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Helsestatistik for de nordiske lande 1997 - nomesco

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Advice concerning family planning is<br />

also provi<strong>de</strong>d, as every person or family<br />

is entitled to receive advice on questions<br />

of family planning. The advice is given<br />

either by the general practitioner or by a<br />

special <strong>de</strong>partment (particular outpatient<br />

clinic). Also midwives and visiting nurses<br />

may, within their range of competence,<br />

advise families. Contraceptive measures<br />

are, as a general rule, not subsidised.<br />

School and occupational health services are<br />

provi<strong>de</strong>d according to statutes. Municipalities<br />

are responsible <strong>for</strong> school health service<br />

which is carried out by visiting nurses and<br />

physicians. Occupational health service is<br />

organized within the framework of companies<br />

and is led by committees consisting of<br />

employees and employers.<br />

As a main rule, patients may contact<br />

general practitioners, <strong>de</strong>ntists, emergency<br />

wards and emergency and ambulance<br />

services without prior referral.<br />

The hospital service is placed organisationally<br />

un<strong>de</strong>r the counties, and the<br />

county councils are the responsible authorities.<br />

The counties own most of the<br />

hospitals. The hospitals in the City of<br />

Copenhagen and Fre<strong>de</strong>riksberg municipality,<br />

and Rigshospitalet are merged<br />

into the Joint Metropolitan Hospital Service.<br />

There are a few private hospitals<br />

which have a set agreement of usership<br />

with the county of location, whereas a<br />

few private hospitals operate quite in<strong>de</strong>pen<strong>de</strong>ntly<br />

of the public hospital service.<br />

Specialist hospitals are not organized<br />

separately. There are no health centres or<br />

similar institutions with wards in Denmark.<br />

ORGANIZATION OF HEALTH SERVICES<br />

Der y<strong>de</strong>s også rådgivning vedrøren<strong>de</strong><br />

familieplanlægning, i<strong>de</strong>t enhver person<br />

eller familie har ret til rådgivning i familieplanlægningsspørgsmål.<br />

Rådgivningen<br />

gives enten af <strong>de</strong>n praktiseren<strong>de</strong> læge eller<br />

af en specialaf<strong>de</strong>ling (særligt ambulatorium).<br />

Også jor<strong>de</strong>mødre og sundhedsplejersker<br />

kan rådgive familier in<strong>de</strong>n <strong>for</strong><br />

<strong>de</strong>res kompetenceområ<strong>de</strong>. Der gives som<br />

hovedregel ikke offentlige tilskud til præventionsmidler.<br />

Skole- og bedriftssundhedstjenesten er<br />

reguleret ved lov. Kommunerne har ansvaret<br />

<strong>for</strong> skolesundhedstjenesten, som<br />

varetages af sundhedsplejersker og læger.<br />

Bedriftssundhedstjenesten er tilrettelagt i<br />

virksomhedsregi og le<strong>de</strong>s af udvalg med<br />

repræsentanter <strong>for</strong> bå<strong>de</strong> arbejdstagere og<br />

arbejdsgivere.<br />

Som hovedregel kan patienter henven<strong>de</strong><br />

sig u<strong>de</strong>n henvisning til alment praktiseren<strong>de</strong><br />

læger, tandlæger, ska<strong>de</strong>stuer samt<br />

lægevagten og ambulancetjenesten.<br />

Sygehusvæsenet hører organisatorisk un<strong>de</strong>r<br />

amterne og Hovedsta<strong>de</strong>ns Sygehusfællesskab,<br />

og <strong>de</strong>t er amtsrå<strong>de</strong>ne og bestyrelsen<br />

<strong>for</strong> Hovedsta<strong>de</strong>ns Sygehusfællesskab,<br />

<strong>de</strong>r er <strong>de</strong>n ansvarlige myndighed.<br />

Amterne ejer <strong>de</strong> fleste af sygehusene.<br />

Sygehusene i København og Fre<strong>de</strong>riksberg<br />

kommuner samt Rigshospitalet,<br />

er samlet i Hovedsta<strong>de</strong>ns Sygehusfællesskab.<br />

Der er enkelte private sygehuse,<br />

som har en fast benyttelsesaftale med <strong>de</strong>t<br />

amt hvori <strong>de</strong> ligger, mens nogle få mindre,<br />

private sygehuse fungerer helt uafhængigt<br />

af <strong>de</strong>t offentlige sygehusvæsen.<br />

Specialsygehusene er ikke særskilt organiseret.<br />

Der fin<strong>de</strong>s ingen sundhedscentre<br />

eller lignen<strong>de</strong> institutioner med sengepladser<br />

i Danmark.<br />

19

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