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Cross-border Healthcare in Sweden and establishment of national contact points

Cross-border Healthcare in Sweden and establishment of national contact points. Thomas Zilling MD, PhD Vice President of the AEMH. 22 November 2013. Implementation of the Cross- border healthcare Directive in Sweden. The Cross-border Healthcare directive 2011/24/EU came

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Cross-border Healthcare in Sweden and establishment of national contact points

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  1. Cross-border Healthcare in Sweden and establishment of national contact points Thomas Zilling MD, PhD Vice President of the AEMH 22 November 2013

  2. Implementation of the Cross-borderhealthcareDirective in Sweden The Cross-border Healthcare directive 2011/24/EU came into force in Sweden October 1st 2013

  3. Financing of healthcare in Sweden 21 County councils are allowed to tax the local population and are responsible to provide healthcare for the inhabitants

  4. Implementation of the Cross-borderhealthcareDirective in Sweden • Swedish patients are reimbursed for plannedmedicalcare in the EU/EES if: • - the care has been provided by licensed medicalstaff • - the costsshouldhavebeencovered by public fundsif the medicalcarehadbeen given in Sweden

  5. Implementation of the Cross-borderhealthcareDirective in Sweden • Patients should not be denied the right to compensation solely on the basis that the treatment is not used in Sweden, as long as the treatment is based on “international medical science and generally recognised good medical practice”. • The patient’s home county council is responsible for covering the costs.

  6. A small but increasing number of Swedes go abroad for medical care Number of Swedish applicants that recieved grants for medicalcare in another EU country, according to to the EC treaty.

  7. Toprecievingcountries, 2012 Other EU/EES 16% Denmark63% Norway 6% Spain 8% Finland 16%

  8. Main types of medical care (2012) The mosttypical patient in 2012 lived in the south of Sweden and went to neighbouringDenmark for cataractsurgerydue to longwaiting lists in the countycouncil. It wasalsoquitecommon for patients with psoriasis or otherdermatologicaldiseases to go abroad for climatetreatment in Spain and othercountries in southern Europe.

  9. Two national contactpoints • 1. TheNational Board of Health and Welfare. • National contactpoint for EU citizensseekingmedicalcare in Sweden. • 2. The Swedish Social Insurance Agency. • National contactpoint for Swedish citizensseekingcare in another EU country.

  10. 1. www.socialstyrelsen.se/healthcare-visitors-sweden

  11. ResponsibilitiesaccordningtoGovernmentcommissions • Information about standards and guidelines for quality and safety in the Swedish healthcare system • General information aboutaccessibility for the disabled • Information abouthealthcareproviders, on demandalsoaboutspecificproviderslicenses to practice • Information about patients’ rights, how to make complaints and conditions for financialcompensation for medical injuries.

  12. 2. www.forsakringskassan.se/privpers/utomlands

  13. Responsibilitiesaccordning to Governmentcommissions • Information about patients’ rights in cross-borderhealthcare • Informationaboutconditions for prior authorization, ”advancenotice” and subsequentreimbursement • Application forms

  14. Questions for the future • Howtodefine; “international medical science and generally recognized good medical practice”. • Will this open a new market for medical tourism?

  15. Thanks

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