"Doctor: Small hospitals eat up all the economic resources"
"This is an opinion piece. It is the writer who stands for the views that are put forward in the text, not Against."
"the DEBATE. In a debate article in Aftonbladet, writes Anders Lönnberg, an experienced responsible politicians (P), if the political governance of the health system. He points out that the sjukvårdspolitiska decisions at both national and regional level are often taken, without any positive effect on the problem you want to deal with, been observed. He describes how the healthcare production is steadily declining, despite the increasing financial resources."
"Lönnbergs description of the problem is real and he is calling for at the end of their article a discussion about the structural reforms needed in american health care."
"As a starting point, we can at a comparison with other western countries say that Sweden distinguishes itself clearly in one respect, the proportion of the general practitioner of the total Swedish medical profession constitutes about 16 to 18 percent, compared with about 30 to 40 percent in comparable countries. The Swedish health care organization can be said to be bottom-heavy with a large number of sjukhusspecialister and a too-small proportion of primary health care."
"the Reasons for this relationship are many and, in part historical, and it would lead too far to go into these in this context. "
"Let me just say that it made a large number of studies that show that care organized in this way is expensive and ineffective. This knowledge is of most responsible politicians and administrators, as well as of those working in the healthcare factory floor."
"In the Health and sjukvårdslagens portalparagraf mentioned that in Sweden we have a health care where everyone has the same right to health care according to their needs regardless of social, economic or geographic background factors. There are many reports showing that this ambition is not met. "
"The social and economic inequality is reinforced by the fact that health care is controlled locally, the range varies depending on which landstingu002Fregion you live in. The who have plenty of money can with their own resources to finance health care in a region with a larger and better selection than what the home region want to offer. "
"Why are these anomalies which leads to an expensive, inefficient and unequal health care?"
"I think one of the reasons for both the imbalance between primary care and hospital care that the geographical imbalance is that we are in the true sense do not have a national policy in Sweden. The individual regions have their own taxing rights and are elected in local elections. The regions control the sjukvårdpolitiken and perspectives often become narrowly local. "
"The regionpolitiker or the party that is trying to implement structural changes in their domain, are likely to be severely punished by the voters and debate characterised all too often by what can be called a byapolitik and populism. For example, put down a maternity ward at a small hospital with very little patientunderlag often leads to large turbulence and other aspects of quality, patient safety and cost-effectiveness will weigh heavily. "
"To change the sjukhusstrukturen becomes very difficult, and to put down a smaller hospital that does not have the prerequisites to cope with modern quality requirements is in practice impossible. As a result, also a much-needed bet on primary care is absent, because the outdated sjukhusstrukturen eat up all the economic resources."
"nBjörn Diamond, retired general practitioner, president of the Swedish Association of General practice 1995 to 1999."
"n Join in the debate and comment on the artikelnn – like Aftonbladet Debate on Facebook."