Occupational health care
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- Victor Holland
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1 Further information: Occupational health care Number of persons covered for occupational health services, ( ) Chart Data Persons covered for occupational health services as a percentage of wage and salary earners ( ) Chart Data Persons covered for occupational health services for the self-employed, ( ) Chart Data 5.4 Total health expenditure in Finland, 2016 ( ) Chart Data 5.5 Refunds for the cost of occupational health services, ( ) Chart Data Average refunds for occupational health costs per person covered for occupational health services, ( ) Chart Data Occupational health costs per person covered for occupational health Chart Data Occupational health services for the self-employed: Expenditure on refunds, ( ) Chart Data Medical examinations, medical care visits and laboratory tests provided as part of occupational health care, ( ) Chart Data Number of medical examinations per 100 persons covered for occupational health services, ( ) Chart Data Persons covered for occupational health services by principal service provider, 2016 ( ) Chart Data PO Box 450 FIN HELSINKI tilastot@kela.fi 1(29)
2 5.1 Vuosi Number of persons covered for occupational health services, Number of persons covered for occupational health services, Number Employees Others (including family members) Total PO Box 450 FIN HELSINKI tilastot@kela.fi 2(29)
3 Vuosi Employees Number Others (including family members) Total N.B. The refund system was revised with effect from 1 January PO Box 450 FIN HELSINKI tilastot@kela.fi 3(29)
4 5.1 Number of persons covered for occupational health services, Persons Others (including family members) Employees N.B. The refund system was revised with effect from 1 January 1995.
5 5.2 Year Persons covered for occupational health services as a percentage of wage and salary earners Persons covered for occupational health services as a percentage of wage and salary earners Percentage , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,0 PO Box 450 FIN HELSINKI tilastot@kela.fi 5(29)
6 Year Percentage , , , , , , ,1 PO Box 450 FIN HELSINKI 6(29)
7 5.2 Persons covered for occupational health services as a percentage of wage and salary earners %
8 5.3 Year Persons covered for occupational health services for the self-employed, Persons covered for occupational health services for the self-employed, Number Agricultural entrepreneurs Other selfemployed persons Persons having used the refund procedure for employers N.B. The number of self-employed persons who used the refund procedure for employers in 2015 is an estimate. PO Box 450 FIN HELSINKI tilastot@kela.fi 8(29)
9 5.3 Persons covered for occupational health services for the self-employed, Number Persons having used the refund procedure for employers Other selfemployed persons Agricultural entrepreneurs N.B. The number of self-employed persons who used the refund procedure for employers in 2015 is an estimate.
10 5.4 Total health expenditure in Finland, 2016 Function billion % Specialised health care 7,2 33,61 Specialised health care 7,2 mrd. Primary health care 2,8 12,92 Primary health care 2,8 mrd. Institutional care for older people 1,0 4,68 Institutional care for older people 1,0 mrd. Pharmaceuticals and other medical non-durables 0,9 4,02 Pharmaceuticals and other medical non-durables 0,9 mrd. Oral health care 4,9 22,88 Oral health care 4,9 mrd. Private health care refunded under National Health Insurance 1,1 5,10 Private health care refunded under National Health Insurance 1,1 mrd. Occupational and student health care 2,6 11,90 Occupational and student health care 2,6 mrd. Other health expenditure, total 1,1 4,89 Other health expenditure, total 1,1 mrd. Total 21,6 100,00 Yhteensä 21,6mrd. Statistics and Data Warehousing Section PO Box 450 FIN HELSINKI tilastot@kela.fi 10(29)
11 5.4 Total health expenditure in Finland, 2016 Other health expenditure, total 1,1 mrd. Occupational and student health care 2,6 mrd. Private health care refunded under National Health Insurance 1,1 mrd. Specialised health care 7,2 mrd. Yhteensä 21,6mrd. Oral health care 4,9 mrd. Primary health care 2,8 mrd. Pharmaceuticals and other medical non-durables 0,9 mrd. Institutional care for older people 1,0 mrd. Statistics and Data Warehousing Section
12 5.5 Refunds for the cost of occupational health services, Year Million euros (at 2016 prices) Million euros (At nominal value) Employers share Kela refunds Total Employers share Kela refunds Total ,2 3,6 24,8 2,0 0,3 2, ,6 4,2 27,8 2,3 0,4 2, ,2 8,7 28,9 2,1 0,9 3, ,1 9,5 32,6 2,6 1,1 3, ,5 12,4 34,9 2,5 1,4 4, ,4 15,7 41,1 3,0 1,8 4, ,0 20,8 50,8 3,7 2,6 6, ,9 26,3 63,2 4,9 3,5 8, ,8 37,6 83,4 6,8 5,6 12, ,0 48,7 102,7 9,4 8,5 17, ,1 59,8 120,9 12,5 12,3 24, ,8 69,3 129,1 14,0 16,3 30, ,3 70,3 128,6 15,4 18,6 34, ,9 71,1 129,1 16,5 20,2 36, ,7 80,6 134,3 16,4 24,6 40, ,6 86,4 143,9 19,6 29,4 49, ,5 92,3 153,8 23,5 35,2 58, ,3 96,5 160,9 26,8 40,2 67, ,6 101,3 168,9 30,6 45,8 76, ,3 110,0 183,4 35,5 53,2 88, ,4 119,1 198,5 40,7 61,0 101, ,6 128,3 213,9 45,4 68,1 113, ,3 136,9 228,2 50,2 75,3 125, ,6 135,3 244,9 63,3 78,1 141, ,8 142,7 259,5 71,8 87,8 159, ,2 153,0 278,2 81,7 99,9 181, ,9 154,3 280,2 85,5 104,8 190, ,3 132,6 263,9 91,6 92,5 184, ,1 121,1 242,2 86,2 86,2 172, ,8 120,8 241,6 86,9 86,9 173, ,7 121,0 260,7 101,5 87,9 189, ,1 131,1 283,3 111,2 95,9 207, ,5 136,5 295,9 118,0 100,9 218, ,8 146,9 321,7 131,1 110,2 241, ,4 154,9 338,3 139,2 117,5 256, ,0 164,4 363,4 156,1 128,9 285, ,8 175,0 388,8 172,0 140,8 312, ,8 187,2 417,9 188,5 152,9 341, ,3 202,6 454,9 208,0 167,0 375, ,3 215,2 484,5 222,3 177,7 400, ,7 225,8 510,6 237,3 188,2 425, ,7 256,5 541,2 241,5 217,6 459, ,6 272,6 574,1 262,0 236,8 498, ,8 290,0 621,9 300,0 262,2 562, ,0 301,4 662,4 326,4 272,5 598,9 PO Box 450 FIN HELSINKI tilastot@kela.fi 12(29)
13 Year Million euros (at 2016 prices) Million euros (At nominal value) Employers share Kela refunds Total Employers share Kela refunds Total ,3 311,0 683,3 340,9 284,8 625, ,4 320,1 722,5 381,1 303,1 684, ,7 329,5 753,2 412,6 320,8 733, ,5 339,5 785,0 440,2 335,5 775, ,1 336,4 779,4 442,2 335,7 777, ,4 340,7 785,2 442,7 339,4 782, ,2 347,4 804,6 457,2 347,4 804,6 PO Box 450 FIN HELSINKI 13(29)
14 5.5 Refunds for the cost of occupational health services, (at 2016 prices) Million euros Kela refunds Employers share
15 5.6 Average refunds for occupational health costs per person covered for occupational health services, Year /person (at 2016 prices) /person (at nominal value) ,8 0, ,7 0, ,4 1, ,6 1, ,8 2, ,6 2, ,3 3, ,1 4, ,9 6, ,5 8, ,4 11, ,9 14, ,5 16, ,1 17, ,8 18, ,5 21, ,1 24, ,8 26, ,4 28, ,3 32, ,5 36, ,3 39, ,9 43, ,9 45, ,3 51, ,2 59, ,1 63, ,2 60, ,5 59, ,8 60, ,6 61, ,4 66, ,4 69, ,8 73, ,7 75, ,9 80, ,3 84, ,9 90, ,1 94, ,1 102, ,3 106, ,3 121, ,2 127, ,5 139, ,2 147,54 PO Box 450 FIN HELSINKI 15(29)
16 Year /person (at 2016 prices) /person (at nominal value) ,2 155, ,4 165, ,7 173, ,7 180, ,8 183, ,0 187, ,6 189,56 PO Box 450 FIN HELSINKI 16(29)
17 5.6 Average refunds for occupational health costs per person covered for occupational health services, /person 200 (at 2016 prices)
18 5.7 Year Occupational health costs per person covered for occupational health services, by size of workplace, /person (at 2016 prices) /person (at nominal value) or more or more ,53 91,05 75,36 53,50 13,33 10,60 8,77 6, ,47 91,06 92,54 64,00 17,53 11,28 11,47 7, ,93 91,29 96,36 73,50 17,52 12,12 12,79 9, ,54 104,64 103,41 94,39 23,07 15,52 15,34 14, ,61 117,98 116,99 104,64 33,37 20,55 20,38 18, ,04 106,98 125,02 112,42 33,86 21,95 25,65 23, ,43 100,43 122,05 116,99 28,49 23,56 28,63 27, ,58 96,38 112,20 120,60 29,49 25,47 29,65 31, ,69 86,97 106,00 113,91 25,50 24,72 30,13 32, ,55 71,78 86,11 118,23 24,56 21,89 26,26 36, ,94 78,94 98,10 123,45 26,86 26,86 33,38 42, ,86 73,50 96,57 121,79 27,01 28,02 36,82 46, ,84 74,74 95,04 123,39 29,93 31,14 39,60 51, ,52 77,15 96,31 120,13 35,06 34,89 43,56 54, ,46 81,69 104,89 126,45 40,38 39,52 50,74 61, ,77 91,53 110,82 136,54 45,99 46,89 56,77 69, ,14 98,29 117,70 141,52 49,97 52,17 62,47 75, ,60 107,56 126,72 143,37 61,94 59,16 69,70 78, ,75 113,62 139,85 152,58 66,22 65,56 80,70 88, ,91 119,31 149,07 169,50 80,51 73,37 91,68 104, ,53 132,73 163,36 186,55 90,42 86,64 106,63 121, ,45 143,93 169,91 189,84 89,98 97,78 115,43 128, ,73 146,99 173,21 193,12 91,86 102,50 120,79 134, ,07 141,07 169,05 182,67 90,44 100,40 120,32 130, ,36 142,71 168,05 187,08 94,50 102,67 120,90 134, ,13 153,30 171,58 205,87 107,65 111,41 124,69 149, ,54 168,05 199,19 219,99 111,51 122,84 145,61 160, ,55 170,32 203,73 227,43 113,58 125,98 150,69 168, ,32 182,30 220,12 239,92 116,52 136,76 165,13 179, ,01 186,97 224,29 243,20 122,92 141,86 170,17 184, ,02 192,91 231,86 258,34 127,86 151,30 181,85 202, ,20 202,50 248,27 259,49 135,32 162,91 199,73 208, ,95 218,81 271,55 270,80 145,38 178,77 221,85 221, ,51 234,95 294,15 276,20 154,59 193,69 242,50 227, ,06 247,21 300,36 309,01 160,25 204,14 248,03 255, ,91 258,49 320,84 298,06 167,42 215,41 267,37 248, ,95 262,04 329,57 326,80 173,83 222,25 279,53 277, ,92 276,04 336,18 327,81 185,86 239,83 292,07 284, ,04 293,26 360,71 355,29 208,89 265,15 326,14 321, ,25 315,91 389,01 386,04 222,65 285,63 351,73 349,04 PO Box 450 FIN HELSINKI 18(29)
19 Year /person (at 2016 prices) /person (at nominal value) or more or more ,69 331,86 414,30 400,54 224,07 303,90 379,40 366, ,26 356,38 431,57 414,69 263,51 337,48 408,68 392, ,98 375,46 449,25 423,80 287,22 365,59 437,44 412, ,27 388,57 471,28 440,87 307,58 383,97 465,69 435, ,19 400,60 471,46 439,36 327,54 399,80 470,52 438, ,25 414,13 479,05 445,54 333,92 412,48 477,14 443, ,07 421,41 478,81 451,79 344,07 421,41 478,81 451,79 PO Box 450 FIN HELSINKI 19(29)
20 5.7 Occupational health costs per person covered for occupational health services, by size of workplace, /person 600 (at 2016 prices) or more
21 5.8 Occupational health services for the self-employed: Expenditure on refunds, Occupational health services for the self-employed: Expenditure on refunds, Year million (at 2017 prices) ###### (at nominal value) Refunds under the Health Insurance Act State's share Refunds under the Health Insurance Act State's share Total amount of ,4 0, ,1 0, ,8 0, ,8 0, ,8 0, ,0 0, ,9 0, ,7 0, ,7 0, ,6 0, ,6 0, ,6 0, ,1 0, ,4 0, ,4 0, ,5 0, ,9 1, ,9 1, ,2 1, ,7 1, ,6 1, ,6 1, ,7 1, ,4 0, ,7 1, ,6 1, ,0 1, ,9 1, ,7 0, ,5 0, ,8 0, PO Box 450 FIN HELSINKI tilastot@kela.fi 21(29)
22 5.8 Occupational health services for the self-employed: Expenditure on refunds, (at 2017 prices) million State's share 2 1 Refunds under the Health Insurance Act
23 5.9 Year Medical examinations, medical care visits and laboratory tests provided as part of occupational health care, Medical examinations Number Medical care visits Laboratory tests N.B. As part of the reform of the refund system, the practice of recording laboratory tests changed with effect from the 2015 processing PO Box 450 FIN HELSINKI tilastot@kela.fi 23(29)
24 5.9 Medical examinations, medical care visits and laboratory tests provided as part of occupational health care, Million numbers 8 7 Laboratory tests Medical care visits Medical examinations
25 5.10 Year Number of medical examinations per 100 persons covered for occupational health services, Doctor Number Occupational health Physical therapist ,1 9, ,6 9, ,0 11, ,2 20, ,1 26, ,4 29, ,8 29, ,2 28, ,4 25, ,5 23, ,8 24, ,9 24, ,6 23, ,4 22, ,3 21, ,4 21, ,0 20, ,2 19, ,0 20, ,4 20, ,1 19, ,9 17, ,5 16, ,8 15, ,3 17, ,0 34,9 4, ,9 39,8 5, ,7 39,4 5, ,0 37,9 6, ,6 36,9 5, ,7 38,0 6, ,5 37,7 6, ,7 36,8 5, ,4 34,0 4, ,0 34,8 4, ,9 33,5 5, ,9 32,4 5, ,8 32,7 4, ,9 32,6 5, ,5 29,9 4,9 PO Box 450 FIN HELSINKI 25(29)
26 Year Doctor Number Occupational health Physical therapist ,6 29,7 5, ,6 33,9 4, ,9 32,3 4, ,5 32,9 3, ,9 33,1 3, ,9 33,2 3, ,1 32,0 3,3 N.B. The new refund system introduced at the beginning of 1995 brought changes to the way in which statistical information on medical examinations is collected. The refund system was reformed again starting in the 2011 processing period, following which medical examinations may also include follow-up visits. PO Box 450 FIN HELSINKI 26(29)
27 5.10 Number of medical examinations per 100 persons covered for occupational health services, Number Physical therapist Occupational health nurse Doctor N.B. The new refund system introduced at the beginning of 1995 brought changes to the way in which statistical information on medical examinations is collected. The refund system was reformed again starting in the 2011 processing period, following which medical examinations may also include follow-up visits.
28 5.11 Persons covered for occupational health services by principal service provider, 2016 Principal service provider Number % Other service provider ,3 Occupational health unit operated by another employer ,8 Occupational health unit operated together with another employer ,6 Own occupational health unit ,5 Health centre ,5 Medical clinic ,3 Total ,0 PO Box 450 FIN HELSINKI tilastot@kela.fi 28(29)
29 5.11 Persons covered for occupational health services by principal service provider, 2016 Number Medical clinic Health centre Own occupational health unit Occupational health unit operated together with another employer Occupational health unit operated by another employer Other service provider
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