Helsestatistik for de nordiske lande 1997 - nomesco
Helsestatistik for de nordiske lande 1997 - nomesco
Helsestatistik for de nordiske lande 1997 - nomesco
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NORWAY: Most pharmaceutical products<br />
are reimbursed according to a system<br />
based on diagnoses and approved<br />
products prescribed by a physician. A<br />
condition is long-term need <strong>for</strong> the<br />
product, equipment or accessories.<br />
SWEDEN: A new rebate system <strong>for</strong> prescribed<br />
pharmaceutical products was introduced<br />
in <strong>1997</strong>. The rebate is calculated<br />
according to the value of the products<br />
bought. For purchases of up to SEK<br />
400 over a 12 month period, the user<br />
pays all. A rebate is given <strong>for</strong> exceeding<br />
costs. For costs between SEK 400 and<br />
1,200, there is a 50 per cent rebate. Between<br />
SEK 1,200 and 2,800 the rebate is<br />
75 per cent, and between SEK 2,800 and<br />
3,800 the rebate is 90 per cent. When<br />
products have been purchased <strong>for</strong> a sum<br />
of SEK 3,800, the ceiling of user charge<br />
has been reached. At this level, the patient<br />
will have paid SEK 1,300 and receives<br />
a free pass <strong>for</strong> the rest of the year.<br />
The scheme covers rebate approved<br />
medicines on prescription including contraceptives<br />
and accessories <strong>for</strong> stoma. Insulin<br />
is free of charge.<br />
ORGANIZATION OF HEALTH SERVICES<br />
NORGE: De fleste lægemidler refun<strong>de</strong>res<br />
efter et system baseret på diagnoser<br />
og godkendte præparater <strong>for</strong>skrevet af en<br />
læge. Udgangspunktet er at man langvarigt<br />
har behov <strong>for</strong> lægemidlet, medicinsk<br />
udstyr eller <strong>for</strong>brugsvarer.<br />
SVERIGE: I <strong>1997</strong> blev <strong>de</strong>r indført et<br />
nyt rabatsystem <strong>for</strong> lægemidler på recept.<br />
Rabatten udregnes efter værdien på <strong>de</strong><br />
lægemidler som købes. For indkøb op til<br />
400 SEK i en 12 måne<strong>de</strong>rs perio<strong>de</strong> betaler<br />
man selv <strong>de</strong>t hele. På udgifter <strong>de</strong>rudover<br />
y<strong>de</strong>s <strong>de</strong>r rabat. For udgifter mellem<br />
400 SEK og 1.200 SEK gives <strong>de</strong>r 50 pct.<br />
rabat. Mellem 1.200 og 2.800 SEK er<br />
rabatten 75 pct. og <strong>for</strong> udgifter mellem<br />
2.800 SEK og 3.800 SEK er rabatten 90<br />
pct. Når <strong>de</strong>r er købt lægemidler <strong>for</strong> 3.800<br />
SEK har man nået op på egenbetalingens<br />
maksimum. Patienten har ved <strong>de</strong>tte niveau<br />
selv betalt 1.300 SEK og får så til<strong>de</strong>lt<br />
et frikort <strong>for</strong> resten af året. Ordningen<br />
omfatter rabatberettige<strong>de</strong> lægemidler<br />
på recept, inkl. p-piller og brugsartikler<br />
til stomier. Insulin er gratis.<br />
Treatment at hospitals Behandlinger ved sygehuse<br />
As appears from the survey, there are no<br />
user charges <strong>for</strong> hospitalization in Denmark,<br />
the Faroe Islands, Greenland, Iceland<br />
and Norway. In Iceland, however,<br />
there is a charge <strong>for</strong> specialist polyclinic<br />
treatment at hospitals, cf the section on<br />
consultations with physician.<br />
FINLAND AND ÅLAND: Patients pay<br />
a charge <strong>for</strong> admission to hospital, psychiatric<br />
ward or health centre, which as<br />
per January 1 1999 was a maximum of<br />
FIM 125 per day. The payment <strong>for</strong> one<br />
Som <strong>de</strong>t fremgår af skemaet er <strong>de</strong>r ingen<br />
brugerbetaling <strong>for</strong> sygehusophold i<br />
Danmark, på Færøerne, i Grønland, Island<br />
og Norge. Dog betales <strong>de</strong>r i Island<br />
<strong>for</strong> ambulant specialistbehandling ved<br />
hospitaler, jvf. afsnittet om lægebesøg.<br />
FINLAND OG ÅLAND: Patienterne<br />
betaler <strong>for</strong> indlæggelse på hospital, psykiatrisk<br />
af<strong>de</strong>ling eller sundhedscenter. Pr<br />
1. januar 1999 var <strong>de</strong>n maksimale egenbetaling<br />
125 FIM pr. dag. Betalingen <strong>for</strong><br />
45