The organisation and responsibility for care for older people in Denmark, Finland and Sweden: outline and comparison of care systems

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  • Janne Agerholm
  • Jutta Pulkki
  • Natasja K. Jensen
  • Ilmo Keskimäki
  • Andersen, Ingelise
  • Bo Burström
  • Esa Jämsen
  • Liina Kaisa Tynkkynen
  • Pär Schön
  • Ann E.M. Liljas
Aim:
To outline the organisation and responsibility for health and social care provided to older people in Denmark, Finland and Sweden.
Methods:
Non-quantifiable data on the care systems were collated from the literature and expert consultations. The responsibilities for primary healthcare, specialised healthcare, prevention and health promotion, rehabilitation, and social care were presented in relation to policy guidance, funding and organisation.
Results:
In all three countries, the state issues policy and to some extent co-funds the largely decentralised systems; in Denmark and Sweden the regions and municipalities organise the provision of care services – a system that is also about to be implemented in Finland to improve care coordination and make access more equal. Care for older citizens focuses to a large extent on enabling them to live independently in their own homes.
Conclusions:
Decentralised care systems are challenged by considerable local variations, possibly jeopardising care equity. State-level decision and policy makers need to be aware of these challenges and monitor developments to prevent further health and social care disparities in the ageing population.
OriginalsprogEngelsk
BogserieScandinavian Journal of Public Health
Vol/bind52
Udgave nummer2
Sider (fra-til)119–122
Antal sider4
ISSN1403-4948
DOI
StatusUdgivet - 2024

Bibliografisk note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by NordForsk (grant number 74637). Ann Liljas was funded by FORTE (grant number 2019-01101).

Publisher Copyright:
© Author(s) 2023.

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