Nordic health care systems
Recent reforms and current policy challenges
Open University Press, McGraw-Hill Education
World Health Organization 2009 on behalf of the European Observatory on Health Systems and Policies
Available online PDF [362p.] at: http://www.euro.who.int/document/e93429.pdf
“….The Nordic model of health care systems is assumed to contain consistent features across all five Nordic countries, Finland, Sweden, Denmark, Norway and Iceland: tax-based funding, publicly owned and operated hospitals, universal access based on residency, and comprehensive coverage. The reality is considerably more complex, with great variation at the structural level in the way that institutions are designed and at the policy level in the way strategies are conceived and implemented.
This new comparative study, which also assesses the influence of the European Union on the Nordic health systems, highlights how the Nordic countries have retained the principles of universalism and equity while promoting the benefits of patient choice. These insights will be a welcome addition for health sector policy-makers and for students of health policy, not just in the Nordic countries but across
The editors:
Jon Magnussen Professor in the Department of Public Health and Community Medicine at the Norwegian University of Science and Technology in Trondheim, Norway.
Karsten Vrangbaek Lecturer at the University of
Richard B. Saltman Associate Head of Research Policy at the European Observatory on Health Systems and Policies, and Professor of Health Policy and Management at the Rollins School of Public Health, Emory University in Atlanta, Georgia.
The European Observatory on Health Systems and Policies is a partnership between the World Health Organization Regional Office for Europe, the Governments of Belgium,
Part I Nordic health care systems: balancing stability and change
one Introduction: the Nordic model of health care
Jon Magnussen, Karsten Vrangbæk, Richard B. Saltman and Pål E. Martinussen
two Health care reform: the Nordic experience
Pål E. Martinussen and Jon Magnussen
three The political process of restructuring Nordic health systems
Karsten Vrangbæk
four Looking forward: future policy issues
Richard B. Saltman and Karsten Vrangbæk
Part II Nordic health systems: key issues
five The changing political governance structures of Nordic health care systems
Terje P. Hagen and Karsten Vrangbæk
six Meeting rising public expectations: the changing roles of patients and citizens
Ulrika Winblad and Ånen Ringard
seven The changing autonomy of the Nordic medical professions
Peter K. Jespersen and Sirpa Wrede
eight Maintaining fiscal sustainability in the Nordic countries
Clas Rehnberg, Jon Magnussen and Kalevi Luoma
nine Harnessing diversity of provision
Unto Häkkinen and Pia M. Jonsson
ten Changing perceptions of equity and fairness
Johan Calltorp and Meri Larivaara
eleven Reforming primary health care
Allan Krasnik and Bård Paulsen
twelve Addressing the dual goals of improving health and reducing health inequalities
Signild Vallgårda and Juhani Lehto
thirteen Changing demands for institutional management
Lars Erik Kjekshus
fourteen The European Union: single market pressures
Dorte S. Martinsen and Paula Blomqvist
fifteen The Icelandic health care system 3
Tinna L. Ásgeirsdóttir
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