Skip to main content
You are not a member of this wiki.
The Swedish Health Care System
Pages and Files
History and Origins of Sweden's Health Care System
The Organization and Delivery of Care
Financing of the Swedish Health Care System
A Comparison of Health Outcomes--The United States and Sweden
Lessons from Sweden
/ county council: Political bodies whose representatives are elected by their residents every four years on the same day as national general elections. Sweden is organized into a total of 21 councils, which are further organized into six
health care regions
Diagnosis-related groups (DRGs)
: A system through which hospitals get reimbursed for providing in-patient care on the basis of patients’ diagnoses. Sweden has a list of about 500 diagnoses, and each diagnoses is correlated with a designated monetary amount that may be provided to the hospital from the government to cover the costs of treatment. A hospital reimbursed on the basis of DRGs gets paid the same amount for treating every patient with the same diagnoses, regardless of how many resources the hospital must provide for the patients’ treatment in each case.
: A system under which the provider charges their patient for every service provided.
t: A fixed cash sum to cover the total cost of services per year.
Municipalities/ municipal government
Local government entities of Sweden responsible for local services such as schools, emergency services, and city planning. Each municipality consists of 31-101 members (depending on the size of the community), who are elected every four years on the same day as national general elections. From these elected members, an executive committee and one chairman are appointed. Sweden is organized into a total of 290 municipalities.
National Health Insurance Act
-the act was developed in 1946, not initiated until 1955, and it called for universal coverage for all citizens funded primarily by the government through local income tax revenue where the control of health care is primarily in the hands of the county governments in Sweden
Seven Crown Reform
-called for doctors to become salary based employees of government run hospitals.
The Dagmar Reform of 1984-
The reform gave power to county councils to decide when and where doctors should work, so now the doctors were under control of county politicians
Health and Medical Services Act
- Enacted to attempt to reduce costs in health care
The Dagmar Reform of 1985-
changed the reimbursement formula to one of "
," in which hospitals and doctors were reimbursed for the number of patients served. This led to "global budgets" - a fixed amount that each county could spend annually on health care services.
- The model called for a move away from the more public run style of health care to a more market orientated system
"The county council still provided the funding, but health care providers could be owned by
individuals or companies."
Patient Choice and Guarantee Act of 1992
-increased patient choice for providers, even extending providers for patients outside of the country while guaranteeing that they be treated within three months of their diagnosis.
Patient Guarantee Act of 2005-
stated, like the abandoned 1992 Act, that "no patient should have to wait for more than three months once it has been determined what care is needed. If the time limit expires, the patient is offered care elsewhere, which is paid for by his or her own county council, including any travel costs."
help on how to format text
Turn off "Getting Started"