HHE HOPE 2019 - Page 22

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. Quote here kpkp pk pkpk pk ppkp pk pkpk pkpk pk kpkp pk pkpk pk ppkp pk pkpk pkpk pk kpkp pk pkpk pk ppkp pk pkpk pkpk pk kpkp pk pkpk pk ppkp pk pkpk pkpk pk kpkp 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