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Danish Health Care System

Danish Health Care System. Organization, coordination and finance Historically evolving institutional structure based on decentralized political management, universal welfare state coverage and pragmatic negotiated solutions Limited role for private actors in hospital services and financing.

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Danish Health Care System

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  1. Danish Health Care System Organization, coordination and finance Historically evolving institutional structure based on decentralized political management, universal welfare state coverage and pragmatic negotiated solutions Limited role for private actors in hospital services and financing

  2. Danish Health Care System Fairly well performing on measurable indicators: Expenditure control, Productivty, Waiting times, System development capacity, Patient satisfaction BUT……

  3. Danish Health Care System Image and reputation issues Changing cultural and socio-economic factors Waiting time and quality issues Changing ideological climate Fear of long term financing problems Political dynamics Have created a political opening for structural reform in 2002……

  4. Danish Health Care System ….The selected reform strategy will be implemented in 2007. 15 counties turn into 5 larger regions with responsibility for managing health care. Financing will change from the current county taxation to a mix of state taxation and municipal payment for service and per capita. Municipalities will assume a larger role in prevention and rehabilitation. The changes may or may not resolve the issues mentioned above, but will change the institutional rules of the game

  5. Danish Health Care System Opportunities and potential New organizational forms. More diverse picture Perhaps stronger role for private actors. Out sourcing. PPP. Potential benefits of scale Continued experiments with economic incentives e.g. to address waiting time issues

  6. Danish Health Care System Issues and concerns Financing and expenditure control Planning and coherence Transition and transaction costs in the short and long term Loss of institutional capacity Political legitimacy and functionability of new regions

  7. Danish Health Care System Better platform for handling pressures and organizational change projects? Challenges and issues in the future. Quality assessment and improvement IT and introduction of electronic patient records. – A national standard is being developed and tested in the Copenhagen area Research and application of knowledge Evaluation and prioritization of health technology Clever economic incentives Changing needs and demands of the population Policy learning and gradual adjustment of organizational choices

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