SWECARE FOUNDATION. Uniting the Swedish health care sector for increased international competitiveness

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1 SWECARE FOUNDATION Uniting the Swedish health care sector for increased international competitiveness

2 SWEDEN IN BRIEF Population: approx (2015) GDP/capita: approx. EUR (2015) Unemployment rate: 7.2 % (Aug. 2015) People born outside Sweden: 16% of the population (2014) % of the population live in urban areas in the south Birth rate: 1.88 (2014) Life expectancy: women 84, men 80 (2014) EU member since 1995

3 HEALTHCARE OUTCOMES: SWEDEN TOP RANKED Canadian Research Institute: Netherlands Research British researchers: Institute: 1. Switzerland 1. Japan 1. Sweden 2. Sweden 2. Sweden 2. Norway 3. Spain 3. Switzerland 3. Australia 4. France 4. Norway 4. Canada 5. Italy 5. Australia 5. France Sources: 1 The Conference Board of Cananda. Understanding Health Care Cost Drivers and Escalators. Publication Social and Cultural Planning Office of the Netherlands (SCP). Public Sector Performance, Nolte E och McKee Measuring the health of nations, BMJ 2003:327:1129.

4 HEALTH CARE OF HIGH INTERNATIONAL STANDARD Improved survival rates from cancer and cardiovascular disease Lower mortality rate for first time stroke Fewer children die (infant mortality rate: 2.56, 4th rank) All cancer mortality rates

5 SWEDISH HEALTH CARE AT A GLANCE Universality (universal coverage) Equity (needs-based, access) Generosity (publicly financed) Decentralized Cost efficient Evidence-based Patient-focused 10 % of GDP to health care, 3% of GDP to elderly care Public financing services delivered by public or private actors

6 HEALTH CARE IN SWEDEN 70 emergency hospitals, 7 university hospitals primary care centers Doctors 3.8/1000 inhabitants Hospital beds 2.6/1000 inhab (25 500) Special housings for elderly: 1/1000 inhab (98 000)

7 MORE DOCTORS THAN AVERAGE

8 LESS DOCTOR CONSULTATIONS THAN AVERAGE

9 HOSPITAL BEDS PER INHABITANTS Germany Lithuania Austria Latvia Malta Czech Republic Hungary France Slovakia Finland Belgium Poland Romania Bulgaria Luxembourg Estonia Croatia Switzerland Ireland Netherlands Greece Slovenia Italy Norway Cyprus United Kingdom Denmark Spain SWEDEN

10 ORGANISATION OF ADMINISTRATIVE LEVELS National level Parliament and Government; Central government agencies Legislation, supervision, evaluation, financial control measures Policy goals (Financing) Regional level 20 County councils/regions Providing health and medical care Impose taxes Local authorities 290 Municipalities Social services, housing and home-based elderly care and disabled Impose taxes

11 TAXES AND SOCIAL CONTRIBUTIONS National tax 20% on monthly earnings above SEK (EUR 3850) Regional tax 12% Health care Infrastructure Local tax 20% Education, social services, family and elderly care Social contributions paid by the employer: 31,4% Sickness benefit, pensions, parental leave

12 TOTAL EXPENDITURE ON HEALTH Mexico Korea Poland Czech Republic Hungary Ireland Slovak Finland United Spain Italy Norway Australia New Zealand Sweden Iceland Greece Netherlands Denmark Canada Austria Belgium Germany Switzerland France United States The total cost of health care amounts to approx. EUR 37 billion (SEK 331 billion, i.e. 9.6% of GDP, or appr 4,200 usd per capita)

13 HEALTH CARE RESOURCES: Income of county councils Government subsidies, specific, 4% Government subsidies, pharmaceuticals, 8% Fees, 4% Other, 5% Approx. 90% of the county councils budget is spent on health and dental care Government subsidies, general, 9% Taxes, 71% Sources: Statistics Sweden and Swedish Association of Local Authorities and Regions, 2012.

14 HEALTH CARE RESOURCES: Expenditure of county councils Political activities, Dental care, 4% 1% Pharmaceuticals, 8% Other health and medical care, 9% Specialized psychiatric care, 9% Specialized somatic care, 52% Primary care, 18% Sources: Statistics Sweden and Swedish Association of Local Authorities and Regions, 2012.

15 PATIENT FEES Visit to a general practitioner: EUR 10-15/visit Visit to a specialist: EUR 15-25/visit In-patient care: EUR 11 per day No patient must pay more than EUR 110 EUR for out-patient care, more than EUR 230 for pharmaceuticals during a 12- month period Free health and dental care up to age 19/20 in most county councils

16 NATIONAL AGENCIES The National Board of Health and Welfare Develop standards, evaluate/analyse, manage national registers The Swedish Council on Technology Assessment in Health Care (SBU) Assess health care technology The Medical Products Agency Regulate and perform surveillance of drugs and medical products Dental and Pharmaceutical Benefits Agency Determine which products that should be subsidized by the state Agency for Health and Care Services Analysis Assess services from a patient and citizen and patient perspective Inspection for Health Care and Social Services (est. 2013) Supervise health and medical care, social services, etc. Swedish ehealth Agency (est. 2014) Support development of a national e-health infrastructure Public Health Agency of Sweden (est. 2014) Promote public health by building and disseminating knowledge

17 CHALLENGES Ageing population Non-communicable and chronic diseases Infectious diseases, and antibiotic resistance Sustainability High expectations Variations on regional performance Long waiting times for specialist care Pressure on healthcare system

18 GOVERNMENT PRIORITIES

19 INITIATIVES Health care guarantee Re-regulation of the Swedish pharmacy market Patient safety National pharmaceutical strategy Antibiotic resistance National cancer strategy Mental health Improved care for people with chronic illnesses National quality registers Open comparisons ehealth

20 OPEN COMPARISONS - HEALTH SYSTEM PERFORMANCE ASSESSMENT

21 TOOLS Innovation R&D Medical technology Quality data Transparency Coordinated and integrated care

22 GREAT NEED FOR IMPROVING HEALTHCARE ALL OVER THE WORLD Ageing population Increased costs Patient safety Antibiotic resistance Pandemics Millennium goals Access for everyone

23 SWECARE Promote growth, increased international competitiveness, development, and export for the Swedish health care and Life Science Independent platform for nationwide collaboration between Public Sector: Government and agencies, hospitals Private sector Academia

24 OUR FUNCTIONAL ROLE We strive to market swedish healthcare and create export opportunities for swedish companies Act as a national platform for coordination of internationalization initiatives for the health care sector Act as a recipient organization for international inquiries showing interest for Swedish solutions Identify mutual areas of cooperation in which the parties enrich each other to create an increase in competitiveness and export value Contribute to collaborations, business and exchanges Identify and market Sweden s cutting edge expertise Establish a strong industry connection and integrate the different parties in the network

25 FOLLOW US ON

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