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Björn Smedby – contributions to the Health Services Research and Classifications Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research Department of Public Health and Caring Sciences Uppsala University, Sweden E-mail: [email protected] (Compiled by Lars Berg, Head of WHO FIC Centre in Norway)

Björn Smedby – contributions to the Health Services Research and Classifications Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research

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Page 1: Björn Smedby – contributions to the Health Services Research and Classifications Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research

Björn Smedby – contributions to the Health Services

Research and Classifications

Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research

Department of Public Health and Caring Sciences Uppsala University, Sweden

E-mail: [email protected]

(Compiled by Lars Berg, Head of WHO FIC Centre in Norway)

Page 2: Björn Smedby – contributions to the Health Services Research and Classifications Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research

Start of research• MD 1959, Gothenburg• 1962 recruited to Uppsala to work with an

international comparative study of the health care systems in the U.S., U.K. and Sweden – aiming at elucidating the effects of the health

system on medical care use and health outcomes

– Publication in Lancet 1968• 1964 piloting the use of in-patient register in

Uppsala Region – with the use of ICD-7 Swedish Clinical

Modification for Morbidity and a Classification of Operations

– became a start of a national in-patient register in Sweden

• PhD 1972

(Photo from paper in Läkartidningen - The Swedish Medical Association Journal - 1967)

Page 3: Björn Smedby – contributions to the Health Services Research and Classifications Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research

Professor 1980 in Health Services Research, Uppsala University

• Academic – Supervised 25 PhD students– Several Swedish research-political commissions

• Classifications and use of classifications– 50 years of work with the Swedish ICD, start 1962, ongoing

work ...some examples• ICD-7 (1964), 8,9,10 Swedish translation & implementation • ICD-8 (1977), ICD-9,10 Swedish Primary Health Care adaptations,

based on ICD • Reporting Basic Data from Primary Health Care (1981-83)

… and still consultant on Classifications for the Swedish National Board of Health and Welfare

Page 4: Björn Smedby – contributions to the Health Services Research and Classifications Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research

WHO FIC Network

• 25 years of WHO FIC Network attendance• 1987 initiating the Nordic Collaborating Centre in

Uppsala, Sweden, first Head of Centre 1987-2002Examples of contributions to WHO FIC Network: • A recommended shortlist of diagnoses for hospital

activity analysis. – Final report from the Expert Group on Shortlists for the

EU Hospital Data Project. • A selected shortlist of hospital procedures• Health Classifications in the Nordic Countries

http://nomesco-eng.nom-nos.dk/filer/publikationer/KlassifikationshistorieWeb.pdf

Page 5: Björn Smedby – contributions to the Health Services Research and Classifications Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research

A follow up after half a century …

• Smedby, B., Andersen, R. (2010). International comparisons of health care systems: Conceptual and methodological developments over half a century. Socialmedicinsk Tidskrift, vol. 87, ss. 439-452.

Available in full text (in English): http://journals.sfu.ca/smt/index.php/smt/article/download/749/567

Page 6: Björn Smedby – contributions to the Health Services Research and Classifications Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research

Björn: motto and characteristicsMotto: “A thing worth doing is worth doing well”

Characteristics: curious, hard-working, careful (exact)

Björn working place at home (March 2012, age 80).

From interview in the local newspaper: Upsala Nya Tidning.

Page 7: Björn Smedby – contributions to the Health Services Research and Classifications Björn Smedby, M.D., Ph.D., Professor Emeritus Health Services Research

The World Health OrganizationFamily of International Classifications

Lifetime Achievement Award

to

Professor Björn Smedby

who has made extensive contributions of outstanding scientific significance to the field of

Classifications at international level

Brasilia, 18 October 2012 WHO FIC Annual Network Meeting