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Thomas Molén, Strategist

Strategic Development Office

County Council of Västerbotten, Sweden

thomas.molen@vll.se

Life and Health in Västerbotten Overall presentation of the health care system in the region

of Västerbotten

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

Distribution of the Swedish population?

Sweden is sparcely populated in a European

perspective: 22 inh/km2

Västerbotten:

- 4.7 inh/km2

- 260.000 inh

Iceland and Norway are the most rural countries in

Europe

Västerbotten county

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Västerbotten County

Västerbotten County Council is a

politically controlled organization

which is geographically identical

to Västerbotten County.

Distribution of tasks - state, municipalities, county council

The state

Chiefly represented by the

county administrative board.

Tasks

• General physical planning

• Police authorities

• Environmental protection

• Environmental control

• Civil defence

• Social support

The municipalities

The county of Västerbotten has 15 municipalities.

Tasks

• Schools

• Social welfare incl cronical care

• Fire safety

• Roads and streets

• Water and sewerage

• Culture

• Leisure etc.

The County Council

Principal provider of medical care in the county of Västerbotten.

Tasks

• Health and medical care

• Dental care

• Service for people with disabilities

• Education and cultural issues

• Public transports

• Regional development and financial support for county transport, EU-issues, trade, industry etc.

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The County Council’s vision

GOALS:

Better health and equality in health

Good economizing

Health-promoting workplaces and attractive

employers

Increased influence of citizens

Increased growth and concerted regional

efforts

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The County Council's vision

By 2020, Västerbotten will have

the world's best health and

the world's healthiest citizens.

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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 Health

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1177: Advice about care on the web and telephone

1177 telephone counselling - 24h

1177.se – information on the web

about illnesses, studies, medicines,

contact with care departments and

more

Personal e-services

Find and compare care

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Health 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

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Health care centres owned by the County Council

Branch clinics owned by the County Council

Private health care centres

Health care centres

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Hospital care in Sweden

The Northern Health Care Region

covers half of Sweden's land area

and has 877,000 inhabitants.

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The University Hospital of Umeå ~ 5.700 employees

Primary tasks:

Qualified medical care

Research

Teaching

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Profile Areas

Oncology for adults and children

Cardiovascular medical care

Obesity and overweight

Neonatal intensive care

Functional neurosurgery

Infectious diseases

Air transportation of patients requiring

intensive care

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Lycksele Hospital ~ 600 employees

Primary tasks:

Emergency medical care and childbirth

Obesity surgery (80-100/year)

Hip replacement surgeries (350/year)

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Skellefteå Hospital ~ 1200 employees

Primary tasks:

Emergency medical care

Specialized medical care

Research

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Beds (2010)

Umeå 712

Skellefteå 227

Lycksele 93

Cottage hospitals'

emergency beds 34

Total 1,066

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What the County Council produces in one year (2010)

Admitted patients 55,000

Operations 30,000

Doctor’s visits, clinics 340,000

Doctor’s visits, health centres 222,000

Medical care 976,000

Dental care visits 305,900

Total 1,928,900

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Care at a distance Health care centre, cottage hospital or district nursing practice

Psychiatric outpatient care

Telemedicine and video conferencing systems

connect the county

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Public Dental Services District Dental Clinic

Orthodontic

Specialist Clinic

Dental College

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Almost 10,000 employees

80% in health and medical

care

500 different professions

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How 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

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How the County Council is governed

Clear division of responsibilities

between politicians and public

servants.

The politicians set the goals for

the activities.

The public servants

implement the decisions.

Monitoring and evaluation.

Ongoing reporting of activities

and finances.

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The County Council's website – www.vll.se

You can read more about the

County Council's organization

and 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...

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Health situation - overview

Update

d 9

Febru

ary

2012

70

72

74

76

78

80

82

84

1970 1975 1980 1985 1990 1995 2000 2005 2010

Ag

e

Year

Life expectancy in Sweden and Västerbotten county

--- Sweden

Women

Men

0

100

200

300

400

500

600

700

800

900

1000

1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Pe

r 1

00

00

0 in

ha

b

Year

Incidence of acute myocardial infarction

Sweden

Västerbotten county

Changed death

rate in myocardial

infarction (1980 – 1990)

Women

Changed death

rate in myocardial

infarction (1980 - 1990)

Men

0

5

10

15

20

25

30

35

60-64 65-69 70-74 75-79 80-84 ≥85

Pe

r c

en

t

Age

Prevalence of dementia

Sweden

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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!

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Update

d 9

Febru

ary

2012

Thomas Molén, Strategist

Strategic Development Office

County Council of Västerbotten, Sweden

thomas.molen@vll.se

Thanks for your attention!