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Sweden: Health Care System. Morgan Budihas Samantha Eide Kasi Johnson Ashley Stevens. Content. Introduction http:// www.youtube.com/watch?v=MzjxZqbqaR0 Did you know? Universal Health Care Systems offered Charts Maternal Conclusion. Corbis Images, 2012. Did you know?!. - PowerPoint PPT Presentation
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Sweden: Health Care System
Morgan BudihasSamantha EideKasi Johnson
Ashley Stevens
Content
• Introduction – http://www.youtube.com/watch?v=MzjxZqbqaR0
• Did you know?• Universal Health Care • Systems offered • Charts• Maternal• Conclusion
Corbis Images, 2012
Did you know?!
Kingdom of SwedenPopulation: 9,480,205 (Nov. 2011)Size: 450,295 sq.Capital: Stockholm (Pop. 1,372,565)Government: Constitutional monarchy.Climate: North and SouthExchange Rate: 6.7 Swedish kronas= 1 U.S. dollar
Source: U.S. Department of State, 2012
Coverage Is Universal
• What is covered?– Public health and preventive services– Inpatient and outpatient• Hospital care• Prescription drugs
– Mental health care– Dental care (children and young adults)
Source: Anell, 2011
Coverage Continued… • Rehabilitation services• Disability support services• Patient transport support services• Home care & Nursing home care
Resident’s Rights
• Primary care no formal gatekeeping function• Residents choose to go directly to hospital or private
specialist
Source: Anell, 2011
Cost-Sharing
• Patients Pay:– $16-$31 per visit to primary care doctor– $31-$47 per visit to specialist or to emergency care– $12 per day in hospital
• Maximum amount paid for out-of-pocket in 12 month period:– $140 for health services– $279 for outpatient pharmaceuticals
Source: Anell, 2011
How Healthcare System Is Financed
• Public funding comes mainly from central and local taxation
• 70% local income taxes for budget as well as grants and user chargers
• Public funding accounted 81.4% of total health expenditure in 2009
Source: Anell, 2011
• County Councils and Municipalities have right to levy taxes
• Cost Controlled:– County councils and municipalities required to budget and
balance funds– Central Government given financial penalties to local
government
Source: Anell, 2011
System Organized
• 3 Levels of Government• Central Government:– Establish principles and guidelines and set political
agenda for health and medical care• County Council:– Must provide residents with quality health and medical
care• Municipals
Source: Swedish Institute, 2012
Funding • Central Government provides funding:– Prescription drug subsidies– Provides financial support to county councils and
municipalities through grants• County Council provides funding:– Mental health care– Primary care– Specialist services in hospitals
• Municipalities provide funding– Home care and nursing home care
Source: Swedish Institute, 2012
Access and Service
• Long waiting lists are not cost effective • Ex- cataract surgery, heart surgery– anxiety, depression, pain, monetary cost
• Longer wait times associated with:– nervousness– increased pain– limited daily activities
Source: National Center, 2007
Source: National Center, 2007.
Health Care Guarantee
• Appointment with a community health care doctor• Appointment with a specialist• Scheduled operation/treatment• If the waiting time is exceeded, patient will be
reimbursed• 80% feel like they receive adequate care
Source: Swedish Institute, 2012
Crude Birth Rate Sweden United States
2010 12 14
Crude Death Rate Sweden United States
2010 10 8
Sweden United States
Populations Median Age 41 37
Populations Under Age 15 (%) 17% 20%
Populations Over Age 60 (%) 18% 25%
Physicians per density Sweden United States
37.7 (2008) 24.22 (2009)
35.83 (2006) 26.72 (2004)
Hospitals Beds (per 10,000) Sweden United States
2009 28 30
World Health Organization, 2012
20102008
20062004
20022000
19981996
19941992
19900
10
20
30
40
50
60
70
80
90
10098 98 98 98 98 98 99 99 99 99 99 99 99 99 99 99 99 99 99 99 99
93 93 93 93 93 92 92 91 90 90 90 90 91 91 91 8884
7972
7885
Polio (Pol3) immunization coverage among 1-year-olds (%)
SwedenUnited States
Year
%
Source: World Health Organization, 2012
2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 199582
84
86
88
90
92
94
96
98
100
98 98 98 98 98 98
99 99 99 99 99 99 99 99 99 99
93 93 93 93 93
92 92
91
90 90 90 90
91 91 91
88
General government expenditure on health as a percentage of total expenditure on health
SwedenUnited States
Year
% o
n a
100
scla
e
Source: World Health Organization, 2012
2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 19950
10
20
30
40
50
60
70
80
90
100
90.1 90.1 88.5 88.5 88.2 88.6 87.5 88.4 87.4 87.991.1
93.8 95.799.8 99.9 99.9
25.1 23.4 23.5 23.5 23.4 23.8 23.9 24.2 24.1 24.8 25.5 26 26.5 26.5 26.3 26.6
Out-of-pocket expenditure as a percentage of private expenditure on health
Sweden United States
Year
%
Source: World Health Organization, 2012
Sweden United States 0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
9.90%
16.20%
Health Care Expenditure:% of GDP
2009
Location
Perc
enta
ge
Source: CIA, 2012
Sweden United States0
2
4
6
8
10
12
14
10.24
13.7
Birth Rate: per 1,000 population
2012
Location
per 1
,000
Source: CIA, 2012
Sweden United States0
1
2
3
4
5
6
2.74
6
Infant Mortality Rate: per 1,000 live births
2012
Location
per 1
,000
Source: CIA, 2012
Sweden United States0
5
10
15
20
25
4
21
Maternal Mortality Rate: per 100,000 population
2012
Location
per 1
00,0
00
Source: CIA, 2012
Maternal
• Child-Care SystemParents can take 480 days for leaveSource: U.S. Department of State, 2012
• Major Focus: Maternal CareCommunity Midwives= decline in maternal mortality rate
Conclusion
• Universal Health Care• Services Provided• Infant Mortality • Maternal Health– Days off from work– Static
• Problems – Wait time, private health care ($), high taxes
QUESTIONS ?
References• Anell, A. (2011). Descriptions of health care systems: Denmark, france, germany, the
netherlands, sweden, and the united kingdom. The commonwealth fund, Retrieved from :http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CDAQFjAA&url=http%3A%2F%2Fwww.commonwealthfund.org%2F~%2Fmedia%2FFiles%2FPublications%2FFund%2520Report%2F2011%2FNov%2F1562_Squires_Intl_Profiles_2011_11_10.pdf&ei=jMGhUIWGNejryAH8rIHoAQ&usg=AFQjCNHUdnG3PXorX2HTiUFG0z690sI-UQ&sig2=TIe-myTYzSTJfVW2K0TMDw
• Central Intelligence Agency. (2012). The World Factbook, North America: United States. Retrieved from https://www.cia.gov/library/publications/the-world-factbook/geos/us.html
• Central Intelligence Agency. (2012). The World Factbook, Europe: Sweden. Retrieved from https://www.cia.gov/library/publications/the-world-factbook/geos/sw.html
• Corbis Images. 2012. Sweden: Stockholm. Retrieved from : http://www.corbisimages.com/stock-photo/rights-managed/42-33602190/gamla-stan-stockholm?popup=1
• European Commission. (2012). Sweden. Retrieved from http://epp.eurostat.ec.europa.eu/portal/page/portal/product_results/search_results?mo=containsall&ms=Sweden&saa=&p_action=SUBMIT&l=us&co=equal&ci=,&po=equal&pi=,
• Hogberg, David. (May 2007). National Center. In Sweden's single-player health system provides a warning to other nations. Retrieved November 09, 2012, from http://www.nationalcenter.org/NPA555_Sweden_Health_Care.html.
References• The World Health Organization. (2012). Countries: Sweden. Retrieved from:
http://www.who.int/countries/swe/en/• The World Health Organization. (2012). Countries: United States of America.
Retrieved from http://www.who.int/gho/countries/usa/en/ • (August 2004). American Journal of Public Health. In The decline in maternal
mortality in sweden: The role of community midwifery. Retrieved November 09, 2012, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448444/.
• Swedish Institute. (May 2012). Facts About Sweden. In equal access- key to keeping Sweden healthy. Retrieved November 09, 2012, from http://www.sweden.se/upload/Sweden_se/english/factsheets/SI/SI_FS_10_Health%20care%20in%20Sweden/FS10-Health-care-low-resolution.pdf.
• U.S. Department of State. (April 2012). Sweden. Retrieved November 9, 2012 from: http://www.state.gov/r/pa/ei/bgn/2880.htm#history
• Youtube [Web]. (2009). Retrieved from http://www.youtube.com/watch?v=MzjxZqbqaR0