Ederly Care in Sweden 2009

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Overview of trends, systems and challenges in Swedish elderly care

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Ederly Care in Sweden 2009

  1. 1. Elderly Care in Sweden Trends, model & challenges [email_address]
  2. 2. Elderly Care in Sweden <ul><li>9 million inhabitants </li></ul><ul><ul><li>17,3 % over 65 </li></ul></ul><ul><ul><li>5,3 % over 80 </li></ul></ul><ul><li>Europe’s largest elder population </li></ul><ul><ul><li>85 % non-smokers </li></ul></ul><ul><li>Life expectancy </li></ul><ul><ul><li>Men 78 years </li></ul></ul><ul><ul><li>Women 82,8 years </li></ul></ul>
  3. 3. Demographics Source: Statistical Office Sweden
  4. 4. Elderly Ratio Projection Source: Statistical Office Sweden
  5. 5. Elderly in Sweden <ul><li>Physically active </li></ul><ul><ul><li>Health gains since 1980s </li></ul></ul><ul><ul><li>Less need of assistance </li></ul></ul><ul><li>New, large consumer group </li></ul><ul><ul><li>Educated and demanding </li></ul></ul><ul><li>Elderly Life Industry </li></ul><ul><ul><li>Health, Wellness, Travelling </li></ul></ul><ul><ul><li>New Health Tourists </li></ul></ul>
  6. 6. Elderly Needs <ul><li>79 % do not need help at home </li></ul><ul><li>12 % helped only by relatives </li></ul><ul><li>3 % helped only by the home-help service </li></ul><ul><li>5 % receive help from both the home-help service and relatives </li></ul>
  7. 7. Housing <ul><li>94 % of 65+ still living at home </li></ul><ul><li>Adapted homes </li></ul><ul><ul><li>Home adaption grants </li></ul></ul><ul><ul><li>No ceiling to the adaptation </li></ul></ul><ul><ul><li>Avg cost for adapting a home SEK 13,200 (2005) </li></ul></ul><ul><li>Home-help, home medical care services </li></ul><ul><li>Senior Housing </li></ul><ul><ul><li>Popular for 55+ </li></ul></ul><ul><ul><li>Open Housing market </li></ul></ul>
  8. 8. Special Housing <ul><li>Just over 16 % of 80+ </li></ul><ul><ul><li>24/7 staff </li></ul></ul><ul><ul><li>Needs-assessed </li></ul></ul><ul><ul><li>Distributed by the municipalities </li></ul></ul>
  9. 9. National System Levels <ul><li>Central Government </li></ul><ul><ul><li>Ministry of Health and Social Affairs </li></ul></ul><ul><ul><li>National Board of Health and Welfare </li></ul></ul><ul><ul><li>Reponsibilities </li></ul></ul><ul><ul><ul><li>Legislation, supervision, evaluation </li></ul></ul></ul><ul><li>Local Government </li></ul><ul><ul><li>Swedish Association of Local Authorities and Regions </li></ul></ul><ul><ul><li>20 County Councils </li></ul></ul><ul><ul><ul><li>8 regional hospitals, 65 county/district hospitals, 1000 health centers </li></ul></ul></ul><ul><ul><li>290 Municipalities </li></ul></ul><ul><ul><ul><li>Housing, care and social support services for the elderly and disabled </li></ul></ul></ul>
  10. 10. Health Care Cost <ul><li>County Council Cost 2005 </li></ul><ul><ul><li>SEK 175 billion (USD 25,4 billion) </li></ul></ul><ul><ul><li>Appr. 9 % GDP </li></ul></ul><ul><li>Financing </li></ul><ul><ul><li>71 % local tax </li></ul></ul><ul><ul><li>16 % national tax </li></ul></ul><ul><ul><li>3 % patient fees </li></ul></ul><ul><ul><li>10 % other sources </li></ul></ul>
  11. 11. Elderly Care Cost <ul><li>Total Cost (2005) </li></ul><ul><ul><li>2,8 % GDP </li></ul></ul><ul><ul><li>SEK 80,3 billion </li></ul></ul><ul><ul><ul><li>65 % special housing </li></ul></ul></ul><ul><ul><ul><li>33,8 % regular housing </li></ul></ul></ul><ul><ul><ul><li>1,7 % open activities </li></ul></ul></ul><ul><li>Financing </li></ul><ul><ul><li>4 % patient’s charges </li></ul></ul>
  12. 12. Responsibility <ul><li>90 % municipalities </li></ul><ul><li>Outsourcing to private operators </li></ul><ul><li>Services </li></ul><ul><ul><li>Meal delivery </li></ul></ul><ul><ul><li>Home Help </li></ul></ul><ul><ul><li>Safety Alarms </li></ul></ul><ul><ul><li>Transportation </li></ul></ul><ul><ul><li>Health and elderly care </li></ul></ul>

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