Sweden: Health Care System
Morgan Budihas
Samantha Eide
Kasi Johnson
Ashley Stevens
Content
• Introduction
– http://www.youtube.com/watch?v=MzjxZqbqaR0
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Did you know?
Universal Health Care
Systems offered
Charts
Maternal
Conclusion
Corbis Images, 2012
Did you know?!
Kingdom of Sweden
Population: 9,480,205 (Nov.
2011)
Size: 450,295 sq.
Capital: Stockholm (Pop.
1,372,565)
Government: Constitutional
monarchy.
Climate: North and South
Exchange Rate: 6.7 Swedish
kronas= 1 U.S. dollar
Source: U.S. Department of State, 2012
Coverage Is Universal
• What is covered?
– Public health and preventive services
– Inpatient and outpatient
• Hospital care
• Prescription drugs
– Mental health care
– Dental care (children and young adults)
Source: Anell, 2011
Coverage Continued…
•
•
•
•
Rehabilitation services
Disability support services
Patient transport support services
Home care & Nursing home care
Resident’s Rights
• Primary care no formal gatekeeping function
• Residents choose to go directly to hospital or private
specialist
Source: Anell, 2011
Cost-Sharing
• Patients Pay:
– $16-$31 per visit to primary care doctor
– $31-$47 per visit to specialist or to emergency care
– $12 per day in hospital
• Maximum amount paid for out-of-pocket in 12
month period:
– $140 for health services
– $279 for outpatient pharmaceuticals
Source: Anell, 2011
How Healthcare System Is Financed
• Public funding comes mainly from central and local taxation
• 70% local income taxes for budget as well as grants and
user chargers
• Public funding accounted 81.4% of total health expenditure
in 2009
Source: Anell, 2011
• County Councils and Municipalities have right to levy
taxes
• Cost Controlled:
– County councils and municipalities required to budget and
balance funds
– Central Government given financial penalties to local
government
Source: Anell, 2011
System Organized
• 3 Levels of Government
• Central Government:
– Establish principles and guidelines and set political
agenda for health and medical care
• County Council:
– Must provide residents with quality health and
medical care
• Municipals
Source: Swedish Institute, 2012
Funding
• Central Government provides funding:
– Prescription drug subsidies
– Provides financial support to county councils and
municipalities through grants
• County Council provides funding:
– Mental health care
– Primary care
– Specialist services in hospitals
• Municipalities provide funding
– Home care and nursing home care
Source: Swedish Institute, 2012
Access and Service
• Long waiting lists are not cost effective
• Ex- cataract surgery, heart surgery
– anxiety, depression, pain, monetary cost
• Longer wait times associated with:
– nervousness
– increased pain
– limited daily activities
Source: National Center, 2007
Source: National Center, 2007.
Health Care Guarantee
• Appointment with a community health care
doctor
• Appointment with a specialist
• Scheduled operation/treatment
• If the waiting time is exceeded, patient will be
reimbursed
• 80% feel like they receive adequate care
Source: Swedish Institute, 2012
Crude Birth Rate
Sweden
United States
2010
12
14
Crude Death Rate
Sweden
United States
2010
10
8
Sweden
United States
Populations Median Age
41
37
Populations Under Age 15 (%)
17%
20%
Populations Over Age 60 (%)
18%
25%
Physicians per density
Sweden
United States
37.7 (2008)
24.22 (2009)
35.83 (2006)
26.72 (2004)
Hospitals Beds (per 10,000)
Sweden
United States
2009
28
30
World Health Organization, 2012
Polio (Pol3) immunization coverage among 1-year-olds (%)
100
60
40
20
0
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
%
80
99 99 99 99 99
98
9398
9398
9398
9398
9398
9299
9299
9199
9199
9199
9199
9099
9099
9099
9099
88 84
85
79
78
72
Year
Sweden
Source: World Health Organization, 2012
General government expenditure on health as a percentage of total
expenditure on health
100
99
98
98
98
98
98
99
99
99
99
99
99
99
99
99
98
98
96
% on a 100 sclae
94
93
93
93
93
93
92
92
92
91
91
90
90
90
91
91
Sweden
90
90
United States
88
88
86
84
82
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
Year
Source: World Health Organization,
Out-of-pocket expenditure as a percentage of private expenditure on
health
99.8
100
90.1
90.1
90
88.5
88.5
88.2
88.6
87.5
88.4
91.1
87.4
93.8
99.9
99.9
95.7
87.9
80
70
Sweden
60
%
United States
50
40
30
25.1
23.4
23.5
23.5
23.4
23.8
23.9
24.2
24.1
24.8
25.5
26
26.5
26.5
26.3
26.6
20
10
0
2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995
Year
Source: World Health Organization, 2012
Health Care Expenditure:
% of GDP
18.00%
16.20%
16.00%
14.00%
12.00%
Percentage
9.90%
10.00%
2009
8.00%
6.00%
4.00%
2.00%
0.00%
Sweden
Location
United States
Source: CIA, 2012
Birth Rate: per 1,000 population
13.7
14
12
10.24
per 1,000
10
8
2012
6
4
2
0
Sweden
United States
Location
Source: CIA, 2012
Infant Mortality Rate:
per 1,000 live births
6
6
5
per 1,000
4
2.74
2012
3
2
1
0
Sweden
United States
Location
Source: CIA, 2012
Maternal Mortality Rate:
per 100,000 population
25
21
per 100,000
20
15
2012
10
4
5
0
Sweden
United States
Location
Source: CIA, 2012
Maternal
• Child-Care System
Parents can take 480 days for leave
Source: U.S. Department of State, 2012
• Major Focus: Maternal Care
Community Midwives= decline in maternal
mortality rate
Conclusion
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•
•
•
Universal Health Care
Services Provided
Infant Mortality
Maternal Health
– Days off from work
– Static
• Problems
– Wait time, private health care ($), high taxes
QUESTIONS ?
References
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Anell, A. (2011). Descriptions of health care systems: Denmark, france, germany, the
netherlands, sweden, and the united kingdom. The commonwealth fund, Retrieved from
:http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CDAQFjAA&
url=http%3A%2F%2Fwww.commonwealthfund.org%2F~%2Fmedia%2FFiles%2FPublications%
2FFund%2520Report%2F2011%2FNov%2F1562_Squires_Intl_Profiles_2011_11_10.pdf&ei=j
MGhUIWGNejryAH8rIHoAQ&usg=AFQjCNHUdnG3PXorX2HTiUFG0z690sI-UQ&sig2=TIemyTYzSTJfVW2K0TMDw
Central Intelligence Agency. (2012). The World Factbook, North America: United States.
Retrieved from https://www.cia.gov/library/publications/the-world-factbook/geos/us.html
Central Intelligence Agency. (2012). The World Factbook, Europe: Sweden. Retrieved from
https://www.cia.gov/library/publications/the-world-factbook/geos/sw.html
Corbis Images. 2012. Sweden: Stockholm. Retrieved from :
http://www.corbisimages.com/stock-photo/rights-managed/42-33602190/gamla-stanstockholm?popup=1
European Commission. (2012). Sweden. Retrieved from
http://epp.eurostat.ec.europa.eu/portal/page/portal/product_results/search_results?mo=co
ntainsall&ms=Sweden&saa=&p_action=SUBMIT&l=us&co=equal&ci=,&po=equal&pi=,
Hogberg, David. (May 2007). National Center. In Sweden's single-player health system
provides a warning to other nations. Retrieved November 09, 2012, from
http://www.nationalcenter.org/NPA555_Sweden_Health_Care.html.
References
• The World Health Organization. (2012). Countries: Sweden. Retrieved
from: http://www.who.int/countries/swe/en/
• The World Health Organization. (2012). Countries: United States of
America. Retrieved from http://www.who.int/gho/countries/usa/en/
• (August 2004). American Journal of Public Health. In The decline in
maternal mortality in sweden: The role of community midwifery. Retrieved
November 09, 2012, from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448444/.
• Swedish Institute. (May 2012). Facts About Sweden. In equal access- key
to keeping Sweden healthy. Retrieved November 09, 2012, from
http://www.sweden.se/upload/Sweden_se/english/factsheets/SI/SI_FS_1
0_Health%20care%20in%20Sweden/FS10-Health-care-low-resolution.pdf.
• U.S. Department of State. (April 2012). Sweden. Retrieved November 9,
2012 from: http://www.state.gov/r/pa/ei/bgn/2880.htm#history
• Youtube [Web]. (2009). Retrieved from
http://www.youtube.com/watch?v=MzjxZqbqaR0