Hola !
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Johan Permert, Professor of Surgery Director of Development and Innovation CITO Karolinska University Hospital and Karolinska Institutet
The” Health Care System of Stockholm, Sweden • How it is organized • Role of Karolinska Institutet and Karolinska University Hospital • Future aspects • Role of Innovation
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- Sweden - Stockholm - Health Care System of Stockholm - Today - Future aspects - Role of Karolinska University Hospital and Karolinska Institutet - Role of Innovation
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Sweden
- 10 million inhabitants - Number 5 in size in Europe - ”Sad and boring” - Peace since 1809 - ”Fat and happy!” - High standard of living
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Sweden
- Iron - Lumber - Process industry - Technology - Public healthcare of high quality
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Sweden
- Stable and homogenous - Good planning and infrastructure - High level of education and research - Innovations - Political stabillity
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Sweden
- Major changes!
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Organisation of society and of healthcare
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King Gustav II Adolf 1594-1632
Queen Kristina I 1626 – 1689 (1644 - 1654)
Axel Oxenstierna 1583 – 1654
Chansler: 1609 - 1654
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1 Higher education and research
Legislation and national administration
Economical transferations
State of Sweden
County councils
21 Communications Healthcare
N:
Primary councils
261 Schools Social care and welfare -elderly and disabled
Local infrastructure etc.
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1 Higher education and research
Legislation and national administration
Economical transferations
State of Sweden
County councils
21 Communications Healthcare
N:
Primary councils
261 Schools Social care and Welfare -elderly and disable
Local infrastructure Etc.
Elected Tax
Elected Tax
Elected Tax
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Authorities Laws and rules Economic stimulus and punishment
Govern- ment
County Councils
Primary Councils
State
University Hospital University
Health Care
Care and welfare
Authourity
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Authorities Laws and rules Economic stimulus and punishment
Govern- ment
County Councils
Primary Councils
State
Karolinska University Hospital Karolinska
Institutet
Healthcare
Care and welfare
Authourity
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Per Albin Hansson 1885 - 1946
Primeminister of Sweden 1932 - 1946
” A good home for all people”
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Per Albin Hansson 1885 - 1946
Primeminister of Sweden 1932 - 1946
” A good home for all people”
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Collective solutions ”Equality” Public funding by taxation A ”strong” society
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Major Changes!
Lack of quality
Lack of integration between
academia, industry and healt care
Restricting rules and regulations
Insufficient clinical pathways
Accidents and mistakes
Inefficiency
Demography
Differences in culture and conflicts of interests
Källa: Value guided healthcare, The Boston Consulting Group, AB 2009Källa: Value guided healthcare, The Boston Consulting Group, AB 2009
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Fredrik Reinfeldt, primeminister (2006-) and leader of the
conservative and liberal ”alliance”
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- ”Equality” - Public funding by taxation
- A ”strong” society - Collective solutions
- Market solutions
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2004 2013
Financed by tax
Public providers
Commercial providers
100% 100%
97%
3%
65 %
35 %
Stockholm
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Authorities Laws and rules Economic stimulus and punishment
Govern- ment
County Councils
Primary Councils
State
Karolinska University Hospital Karolinska
Institutet
Health Care
Care and welfare
Authourity
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- ”Equality” - Public funding by taxation
- A ”strong” society - Collective solutions
- Market solutions ?
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Stockholm
- Capital since 1521 - 1.9 millions inhabitants - Center for administration and higher education - Growing population - Significant economical growth - ”Small for size”
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Welcome to the ”Banana-region” with the ambition and ability to create opportunities for development within Life Science and Med Tech
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