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Health care in Sweden

Health care in Sweden. Richard Wallensten and Hanne Hedin. Population 9 174 464 inh. 4615641 women 4558823 men Area 411000 km 2 North-South 1574 km East –West 499 km. Forests 53 % Mountains 11 % Cultivated land 8 %Lakes and rivers 9 %.

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Health care in Sweden

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  1. Health care in Sweden Richard Wallensten and Hanne Hedin

  2. Population 9 174 464 inh. 4615641 women 4558823 men Area 411000 km2 North-South 1574 km East –West 499 km Forests 53 % Mountains 11 % Cultivated land 8 %Lakes and rivers 9 %

  3. Life expectancy: men 79 years, women 83 years

  4. Average temperatures January July Malmö -0.2° C +16.8° C Stockholm -2.8°C +17.2° C Kiruna -16.0° C +12.8° C Daylight January July Malmö 7 hours 17 hours Stockholm 6 18 Kiruna 0 24

  5. 18 counties 290 municipalities

  6. Sweden is a consttutional monarchy

  7. Stockholm is the capital 1,8 million inhabitants

  8. Swedish parliament building

  9. Election every 4 years 349 MPs, 47 % women Parliament nominates the prime minister Prime minister chooses his government 330 state authorities EU member since 1995

  10. 6 heath care regions 21 county councils

  11. Department of Health and Social Welfare • Annual budget 30 870 billion SEK (32 350 billion €) • 7.5 % of GDB • 9.1 % if heath care of the elderly is included • County councils • responsible for health and medical care • 89 % of the budget • 9 regional hospitals • 70 county and provincial hospitals • 1000 health centres

  12. Health care is free? • total taxation can be as much as 55 % • out patient charges up to 900 SEK (94 € ) • in hospital charges 80 SEK/day (84 €) • cost ceiling for drugs 1800 SEK (190 €) • dental care vary upon treatment, age group and orthodontic material

  13. 6 medical schools admits a fixed number twice annually (1100) • Medical school 11 trimesters • Internship 18 months: 9 med/surg, 6 GP, 3 psychiatry • Resident 5 years • specialist (62 medical specialities)

  14. 2007 • 2171 doctors were licenced • 806 with Swedish training • 1365 with foreign training

  15. 29134 doctors < 65 years • 5578 doctors > 65 years • 15584 male < 65 • 13096 female < 65 • 2100 in full time private praxis = < 10 %

  16. Public health employed • 24200 in hospitals or health centres • 12700 specialists in hospitals • 4500 GPs at health centres • 5000 residents • 2000 interns

  17. Privately employed • 2000 in private practice • 500 company doctors • 2000 in other activities

  18. Health care providers • 80 public hospitals • 12 private hospitals • 755 public health centres • 269 private health centres

  19. Outpatient visits 2006 Specialist GP Public health 9,5 mil. 9.0 mil. Private 3.3 4.0

  20. Swedish Orthopaedic Association • 1350 members • 171 women • 178 retired • 100 full time private practice

  21. 56 orthopaedic departments • both trauma and elective orthopaedics • 8 university departments • 23 county hospitals • 25 provincial hospitals

  22. SPUR • orthopaedic resident training in 56 hospitals • audits every 5 years • by the Swedish Orthopaedic Association • a protocol common for all specialities • results published in the medical journal

  23. HSAN = The Health and Medical Care Liability Board settles all medical complaints PSR = Swedish Patient Insurance handles economical compensation

  24. Thank you

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