The Coordination Reform
The Coordination Reform has been being introduced gradually since 1 January 2012. One aspect of the reform involves the transfer of responsibility for the running of hospitals to the municipalities, which will also receive more funding and perform more roles in the provision of health and social care services.
Better coordination for the benefit of municipal residents
The Coordination Reform aims to boost preventive healthcare, provide treatment more quickly, and improve coordination between providers of health and care services. Patients and service users must be provided with good-quality assistance when they need it and as close as possible to where they live. They must receive the right treatment at the right time and in the right place through the provision of a comprehensive and coordinated health and care system. Comprehensive and coordinated health services must be secured by, among other means, competence-building, cooperation agreements and interhospital agreements on courses of treatment. All services must be of good quality and safeguard patients' interests. In addition waiting times must be short and services must be as individually tailored as possible.
New legislation underlying the reforms
The Coordination Reform is founded on two statutes: the Public Health Act and the Health and Care Services Act. Both statutes emphasise the importance of health-enhancing and preventive measures. The health sector must make an active contribution to work in the field of public health by promoting preventive measures within the health services and contributing to broader social public health initiatives.
The role of the County Governor
The County Governor has responsibility for following up the Coordination Reform and for safeguarding patients' interests and rights, the trustworthiness of the health services and the safety of patient pathways. The County Governor must also contribute to coordinating and supporting the work of national, regional and local entities in introducing the reforms by building networks and facilitating the exchange of experiences.
The County Governor must also provide advice and guidance to regional and municipal entities. The County Governor may also monitor health authorities, county councils and municipalities in order to ensure compliance with their statutory duties.