Hola - uch.cat · Hola ! 2 ARBETSMATERIAL Johan Permert, Professor of Surgery Director of...

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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