Welcome to Sweden October 14-16, 2019 DeltaSigma, LLC Don Hall, - - PowerPoint PPT Presentation

Welcome to Sweden

October 14-16, 2019

DeltaSigma, LLC Don Hall, MPH, Principal Sherry Rohlfing, Principal

Låt oss börja

• Why are we here?
• How well do you know Sweden?
• What do you know about their healthcare system?
• What are we going to learn?

Sweden is about the size as California

…and, its population of 10 million is about the size of the Chicago metro area

If you lived in Sweden instead of the U.S., you would:

• Live 2.1 years longer (82 vs 80)
• Find that more of your fellow citizens are over age 65 (20.5% vs.

13.9%)

• Make 13.4% less money ($51,500 vs. $59,500)
• Be 20% more likely to have Internet Access ( 91.5% vs. 76.2%)
• Be 5 times less likely to be a victim of homicide

You may not know that in Sweden…

• The main official language is Swedish but there are 5 other official

languages – Finnish, Yiddish, Sami, Meankieli and Romani

• 89% of people speak English
• Forests cover over 50% of the country
• Between 300,000 and 400,000 moose roam these forests
• There are also 260,000 reindeer
• They are considered the most “cashless” country in the world
• Parents are required to submit names of babies to the Skatterverket

(government tax agency) for approval.

• In 1974, North Korea agreed to buy about 1,000 Volvo cars. The

Swedish government is still sending invoices to North Korea for the amount due.

You may not know that in Sweden…

• Their VAT (25%) is among the highest in the world.
• Many billboards have bee houses on the back to protect pollinators.
• There are the highest number of patents per capita in Europe. Some
• f the famous ones are Tetra Pak, Pacemaker, dynamite, three-point

seatbelt, adjustable wrench and the spherical ball bearing. Recent inventions include Spotify and Skype.

• There is a parliamentary democracy. The parliament is called the

Riksdag to which members are elected every four years. Political parties are grouped into two blocks.

• Sweden is a member of the European Union, but has its own

currency, the Krona, or Swedish crown.

You may not know that in Sweden…

• In 2016, more people immigrated (163,000) than were born

(117,000).

• Homosexual relations have been legal since 1944 and same sex

couples have been able to adopt since 2003 and get married since 2009.

• Freedom of the press is well established (1766) and is at the top of

global press freedom rankings.

Let’s learn some Swedish…

• Hej – Hello
• Hej då – Good bye
• Tack – Thanks
• The fika – a coffee break or even a verb— you can fika with your

family or on a date.

• Lagom means good enough or just right. It sums up Swedish cultural

and social ideals of equality and fairness.

• Sjukhus – Hospital
• Klinik – Clinic

Famous Swedes

• Activist
• Greta Thunberg
• Authors
• Stieg Larsson
• Acting/Directing
• Stellan Skarsgard
• Dolph Lundgren
• Ingrid Bergman
• Ann-Margret
• Max von Sydow
• Greta Garbo
• Ingmar Bergman
• Musicians
• ABBA
• Avicii
• Jenny Lind
• Politicians
• Dag Hammarskjold
• Sports
• Bjorn Borg
• Mats Wilander
• Henrik Stenson
• Annika Sorenstam
• Gabriel Landeskog
• Scientists/Inventors
• Carl Linnaeus
• Alfred Nobel
• Anders Celsius

Famous Swedish Companies

• IKEA - retail
• Electrolux – home appliances
• Ericsson - Telecommunication
• Volvo - Cars
• H&M – Clothing retail

Swedish healthcare principles

• Human dignity: All human beings have an equal

entitlement to dignity and have the same rights regardless of their status in the community.

• Need and solidarity: Those in greatest need take

precedence in being treated.

• Cost-effectiveness: When a choice has to be made, there

should be a reasonable balance between costs and benefits, with cost measured in relation to improvement in health and quality of life.

If you lived in Sweden instead of the U.S., you would:

• Be 43.1% less likely to be obese (20.6% vs. 36.2% of adults)
• Be 71.4% less likely to die during childbirth (4/100,000 vs.

14/100,000)

• Be 55.2% less likely to die during infancy (2.6/1,000 vs. 5.8/1,000)
• Your government spends 30.4% less on healthcare (11.9% of GDP vs.

17.1%)

• (if you were a teenaged girl) Be 2.5 times less likely to become

pregnant

Healthcare in a nötskal

• Universal healthcare system (with private system augmentation at

less than 1%)

• Average cost of an ER visit: $30
• Average cost of doctor’s visit: $20
• Annual limits on out-of-pocket spending for all services
• Primary care spending accounts for 20% of all healthcare

spending, versus 5-8% for the U.S.

Healthcare in a nötskal

• Strong emphasis on:
• EMR
• Telemedicine
• Primary Care
• Self care
• Dental care is free for children and adolescents

Sweden Health System

SALAR – Swedish Association of Local Authorities and Regions

What do you hear about the Swedish system?

• Cost management
• Immigration impact
• Wait times
• Continuity of providers
• Nursing shortage

Between now and Wednesday afternoon

• Speakers to provide a more in-depth perspective on the Swedish system
• Site visits to get a “live and in-person” perspective on hospitals and

clinics