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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 />

18

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