in the Health – care system is facing major changes over the next couple of years. The solution is strengthening the cooperation between the two regions, and to shift care closer to patients and service users.
“ Mats Alvesson and Stella Cizinsky is addressed in the DN Debate to the criticism of the health care organization. They criticize both the interaction as a lack of cooperation. The critique consists of a series of moves, without a direct link. It would be unfortunate if the important decisions that need to be made locally as well as nationally regarding the health, care, development, and rely on any such statement.
. A broad measure of health care outcomes is a health care-related avoidable mortality. It is an indicator reflecting mortality rates in 18 of the disease, and is a measure used by the EU to measure the quality of the health care system. In 1998, the number of avoidable deaths per 100,000 inhabitants, 159 in Sweden. By 2017, it had fallen to 83, nearly one-half. Health care saves so many more lives in a day. We need to be able to keep it in mind, at the same time as we address the major challenges facing the health care system is facing. As Alvesson and Cizinsky to discuss the health care challenges, they choose to paint it in the proper somber colors. I don’t think it serves the american continuous progress as well.
Thanks to the health and medical development, but it will also have a higher health awareness in the community, we are living longer and longer into the day. The diseases, which in the past had been fatal could now be cured or treated. As a result, we have become more and more people are living longer, but also more and more to live the good functioning of life in the face of chronic illness. At present, there are approximately two lives in Sweden with one or more chronic diseases.
a trend we are seeing is a good thing. At the same time, the increase in costs, partly due to the more and more advanced medical care, new treatments and drugs are expensive.
in the health – care system needs to be more close to the care in which primary care has a clear role, that is, the vast majority are in agreement on that. Solutions today, a growing number relate to the long-term prevention, and-closer to our customers and their patients.
the close co-operation between the regions and between the regions and the municipalities is essential. The debaters are claiming that the health service wholly or in great part, the lack of regional co-operation. It is, indeed, wrong. The regions have a large number of formal partnerships, and close the dialogue. An example of the increased cooperation between the two regions is the right of the health care kunskapsstyrning, which, to the authors, paradoxically, criticize. Kunskapsstyrningssystemet is to develop, disseminate, and utilize the best knowledge of the health care system in the country. It is the best of the knowledge available and used in each of the patientmöte. The system is still under development, but the regions are committed to work together to build a more equitable, knowledge-based health care across the country. Debattörernas try to pre-desavouera the system is not the objective.
the Regions were also a significant democratic mandate. The authors are right in that sometimes it can be unclear as to who controls what in the healthcare field. For the organizations that manage the major part of the public sector, it is essential to have a regional government, and the ability of citizens to demand accountability, something that is made more difficult when the government want to control what regions should give priority to.
It’s all about the important investments that have made a difference. However, government spending also makes the control of the health care system is more opaque and does not cause an administrative burden for the regions. Detaljstyrningen, making it difficult to plan for the long term, and to use the resources where they can do the most good.
Care needs to be more accessible and equitable. And that has an impact on how it is working in all areas of the organization. Today, there are parts that can be improved in the organisation of care chains on the basis of a patientperspektiv. It takes courage to make the tough decisions and implement changes, it is the regions and municipalities are fully aware of the fact.
in Order to deal with the health care increase in costs, at the same time as the skatteunderlagets increase is attenuated are increased demands for changes in work practices and productivity improvements. However, it will also require more resources in order to ensure a timely, accessible and equitable health care. Not have not have evaded the recent debate on the welfare costs. The government needs to have a clear responsibility, and to increase the proportion of general grants to local government and the regions. Alvesson and Cizinsky see nationalisation as being the best solution. We are fully aware of the health and care system faces significant challenges, but we’ve seen a variety of responses.
the THREATS they are about to move health care closer to the patients – not the Government.
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