OECD Hospital And Ambulatory Health Care Services Utilization

$179 / year

This dataset contains indicators of the health care services utilization by the type of delivery setting (ambulatory, hospital or all) in country members and partners of OECD (The Organization for Economic Co-operation and Development) and for countries in accession negotiations with OECD. The indicators values cover the period 1960-2016.


The dataset is provided by OECD (The Organization for Economic Co-operation and Development) whose mission is to promote policies that will improve the economic and social well-being of people around the world. OECD’s work is based on continued monitoring of events in member countries as well as outside OECD area, and includes regular projections of short and medium-term economic developments. The OECD Secretariat collects and analyses data, after which committees discuss policy regarding this information, the Council makes decisions, and then governments implement recommendations. The OECD Health Datasets offers the most comprehensive source of comparable statistics on health and health systems across OECD countries. It is an essential tool to carry out comparative analyses and draw lessons from international comparisons of diverse health systems.

The primary data on which the indicators regarding the consultations numbers are based had the following inclusion and exclusion criteria:

– Doctors consultations
– Inclusion criteria
– Consultations/visits both to generalist and specialist medical practitioners
– Consultations/visits at the physician’s office
– Consultations/visits in the patient’s home
– Consultations/visits in outpatient departments in hospital and ambulatory health care centres
– Exclusion criteria
– Telephone and email contacts
– Visits for prescri
– Bed laboratory tests
– Visits to perform prescribed and scheduled treatment procedures, e.g. injections, physiotherapy etc
– Visits to dentists
– Visits to nurses
– Consultations during an inpatient stay or a day care treatment
– Dentists consultations
– Inclusion criteria
– Consultations/visits with an orthodontist
– Consultations/visits with a stomatologist/dental surgeon
– Consultations/visits at the dentist’s office
– Consultations/visits in the patient’s home
– Consultations/visits in outpatient departments in hospital and ambulatory health care centres
– Exclusion criteria
– Telephone and email contacts
– Visits for prescribed laboratory tests
– Consultations during an inpatient stay or a day care treatment

Two types of hospital health care services utilization indicators are contained in this dataset:

– For curative care admissions
– For all admissions

Curative care comprises health care contacts during which the principal intent is to relieve symptoms of illness or injury, to reduce the severity of an illness or injury, or to protect against exacerbation and/or complication of an illness or injury that could threaten life or normal function (HC1 in the System of Health Accounts classification). The inclusion and exclusion criteria used in this case were as follows:

– Inclusion criteria
– All components of curative care of illness (including both physical and mental/psychiatric illnesses) or treatment of injury
– Diagnostic, therapeutic and surgical procedures
– Obstetric services
– Exclusion criteria
– Other functions of care (such as rehabilitative care, long-term care and palliative care)

The indicators related to curative care admissions are:

– Discharges (rate and frequency)
– Overnight hospital stays (or bed-days)
– Days of hospital stays (average length of stay)

The indicators related to all admissions are the following:

– Discharges (rate and frequency)
– Days of hospital stays (average length of stay)

Discharges is the release of a patient who was formally admitted into a hospital for treatment and/or care and who stayed for a minimum of one night (see definition for hospital inpatient discharges below). Only the total number of inpatient discharges in all hospitals was included (no breakdown by diagnostic categories).

A bed-day (overnight hospital stays) is a day during which a person is confined to a bed and in which the patient stays overnight in a hospital. Day cases (patients admitted for a medical procedure or surgery in the morning and released before the evening) should be excluded.

The average length of stay (ALOS) is calculated by dividing the number of bed-days by the number of discharges during the year (see definition for hospital ALOS below). Only the overall average length of stay in all hospitals was included (no breakdown by diagnostic categories).

The third category of indicators are for medical imaging exams. An exam is defined as a medical imaging session to study one (or more than one) body part that yields one or more views for diagnostic purposes. Computed Tomography (CT) scanner is an x-ray machine which combines many x-ray images with the aid of a computer to generate cross-sectional views and, if needed, three-dimensional images of the internal organs and structures of the body. Data for Single Photon Emission Computed Tomography (SPECT) were not included. Magnetic Resonance Imaging (MRI) is an imaging technique designed to visualize internal structures of the body using magnetic and electromagnetic fields which induce a resonance effect of hydrogen atoms. The electromagnetic emission created by these atoms is registered and processed by a dedicated computer to produce the images of the body structures. Positron Emission Tomography (PET): PET is a highly specialized imaging technique using short-lived radioactive substances. This technique produces three dimensional images which are used mainly for the assessment of cancer spread in a patient’s body. Only data for PET-CT systems using image fusion (superposition of CT and PET images) were included. Data were collected for the total number of exams and for the breakdown between hospitals and
ambulatory care providers.

Time series are completed based on national data for selected years.

Breaks in the time-related continuity of data on which the calculated indicators values are based are specified in the content of dataset. There are also specified the cases were the methodology used for data collection was different or if the values are estimated.

Date Created


Last Modified




Update Frequency


Temporal Coverage


Spatial Coverage

OECD Members and Partners Countries


John Snow Labs; The Organization for Economic Co-operation and Development;

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OECD Health Statistics, OECD Health Services Utilization, Hospital Health Care Services, Ambulatory Health Care Services, Doctors Consultations, Dentists Consultations, Curative Care Services, Hospital Discharges, Average Length Of Hospital Stays, Overnight Hospital Stays, Medical Imaging Exams

Other Titles

OECD Countries And Partners Health Care Utilization By Setting, OECD Health Care Services Utilization Indicators By Delivery Setting

YearThe year corresponding to the specified health risk or protection factor indicator leveldaterequired : 1
CountryThe name of the country member or partner of OECD or in accession negotiations with OECDstringrequired : 1
Country_AbbreviationThe abbreviated name of the country member or partner of OECD or in accession negotiations with OECDstringrequired : 1
Country_StatusSpecifies whether the country is member or partner of OECD or has an accession agreement with OECDstringenum : Array required : 1
Health_Care_Services_Delivery_SettingSpecifies the whether the services are ambulatory or hospital and if hospital health services are of curative type; all setting means that the indicator value is for both settings, ambulatory and hospitalstringenum : Array required : 1
Indicator_CategorySpecifies a group of indicators related to the utilization of health care servicesstringrequired : 1
IndicatorSpecifies and describes the indicatorstringrequired : 1
Indicator_TypeSpecifies the type of an indicator from an epidemiological perspective and has the purpose to ease founding the most appropriate type of datastringenum : Array required : 1
Indicator_ValueThe calculated or estimated value of the indicatornumberlevel : Ratio
Additional_NotesAdditional information related to the indicator value or measurementstring-
1972SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency2356905.0
1973SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency2533968.0
1974SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency2691954.0
1975SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency2821050.0
1976SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency3041390.0
1977SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency3212653.0
1978SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency3301984.0
1979SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency3371280.0
1980SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency3445244.0
1981SpainESPOECD memberHospitalDischargesNumber of dischargesFrequency3445791.0