Denmark and the Danish Health Care Services

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


2020

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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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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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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Denmark and the Danish Health Care Services

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