Health policies and data

Primary Care in Denmark

In series:OECD Reviews of Health Systemsview more titles

Published on March 03, 2017

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In many ways, primary care in Denmark performs well. Danish primary care is trusted and valued by patients, and is relatively inexpensive. But there are important areas where it needs to be strengthened. Most critically, Danish primary care is relatively opaque in terms of the performance data available at local level. Greater transparency is vital in the next phase of reform and sector strengthening. Robust information on quality and outcomes empowers patients and gives them choice. It can support GPs to benchmark themselves, and engage in continuous quality improvement. It also allows the authorities to better understand where they should direct additional resources. This report draws on evidence and best practice from across OECD health systems to support Denmark in: agreeing on the steps that will strengthen its primary care sector, delivering high-quality, patient-centred care, and establishing a sustainable footing as the foundation for a high-performing health system.

TABLE OF CONTENTS

Foreword and acknowledgements
Assessment and recommendations
Health Care needs and organisation of primary care in Denmark
The performance of Danish primary care
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KEY FINDINGS

  • Primary care is well-established at the heart of the Danish health care system. Danes rate the care given by their GP highly, with 91% giving a positive assessment compared to a European Union average of 84%
  • But high-quality primary care is not always delivered. Rates of avoidable hospitalisation for people with chronic bronchitis or diabetes are higher in Denmark than in Sweden or Norway, and avoidable admissions for people aged over 65 vary two-fold across Danish municipalities
  • More broadly, the Danish health care system is evolving rapidly. After a heart attack, Danes spend just under four days in hospital – the fastest discharge time in the OECD – underlining the need for high-quality primary care across the country
  • Better data is key to improving performance. But DAMD, the national information system that used to monitor primary care health care needs, activities and patient outcomes, collapsed in 2014. Denmark is now one of the few countries in the OECD with no means of monitoring primary care performance. Patients also lost the ability to ability to access their care records – critical to those living with long-term conditions like diabetes
  • Payment systems also need reform, to better reward the quality of care. The fee-for-service model dominates in Danish primary care – rewarding activity, not outcomes.  There is also substantial scope to develop the role of primary care nurses, and to develop more effective collaboration between GPs and municipalities at local level

DATA

Influenza vaccination for people aged over 65 has increased rapidly in Denmark, but still falls short of rates achieved in other countries

Influenza-vaccination-Primary-Care-Review-of-Denmark-2016

Information on data for Israel: http://oe.cd/israel-disclaimer.

Source: OECD Health Statistics 2018.

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CONTACT

For more information, please contact Ian Forde at ian.forde@oecd.org

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