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Helsestatistik for de nordiske lande 1997 - nomesco

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The municipalities also have to provi<strong>de</strong><br />

such services <strong>for</strong> the mentally ill as can<br />

reasonably be given by the health centres.<br />

Dental care inclu<strong>de</strong>s in<strong>for</strong>mation and<br />

prevention as well as <strong>de</strong>ntal examination<br />

and treatment. Dental examination and<br />

treatment is first and <strong>for</strong>emost to be<br />

given to those born in 1956 and later, as<br />

well as to veterans. At the health centres,<br />

<strong>de</strong>ntal care is also provi<strong>de</strong>d <strong>for</strong> adults,<br />

particularly in rural municipalities. Most<br />

<strong>de</strong>ntal treatment <strong>for</strong> adults is provi<strong>de</strong>d by<br />

<strong>de</strong>ntists in private practice. Young people<br />

un<strong>de</strong>r the age of 19 are entitled to<br />

<strong>de</strong>ntal care free of charge.<br />

Municipalities must also ensure that<br />

transport is available <strong>for</strong> the ill and that<br />

there is an occupational health service.<br />

An employer may organise the occupational<br />

health service himself or he may<br />

enter into agreement with a health centre<br />

or with others working with occupational<br />

health service.<br />

Physicians working in health centres are<br />

mainly general practitioners. In the public<br />

health service system, patients need a<br />

referral <strong>for</strong> specialist services, with the<br />

exception of emergencies. In private clinics,<br />

the physicians are mostly specialists.<br />

Patients need no referral to visit these<br />

private specialists. Physicians working in<br />

private clinics may send their patients either<br />

to public or private hospitals with a<br />

referral.<br />

The specialized central and regional<br />

hospitals are run by fe<strong>de</strong>rations of municipalities.<br />

In mental health care, more<br />

and more emphasis is placed on outpatient<br />

treatment, and the use of institutions<br />

is <strong>de</strong>creasing.<br />

ORGANIZATION OF HEALTH SERVICES<br />

Kommunerne skal <strong>de</strong>su<strong>de</strong>n sørge <strong>for</strong>, at<br />

mentalt syge får y<strong>de</strong>lser, som med rimelighed<br />

kan tilby<strong>de</strong>s i sundhedscentrene.<br />

Tandbehandlingen omfatter oplysning<br />

og <strong>for</strong>ebyggelse samt un<strong>de</strong>rsøgelse og<br />

behandling af tæn<strong>de</strong>r. Un<strong>de</strong>rsøgelse og<br />

behandling af tæn<strong>de</strong>r skal først og fremmest<br />

gives til personer <strong>de</strong>r er født i 1956<br />

og senere samt til krigsveteraner. Ved<br />

sundhedscentrene, især i landkommunerne,<br />

gives <strong>de</strong>r <strong>de</strong>su<strong>de</strong>n tandbehandling<br />

til voksne. Det meste af voksenbehandlingen<br />

udføres af privatpraktiseren<strong>de</strong><br />

tandlæger. Unge un<strong>de</strong>r 19 år har ret til<br />

tandbehandling u<strong>de</strong>n brugerbetaling.<br />

Kommunerne skal <strong>de</strong>su<strong>de</strong>n tilvejebringe<br />

sygetransport og sørge <strong>for</strong> etableringen af<br />

bedriftssundhedstjenester. Arbejdsgiverne<br />

kan selv organisere bedriftssundhedstjenesten,<br />

eller <strong>de</strong> kan indgå aftale med et<br />

sundhedscenter eller andre <strong>de</strong>r arbej<strong>de</strong>r<br />

med bedriftssundhedstjenesten.<br />

Læger, <strong>de</strong>r arbej<strong>de</strong>r ved sundhedscentrene,<br />

er normalt alment praktiseren<strong>de</strong>. I<br />

<strong>de</strong>t offentlige sundhedssystem skal patienterne<br />

have en henvisning til en specialist,<br />

dog ikke i akutte tilfæl<strong>de</strong>. De fleste af<br />

<strong>de</strong> læger som arbej<strong>de</strong>r i private klinikker<br />

er specialister. Patienterne behøver ingen<br />

henvisning <strong>for</strong> at opsøge disse specialister.<br />

Læger <strong>de</strong>r arbej<strong>de</strong>r i privatklinikker<br />

kan henvise patienter til enten private eller<br />

offentlige hospitaler.<br />

De specialisere<strong>de</strong> centrale og regionale<br />

hospitaler styres af en sammenslutning af<br />

kommuner. In<strong>de</strong>n <strong>for</strong> <strong>de</strong>n psykiatriske<br />

behandling bliver <strong>de</strong>r lagt større og større<br />

vægt på ambulant behandling og brugen<br />

af institutioner er såle<strong>de</strong>s fal<strong>de</strong>n<strong>de</strong>.<br />

23

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