Just as the authors write, we have a health care quality and medical outcomes in the world. We have also employees with high skills and most of the patients are satisfied with the care they receive.
Many patients also receive high-quality health care relatively quickly. Close to half of all first meeting of the specialist care and all operations will be done within 30 days. At the same time, there are many patients who have to wait for a long time. Long and uncertain waiting affects individual patients and their relatives and threaten to upset the confidence of the treatment. To improve accessibility has therefore been a high priority issue for many years.
We are in the middle of a period where we in a bit over two decades from 9 to 11 million inhabitants. At the same time increasing the proportion of older people in the population as well as the presence of chronic diseases. Medical advances also contribute to the increased health needs as increasingly more patients can be offered effective treatment. Citizens ‘ expectations of service levels are also increasing in pace with the development in other industries and sectors of society.
in Summary, we can conclude that the needs and expectations of health and healthcare have increased faster than the capacity. Despite the reservation, parts of SKL fully artikelförfattarnas conclusion that we must use resources better. To do this required some structural grip. We believe that three actions are particularly urgent in the near future:
1 An adequate supply of skills is an important condition for good availability. It can accommodate everything from to ensure a good working environment to develop the roles of different professionals, so that all employees may work on top of their skills. In this regard, it is also crucial that the training equips future employees in the health – care system for the clinical day. To give regions and municipalities greater influence over the scope and focus of the education and training of licensed healthcare professionals is a key success factor.
2 , Digitization in the health – care system, with the potential for new ways of working that can radically improve the quality, resource use and working environment. This can involve everything from new forms of care at a distance to improve conditions for patients to be involved in their own care and treatment. Digitization can also free up time by simplifying the administrative work.
3 Transition to a close health and care is another part of the answer to the population’s changing needs. For people living with a chronic disease is the availability if more than just the waiting times to visit and the surgery. Near care emanates from the patient’s individual circumstances and needs. It assumes that prevention efforts are the most effective for both the individual and for society, especially when fewer working to support more. The closest near health care is self-management, where the available support and help is available when it is needed.
There are not trained more nurses, the clinical work is conducted and to develop better and no waiting times will be shortened by a state customer responsibility, it. It would, however, lead to an increased distance between those responsible for health care and those who care supremely for, the patients.
on the Contrary, all the experience that a good accessibility is rooted in a systematic and long-term local work with close knowledge of the local and regional needs. Right it also shows the example that the authors describe, it is the individual vårdenheternas of organisation and management which are the success factors.
We welcome, therefore, the master plan for increased accessibility, as the regions are now going to take up together with the state.
the State has an important role to play in contributing to the transition that the Swedish health – care system faces, but the ultimate responsibility must rest on those who know the local conditions and needs best and who can clearly be held accountable.
