Health Statistics in the Nordic Countries with data from ... - nomesco
Health Statistics in the Nordic Countries with data from ... - nomesco
Health Statistics in the Nordic Countries with data from ... - nomesco
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1.2 Organization and<br />
responsibility for <strong>the</strong> health<br />
sector<br />
DENMARK: Responsibility for health<br />
services is relatively decentralized. The<br />
ma<strong>in</strong> pr<strong>in</strong>ciples are as follows: The State<br />
is responsible for legislation, supervision<br />
and guidel<strong>in</strong>es. The regions are responsible<br />
for hospital services, health <strong>in</strong>surance<br />
and special nurs<strong>in</strong>g homes. The<br />
municipalities are responsible for primary<br />
health care, home nurs<strong>in</strong>g, nurs<strong>in</strong>g<br />
homes and child and school health services.<br />
The regional authorities have operational<br />
responsibility for health services.<br />
In pr<strong>in</strong>ciple, primary contact shall always<br />
be <strong>with</strong> a general medical practitioner.<br />
Dental services are provided by private<br />
dental practitioners. The public dental<br />
services only provide some dental care<br />
services for children.<br />
<strong>Health</strong> care dur<strong>in</strong>g pregnancy is <strong>the</strong> responsibility<br />
of <strong>the</strong> regions.<br />
Child health care is provided accord<strong>in</strong>g<br />
to <strong>the</strong> Act Relat<strong>in</strong>g to <strong>Health</strong> Visitors,<br />
and is adm<strong>in</strong>istered by <strong>the</strong> municipalities.<br />
<strong>Health</strong> exam<strong>in</strong>ations of children are<br />
carried out by general medical practitioners.<br />
Home nurs<strong>in</strong>g care is provided by <strong>the</strong><br />
municipalities. Care is provided free of<br />
charge, after referral by a physician.<br />
School and occupational health services<br />
are regulated by legislation. Municipalities<br />
are responsible for school health services,<br />
which are provided by health visitors<br />
and physicians.<br />
Occupational health services are organized<br />
by companies and are led by com-<br />
ORGANIZATION OF HEALTH SERVICES<br />
1.2 Organiser<strong>in</strong>g og ansvar for<br />
sundhedsvirksomheden<br />
DANMARK: Ansvaret for sundhedsvæsenet<br />
er bygget op over en forholdsvis<br />
decentral organisation. Hovedpr<strong>in</strong>cipperne<br />
er følgende: Staten er ansvarlig for<br />
lovgivn<strong>in</strong>g, tilsyn og retn<strong>in</strong>gsl<strong>in</strong>jer.<br />
Regionerne er ansvarlige for sygehusvæsen,<br />
praksissektoren og specielle plejehjem.<br />
Kommunerne er ansvarlige for<br />
sundhedspleje, hjemmepleje, forebyggelse,<br />
genoptræn<strong>in</strong>g efter sygehusophold,<br />
samt børne- og skolesundhedstjeneste.<br />
Driftsansvaret for de regionale sundhedsydelser<br />
påhviler regionerne.<br />
Primærkontakten skal pr<strong>in</strong>cipielt altid<br />
rettes til den alment praktiserende læge.<br />
Tandlægebehandl<strong>in</strong>g foregår hos privat<br />
praktiserende tandlæger. Servicen er kun<br />
et offentligt anliggende <strong>in</strong>den for visse<br />
dele af børnetandplejen.<br />
Svangerskabshygiejnen hører under<br />
regionernes ansvar.<br />
Børnesundhedsplejen, der gives i henhold<br />
til loven om sundhedsplejerskeordn<strong>in</strong>ger,<br />
er knyttet til kommunernes<br />
sundhedsforvaltn<strong>in</strong>g, mens helbredsundersøgelser<br />
af børn udføres af de alment<br />
praktiserende læger.<br />
Hjemmesygeplejerskeordn<strong>in</strong>gerne er<br />
knyttet til kommunerne, der yder vederlagsfri<br />
pleje efter lægehenvisn<strong>in</strong>ger.<br />
Skole- og bedriftssundhedstjenesten er<br />
reguleret ved lov. Kommunerne har ansvaret<br />
for skolesundhedstjenesten, som<br />
varetages af sundhedsplejersker og læger.<br />
Bedriftssundhedstjenesten er tilrettelagt i<br />
virksomhedsregi og ledes af udvalg med<br />
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