Health care system in

Sweden
Supervised by : Prof Dr. Madi
Aljaagbeer
Done by : Enas Khdair , faten
sweidan

Outline

Country overview
Geographical Location
Demographical data
Health indicators
Health care system
Major reform
References

Overview
Officially theKingdom of Sweden, is
aScandinavian country ,it is the 56th
largest country in the world by area .
It is the fifth largest in Europe and the
largest in Northern Europe with a total
land area about 449,964 sq km.
with a total population of about
9.747.355 million. (2015 est)
the capital city of Sweden is Stockholm .

Sweden geography
Sweden is a country in Northern
Europe on the Scandinavian Peninsula.
It is bordered Norway to the west;
Finland to the northeast; and the Baltic
Sea and Gulf of Bothnia to the east
and south.

Population pyramid
9,747,355

Age structure

2015 est

0-14 years: 16.9% (male 847,611/female 800,213)

15-24 years: 12.3% (male 617,054/female 582,755)
25-54 years: 39.2% (male 1,937,091/female 1,872,070)
55-64 years: 11.7% (male 571,079/female 568,093)
65 years and over: 19.8% (male 882,653/female 1,045,190) (2014 est.)

Demographical data
Population : 9,747,355

(2015 est )

Major cities population Stockholm 1.385 million

(2011)
Median age :
total : 41.2 years
male: 40.2 years
female: 42.2 years
(2014 est.)
Net migration rate: 5.46 migrant(s)/1,000 population
(2014 est.)

urban population: 85.2% of total population

(2011)

rate of urbanization: 0.74% annual rate of change

(2010-15 est.)

Demographical data
Ethnic groups : Swedish 86%; Finnish 3%; Yugoslav
2,8%; Iranian 0,6%; other 6,3%
Religion : Lutheran 87%, other (includes Roman
Catholic, Orthodox, Baptist, Muslim, Jewish, and
Buddhist) 13%
Languages : Swedish (official), small Sami- and
Finnish-speaking minorities
Literacy definition: age 15 and over can read and
write
total population: 99%
male: 99%
female: 99%
(2003 est.)

Health indicators
Population growth rate: 0.79%
Birth rate11.92 births/1,000 population
Death rate9.45 deaths/1,000 population

(2014 est.)
(2014 est.)
(2014 est.)

Infant mortality rate :

total: 2.6 deaths/1,000 live birth
male: 2.88 deaths/1,000 live births
female: 2.3 deaths/1,000 live births
(2014 est.)
Maternal mortality rate : 4 deaths/100,000 live births
(2010)

Life expectancy at birth : total population: 81.89 years

male: 80.03 years
female: 83.87 years
(2014 est.)

Health indicators

Total fertility rate: 1.88 children born/woman

(2014 est.)

Physicians density : 38 physicians/10,000

population
(2010)
Hospital bed density : 2.7 beds/1,000 population
(2010)

Health expenditures : 9.4% of GDP

(2011)

Health care system

Sweden has an excellent and
modern healthcare system and is
often ranked as one of the best in the
world.
The most noteworthy feature of the
healthcare system in Sweden is the
availability of healthcare for all,
including both native citizens and
expats.

Cont
Admittedly, the country faces challenges in
funding, efficiency, and quality of its
healthcare services, but improvements are
continually being made.
This all contributes to the low mortality rate
and higher-than-average life expectancy .

Cont.
The healthcare system in Sweden is
comprised of public and private
medical services .
The Swedish public healthcare
system provides universal,
compulsory and free healthcare to all
legal residents in Sweden, the system
was founded under the principles of
equal access to all.

Health care system

The Swedish health care system is
mainly government-funded and
decentralized, with only about 10% of
all health services delivered by
private providers.
The health care system in Sweden is
financed primarily through taxes
levied by county councils and
municipalities.

Health care system

Sweden's health care system is
organized and managed on three
levels:
National
Regional
Local

National level
At the national level, the Ministry of
Health and Social Affairs :
establishes principles and guidelines for
care and sets the political agenda for
health and medical care.
supervises activities at the lower levels,
allocates grants and
periodically evaluates services to ensure
correspondence to national goals

Regional level
At the regional level, responsibility for financing and
providing health care is decentralized to the county
councils.
The executive board or hospital board of a county council :
1.exercises authority over hospital structure and
management,
2.and ensures efficient health care delivery.
3.County councils also regulate prices and level of service
offered by private providers.
Private providers are required to enter into a contract with
the county councils. Patients are not reimbursed for
services from private providers who do not have an
agreement with the county councils.

Regional level
According to the Swedish health and
medical care policy, every county
council must provide residents with
good-quality health services and
medical care and work toward
promoting good health in the entire
population.

Local level
At the local level, municipalities are
responsible for maintaining the
immediate environment of citizens such
as water supply and social welfare
services.
Recently, post discharge care for the
disabled and elderly, and long term care
for psychiatric patients was
decentralized to the local municipalities.

Health care services

it is informally divided into 7 sections:
"Close-to-home care" (primary care clinics,
maternity care clinics, out-patient psychiatric
clinics, etc.)
emergency care
elective care
in-patient care
out-patient care
specialist care
and dental care

Aside from basic medical services , Sweden

offers different special hospitals including those
for children, expecting mothers and youth clinics.
All in all, around 60 hospitals throughout Sweden
offer specialist care and emergency services.
In addition, there are about 8 regional clinics
providing specialized care as well as research
and teaching facilities.

Health care financing

Costs for health and medical care amount to
approximately 9 % of Swedens GDP, a figure that
has remained fairly stable since the early 1980s.
71% of health care is funded through local
taxation, and county councils have the right to
collect income tax.
The state finances the bulk of health care costs
(approximately 97% of medical costs). with the
patient paying a small nominal fee for
examination.

Details and patient costs

A limit on health-care fees per year exists;
150-300 SEK for each visit to a doctor,
regardless if they are a private doctor or
work at a local health-care center or a
hospital.
When visiting a hospital, the entrance fee
covers all specialist visits the doctor
deems necessary, like x-ray, rheumatism
specialist, heart surgery operations and so
on.

Cont.
The same fee is levied for ambulance
services. After 1100 SEK have been
paid, health-care for the rest of the
year will be provided free of charge.
Dental care is not included in the
general health care system, but is
partly subsidized by the government.
Dental care is free for youths up to
19 years of age

Cont
When a physician declares a patient to
be ill for whatever reason (by signing a
certificate of illness/unfitness), the
patient is paid a percentage of their
normal daily wage from the second day.
For the first 14 days, the employer is
required to pay this wage, and after
that the state pays the wage until the
patient is declared fit.

Cont
Prescription medicine costs per year are not free but
are limited for the patient. When 2,200kr have been
paid to the pharmacy, the medicines are paid by the
government for the rest of the year.
All pharmacies are network-connected so medicines
can be obtained from any pharmacy in the country.
The prescription is sent through internet to the
pharmacy network, which also stores information on
previous medications obtained and relevant medical
history of the person, at which point one will only
need to produce identification to acquire the
medication.

Cont
Citizens of the European Union (EU)/European Economic
Area (EEA) and those with a European health insurance
card (EHIC), who certify that they have made
contributions in their home country, are also covered by
the national health insurance system in Sweden.
They are entitled to have the same benefits as a
Swedish citizen under reciprocal healthcare agreements.
On the other hand, if you are a non EU/EEA citizen and
your country has no agreement of this kind with Sweden,
then you may need to obtain private travelers insurance
or an annual health care insurance policy to cover any
treatment and medication costs incurred during your
stay in the country.

Waiting times
Emergency cases are treated
immediately and urgent cases are
always prioritized.
In urgent cases, the national
guarantee of care states that a patient
should be able to get an appointment
with a primary care physician within 3
days of contacting the clinic .

Private insurance
Although the quality of public healthcare
system in Sweden is considered as one of
the best in the world, however, individuals
do choose to purchase private insurance to
top-up their public coverage.
Some private practitioners arenot
associated with the Swedish Social
Insurance Administration, hence,
treatment fees are more costly than the
ones with ties to the system

Cont
the benefits in arranging for private insurance
are:
patients with this type of coverage can speed
up surgery waiting periods,
and are able to choose the facilities and
schedule that suits them best.
Moreover, they do not have to worry about
the relatively more expensive costs of the
treatments.
In general, Sweden has an excellent
healthcare system and expat patients will feel
at home no matter what condition they are in.

Major Reform
2005-2011

References
http://ljhsjwentworth.pbworks.com/w/page/
21274279/Ethnic%20Groups%20Graph
http://www.euro.who.int/__data/assets/pdf_fi
le/0008/164096/e96455.pdf
http://www.indexmundi.com/sweden/demog
raphics_profile.html

http://en.wikipedia.org/wiki/Healthcare_in_S
weden

Thank you