Health care in Sweden Richard Wallensten and Hanne Hedin

Population inh women men Area km 2 North-South 1574 km East –West 499 km Forests 53 %Mountains 11 % Cultivated land 8 %Lakes and rivers 9 %

Life expectancy: men 79 years, women 83 years

Average temperatures JanuaryJuly Malmö -0.2° C+16.8° C Stockholm-2.8°C+17.2° C Kiruna-16.0° C+12.8 ° C Daylight JanuaryJuly Malmö 7 hours17 hours Stockholm6 18 Kiruna024

18 counties 290 municipalities

Sweden is a consttutional monarchy

Stockholm is the capital 1,8 million inhabitants

Swedish parliament building

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

21 county councils 6 heath care regions

Department of Health and Social Welfare Annual budget billion SEK ( 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

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

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)

doctors were licenced 806 with Swedish training 1365 with foreign training

29134 doctors < 65 years 5578 doctors > 65 years male < female < in full time private praxis = < 10 %

Public health employed in hospitals or health centres specialists in hospitals 4500 GPs at health centres 5000 residents 2000 interns

Privately employed 2000 in private practice 500 company doctors 2000 in other activities

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

Outpatient visits 2006 SpecialistGP Public health 9,5 mil.9.0 mil. Private

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

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

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 SPUR

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

Thank you