HOPE is involved in numerous comparative, exchange and dissemination activities such as: economic and financing issues; human resources; organisation of care and health system.
With the development of the internal market the influence of EU legislation on hospitals and healthcare services increased and since then HOPE is also involved in the European Union decision making process. The scope of influence ranges from human resources issues, pharmaceuticals, medical devices, information technologies (eHealth), tissues, cells, blood, organs, etc.
The share of health expenditure devoted to hospitals embraces expenditure in establishments primarily engaged in providing medical, diagnostic and treatment services that include physician, nursing and other health services to in-patients and the specialised accommodation services needed by in-patients. In 2016, the hospital expenditure as share of total health expenditure was 35%.
The occupancy rate for acute care beds mirrors how intensively hospital capacity is used, indicating the average number of days when beds in acute care hospitals were occupied as % of available 365 days. In the 28 European Member States the occupancy rate for acute beds was on average 77% in 2014. This figure has been relatively stable since 80’s, decreasing by 1 percentage point in the last 20 years.
Statistical comparison of hospital staff is often limited. On one hand, this is due to the frequent lack of consistently-used measurement tools; on the other, this is linked to the development of outsourcing of auxiliary services (maintenance, catering, etc.) whose staff is no longer employed by the hospital, and thus no longer counted as hospital staff. In general, the most available and reliable data shows that in the last decade the greatest proportion of physicians in the European countries has been working in hospitals. In 2015, the rate of physicians working in hospitals (full or part-time) was approximately 50%-60% (Source: WHO).