catalogue definition, contract files development
and criteria. Having elaborated a centralised
acquisition products catalogue integrated in the
platform, nearly 25,000 items structurally and
hierarchically classified have been included. The
catalogue structure will allow incorporation of
medical services in the future. With this tool,
a budget saving close to 500 Million Euros is
anticipated in the coming years.
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In Spain,
despite the
achievements,
centralised
procurement
raised several
issues and was
partially used
Hepatitis C strategy
Access to effective treatment could be considered
fulfilled and to date, more than 117,000 patients
can be considered cured in Spain.
SWEDEN
Strategic National Plan against Hepatitis C
Four years ago, the Strategic National Plan against
Hepatitis C was established, and major
achievements have occurred since then. An
update of the Plan Against Hepatitis C has been
approved by the National Health System
Interterritorial Health Council and now new
challenges have to be embraced to make this
policy effective. The collaborative diagnoses and
treatment of social groups that do not know
whether or not they are infected also has to be
achieved.
Could you present two/three elements on
the impact of such reforms on hospital and/
or healthcare sectors that your organisation/
country has identified?
Central procurement in National Health System.
Recently a centralised acquisitions digital tool has
been introduced by the Ministry of Health,
Consumers Affairs and Welfare. The tool is based
on an Information Platform Collaborative Web
that allows access to the participating agents to
all the information related to centralised
acquisition initiatives in an anonymous way.
It also incorporates a virtual forum so different
agents can share problems and good practices on
line easing collaboration in some issues such as
Mr Erik Svanfeldt
HOPE Governor, Swedish Association of Local
Authorities and Regions (SALAR)
Could you describe the last hospital and/
or healthcare reforms implemented in your
country in the past 5 years?
In 2015, a new Patient Act came into force, which
increased the opportunities for patients to choose
healthcare provider – public or private – in
outpatient care. In Sweden, the regions are
responsible for the financing and provision of
healthcare, and there are sometimes differences
concerning what services they offer. In the past,
the patients had limited possibilities to seek
planned healthcare outside their home region,
but since 2015 patients may also seek outpatient
treatments in other parts of Sweden that are not
included in their home region health basket.
In July 2018, a new decision-making process
for national highly specialised healthcare was
established. Sweden already had a system for
coordination of very highly specialised
healthcare, giving a national committee the right
to concentrate certain services to just one or two
hospitals in the entire country. But in order to
improve quality and equality in healthcare, the
National Board of Health and Welfare can now
decide to concentrate specific healthcare services
to up to five hospitals.
SPAIN
Total current health expenditure as % of Gross Domestic Product (GDP)
General government/compulsory current health expenditure as % of total current health expenditure
Hospital current health expenditure, as % of total current health expenditure
Household out-of-pocket health expenditure as % of total current health expenditure
All hospital beds per 100,000 inhabitants
Acute care hospital beds per 100,000 inhabitants
Acute care admissions/discharges per 100 inhabitants
Average length of stay for acute care hospitals (bed-days)
Practising physicians per 100,000 inhabitants
Practising nurses per 100,000 inhabitants
22
HHE 2019 | hospitalhealthcare.com
2002
6.8%
71.0%
39.6%
24.6%
353.0
278.0
11.6
7.0
313.0
407.0
2008 2016
8.3%
9.0%
73.6%
71.2%
40.5%
42.0%
21.0%
23.8%
320.0
297.0
256.0
24 1.0
11.3
11.3
6.5
5.9
354.0
382.0
482.0
551.0