1. VG PRIMARY CARE PART OF THE GOOD LIFE

2. REGION VÄSTRA GÖTALAND HEALTHCARE CHOICE MODEL The patient in the lead role Fair reimbursements, fair opportunities Future challenges The law concerning freedom of choice systems

3. BASIC IDEAS

4. GOOD HEALTHCARE GETS EVEN BETTER Security Accessibility Quality

5. QUALITY PAYS

6. PRIMARY CARE – FIRST CHOICE The hub of the healthcare system Guide through the system High level of confidence a prerequisite

7. COMPETENCE AND ABILITY DETERMINING FACTORS Detailed criteria Everyone that fulfils the criteria is approved Measurable targets, results anyone can follow

8. EXPANDED ASSIGNMENT, GREATER OPPORTUNITIES

9. THE ASSIGNMENT COMPRISES Health-promoting and preventive measures General medicine including undertakings in mental ill- health, medical chiropody, doctor participation in municipal healthcare and medical treatment, cooperation with other care professionals etc, local healthcare responsibility, out of hours availability/duty doctors. Pediatric care Education places and guidance Developmental work and R&D

10. 24-HOUR RESPONSIBILITY FOR PATIENTS Open at least 45 hours a week Emergency clinic open until 10pm weekdays. Can be organized in cooperation with other caregivers. Emergency clinics open at least six hours during weekends and public holidays. Can be organized in cooperation with other caregivers.

11. NOT INCLUDED IN THE ASSIGNMENT Child and youth medical clinic Out-patient gynecology Prenatal clinic Psychologists within child welfare Youth clinics Physiotherapy Occupational therapy Light therapy units

12. BETTER PRIMARY CARE BENEFITS EVERYONE

13. ESSENTIAL COMPETENCES Specialist in general medicine during all opening hours At least half of the doctor’s positions must be filled by specialists in general medicine, possibly supplemented with other specialists. Specialist trained district nurse Psychologist or psychotherapist (or social worker or other registered healthcare or nursing professional with basic training in psychotherapy). Child welfare nurse and child welfare doctor Medical chiropody therapist

14. THE PATIENT – A VALUABLE RESOURCE Free to develop and fine-tune the supply Increased confidence More attractive primary care

15. EVERYONE MAKES A CHOICE

16. THIS IS WHAT HAPPENS Everyone over 16 chooses a health centre Switching opportunities No-one is denied care Fixed healthcare contact if required

17. PRIMARY CARE ALLOWANCE

18. 1. Primary care allowance (more than 80% of the reimbursement). 2. Target-related reimbursement (linked to degree of coverage and quality criteria). 3. Special reimbursement for interpreter and geographical and socioeconomic factors. 4. Reimbursement for special assignments EQUAL TERMS FOR ALL Primary care allowance moves as patient chooses health centre. Amount is determined by age, gender and care weighting (ACG points). A fair reimbursement model:

19. THE TARGET – TOP MARKS THROUGHOUT

20. OPEN DIALOGUE Continual follow-ups Medical auditing unit Feedback and result publication Learning, continuous improvement

21. VG PRIMARY CARE FULLY IMPLEMENTED FROM 1 OCTOBER