Sweden: Health Care System

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