Vg primary care part of the good life
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VG PRIMARY CARE PART OF THE GOOD LIFE. REGION VÄSTRA GÖTALAND HEALTHCARE CHOICE MODEL The patient in the lead role Fair reimbursements, fair opportunities Future challenges The law concerning freedom of choice systems. BASIC IDEAS. GOOD HEALTHCARE GETS EVEN BETTER Security Accessibility

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VG PRIMARY CARE PART OF THE GOOD LIFE

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Vg primary care part of the good life

VG PRIMARY CAREPART OF THE GOOD LIFE


Vg primary care part of the good life

REGION VÄSTRA GÖTALAND

HEALTHCARE CHOICE MODEL

  • The patient in the lead role

  • Fair reimbursements, fair opportunities

  • Future challenges

  • The law concerning freedom of choice systems


Vg primary care part of the good life

BASIC IDEAS


Vg primary care part of the good life

GOOD HEALTHCARE GETS EVEN BETTER

  • Security

  • Accessibility

  • Quality


Vg primary care part of the good life

QUALITY PAYS


Vg primary care part of the good life

PRIMARY CARE – FIRST CHOICE

  • The hub of the healthcare system

  • Guide through the system

  • High level of confidence a prerequisite


Vg primary care part of the good life

COMPETENCE AND ABILITY

DETERMINING FACTORS

  • Detailed criteria

  • Everyone that fulfils the criteria is approved

  • Measurable targets, results anyone can follow


Vg primary care part of the good life

EXPANDED ASSIGNMENT,

GREATER OPPORTUNITIES


Vg primary care part of the good life

THE ASSIGNMENT COMPRISES

  • Health-promoting and preventive measures

  • General medicine including undertakings in mental ill-health, medical chiropody, doctor participation in municipal healthcare and medical treatment, cooperation with other care professionals etc, local healthcare responsibility, out of hours availability/duty doctors.

  • Pediatric care

  • Education places and guidance

  • Developmental work and R&D


Vg primary care part of the good life

24-HOUR RESPONSIBILITY FOR PATIENTS

  • Open at least 45 hours a week

  • Emergency clinic open until 10pm weekdays. Can be organized in cooperation with other caregivers.

  • Emergency clinics open at least six hours during weekends and public holidays. Can be organized in cooperation with other caregivers.


Vg primary care part of the good life

NOT INCLUDED IN THE ASSIGNMENT

  • Child and youth medical clinic

  • Out-patient gynecology

  • Prenatal clinic

  • Psychologists within child welfare

  • Youth clinics

  • Physiotherapy

  • Occupational therapy

  • Light therapy units


Vg primary care part of the good life

BETTER PRIMARY CARE

BENEFITS EVERYONE


Vg primary care part of the good life

ESSENTIAL COMPETENCES

  • Specialist in general medicine during all opening hours

  • At least half of the doctor’s positions must be filled by specialists in general medicine, possibly supplemented with other specialists.

  • Specialist trained district nurse

  • Psychologist or psychotherapist (or social worker or other registered healthcare or nursing professional with basic training in psychotherapy).

  • Child welfare nurse and child welfare doctor

  • Medical chiropody therapist


Vg primary care part of the good life

THE PATIENT – A VALUABLE RESOURCE

  • Free to develop and fine-tune the supply

  • Increased confidence

  • More attractive primary care


Vg primary care part of the good life

EVERYONE MAKES

A CHOICE


Vg primary care part of the good life

THIS IS WHAT HAPPENS

  • Everyone over 16 chooses a health centre

  • Switching opportunities

  • No-one is denied care

  • Fixed healthcare contact if required


Vg primary care part of the good life

PRIMARY CARE

ALLOWANCE


Vg primary care part of the good life

EQUAL TERMS FOR ALL

  • Primary care allowance moves as patient chooses health centre.

  • Amount is determined by age, gender and care weighting (ACG points).

  • A fair reimbursement model:

  • Primary care allowance (more than 80% of the reimbursement).

  • Target-related reimbursement (linked to degree of coverage and quality criteria).

  • Special reimbursement for interpreter and geographical and socioeconomic factors.

  • Reimbursement for special assignments


Vg primary care part of the good life

THE TARGET –

TOP MARKS THROUGHOUT


Vg primary care part of the good life

OPEN DIALOGUE

  • Continual follow-ups

  • Medical auditing unit

  • Feedback and result publication

  • Learning, continuous improvement


Vg primary care fully implemented from 1 october

VG PRIMARY CAREFULLY IMPLEMENTED FROM1 OCTOBER


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