1. Health care in Sweden Richard Wallensten and Hanne Hedin

2. Population9 174 464 inh. 4615641 women 4558823 men Area411000 km 2 North-South 1574 km East –West 499 km Forests 53 %Mountains 11 % Cultivated land 8 %Lakes and rivers 9 %

3. Life expectancy: men 79 years, women 83 years

4. 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

7. 18 counties 290 municipalities

8. Sweden is a consttutional monarchy

9. Stockholm is the capital 1,8 million inhabitants

10. Swedish parliament building

11. 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

12. 21 county councils 6 heath care regions

13. Department of Health and Social Welfare Annual budget 30 870 billion SEK (32 350 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

14. 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

15. 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)

16. 2007 2171 doctors were licenced 806 with Swedish training 1365 with foreign training

17. 29134 doctors < 65 years 5578 doctors > 65 years 15584 male < 65 13096 female < 65 2100 in full time private praxis = < 10 %

18. Public health employed 24200 in hospitals or health centres 12700 specialists in hospitals 4500 GPs at health centres 5000 residents 2000 interns

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

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

21. Outpatient visits 2006 SpecialistGP Public health 9,5 mil.9.0 mil. Private 3.34.0

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

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

24. 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

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

26. Thank you