Hola !

2

ARBETSMATERIAL

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

3

ARBETSMATERIAL

- Sweden - Stockholm - Health Care System of Stockholm - Today - Future aspects - Role of Karolinska University Hospital and Karolinska Institutet - Role of Innovation

4

ARBETSMATERIAL

5

ARBETSMATERIAL

6

ARBETSMATERIAL

Sweden

- 10 million inhabitants - Number 5 in size in Europe - ”Sad and boring” -  Peace since 1809 -  ”Fat and happy!” -  High standard of living

7

ARBETSMATERIAL

Sweden

- Iron - Lumber - Process industry -  Technology -  Public healthcare of high quality

8

ARBETSMATERIAL

Sweden

- Stable and homogenous - Good planning and infrastructure -  High level of education and research -  Innovations -  Political stabillity

9

ARBETSMATERIAL

Sweden

- Major changes!

10

ARBETSMATERIAL

11

ARBETSMATERIAL

Organisation of society and of healthcare

12

ARBETSMATERIAL

King Gustav II Adolf 1594-1632

Queen Kristina I 1626 – 1689 (1644 - 1654)

Axel Oxenstierna 1583 – 1654

Chansler: 1609 - 1654

13

ARBETSMATERIAL

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.

14

ARBETSMATERIAL

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

15

ARBETSMATERIAL

Authorities Laws and rules Economic stimulus and punishment

Govern- ment

County Councils

Primary Councils

State

University Hospital University

Health Care

Care and welfare

Authourity

16

ARBETSMATERIAL

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

17

ARBETSMATERIAL

Per Albin Hansson 1885 - 1946

Primeminister of Sweden 1932 - 1946

” A good home for all people”

18

ARBETSMATERIAL

Per Albin Hansson 1885 - 1946

Primeminister of Sweden 1932 - 1946

” A good home for all people”

19

ARBETSMATERIAL

Collective solutions ”Equality” Public funding by taxation A ”strong” society

20

ARBETSMATERIAL

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

21

22

ARBETSMATERIAL

Fredrik Reinfeldt, primeminister (2006-) and leader of the

conservative and liberal ”alliance”

23

ARBETSMATERIAL

- ”Equality” - Public funding by taxation

- A ”strong” society - Collective solutions

- Market solutions

24

ARBETSMATERIAL

2004 2013

Financed by tax

Public providers

Commercial providers

100% 100%

97%

3%

65 %

35 %

Stockholm

25

ARBETSMATERIAL

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

26

ARBETSMATERIAL

- ”Equality” - Public funding by taxation

- A ”strong” society - Collective solutions

- Market solutions ?

27

ARBETSMATERIAL

28

ARBETSMATERIAL

29

ARBETSMATERIAL

Stockholm

- Capital since 1521 - 1.9 millions inhabitants - Center for administration and higher education - Growing population - Significant economical growth - ”Small for size”

30

ARBETSMATERIAL

Welcome to the ”Banana-region” with the ambition and ability to create opportunities for development within Life Science and Med Tech

31

ARBETSMATERIAL

31