HEALTHCARE IN DENMARK AN OVERVIEW 1 Colophon Healthcare in Denmark - An Overview Edited by: The Ministry of Health Copyright: Extracts, including figures, tables, and quotations are allowed with clear source reference. Published by: Ministry of Health Holbergsgade 6 DK 1057 København K DENMARK Phone: + 45 72 26 90 00 Email: [email protected] Internet address: www.sum.dk Graphic design: 1508 A/S Version: 1.2 Publication date: 2017 ISBN: 978-87-7601-365-3 The publication is available on: http://www.sum.dk 2 Contents Introduction to Denmark .................................................................................................................................. 1 Introduction to this Publication ...................................................................................................................... 2 1. Organisation of Health and Elderly Care .................................................................................................... 4 The Regions ....................................................................................................................................................... 4 The Municipalities .............................................................................................................................................. 5 Financing ............................................................................................................................................................ 5 2. Patients’ Rights ............................................................................................................................................ 7 The right to treatment, diagnosis and free choice of hospital ............................................................................. 7 Treatment abroad and reimbursement ............................................................................................................... 7 Regional patient advisers, complaints and compensation .................................................................................. 8 Inspections and sanctions .................................................................................................................................. 9 Adverse events ................................................................................................................................................ 10 3. Primary Healthcare..................................................................................................................................... 13 Health insurance groups .................................................................................................................................. 13 General practitioners ........................................................................................................................................ 13 Home nursing ................................................................................................................................................... 14 Rehabilitation ................................................................................................................................................... 14 Vaccinations ..................................................................................................................................................... 15 4. Hospitals ..................................................................................................................................................... 17 Planning of specialised hospitals ..................................................................................................................... 17 New hospitals and sustained hospital services structure ................................................................................. 18 5. Elderly Care ................................................................................................................................................ 21 Organising elderly care .................................................................................................................................... 21 Home care services ......................................................................................................................................... 21 Reablement ...................................................................................................................................................... 22 Nursing homes and home nursing ................................................................................................................... 22 Preventive measures and home visits .............................................................................................................. 22 6. Psychiatric Care ......................................................................................................................................... 25 A new direction for psychiatric care .................................................................................................................. 25 The use of coercion .......................................................................................................................................... 26 Psychiatry and drug abuse ............................................................................................................................... 27 7. Health Promotion ....................................................................................................................................... 29 Health promotion packages .............................................................................................................................. 29 Alcohol ............................................................................................................................................................. 31 Smoking and tobacco ....................................................................................................................................... 31 Drugs................................................................................................................................................................ 31 Nutrition and obesity ........................................................................................................................................ 32 Physical activity ................................................................................................................................................ 32 Mental health .................................................................................................................................................... 32 8. Digitisation and Health Data ...................................................................................................................... 36 1 Extensive digitisation – electronic communication between health service partners ........................................ 36 Telemedicine .................................................................................................................................................... 37 Visibility of results ............................................................................................................................................. 37 Health data programme.................................................................................................................................... 38 Legal aspects of data collection and the use of data ........................................................................................ 38 9. Medicines and Pharmacies ....................................................................................................................... 43 Licensing of medicines and pharmacovigilance ............................................................................................... 43 Procurement and medicine pricing ................................................................................................................... 43 The hospital sector ........................................................................................................................................... 43 The primary healthcare sector .......................................................................................................................... 43 Reimbursement of medicines ........................................................................................................................... 44 Pharmacies ...................................................................................................................................................... 44 Medical devices ................................................................................................................................................ 45 Health research ................................................................................................................................................ 45 New clinical trials regulation under way............................................................................................................ 46 10. Financing of Healthcare and Elderly Care ............................................................................................. 49 Regional financing ............................................................................................................................................ 49 Local financing ................................................................................................................................................