Each region decides its healthcare service needs.
87% of healthcare services are provided by public providers, while 13% is outsourced to private for-profit and not-for-profit vendors through either a “Care Choices” package or a specific tendered contract [4].
Both public and private providers can deliver Care Choices, which are mainly for hip/knee replacement surgery in the Stockholm Region and primary care nationally. The rest of the specialist Care Choices are limited to private providers, who can also compete for tendered contracts.
根据护理选择许可证, any healthcare provider can deliver the service if they meet the stipulated requirements. All primary care services are delivered under Care Choices by law. 专科护理, services can be provided within Care Choice or providers will compete to be awarded a tendered contract (based on price and quality parameters) on behalf of the Region. The value of each contract depends on the range and complexity of services included and will vary between the 地区. Private providers cannot set a fee higher than what is determined by the tendered contract or Care Choice package. Contracts are usually awarded for a set time period, after which the contract is open for a new tendering process or transferred back to public governance.
Patients will usually be required to make a small co-payment (called a patient fee), regardless of whether they choose to access the service from a public or private healthcare provider. Patient fees are capped for each service and the maximum each patient will pay over a 12-month period is SEK 1,100(120美元). Aprooximately 7% of the population has private health insurance, which is usually paid by employers or unions.
