Download pdf - International Hospital Federation
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<strong>International</strong> <strong>Hospital</strong> <strong>Federation</strong><br />
era HOSPITAL SECTOR: Luxembourg<br />
Population*: 470 000<br />
Annual growth rate: 1.1 %<br />
Life expectancy at birth*: 76 years for men; 83 years for women<br />
GNI per capita*: 9 560 PPP int. $<br />
Expenses for national healthcare*: 8.0 % of GDP<br />
Healthcare expenses per capita*: 5 090 PPA $<br />
*Source: WHO www.who.int<br />
TYPES OF HOSPITALS:<br />
➩ Public/Private:<br />
- 50 % public hospitals<br />
- 50 % private hospitals<br />
➩ Distribution of beds:<br />
- 40 % public<br />
- 60 % private<br />
➩ Categories:<br />
- Local hospitals<br />
- General hospitals<br />
- Specialized hospitals;<br />
PROVISION OF ACUTE HOSPITAL CARE:<br />
Number of beds per 1,000 inhabitants: 5.1<br />
Number of beds for acute hospital care: 2300<br />
Number of admissions in acute care hospitals: NC<br />
Number of hospitals: 10 acute care hospitals<br />
Bed capacity utilization: 75.4<br />
Average length of stay (ALOS): 7.4GOVERNANCE AND STRUCTURE:<br />
PROVISION OF SPECIALIZED AND LONG TERM CARE:<br />
➩ Annual number of out patients visits:<br />
➩ Number of beds (per 1000 inhabitants):<br />
➩ Number of admissions (per year):<br />
➩ Average occupancy rate:<br />
ADMINISTRATION AND MANAGEMENT:<br />
The not-for profit hospitals are owned and managed either by local authorities or by notfor-profit<br />
organizations, very often religious orders.<br />
➩ Surveillance Authority:<br />
The Ministry of Health supervises the entire hospital system. It relies it on three hospital<br />
“regions” (North, South and center)
<strong>International</strong> <strong>Hospital</strong> <strong>Federation</strong><br />
it er HOSPITAL SECTOR: Luxembourg<br />
FUNDING**:<br />
Financer or financers:<br />
<strong>Hospital</strong> budgets are negotiated annually between each hospital and the Union of<br />
Health Insurance UCM (Union des Caisses de Maladie)<br />
Mode or modes of payment:<br />
The hospital budgets are shared : a part is enforceable for funding through Union of<br />
Health Insurances UCM. The enforceable share is funded out of a global budget<br />
determined annually of fix costs, variable costs and bonuses.<br />
Investment:<br />
The government pays 80% of the footloose and real estate investments of project for<br />
the new construction or modernization of hospitals as well as of costly devices and<br />
equipment indicated in the hospital plan. The remaining 20 % are usually funded by the<br />
UCM by means of depreciations.<br />
<strong>Hospital</strong> expenses per capita: 1690 $<br />
Percentage of all healthcare expenses: 33.1 %<br />
Share of public sector in total hospital expenditure (%):<br />
STAFF**:<br />
➩ <strong>Hospital</strong> doctors: 660<br />
➩ Staff for healthcare and social service: 22 000 employees in the healthcare and social<br />
services sector, i.e. 8 % of the national employment.<br />
➩ Status and mode of payment for hospital doctors: <strong>Hospital</strong> doctors are self<br />
employed. They receive medical fees for the healthcare services provided.<br />
** Source: Hope & Dexia, <strong>Hospital</strong>s in the 27 countries of the European Union, new edition 2008, Collection Europe