Oecd Organisation for Economic Co-operation and Development

Oecd Reviews of Health Care Quality Oecd Reviews of Health Care Quality: Sweden 2013 Oecd Organisation for Economic Co-operation and Development 1st edition

This report reviews the quality of health care in Sweden. It begins by providing an overview of the range of policies and practices aimed at supporting quality of care in Sweden (Chapter 1). It then focuses on three key areas particularly relevant to elderly populations: strengthening primary care in Sweden (Chapter 2), better assurance for quality in long-term care (Chapter 3), and improving care after hip fracture and stroke (Chapter 4). In examining these areas, this report highlights best practices and provides recommendations to improve the quality of care in Sweden.

Table of Content :

Acronyms and abbreviations 9
Executive summary 11
Assessment and recommendations 15
Chapter 1. Quality of health care in Sweden 39
-1.1. Introduction 39
-1.2. Context  42
-1.3. Health system design 43
-1.4. Assuring the quality of inputs to the Swedish health care system 47
-1.5. Health system standards and guidelines 48
-1.6. Measuring and reporting on quality  51
-1.7. Strengthening the role of patients by capturing patient experiences 54
-1.8. Public reporting of performance 57
-1.9. Health system improvement  61
-1.10. Patient safety 63
-1.11. Conclusions 65
-Bibliography 69
Chapter 2. Primary care and care co-ordination in Sweden  71
-2.1. Introduction 72
-2.2. The configuration of primary care in Sweden 73
-2.3. Quality and outcomes of primary care in Sweden 85
-2.4. Maximising primary cares contribution to high quality, co-ordinated care in Sweden 95
-2.5. Conclusions 109
-Bibliography 112
Chapter 3. Long-term care in Sweden 119
-3.1. Introduction 122
-3.2. Comparing long-term care in Sweden to other OECD countries 123
-3.3. Strengthening measurement of LTC quality 131
-3.4. Reinforcing quality assurance to complement transparency and competition 140
-3.5. Pursuing initiatives incentivising integration 150
-3.6. Conclusions 160
-Bibliography 164
Chapter 4. Care after hip fracture and stroke in Sweden  171
-4.1. Introduction 172
-4.2. The burden of stroke and hip fracture 172
-4.3. Characteristics of high quality care after stroke or hip fracture 175
-4.4. Quality initiatives and related outcomes in Sweden 178
-4.5. The pathway of care after stroke or hip fracture in Sweden 188
-4.6. Achieving better quality care after stroke and hip fracture 194
-4.7. Conclusions 200
-Bibliography 203