Health Care System
Transcript: The Ministry of Social and Health is responsible of the health care system Legislation, supervision, financing and controlling Municipalities are obliged to arrange health care Health centers The government pays municipalities for arranging the health services Most of the money comes from public financing People can also seek treatment from the private sector Usually much more expensive Usually no queues Specialized health care Paramedical services Usually health services are not free Health services have only the payment limit. After the limit is reached, services are free. Employers have to arrange health service for employees. Third sector Arranged by municipalities Health centers First time moms 13-17 visits, others 9-13 visits 1 time/month -->28 weeks 2 times/month 28-36 weeks 1 visit/week 36-41 weeks Home visit after delivery post-delivery control 5-12 weeks from delivery Structure of the health care system Pharmacies (800) arrange the medicinal service Pharmacies are subject to licence Hospitals have their own pharmacies but they can't sell medicines The electronic prescription is in use in Finland (1.4.2013) The private sector Medicinal products Population Population in Finland 5,4 million (2012) Biggest problem is aging, 17,5% is over 65 years (2010) life expectancy m. 76 years f. 82 years Finnish women give birth to 1,83 children on average Lifestyle diseases and mental health problems are increasing (e.g. obesity, musculoskeletal diseases, diabetes, alcohol abuse) Smoking is declining slowly, (f. 20% m. 25 %) Dues for patients Other health services Hospital districts have to offer: Usually mom meets a doctor 4 times 1. 8-12 weeks 2. 24-28 weeks 3. 36 weeks 4. post-delivery control Individual basis! Delivery occurs in central hospital or in university hospital (at home) Perinatal death 3,9/1000 Health Care System in Finland Supervision and financing Health centers have to offer (municipalities): Municipalities are also responsible for arranging environmental health care: Food control Animal health care Cigarette surveillance Chemical surveillance Consumer surveillance Environmental evaluation of impact on health Specific environmental situations Preventative health care Screenings, vaccines, advice Maternity care School and student health care Treatment of diseases Home care Rehabilitation Dental care Mental health care Third sector means associations and organizations offering supporting services Important especially for the mental health care Usually assistance for public or private health care Maternity care in Finland Municipalities have health centers offering basic health care Municipalities form hospital districts (20) offering specialized health care Hospital districts form special responsibility areas (million districts around the University Hospitals, 5) offering more specialized health care 2014 patient can choose the place of treatment from all the health centers and hospitals in Finland