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Ten years of structural reforms in Danish healthcare

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  • Christiansen, Terkel

Abstract

A major structural reform of the Danish public sector took place in 2007 when the number of administrative units at the regional and municipal levels was reduced. The larger administrative units allowed for a new hospital structure with a reduced number of acute hospitals covering a population of between 200,000 and 400,000 inhabitants. The restructuring involves creation of acute hospitals with a 24-h acute service by a range of specialists. The idea was to weight quality higher than geographical closeness to the nearest hospital. Concurrently, the pre-hospital service will be expanded. The National Board of Health was given authority to approve regional plans for specialties rather than provide guidelines. The use of private hospitals was increased as a means to fulfil a waiting time guarantee of between 2 and 1 month. Increased use of private insurance also increased use of private hospitals. A new way of financing health care was intended to give municipalities incentives to invest in health prevention and health promotion. Concurrent reforms included economic incentives to increase hospital production as measured by DRGs; quality programmes to secure high quality and patient safety; and electronic patient records and increased use of IT systems.

Suggested Citation

  • Christiansen, Terkel, 2012. "Ten years of structural reforms in Danish healthcare," Health Policy, Elsevier, vol. 106(2), pages 114-119.
    • Handle: RePEc:eee:hepoli:v:106:y:2012:i:2:p:114-119
    DOI: 10.1016/j.healthpol.2012.03.019
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    References listed on IDEAS

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    1. Christiansen, Terkel, 2002. "A SWOT analysis of the organization and financing of the Danish health care system," Health Policy, Elsevier, vol. 59(2), pages 99-106, January.
    2. Kjeld Møller Pedersen & Terkel Christiansen & Mickael Bech, 2005. "The Danish health care system: evolution ‐ not revolution ‐ in a decentralized system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 41-57, September.
    3. Christiansen, Terkel, 2002. "Organization and financing of the Danish health care system," Health Policy, Elsevier, vol. 59(2), pages 107-118, January.
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    1. Christiansen, Terkel & Vrangbæk, Karsten, 2018. "Hospital centralization and performance in Denmark—Ten years on," Health Policy, Elsevier, vol. 122(4), pages 321-328.
    2. Eriksen, Astrid & Berger, Elke & Reichebner, Christoph & Wiedicke, Annemarie & Busse, Reinhard, 2023. "The media's coverage and framing of hospital reforms: The case of Denmark," Health Policy, Elsevier, vol. 133(C).
    3. Baier, Natalie & Geissler, Alexander & Bech, Mickael & Bernstein, David & Cowling, Thomas E. & Jackson, Terri & van Manen, Johan & Rudkjøbing, Andreas & Quentin, Wilm, 2019. "Emergency and urgent care systems in Australia, Denmark, England, France, Germany and the Netherlands – Analyzing organization, payment and reforms," Health Policy, Elsevier, vol. 123(1), pages 1-10.
    4. Christiansen, Terkel & Vrangbæk, Karsten, 2017. "Hospital centralization and performance in Denmark - ten years on," DaCHE discussion papers 2017:7, University of Southern Denmark, Dache - Danish Centre for Health Economics.
    5. Douw, Karla & Nielsen, Camilla Palmhøj & Pedersen, Camilla Riis, 2015. "Centralising acute stroke care and moving care to the community in a Danish health region: Challenges in implementing a stroke care reform," Health Policy, Elsevier, vol. 119(8), pages 1005-1010.
    6. Dubas-Jakóbczyk, Katarzyna & Domagała, Alicja & Zabdyr-Jamróz, Michał & Kowalska-Bobko, Iwona & Sowada, Christoph, 2023. "The 2021 plan for hospital care centralization in Poland – When politics overwhelms the policy process," Health Policy, Elsevier, vol. 129(C).
    7. Malmmose, Margit & Kure, Nikolaj, 2021. "Putting the patient first? The story of a decoupled hospital management quality initiative," CRITICAL PERSPECTIVES ON ACCOUNTING, Elsevier, vol. 80(C).

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