Time trends in the regional distribution of physicians, nurses and midwives in Europe

Winkelmann, Juliane; Muench, Ulrike; Maier, Claudia B.

doi:10.1186/s12913-020-05760-y

BMC Health Services Research

Table 2 Geographical supply of physicians (practicing) between highest and lowest density regions and national average, 2005–2017 (or nearest) (per 100,000 population)

From: Time trends in the regional distribution of physicians, nurses and midwives in Europe

Country average, highest/lowest region	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	PD (per sq. km), 2017 or nearest	PC change(2005–2017 or nearest)	CAGR
Austria	431,68	444,96	453,78	460,41	468,91	479,53	484,22	489,54	498,85	504,61	509,12	512,96	518,28	106,80	20,06	1,42
Vienna	625,26	640,92	644,69	646,07	651,73	665,05	663,64	664,19	685,29	688,54	683,97	681,16	684,97	4.754,9	9,55	0,70
Burgenland	305,84	311,52	321,19	328,51	339,64	352,29	364,33	374,52	377,98	377,58	387,32	397,97	407,10	79,70	33,11	2,22
Belgium	287,07	288,59	290,50	292,07	292,48	291,34	291,55	293,36	295,71	297,55	301,75	307,41	308,29	373,60	7,39	0,55
Brabant Wallon							472,52	480,68	486,61	487,05	496,66	499,32	508,71	365,20	7,66	1,06
Luxembourg							219,70	221,54	226,66	224,18	224,31	228,92	227,87	63,80	3,72	0,52
Bulgaria	367,86	369,50	369,53	366,42	375,47	378,10	386,26	391,45	397,67	398,69	404,54	413,76	424,49	64,30	15,39	1,11
North West	344,49	359,90	368,44	373,05	390,98	403,60	409,30	408,18	416,43	418,53	422,88	431,15	447,57	40,50	29,92	2,03
North Central	291,77	290,68	291,08	297,32	302,62	309,58	307,88	316,26	314,34	312,52	317,98	323,77	332,91	54,6	14,10	1,02
Croatia	257,44	260,84	273,58	273,75	274,32	286,38	291,62	299,18	303,35	314,02	319,15	323,65	336,21	73,9	30,57	2,07
Cont. Croatia						293,13	298,06	307,95	312,05	320,76	327,15	333,73	347,58	87,50	14,67	1,73
Adriatic Croatia						272,64	278,54	281,37	285,74	300,41	303,09	303,49	313,63	56,40	23,29	2,65
Czechia	356,28	357,41	357,47	355,54	357,63	359,55	363,67	367,47	368,79					137,30	3,51	0,38
Praha	675,10	685,80	685,64	671,42	674,38	666,38	672,54	678,90	694,78					2.654,70	2,92	0,32
Central Bohemia	263,45	259,60	253,23	249,76	243,53	242,25	240,46	243,16	239,62					125,60	−9,50	−1,05
Denmark	333,47	342,36	345,81	357,94	365,12	372,59	378,92	383,76	384,94	387,74	392,93	399,82		137,30	19,90	1,52
Capital			438,62	442,55	448,40	450,99	448,98	453,25	456,07	458,39	463,27	472,39		745,40	7,70	0,74
North Jutland			282,40	285,50	297,03	298,42	323,32	323,89	319,81	325,86	321,54	323,49		76,20	14,55	1,37
Germany	339,53	343,67	348,63	354,06	361,89	374,81	387,70	394,64	403,50	410,82	413,93	418,65	424,88	234,00	25,44	1,74
Hambourg	468,94	472,70	483,32	498,66	521,72	549,61	577,82	588,10	597,54	604,25	611,85	614,42	622,08	2.564,10	32,66	2,20
Brandenburg	288,62	292,76	296,65	303,03	309,45	318,62	3 27,69	336,22	343,48	351,45	358,18	363,81	370,78	86,10	28,47	1,95
Hungary	278,13*	303,58	280,33*	309,06*	302,08	286,86*	296,22	308,87	320,91	332,35	309,72^a	321,12	332,48	107,30	19,54	1,38
Central Hungary	406,84	436,78	415,36	447,96	432,98	382,12	390,22	407,21	426,77	414,21	396,94	383,42		441,30	−5,76	−0,49
North Hungary	191,19	205,82	182,23	209,03	204,74	185,95	211,51	214,29	228,62	240,25	211,94	230,67	226,96	85,70	18,71	1,33
Netherlands	270,75	279,50	279,35	287,02	292,26	296,36	313,27	325,34	331,35	342,50	348,72	353,68	358,22	501,10	32,31	2,18
Utrecht	405,81	422,75	424,17	437,02	451,52	453,12	480,80	502,25	509,49	528,44	537,29	545,87	557,99	918,10	37,50	2,48
Flevoland	134,96	132,87	126,94	127,27	126,28	129,77	134,60	135,02	132,28	131,47	128,81	123,66	124,96	285,50	−7,41	−0,59
Poland	213,81*	217,92	219,09	216,12	217,47	218,70	221,27	223,38	224,09	230,68	232,81	241,58		123,60	12,99	1,02
Łódzkie	251,76*	252,66	244,86	249,34	250,00	245,79	249,48	254,40	253,17	276,42	268,70	281,88		136,70	11,96	0,95
Wielkopolskie	176,41*	173,28	170,37	168,41	151,84	151,37	145,01	145,80	147,05	159,76	151,65	158,01		117,10	−10,43	−0,91
Romania				221,33	225,71	236,86	246,46	261,05	264,36	269,83	276,58	284,10	292,68	83,60	32,24	2,83
Bucharest-Ilfov				483,77	480,95	516,70	498,75	514,05	509,46	529,34	533,72	553,11	563,13	1.308,00	16,40	1,53
South-Muntenia				127,09	130,96	136,97	137,16	142,06	147,32	148,09	149,62	152,08	152,13	88,10	19,70	1,81
Slovenia	234,54	236,19	239,46	240,14	240,97	243,05	249,46	254,14	262,92	277,02	282,53	301,40	310,11	102,60	32,22	2,17
West Slovenia				307,26	304,27	301,32	306,92	302,20	306,85	324,74	325,86	354,95	374,81	124,90	21,98	2,01
East Slovenia				183,11	186,65	192,70	199,57	212,17	224,28	234,80	244,04	253,65	252,19	88,40	37,73	3,25
Slovakia	303,71	317,14	338,98	336,87	330,42	335,90	330,64	336,44	339,07	342,78	345,13	347,35	342,11	111,70	12,64	0,92
Bratislava	551,20	618,05	698,80	677,39	680,49	668,82	668,56	681,26	686,72	678,22	666,37	655,75	635,40	319,80	15,28	1,10
West Slovakia	243,16	248,25	262,20	260,14	249,49	254,35	251,17	257,52	258,95	263,27	263,27	263,56	264,21	123,3	8,66	0,64
Sweden	351,42	360,22	368,20	374,21	381,24	388,29	396,42	404,67	413,35	420,20	427,06	411,68^a		24,70	17,15	1,33
Stockholm	427,12	441,22	449,63	456,40	455,75	453,86	458,87	465,14	471,09	479,24	483,04	471,55		350,80	10,40	0,83
North-Central Sweden	289,24	295,29	302,33	305,79	322,82	326,97	330,70	335,65	345,05	352,07	355,07	335,94		13,40	16,15	1,26
Switzerland	379,87	384,98	384,74	381,74	383,27	380,72	383,28	391,57	404,00	412,58	419,71	425,06	429,78	212,10	13,14	0,95
Zürich			468,36	460,78	464,45	462,64	462,63	472,34	486,92	501,13	510,99	520,78	522,54	904,60	11,57	1,00
Central Switzerland			263,37	258,91	262,48	261,35	270,33	274,12	286,75	297,72	304,29	309,23	314,70	188,70	19,49	1,63
Average	314,78	321,92	324,96	321,78	324,62	328,60	334,73	341,66	347,52	352,96	355,98	361,59	370,68		17,80	1,27

Notes: PD population density, PC Percentage change; ^a break in time series
Work status of physicians: practicing, except for Greece and Portugal with data on physicians licensed to practice; Switzerland (up to 2007), Turkey, Finland (NUTS 2 level) with data on prof. active), France (data from 2011 onwards refer to practicing physicians, data at NUTS 2 level refer to prof. active). Deviation from definition: Belgium (stomatologists included), Croatia (maxilla facial surgeons included), France (interns and residents are not included). Difference in methodology: Finland (estimation based on 2014 survey according to which 91,5% of prof. Active are practicing physicians), Slovakia (physicians at NUTS 2 level are divided from total number of prof. active)
Reference period: data at 31st of December, except for the Netherlands (last Friday before Christmas), Sweden (1st of November)
Source: [30]

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