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Congress report - European Health Forum Gastein

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<strong>Forum</strong> III: <strong>Health</strong> and the Single <strong>European</strong> Market<br />

Services<br />

Council Directive of 18 June 1992 coordinating the procurement procedures of public service<br />

contracts (92/50/EEC).<br />

Services, supplies, works<br />

<strong>European</strong> Parliament and Council Directive of 13 October 1997 amending Directives<br />

92/50/EEC, 93/36/EEC and 93/37/EEC concerning the coordination of procedures for the<br />

award of public service contracts, public supply contracts and public works contracts<br />

respectively (97/52/EEC).<br />

Purchasing hospital services – the Swedish experience<br />

Soren Berg<br />

Abstract<br />

The procurement process in Stockholm County Council<br />

The presentation will consist of two parts: The first focused on political decisions, objectives,<br />

legal conditions and the present state of the process. The second focused on evolving<br />

challenges and dilemmas. The presentation will give an updated picture of issues like the<br />

following:<br />

Background and present state<br />

The scope of this procurement is a contract period of five years (2004-2008), with the option<br />

of a two-year extension, at a planned cost of ten billion Swedish kronor per year, which puts<br />

this procurement in a class by itself as the biggest of its kind in Sweden.<br />

A main objective is to increase the diversity among suppliers; to stimulate new solutions in<br />

the ways in which health care is conducted.<br />

The law on public procurement is not designed for such a complex object as acute health<br />

care. Nor has such procurement previously been undertaken anywhere within the EU.<br />

The procurement model is developing, but is not yet ready.<br />

Challenges and dilemmas<br />

The procurement raises many questions. Some of these have found their answer during the<br />

process; some still remain open:<br />

International <strong>Forum</strong> <strong>Gastein</strong>, Tauernplatz 1, A-5630 Bad Hofgastein<br />

Tel.: +43 (6432) 7110-70, Fax: Ext. 71, e-mail: info@ehfg.org, website: www.ehfg.org<br />

141<br />

• To what extent can and should itemised prising be used?<br />

• To what extent can and should objectives and incentives be tailored to fit different<br />

situations and objectives?<br />

• How can dynamics in large-scale responsibility – with focus on integrated care – be<br />

combined with openings for small size entrepreneurs?

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