denmark and the danish health care services
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Denmark and the Danish Health Care Services. Dr. Else Smith, CEO Danish Health and Medicines Authority Meeting of the EU Chief Medical Officers, Chief Nursing Officers and Chief Dental Officers Copenhagen, 12 th – 13 th April 2012. Agenda. Danish Population - PowerPoint PPT PresentationTRANSCRIPT
Danish Health and Medicines Authority Denmark
Dr. Else Smith, CEO
Danish Health and Medicines Authority
Meeting of the EU Chief Medical Officers, Chief Nursing Officers and Chief Dental Officers
Copenhagen, 12th – 13th April 2012
Denmark and the Danish Health Care Services
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Agenda
Danish Population Political and Administrative Levels The Health Care Sector– Organisation and Financing The Danish Health and Medicines Authority – Main
Responsibilities Main Challenges in the Health Area Trends in the Health Area
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Denmark
5,4 million inhabitants 43.098 km2
Constitutional monarchy Member of the EU Parliament (Folketinget) (4 year terms) Central government 5 regions (97 % health-care) 98 municipalities
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The Health Care Sector – Organisation and Financing
Free and equal access to public health care Universal coverage (same system for
everyone) Tax financed (84%) (progressive income tax) Private co-payment in certain areas (16%) Private insurance (½ mill. personal and ½
mill. employer-paid insurances)
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The Danish Health Care System
There are 3 levels in the public health care system in Denmark:
The State
The Regions
The Municipalities
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Regions
Geography Facts
5 Regions
Politically elected
leadership
No taxing power –
financed by state grant
and co-payment by
municipalities
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Regional responsabilities
Hospital and Psychiatric treatment
Primary Health Care / Public Health Care Scheme General Practitioners (family doctors)
Private Practicing Specialists
Adults Dental Services
Physiotherapy
Average population:1,060,000
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Municipalities
Geography Facts
• 98 Municipalities
• Politically elected leadership
• Taxing powers
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Municipal responsabilities
Preventive care and health promotion Rehabilitation outside hospital Treatment of alcohol and drug abuse Co-financing regional health care
Child nursing Child dental services and special dental care School health care Home nursing
Average population:55,000
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Public and private payment
Public financed health care GP’s and specialists (with reference from GP) All hospital treatment All pharmaceuticals and aides received in
hospital
Private co-payment Dentists Out-hospital pharmaceuticals and aides
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Health Expenditure per inhabitant
US $
Source: OECD Health at a glance, 2009
Public Private
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Public expenditure in the health area in Denmark 2001-08
01 02 03 04 05 06 07 08
Billion Danish Kroner
Source: Ministry of Health and Prevention, 2010
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Number of Physicians per 1,000 inhabitants
Source: OECD Health at a Glance, 2009
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The Danish Health and Medicines Authority - Mandate
To assist the Minister for Health by administrering obligations within health care
To follow the health state of the population and be abreast of knowledge and experiences on the health area
To supervise and evaluate the health area
To inform the population on particular health issues
To advise the Minister for Health and other authorities
To supervise doctors, hospitals, residental homes etc.
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The Danish Health and Medicines Authority – Main responsabilities
Surveillance, Guidance, Supervision, Development
To lay down rules and schemes, give recommendations and prepare general information and campaigns
To develop new approval powers and competencies kompetencer
To set standards and follow up in regard to the relevant authorities
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Main Challenges:
Life Expectancy
Male Female
Source: OECD Health at a Glance, 2009
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Causes of Death
Source: National Institute of Public Health The Public Health Report 2007
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Life Style: Alcohol Consumption
Percentage of Danish citizens who exceed the limit for high risk alcohol consumption (14 units for women, 21 units for men) – defined by DHMA
Source: The Danish Profile of Health 2010
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Life Style: Tobacco use – number of smokers
Source: Investigations led by Gallup, Rambøll og Userneeds
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Life Style : Obesity
Percentage of obese Danish citizens distributed on sex and age (Obesity = BMI > 25)
Source: The Danish Profile of Helath 2010
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Life expectancy – still not satifactory
Life style related diseases – increase in chronic diseases
Shortage of health professionals in the health care sector
Inequality in health
Lack of coherence in the health care system
Main challenges in the Health Area
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Trends in the Health Area - 1
Health on the top of the political agenda
Quality improvement of the health care servises for less money – prioritization
More options for treatment delivered by private supplyers
Increased centralization of the hospital sector
Increased use of technology, incl. telemedicine
Increased digitalization
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Trends in the Health Area - 2
Enhanced coherence in health care, incl. path ways programs, national clinical guidelines etc.
Increased out-of-pocket payment, incl. differentiation of services free of charge
Enhancement of a strong primary and community health care, incl. GPs and local health care services
Focus on chronic diseases, incl. elderly patients and cancer patients
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Trends in the Health Area - 3
Patient Empowerment, incl. self management and patient education
Involvement of the civil society
Strengthened cooperation between the health care sector and the social sector at all levels
Strengthened focus on health promotion and disease prevention
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Five strategic focus areas for The Danish Health and Medicines Authority 2010- 2013
Enhanced coherence in health care
Increased health promotion and disease prevention
Quality improvement through accessible knowledge
Efficient division of responsibilities between highly qualified health professionals
Patient centered health care – safety and involvement
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Thank you for your attention!
Copenhagen
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