Cristin-resultat-ID: 1092728
Sist endret: 28. oktober 2016 16:36
Resultat
Vitenskapelig oversiktsartikkel/review
2013

Norway - Health System Review

Bidragsytere:
  • Ånen Ringard
  • Anna Sagan
  • Ingrid Sperre Saunes og
  • Anne Karin Lindahl

Tidsskrift

Health Systems in Transition
ISSN 1817-6119

Om resultatet

Vitenskapelig oversiktsartikkel/review
Publiseringsår: 2013
Publisert online: 2013
Trykket: 2013
Volum: 15
Hefte: 8
Sider: 1 - 162

Klassifisering

Vitenskapsdisipliner

Helsetjeneste- og helseadministrasjonsforskning

Emneord

Helsetjenester • Helsereformer • Finansiering av helsetjenester • Sykehusadministrasjon / organisering

Beskrivelse Beskrivelse

Tittel

Norway - Health System Review

Sammendrag

Norway’s five million inhabitants are spread over nearly four hundred thousand square kilometres, making it one of the most sparsely populated countries in Europe. It has enjoyed several decades of high growth, following the start of oil production in early 1970s, and is now one of the richest countries per head in the world. Overall, Norway’s population enjoys good health status; life expectancy of 81.53 years is above the EU average of 80.14, and the gap between overall life expectancy and healthy life years is around half the of EU average. The health care system is semi-decentralized. The responsibility for specialist care lies with the state (administered by four Regional Health Authorities) and the municipalities are responsible for primary care. Although health care expenditure is only 9.4% of Norway’s GDP (placing it on the 16th place in the WHO European region), given Norway’s very high value of GDP per capita, its health expenditure per head is higher than in most countries. Public sources account for over 85% of total health expenditure; the majority of private health financing comes from households’ out-of-pocket payments. The number of practitioners in most health personnel groups, including physicians and nurses, has been increasing in the last few decades and the number of health care personnel per 100 000 inhabitants is high compared to other EU countries. However, long waiting times for elective care continue to be a problem and are cause of dissatisfaction among the patients. The focus of health care reforms has seen shifts over the past four decades. During the 1970s the focus was on equality and increasing geographical access to health care services; during the 1980s reforms aimed at achieving cost containment and decentralizing health care services; during the 1990s the focus was on efficiency. Since the beginning of the millennium the emphasis has been given to structural changes in the delivery and organization of health care and to policies intended to empower patients and users. The past few years have seen efforts to improve coordination between health care providers, as well as an increased attention towards quality of care and patient safety issues. Overall, comparing mortality rates amenable to medical intervention suggests that Norway is among the better performing European countries. Despite having one of the highest densities of physicians in Europe, though, Norway still struggles to ensure geographical and social equity in access to health care.

Bidragsytere

Inaktiv cristin-person

Ånen Ringard

  • Tilknyttet:
    Forfatter
    ved Folkehelseinstituttet

Anna Sagan

  • Tilknyttet:
    Forfatter
    ved London School of Economics and Political Science
Aktiv cristin-person

Ingrid Sperre Saunes

  • Tilknyttet:
    Forfatter
    ved Helsetjenester ved Folkehelseinstituttet

Anne Karin Lindahl

  • Tilknyttet:
    Forfatter
    ved Avdeling for forskning og analyse av helsetjenesten ved Folkehelseinstituttet
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