Helsestatistik for de nordiske lande 1997 - nomesco

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ORGANIZATION OF HEALTH SERVICES In 1997, there were more than 20,000 beds in the health centres, primarily for the treatment of elderly people. ÅLAND: According to the home rule for Åland, the islands have their own legislation for the health sector except for administrative interventions regarding personal freedom, contagious diseases, castration and sterilisation, abortion, assisted reproduction, forensic medicine, and general rules for companies offering health care services. The task, structure and organization of the public health sector are regulated according to the Act for the Health Sector. This Act is a general Act which can be supplemented by statutes. Detailed rules concerning the sector are described annually in a sector plan. Measures not stated in the Åland legislation, or which do not come under separate legislation, follows Finnish legislation. The whole public health service comes under an overall organization called Åland’s Health Care Organization (ÅHS). The organization is governed by a politically elected board. The Government of Åland has the overall responsibility that the population receives necessary treatment. The role of the municipalities is limited to financing certain defined treatments. Specialist treatment including psychiatric treatment is one of two sectors in ÅHS. Services which cannot be provided locally may be bought from contractors in Finland and Sweden including private practitioners, private institutions and university hospitals. 24 I 1997 var der over 20.000 senge ved sundhedscentrene, primært til behandling af ældre. ÅLAND: På grund af sit selvstyre har Åland sin egen lovgivning for sundhedsvæsenet, dog med undtagelse af bl.a. administrative indgreb i den personlige frihed, smitsomme sygdomme, kastrering og sterilisation, svangerskabsafbrydelse, kunstig befrugtning, retsmedicinske undersøgelser, samt regelsættene for virksomheder der udbyder sundhedsydelser. Det offentlige sundhedsvæsens forpligtigelser, struktur og organisation, reguleres i landskabsloven om sundhedsvæsenet. Loven er en rammelov, som efter behov kan suppleres med bekendtgørelser. Detaljerede bestemmelser om virksomheden beskrives hvert år i en virksomhedsplan. Forhold som ikke hører under ålandsk lovgivning, eller som ikke har egen lovgivning, tilpasses finsk lovgivning. Hele det offentlige sundhedsvæsen, er underordnet en samlet organisation, Ålands hälso- och sjukvård (ÅHS). Organisationen ledes af en politisk valgt styrelse. Landskapsstyrelsen er hovedansvarlig og har ansvaret for at befolkningen får den nødvendige sygdomsbehandling. Kommunernes ansvar og indflydelse er begrænset til visse nærmere afgrænsede finansieringsforpligtigelser. Den specialiserede sygdomsbehandling, inkl. behandlingen af psykiatriske patienter udgør den ene af to enheder i ÅHS. Service som ikke kan produceres af egne enheder købes af producenter i Finland og Sverige, enten hos privatpraktiserende, private institutioner eller universitetssygehuse.
The Åland hospitals are specialised institutions with both outpatient and inpatient treatment. Specialised treatment outside the hospitals is provided as consultative services for the primary health care and for private general practitioners. The primary health care is the other sector under the ÅHS. The structure corresponds functionally as well as ideologically to the Finnish public health care. Advice concerning contraceptives and counselling for mothers and infants functions as in Finland. Immunization programmes are voluntary and the recommendations are as in Finland. Physiotherapy under the ÅHS is a shared function both for the primary health care and the hospitals. As a supplement a number of private physiotherapists are used by the public sector. Dental treatment is part of the primary health care and the youngest age groups have the highest priority together with certain risk groups and preventive measures. If possible, other patient groups are also treated. The private sector is well established with a high capacity and provide an important supplement. ICELAND: The health sector is regulated according to the health act of 1990. Apart from that, the most important laws are: • The Act on Physicians • The Act on Patients Rights • The Act concerning Social Security • The Act on Communicable Diseases. The administration of the health service is divided between the Government and regional and local boards. The role of the ORGANIZATION OF HEALTH SERVICES De ålandske sygehuse er specialiserede institutioner, der udfører såvel ambulant behandling og behandling af indlagte patienter. Speciallægevirksomheden uden for sygehusene eksisterer i form af konsultativ bistand til den offentlige primære behandling og til de privatpraktiserende læger. Det primære sundhedsvæsen er den anden resultatenhed inden for ÅHS. Strukturen svarer ideologisk og driftsmæssigt til det finske folkesundhedsarbejde. Rådgivning vedrørende prævention, rådgivning til mødre og småbørn fungerer som i Finland. Vaccinationsprogrammer er frivillige, og anbefalingerne svarer til de finske. Fysioterapien inden for ÅHS er en fællesfunktion for både primærsektoren og sygehusene. Som et supplement er der et antal private fysioterapeuter som også anvendes af det offentlige. Tandbehandlingen er en del af det primære sundhedsvæsen. Behandling af de yngre aldersgrupper og visse risikopatientgrupper samt forebyggende foranstaltninger har højeste prioritet. Såfremt det er muligt behandler man også andre patienter. Den private sektor er kapacitetsmæssigt veludbygget og udgør et vigtigt supplement. ISLAND: Sundhedsvæsenets arbejde reguleres af sundhedsloven fra 1990. Derudover er de vigtigste love: • Lov om lægevirksomhed, • Lov om patientrettigheder, • Lov vedrørende social sikring, • Lov om smitsomme sygdomme. Formelt er forvaltningen tredelt mellem staten, regionale styrelser og lokale styrelser. Statens rolle er dog betydeligt større 25
Page 1 and 2: Health Statistics in the Nordic Cou
Page 3 and 4: Health Statistics in the Nordic Cou
Page 5 and 6: Contents Indhold CONTENTS Preface F
Page 7: CONTENTS SECTION C SEKTION C 209 Ap
Page 10 and 11: DENNE SIDE ER BLANK!
Page 12 and 13: ORGANIZATION OF HEALTH SERVICES CHA
Page 14 and 15: ORGANIZATION OF HEALTH SERVICES Sin
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Page 20 and 21: ORGANIZATION OF HEALTH SERVICES Alm
Page 22 and 23: ORGANIZATION OF HEALTH SERVICES Per
Page 26 and 27: ORGANIZATION OF HEALTH SERVICES Gov
Page 28 and 29: ORGANIZATION OF HEALTH SERVICES Loc
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Page 40 and 41: ORGANIZATION OF HEALTH SERVICES Use
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Page 46 and 47: ORGANIZATION OF HEALTH SERVICES Use
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Page 50 and 51: ORGANIZATION OF HEALTH SERVICES SWE
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Page 54 and 55: POPULATION AND FERTILITY CHAPTER II
Page 56 and 57: POPULATION AND FERTILITY Figure 2.1
Page 58 and 59: POPULATION AND FERTILITY Table 2.1
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CONSUMPTION PATTERNS Table 3.1 Tota
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CONSUMPTION PATTERNS Table 3.5 Tota
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CONSUMPTION PATTERNS Table 3.9 Sale
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MEDICAL TREATMENT, MORBIDITY AND AC
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MORTALITY AND CAUSES OF DEATH been
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MORTALITY AND CAUSES OF DEATH the o
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MORTALITY AND CAUSES OF DEATH Table
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MORTALITY AND CAUSES OF DEATH Figur
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RESOURCES ferred from the hospital
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RESOURCES Table 6.2 Health care exp
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RESOURCES Figure 6.1 Health care ex
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RESOURCES Table 6.4 Active health p
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RESOURCES Table 6.6 Active health p
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RESOURCES Table 6.8 Working physici
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RESOURCES Capacity and services at
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RESOURCES Table 6.9 Number of hospi
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RESOURCES Table 6.10 Authorized hos
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RESOURCES Figure 6.5 Average length
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RESOURCES Table 6.13 Bed-days in ho
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RESOURCES C01A, C01D: Cardiac glyco
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RESOURCES R03A, R03B, R03C+R03D, R0
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RESOURCES Table 6.14 Insulins and o
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RESOURCES Table 6.17 Diuretics, bet
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RESOURCES Table 6.19 Psycholeptics
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RESOURCES Table 6.21 Antihistamines
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RESOURCES Table 6.22 … continued
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DENNE SIDE ER BLANK
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CAUSE-OF-DEATH STATISTICS In an int
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CAUSE-OF-DEATH STATISTICS Table 1 C
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CAUSE-OF-DEATH STATISTICS The Nordi
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CAUSE-OF-DEATH STATISTICS 2.1.2 Cau
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CAUSE-OF-DEATH STATISTICS statistic
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CAUSE-OF-DEATH STATISTICS Plans are
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CAUSE-OF-DEATH STATISTICS 2.1.5 Rev
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CAUSE-OF-DEATH STATISTICS 2.2. Clas
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CAUSE-OF-DEATH STATISTICS 2.2.2 Cla
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CAUSE-OF-DEATH STATISTICS Figure 3
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CAUSE-OF-DEATH STATISTICS With auto
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CAUSE-OF-DEATH STATISTICS Statistic
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CAUSE-OF-DEATH STATISTICS the large
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CAUSE-OF-DEATH STATISTICS 2.3. The
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CAUSE-OF-DEATH STATISTICS cause of
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CAUSE-OF-DEATH STATISTICS 2.4. Reso
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CAUSE-OF-DEATH STATISTICS Reference
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APPENDIX 1 Appendix 1 Obstetric def
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APPENDIX 2 Appendix 2 Hospital rela
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APPENDIX 3 Age-adjusted rates (ESP)
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APPENDIX 3 41 Dorsopathies excl. in
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APPENDIX 3 21 Mental and behavioura
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APPENDIX 5 Appendix 5 Tables on med
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APPENDIX 5 Surgery/Kirurgi General
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FURTHER INFORMATION Further informa
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FURTHER INFORMATION National Board
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FURTHER INFORMATION National Public
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FURTHER INFORMATION National Econom
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FURTHER INFORMATION Norwegian Medic
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NOMESCO PUBLICATIONS 240 NOMESCO Pu
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NOMESCO PUBLICATIONS 28. Health Sta
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Helsestatistik for de nordiske lande 1997 - nomesco

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