Health Statistics in the Nordic Countries with data from ... - nomesco

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contract with the region, and other private hospitals are run completely independently of the public health services. • Private nursing homes provide care for residents according to contracts with the municipalities. • Some private specialists have a contract with the municipality, and receive most of their patients by referral from a general practitioner. Others work completely independently. Contact with health services: Patients can attend general practitioners, dentists and emergency services without a referral. Free choice of hospital: Patients who are referred to hospital have the right to choose which hospital they wish to attend. SWEDEN: The most important act is the Health and Medical Service Act. Other important acts include the Act Relating to Active Health Personnel and the Act Relating to Injuries to Patients. In the Swedish health system, responsibility for health services is divided between the state, the county authorities and the municipalities. The Health and Medical Service Act (Hälso- och sjukvårdslagen, HSL) regulates the division of responsibility for health services between the county authorities and the municipalities. The Act gives the county authorities and the municipalities a great deal of freedom about how to organize ORGANIZATION OF HEALTH SERVICES har en fast benyttelsesaftale med den region, hvori de ligger, mens nogle private sygehuse fungerer helt uafhængigt af det offentlige sundhedsvæsen. • Private plejehjem modtager beboere i henhold til aftaler indgået med kommunerne. • Nogle praktiserende speciallæger: arbejder efter aftale med kommunerne og modtager deres patienter efter henvisning fra alment praktiserende læger. Andre arbejder uavhengig. Kontakt til sundhedsvæsenet: Patienter henvender sig uden henvisning til alment praktiserende læger, tandlæger, og skadestuer samt lægevagten. Frit valg til sygehusvæsenet: En patient som bliver henvist til spesialisthelsetjenesten har ret til at vælge sygehus/behandlingssted. SVERIGE: Den vigtigste lov er Hälso- och sjukvårdslagen (HSL). Andre vigtige love er blandt andet Loven om erhvervsvirksomhed inden for sundhedsområdet samt Patientskadelagen. I det svenske sundhedssystem er ansvaret fordelt mellem stat, landting og kommuner. I Hälso- och sjukvårdslagen (HSL) reguleres hvad det er landstingenes og kommunernes ansvar idet loven giver landsting og kommuner stor frihed når det gælder organiseringen indenfor deres eget ansvarsområde. Staten er ansvarlig for den overordnede sundhedspolitik. I Sverige findes der 18 landsting og to regioner med ansvaret som er fælles for 32
ORGANIZATION OF HEALTH SERVICES health services. The state has overall responsibility for health policy. In Sweden there are 18 county authorities and two regions with responsibility for large geographical areas, which often require a high level of utilization of resources. The most important task is provision of health services. The county authorities have responsibility for providing dental services for people up to the age of 20 years. The county authorities shall organize health services so that all inhabitants have access to adequate health services. In 2005 a new treatment guarantee was introduced. This guarantee implies the patient’s rigtht to 33 • Contact with the primary care on the same day • An appointment with a GP within seven days • An appointment with a specialist within 90 days, either under referral or on own initiative • After a decision on type of treatment, the treatment has to be started within 90 days. In the case on child and adolescent psychiatry the treatment guarantee is further sharpened. A young person asking for help in psychiatry must be offered contact the same day via telephone or on site and a visit to the doctor within seven days. After this the young person meets a specialist within 30 days and a treatment is to be started within 30 days further. School health services, home help, preventive measures and environmental health all come under the municipalities, større geografiske områder og som kræver store ressourcer. Den vigtigste arbejdsopgave er bestemmelse af sundhedsydelser. Kommunerne har ansvar for at yde tandbehandling til børn og unge indtil de fylder 20 år. Kommunerne har desuden ansvaret for at alle borgere har adgang til de nødvendige sundhedsydelser. I 2005 indførtes en national behandlingsgaranti. Behandlingsgarantien indebærer at patienten har ret til • At komme i kontakt med primærplejen samme dag • At få en tid hos en praktiserende læge inden syv dage • At få en tid hos speciallæge inden 90 dage, enten under henvisning eller på eget initiativ, samt • Efter endelig beslutning om behandlingsform, at få behandling påbegyndt inden 90 dage. Inden for børne- og ungdomspsykiatrien er behandlingsgarantien forstærket yderligere. En ung person der efterspørger hjælp indenfor psykiatrien skal tilbydes kontakt samme dag via telefon eller på stedet samt et besøg hos lægen inden for syv dage. Derefter må der højst gå 30 dage inden den unge mødes med en specialist indenfor ungdomspsykiatrien, hvorefter der skal påbegyndes behandling i løbet af yderligere 30 dage. Skolesundhedsvæsenet og hjemmehjælpen hører, ligesom det lokale miljø- og sygdomsforebyggende arbejde, under
Page 1: Health Statistics in the Nordic Cou
Page 4 and 5: Members of the Editorial Committee
Page 6 and 7: CONTENTS 3.5 Surgical procedures 3.
Page 9 and 10: 9 PREFACE Preface Forord The aim of
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Page 41 and 42: POPULATION AND FERTILITY Life expec
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Page 45 and 46: POPULATION AND FERTILITY Table 2.1.
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Page 61 and 62: MORBIDITY, MEDICAL TREATMENT, ACCID
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MORBIDITY, MEDICAL TREATMENT, ACCID
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MORTALITY AND CAUSES OF DEATH 1994,
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MORTALITY AND CAUSES OF DEATH the s
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MORTALITY AND CAUSES OF DEATH Figur
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MORTALITY AND CAUSES OF DEATH Table
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RESOURCES A financing model for som
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RESOURCES If there is a waiting per
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RESOURCES SWEDEN: Local authorities
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RESOURCES Egenbetaling for lægebes
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RESOURCES Current prices are determ
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RESOURCES In special cases, reimbur
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RESOURCES SWEDEN: The new Act on Ph
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RESOURCES User charges for hospital
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RESOURCES Children and young people
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RESOURCES specialist at a health ce
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RESOURCES Dental treatment is not s
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RESOURCES For these groups, the sam
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RESOURCES For children and young pe
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RESOURCES The following services ar
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RESOURCES 5.3. Health care expendit
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RESOURCES There will always be such
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RESOURCES It is difficult to compar
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RESOURCES Table 5.3.3 GDP and healt
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RESOURCES Table 5.3.4 Sales of medi
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RESOURCES 5.4 Health care personnel
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RESOURCES Table 5.4.1 Employed heal
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RESOURCES Table 5.4.3 Employed phys
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RESOURCES Table 5.4.5 Employed phys
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RESOURCES The trend is that the num
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RESOURCES Figure 5.5.1 Average leng
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RESOURCES Table 5.5.4 Discharges fr
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FURTHER INFORMATION 283 APPENDICES
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FURTHER INFORMATION Danish Medicine
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FURTHER INFORMATION Finland Statist
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FURTHER INFORMATION Iceland Statist
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FURTHER INFORMATION Cancer Registry
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NOMESCO PUBLICATIONS 293 NOMESCO’
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NOMESCO PUBLICATIONS 73. Health Sta
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