychiatry 1337 957 71,6 380 28,4 Reanimacija in anestezija Emergency and anaesthetics 498 472 94,8 26 5,2 Fizioterapija Physiotherapy 285,5 279 97,7 6,5 2,3 Laboratorij Laboratory 556 423 76,1 133 23,9 Lekarna Pharmacy 231 176 76,2 55 23,8 Prosektura 2) Autopsy services 2) 158 104 65,8 54 34,2 Rehabilitacija Rehabilitation 485 357 73,6 128 26,4 Rentgen Radiology 513 443 86,4 70 13,6 Skupne službe 3) Common services 3) 4182 296 7,1 3886 92,9 Stomatologija 4) Hospital dental services 4) 72 66 91,7 6 8,3 Transfuzija Blood transfusion services 384 313 81,5 71 18,5 Pripravniki Interns and probationers 369 348 94,3 21 5,7 Sekundariji Secondaries 260 260 100,0 - - Opombe: / Notes: 1) Nuklearna medicina je pri nekaterih bolnišnicah prikazana samostojno in ne več v sklopu interne medicine. / Nuclear medicine services delivered in some hospitals are presented separately, and no longer within the framework of internal medicine. 2) Prosektura: patologija in sodna medicina / Autopsy services: pathology and forensic medicine 3) Skupne službe: vključeni uprava, vzdrževalna služba, administracija in pomožne službe / Common services: management, maintenance, administration and ancillary services included 4) Stomatologija: izključena je maksilofacialna kirurgija / Hospital dental services: maxillo-facial surgery excluded 440

13-1. 3 ZDRAVSTVENI DELAVCI PO STOPNJI IZOBRAZBE IN PO STATISTIČNIH REGIJAH, 2004 STATISTIČNA REGIJA HOSPITAL HEALTH CARE STAFF BY LEVEL OF EDUCATION AND BY STATISTICAL REGIONS, 2004 S T O P N J A I Z O B R A Z B E / Level of education VISOKA / High VIŠJA / Higher non-university SREDNJA / Secondary NI- ŽJA od od teh od teh VSI Vsi od teh Diplom. teh Prim- ZDRAV. zdravn., Zdr. Zdrav. medi- Pri- Ostali VSI Višje Pri- VSI Zdrav- Pri- ary DEL. zobozdr. pri- sekun- cinske prav- Others All med. prav- All stveni prav- All hosp. prav- dariji sestre niki sestre niki tehniki niki Statistical Region All physic., niki Secon- Pro- S.R.N. Pro- N.A.. Prodental In- daries B.S.N. batio- batio- batiophysic. terns ners ners ners SKUPAJ / Total 14277 2918 36 260 1393 110 815 1797 1084-6819 6227 131 535 Pomurska 570 96 1 5 71 13 17 64 33-314 289-8 Podravska 2344 470 15 33 223 16 105 299 178-1096 1026 15 151 Koroška 451 89-6 50 3 14 53 35-245 229 7 - Savinjska 1311 272 10 23 154 13 44 165 99-604 560 3 72 Zasavska 180 29-1 8-3 31 22-96 81-13 Spodnjeposavska 176 39-5 11-11 21 17-87 78 4 7 Jugovzhodna Slovenija 609 131-19 78 3 26 49 32-317 292-8 Osrednjeslovenska 6203 1331-136 622 49 502 779 452-2757 2441 67 212 Gorenjska 921 179 6 14 78 9 33 110 72-482 454 18 39 Notranjsko kraška 47 9 - - 4-1 14 14-19 19 - - Goriška 693 126 4 7 45 4 28 108 72-370 351 9 16 Obalno kraška 772 147-11 49-31 104 58-432 407 8 9 441

13-1. 4 ZDRAVSTVENI DELAVCI V BOLNIŠNICAH PO STOPNJI IZOBRAZBE IN PO DEJAVNOSTIH, 2004 HOSPITAL HEALTH CARE STAFF BY LEVEL OF EDUCATION AND BY SPECIALTY, 2004 DEJAVNOST Specialty S T O P N J A I Z O B R A Z B E / Level of education VISOKA / High VIŠJA / Higher non-university SREDNJA / Secondary VSI od teh od teh od teh NIŽJA ZDRAV- VSI Zdravniki Diplom. VSI Višje VSI Zdrav- Prim- STVENI All in zobozdr. medic. All med. All stveni ary DELAVCI Physic., sestre sestre tehniki All and dental B.S.N. S.R.N. N.A. physic. SKUPAJ / Total 14277 5126 2918 1393 1797 1084 6819 6227 535 Dermatovenerologija Dermatology 129 46 41 5 13 12 70 65 - Ginek. - porodništvo Gynaecol. and obstetrics 1221 392 217 152 145 127 662 628 22 Infektologija Infectious diseases 252 91 58 31 15 15 144 144 2 Interna medicina Internal diseases 2572 800 522 264 258 245 1495 1476 19 Invalidna mladina Disabled youth 93 16 4 3 14 5 58 58 5 Kirurgija Surgery 2992 862 528 323 300 290 1715 1707 115 Nevrologija Neurology 328 107 85 20 30 26 186 184 5 Nuklearna medicina 1) Nuclear medicine 1) 58 34 19 4 15 6 9 7 - Okulistika Ophthalmology 267 116 76 39 27 27 118 118 6 Onkologija Oncology 545 236 110 62 46 30 184 148 79 Ortopedija Orthopaedy 380 117 78 35 43 39 220 219 - Otorinolaringologija Otorhinolaryngology 252 97 66 29 23 23 122 122 10 Pediatrija Paediatrics 694 218 152 53 44 36 411 398 21 Psihiatrija Psychiatry 957 336 163 93 113 48 429 423 79 Reanimacija in anestezija Emergency and anaesth. 472 249 156 89 75 73 141 141 7 Stomatologija 2) Hospital dental services 2) 66 33 29 1 4 2 28 11 1 Fizioterapija Physiotherapy 279 96 4-178 - 5 3 - Laboratorij Laboratory 423 96 12 4 63 3 261 18 3 Lekarna Pharmacy 176 59 1-6 1 105 5 6 Prosektura 3) Autopsy services 3) 104 66 59-4 1 30 8 4 Rehabilitacija Rehabilitation 357 152 40 13 78 4 91 88 36 Rentgen Radiology 443 221 120 14 204 16 14 14 4 Skupne službe 4) Common services 4) 296 95 42 23 33 16 85 66 83 Transfuzija Blood transfusion serv. 313 113 40 26 66 39 106 54 28 Pripravniki Interns and probationers 348 218 36 110 - - 130 122 - Sekundariji Secondaries 260 260 260 - - - - - - Opombe: / Notes: 1) Nuklearna medicina je pri nekaterih bolnišnicah prikazana samostojno in ne več v sklopu interne medicine. / Nuclear medicine services delivered in some hospitals are presented separately, and no longer within the framework of internal medicine. 2) Stomatologija: izključena je maksilofacialna kirurgija / Hospital dental services: maxillo-facial surgery excluded 3) Prosektura: patologija in sodna medicina / Autopsy services: pathology and forensic medicine 4) Skupne službe: vključeni uprava, vzdrževalna služba, administracija in pomožne službe / Common services: management, maintenance, administration and ancillary services included 442

13-1. 6 ZDRAVSTVENI DELAVCI Z VISOKO IZOBRAZBO PO STATISTIČNIH REGIJAH, 2004 HOSPITAL HEALTH CARE STAFF WITH HIGH LEVEL OF EDUCATION BY STATISTICAL REGIONS, 2004 STATISTIČNA REGIJA V I S O K A I Z O B R A Z B A / High level of education ZDRAVNIKI / Physicians VSI Priprav- Sekun- Brez Na Specia- Zobo- Diplom. Farma- Ostali ZDRAVNIKI niki dariji special. specia- listi zdravniki medic. cevti Other Statistical Region All Interns Secon- Practi- lizaciji Specia- Dental sestre Pharma- physicians daries tioners Registrars lists physic. B.S.N. cists SKUPAJ / Total 2886 36 260 56 538 1996 32 1393 135 680 Pomurska 96 1 5-20 70-71 3 14 Podravska 470 15 33 2 93 327-223 11 94 Koroška 89-6 - 15 68-50 4 10 Savinjska 272 10 23 2 53 184-154 7 37 Zasavska 29-1 - 5 23-8 1 2 Spodnjeposavska 39-5 - 5 29-11 1 10 Jugovzhodna Slovenija 131-19 - 19 93-78 3 23 Osrednjeslovenska 1299-136 49 254 860 32 622 88 414 Gorenjska 179 6 14 1 36 122-78 11 22 Notranjsko kraška 9 - - - 1 8-4 1 - Goriška 126 4 7-20 95-45 4 24 Obalno kraška 147-11 2 17 117-49 1 30 443

13-1. 7 ZDRAVSTVENI DELAVCI Z VIŠJO IN NIŽJO IZOBRAZBO PO STATISTIČNIH REGIJAH, 2004 HOSPITAL HEALTH CARE STAFF WITH HIGHER NON-UNIVERSITY EDUCATION AND PRIMARY EDUCATION BY STATISTICAL REGIONS, 2004 STATISTIČNA REGIJA Statistical Region V I Š J A I Z O B R A Z B A / Higher non-university education N I Ž J A I Z O B RA Z B A / Primary education VSI All Pripravniki Probationers Višje medic. sestre S.R.N. Ostali Others VSI All Bolničarji Nursing auxiliary Ostali Others SKUPAJ / Total 1797-1084 713 535 260 275 Pomurska 64-33 31 8 7 1 Podravska 299-178 121 151 83 68 Koroška 53-35 18 - - - Savinjska 165-99 66 72 17 55 Zasavska 31-22 9 13 13 - Spodnjeposavska 21-17 4 7 7 - Jugovzhodna Slovenija 49-32 17 8 8 - Osrednjeslovenska 779-452 327 212 97 115 Gorenjska 110-72 38 39 14 25 Notranjsko kraška 14-14 - - - - Goriška 108-72 36 16 6 10 Obalno kraška 104-58 46 9 8 1 444

13-1. 8 ZDRAVSTVENI DELAVCI S SREDNJO IZOBRAZBO PO STATISTIČNIH REGIJAH, 2004 HOSPITAL HEALTH CARE STAFF WITH SECONDARY EDUCATION BY STATISTICAL REGIONS, 2004 STATISTIČNA REGIJA Statistical Region VSI All S R E D N J A I Z O B R A Z B A - T E H N I K I / Secondary education - technicians Pripravniki Probationers Farmac. tehn. Pharmac. techn. Labor. tehn. Laboratory techn. Zdravstv. tehniki N.A. Ostali Other SKUPAJ / Total 6819 131 147 384 6227 61 Pomurska 314-6 19 289 - Podravska 1096 15 13 54 1026 3 Koroška 245 7 4 12 229 - Savinjska 604 3 8 36 560 - Zasavska 96-2 12 81 1 Spodnjeposavska 87 4 3 5 78 1 Jugovzhodna Slovenija 317-5 15 292 5 Osrednjeslovenska 2757 67 86 185 2441 45 Gorenjska 482 18 9 16 454 3 Notranjsko kraška 19 - - - 19 - Goriška 370 9 5 14 351 - Obalno kraška 432 8 6 16 407 3 445

13-2. 1 ŠTEVILO POSTELJ, OSKRBNIH DNI IN POVPREČNA LEŽALNA DOBA V BOLNIŠNICAH, 2004 HOSPITAL BEDS, HOSPITAL DAYS AND MEAN LENGTH OF STAY BY HOSPITAL, 2004 BOLNIŠNICA Hospital Obstoječe postelje Available beds Bolniki 1) In-patients 1) Oskrbni dnevi Hospital days Povprečna ležalna doba Average length of stay SKUPAJ / Total 9584 349431 2621464 7,5 SPLOŠNE BOLNIŠNICE - General hospitals 4535 203263 1177968 5,8 KLINIKE - Clinics 3109 93957 927598 9,9 SPECIALNE BOLNIŠNICE - Special hospitals 1940 52211 515898 9,9 Opomba: / Note: 1) Bolniki (ostali iz prejšnjega leta + novosprejeti) / Patients (remaining from the previous year + new admissions) 446

13-2. 2 ŠTEVILO POSTELJ, OSKRBNIH DNI IN POVPREČNA LEŽALNA DOBA PO DEJAVNOSTIH, 2004 HOSPITAL BEDS, HOSPITAL DAYS AND MEAN LENGTH OF STAY BY SPECIALTY, 2004 DEJAVNOST Specialty Obstoječe postelje Available beds Bolniki 2) In-patients 2) Oskrbni dnevi Hospital days Povprečna ležalna doba (dnevi) Mean length of stay (days) SKUPAJ / Total 9584 362108 2621464 7,5 Dermatovenerologija Dermatology 114 3881 29593 7,6 Ginekol. in porodništvo 1) Gynaecology and obstetrics 1) 1057 65900 283015 4,3 Infektologija Interna medicina Invalidna mladina Kirurgija Nevrologija Okulistika Onkologija Ortopedija Otorinolaringologija Pediatrija Psihiatrija Rehabilitacija Podaljšano bolnišnično zdravljenje Infectious diseases 243 10568 70354 6,7 Internal diseases 2037 85822 617458 7,2 Disabled youth 147 1003 28766 28,7 Surgery 2193 95709 571401 6,0 Neurology 311 7280 88196 12,1 Ophthalmology 167 11430 37958 3,3 Oncology 296 13383 71639 5,4 Orthopaedy 435 13408 108781 8,1 Otorhinolaryngology 242 10719 53828 5,0 Pediatrics 594 28343 127548 4,5 Psychiatry 1471 11412 447249 39,2 Rehabilitation 200 1934 58676 30,3 Prolonged hospital therapy 77 1316 27002 20,5 Opombi: / Notes: 1) Pri SB Celje je vključeno 25 postelj za neonatalno medicino. / Data provided by the Celje General Hospital include 25 neonatal beds. 2) Bolniki (ostali iz prejšnjega leta + novosprejeti + premeščeni z drugih oddelkov) / Patients (remaining from the previous year + new admissions + patients transferred from other units) 447

13-2. 3 ZASEDENOST BOLNIŠNIC PO DEJAVNOSTIH, 2004 OCCUPIED BEDS BY SPECIALTY, 2004 DEJAVNOST Specialty Obstoječe postelje Available beds Obstoječe postelje v % Available beds % Povprečno trajanje zasedenosti obst. postelj (dnevi) Average time of occupying beds (days) Povprečna dnevna zasedenost obst. postelj % Average of daily occupied beds % SKUPAJ / Total 9584 100,0 274,2 74,9 Dermatovenerologija Dermatology 114 1,2 259,6 71,1 Ginekol. in porodništvo 1) Gynaecology and obstetrics 1) 1057 11,0 267,8 73,4 Infektologija Interna medicina Invalidna mladina Kirurgija Nevrologija Okulistika Onkologija Ortopedija Otorinolaringologija Pediatrija Psihiatrija Rehabilitacija Podaljšano bolnišnično zdravljenje Infectious diseases Internal diseases Disabled youth Surgery Neurology Ophthalmology Oncology Orthopaedy Otorhinolaryngology Pediatrics Psychiatry 243 2,5 289,5 79,3 2037 21,3 303,1 83,0 147 1,5 195,7 53,6 2193 22,9 260,6 71,4 311 3,2 283,6 77,7 167 1,7 227,3 62,3 296 3,1 242,0 66,3 435 4,5 250,1 68,5 242 2,5 222,4 60,9 594 6,2 214,7 58,8 1471 15,3 304,0 83,3 Rehabilitation 200 2,1 293,4 80,4 Prolonged hospital therapy 77 0,8 350,7 96,1 Opomba: / Note: 1) Pri SB Celje je vključeno 25 postelj za neonatalno medicino. / Data provided by the Celje General Hospital include 25 neonatal beds. 448

13-2. 4 ŠTEVILO OBSTOJEČIH POSTELJ, IZPISANIH BOLNIKOV IN OSKRBNIH DNI (NA 10.000 PREBIVALCEV) PO DEJAVNOSTIH, 2004 AVAILABLE BEDS, IN-PATIENTS TREATED AND HOSPITAL DAYS, PER 10.000 POPULATION, BY SPECIALTY, 2004 Obstoječe postelje Izpisani bolniki Oskrbni dnevi DEJAVNOST Specialty Available beds na 10 000 prebivalcev In-patients treated Hospital days per 10 000 population SKUPAJ / Total 48,0 1725,6 13127,0 Dermatovenerologija Dermatology 0,6 18,9 148,2 Ginekologija in porodništvo 1) Gynaecology and obstetrics 1) 5,3 320,4 1417,2 Infektologija Interna medicina Invalidna mladina Kirurgija Nevrologija Okulistika Onkologija Ortopedija Otorinolaringologija Pediatrija Psihiatrija Rehabilitacija Podaljšano bolnišnično zdravljenje Infectious diseases Internal diseases Disabled youth Surgery Neurology Ophthalmology Oncology Orthopaedy Otorhinolaryngology Pediatrics Psychiatry Rehabilitation Prolonged hospital therapy 1,2 50,7 352,3 10,2 400,0 3091,9 0,7 4,7 144,0 11,0 448,1 2861,3 1,6 33,6 441,6 0,8 56,9 190,1 1,5 66,6 358,7 2,2 66,2 544,7 1,2 53,0 269,5 3,0 139,9 638,7 7,4 51,1 2239,6 1,0 9,4 293,8 0,4 6,1 135,2 Opomba: / Note: 1) Pri SB Celje je vključeno 25 postelj za neonatalno medicino. / Data provided by the Celje General Hospital include 25 neonatal beds. 449

13-2. 6 ŠTEVILO POSTELJ ZA INTENZIVNO ZDRAVLJENJE PO DEJAVNOSTIH, 2004 INTENSIVE THERAPY BEDS BY SPECIALTY, 2004 DEJAVNOST Specialty SKUPAJ / Total SKUPAJ / Total 1-16 504 SKUPAJ / Total 1-15 496 Dermatovenerologija 1. Dermatology - Ginekologija in porod. 2. Gynaec. and obstetrics 11 Infektologija 3. Infectious diseases 10 Interna medicina 4. Internal medicine 122 Invalidna mladina 5. Disabled youth - Kirurgija 6. Surgery 115 Nevrologija 7. Neurology 10 Okulistika 8. Ophthalmology - Onkologija 9. Onkology 9 10. Ortopedija Otthopedy - 11. Otorinolaringologija Otorhinolaryngology - 12. Pediatrija Paediatrics 32 Reanimacija in anestezija 13. Emergency and anaesth. 70 Interdisciplinarna dej. 14. Interdisciplinary 21 15. Psihiatrija Psychiatry 96 Neonatalna med.1) 16. Neonatal med. 1) 8 Opomba: / Note: 1) Neonatologija v sklopu porodniške dejavnosti / Neonatology as part of obstetric services Vprašalnik o številu postelj za intenzivno nego in zdravljenje / Questionnaire on the number of intensive care and intensive therapy beds 450

13-2. 7 ŠTEVILO POSTELJ ZA INTENZIVNO NEGO PO DEJAVNOSTIH, 2004 INTENSIVE CARE BEDS BY SPECIALTY, 2004 DEJAVNOST Specialty SKUPAJ / Total SKUPAJ / Total 1-17 1433 SKUPAJ / Total 1-16 1397 Dermatovenerologija 1. Dermatology 6 Ginekologija in porod. 2. Gynaec. And obstetrics 74 Infektologija 3. Infectious diseases 55 Interna medicina 4. internal medicine 172 Invalidna mladina 5. Disabled youth - Kirurgija 6. Surgery 429 Maksilofacialna kirur. 7. Maxillo-facial surgery 21 Nevrologija 8. Neurology 100 Okulistika 9. Ophthalmology 30 10. Onkologija Onkology 60 11. Ortopedija Orthopedy 29 12. Otorinolaringologija Otorhinolaryngology 27 13. Pediatrija Paediatrics 208 Reanimacija in anestezija 14. Emergency and anaesth. 5 Interdisciplinarna dej. 15. Interdisciplinary 30 16. Psihiatrija Psychiatry 151 Neonatalna med.1) 17. Neonatal med. 1) 36 Opomba: / Note: 1) Neonatologija v sklopu porodniške dejavnosti / Neonatology as part of obstetric services Vprašalnik o številu postelj za intenzivno nego in zdravljenje / Questionnaire on the number of intensive care and intensive therapy beds 451

13-3. 1 GIBANJE BOLNIKOV PO BOLNIŠNICAH, 2004 IN-PATIENTS FLUCTUATION BY HOSPITAL, 2004 BOLNIŠNICE Hospitals Začetno stanje Initial status SPREJETI Admissions Iz drugih oddelkov iste bolnišnice From other departments PREMEŠČENI Transfers Iz drugih oddelkov iste bolnišnice From other departments IZPISANI Discharges and deaths VSI All Od teh umrli Deaths Končno stanje 31.12.2004 Final status SKUPAJ / Total 4455 344976 12677 13003 344596 9133 4509 SPLOŠNE BOLNIŠNICE - General hospitals 2061 201202 12258 12584 201013 5687 1924 KLINIKE Clinics 1415 92542 419 419 92419 2091 1538 SPECIALNE BOLNIŠNICE - Special hospitals 979 51232 - - 51164 1355 1047 452

13-3. 2 GIBANJE BOLNIKOV PO DEJAVNOSTIH BOLNIŠNIC, 2004 IN-PATIENTS FLUCTUATION BY SPECIALTY, 2004 DEJAVNOST Specialty Začetno stanje 1.1.2004 Initial status SPREJETI Admissions PREMEŠČENI Transfers Iz drugih oddelkov iste bolnišnice From other departments Na druge oddelke iste bolnišnice To other departments IZPISANI Discharges and deaths VSI All Od teh umrli Deaths Končno stanje 31.12.2004 Final status SKUPAJ / Total 4455 344976 12677 13003 344596 9133 4509 Dermatovenerologija Ginekol. in porodništvo Infektologija Interna medicina Invalidna mladina Kirurgija Nevrologija Okulistika Onkologija Ortopedija Otorinolaringologija Pediatrija Psihiatrija Rehabilitacija Podaljšano bolnišnično zdravljenje Dermatology Gynaecology and obstetrics Infectious diseases Internal diseases Disabled youth Surgery Neurology Ophthalmology Oncology Orthopaedy Otorhinolaryngology Pediatrics Psychiatry 24 3812 45 60 3781 9 20 466 64092 1342 1510 63988 133 347 130 10234 204 296 10122 271 125 1201 80550 4071 4628 79876 5347 1160 48 934 21 17 930 6 56 845 89703 5161 5643 89479 1940 855 174 6750 356 231 6717 674 206 21 11379 30 25 11371-26 78 13305 - - 13297 463 86 50 13258 100 132 13220 10 63 56 10576 87 90 10588 60 39 180 27381 782 255 27938 44 227 1118 10253 41 83 10199 31 1172 Rehabilitation 14 1920 - - 1875 4 59 Prolonged hospital therapy 50 829 437 33 1215 141 68 453