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T. molen overall presentation of the health care system in the region of vasterbotten

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T. molen overall presentation of the health care system in the region of vasterbotten

  1. 1. 1 Life and Health in Västerbotten Overall presentation of the health care system in the region of VästerbottenThomas Molén, StrategistStrategic Development OfficeCounty Council of Västerbotten, Swedenthomas.molen@vll.se
  2. 2. Northern care region in Sweden (SE)...• ... occupies about 10 % of the population (877 000 inh)• ... located on half the Swedish area (total area 449 964 km²)• Sweden is the 5:th biggest country in Europe• 9,5 milion citiziens
  3. 3. Distribution of theSwedish population?
  4. 4. Västerbotten countySweden is sparcely populated in a Europeanperspective: 22 inh/km2Västerbotten:- 4.7 inh/km2- 260.000 inhIceland and Norway are the most rural countries inEurope
  5. 5. 5 Västerbotten CountyVästerbotten County Council is apolitically controlled organizationwhich is geographically identicalto Västerbotten County.
  6. 6. Distribution of tasks- state, municipalities, county councilThe state The municipalities The County CouncilChiefly represented by the The county of Västerbotten Principal provider of medical care in county administrative board. has 15 municipalities. the county of Västerbotten.Tasks Tasks Tasks • Schools • Health and medical care• General physical planning • Social welfare incl cronical • Dental care• Police authorities care • Service for people with disabilities• Environmental protection • Fire safety • Education and cultural issues• Environmental control • Roads and streets • Public transports• Civil defence • Water and sewerage • Regional development and financial• Social support • Culture support for county transport, EU- issues, trade, industry etc. • Leisure etc.
  7. 7. 9The County Council’s visionGOALS:Better health and equality in healthGood economizingHealth-promoting workplaces and attractiveemployersIncreased influence of citizensIncreased growth and concerted regionalefforts
  8. 8. 11The County Councils visionBy 2020, Västerbotten will havethe worlds best health andthe worlds healthiest citizens.
  9. 9. 12 Public health work in Västerbotten VHU - Västerbottens health examinations SALUT – support children and parents throughout childhood Tobacco free duo Gratiskondomer.nu (free condoms) Promote Mental Health1
  10. 10. 141177: Advice about care on the web and telephone1177 telephone counselling - 24h1177.se – information on the webabout illnesses, studies, medicines,contact with care departments andmorePersonal e-servicesFind and compare care
  11. 11. 15Health and medical care University, regional and county hospitals General hospitals Psychiatric care Health care centres Cottage hospitals (health care centres with emergency beds) Health farms Rehabilitation units
  12. 12. 16 Health care centres Health care centres owned by the County Council Branch clinics owned by the County Council Private health care centres2
  13. 13. 17Hospital care in SwedenThe Northern Health Care Regioncovers half of Swedens land areaand has 877,000 inhabitants.
  14. 14. The University Hospital of Umeå 18~ 5.700 employeesPrimary tasks:Qualified medical careResearchTeaching
  15. 15. 19Profile AreasOncology for adults and childrenCardiovascular medical careObesity and overweightNeonatal intensive careFunctional neurosurgeryInfectious diseasesAir transportation of patients requiringintensive care
  16. 16. 20Lycksele Hospital~ 600 employeesPrimary tasks:Emergency medical care and childbirthObesity surgery (80-100/year)Hip replacement surgeries (350/year)
  17. 17. 21Skellefteå Hospital~ 1200 employeesPrimary tasks:Emergency medical careSpecialized medical careResearch
  18. 18. 22Beds (2010) Umeå 712 Skellefteå 227 Lycksele 93 Cottage hospitals emergency beds 34 Total 1,066
  19. 19. 23What the County Council produces in one year(2010)Admitted patients 55,000Operations 30,000Doctor’s visits, clinics 340,000Doctor’s visits, health centres 222,000Medical care 976,000Dental care visits 305,900Total 1,928,900
  20. 20. 24Care at a distance Health care centre, cottage hospital or district nursing practice Psychiatric outpatient careTelemedicine and video conferencing systemsconnect the county
  21. 21. 25Public Dental Services District Dental Clinic Orthodontic Specialist Clinic Dental College
  22. 22. 28Almost 10,000employees80% in health and medicalcare500 different professions
  23. 23. 32How the money is allocated (Current expenditure 2011) SEK (millions) Health and medical care 4,429 Dental care 148 Disabled activities 137 General service 302 Other activities 671 Depreciation 299 Pension costs 221 Total 6,207 SEK Total ~700 Euro
  24. 24. 34How the County Council is governedClear division of responsibilitiesbetween politicians and publicservants.The politicians set the goals forthe activities.The public servantsimplement the decisions.Monitoring and evaluation.Ongoing reporting of activitiesand finances.
  25. 25. 38The County Councils website – www.vll.seYou can read more about theCounty Councils organizationand activities at www.vll.se,which also has • links to health care centres and clinics • links to e-services • news and information • links to other websites • information about vacant jobs • and more...
  26. 26. 39 Health situation - overviewUpdated 9 February 2012
  27. 27. Life expectancy in Sweden and Västerbotten county 84 Women 82 80 78Age --- Sweden Men 76 74 72 70 1970 1975 1980 1985 1990 1995 2000 2005 2010 Year
  28. 28. Incidence of acute myocardial infarction 1000 900 800 Västerbotten county 700Per 100 000 inhab 600 Sweden 500 400 300 200 100 0 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Year
  29. 29. Changed deathrate in myocardialinfarction (1980 – 1990) Women
  30. 30. Changed deathrate in myocardialinfarction (1980 - 1990) Men
  31. 31. Prevalence of dementia 35 30 25 20Per cent 15 10 Sweden 5 0 60-64 65-69 70-74 75-79 80-84 ≥85 Age
  32. 32. 52 Summary•Good infrastucture•Increasing demands from chronic diseases, especially in elderly•Can not expand emergency medical services to meet those needs - needs new models to meet the future.•ICT and Telemedicine is an important component!
  33. 33. 53 Thanks for your attention!Updated 9 February 2012 Thomas Molén, Strategist Strategic Development Office County Council of Västerbotten, Sweden thomas.molen@vll.se

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