Leita ķ fréttum mbl.is

Erfišar įkvaršanir ķ heilbrigšisžjónustu, Stokkhólmur 20. nóvember

Erfišar įkvaršanir ķ heilbrigšisžjónustu Noršurlanda

 

Heilbrigšisžjónusta norręnna landa er undir įlagi vegna breytinga į samfélögum, efnahagslegra žįtta og breytinga ķ lęknis- og lyfjafręši. Norręna lķfsišanefndin heldur opinn fund um mįliš ķ Stokkhólmi 20. nóvember n.k. Fjöldi fyrirlesara ręšir um įkvaršanatöku ķ heilbrigšiskerfinu, sišferšileg og lęknisfręšileg gildi, en rżnir einnig ķ kerfin sem sett hafa veriš upp til aš aušvelda erfišar įkvaršanir um forgangsröšun. Dagskrį mį sjį hér aš nešan og žar er einnig og tengill į skrįningarsķšu.

Samfara velsęld hefur hlutfall aldrašra hękkaš ķ samfélögum į Vesturlöndum og meš sjśkdómum sem leggjast ašallega į eldri borgara (eins og t.d. Alzheimer) eykst įlag į heilbrigšiskerfin. Einnig hafa framfarir ķ lęknis- og lyfjafręši leitt til žess aš nś eru margskonar nżjar mešferšir eša lyf ķ boši, en margar žeirra eru mjög dżrar.

Hvernig getum viš tekiš réttar įkvaršanir um notkun į t.d. nżjum, dżrum lyfjum, ķ heilbrigšiskerfi meš takmörkušu fjįrmagni? Biliš milli žess sem hęgt er aš gera og žess sem viš höfum efni į stękkar stöšugt.

Forgangsröšun hefur alltaf veriš mikilvęg ķ starfi lękna og heilbrigšisstarfsfólks, en hśn hefur til žessa ašallega veriš į milli ólķkra sjśkdóma (mismikiš fé sett ķ mįlaflokka, eins og t.d. gešheilbrigši eša klassķskar lękningar). Slķkar įkvaršanir hafa oftast veriš teknar į af stjórnmįlamönnum eša yfirstjórnum spķtala, en rökstušningurinn er sjaldan skżr eša opinber.

Fundur norręnu lķfsišanefndarinnar ķ Stokkhólmi 20. nóvember nęstkomandi mun spyrja įleitinna spurninga um įkvaršanatöku ķ heilbrigšiskerfinu?

  • Er naušsynlegt aš breyta įkvaršanatöku ķ heilbrigšiskerfinu?
  • Hversu mikils virši er lķf?
  • Mį neita sjśklingi um mešferš vegna mikils kostnašar?
  • Hvaša sišfręšilegu gildi eiga aš stżra įkvöršunum okkar?
  • Hvernig tryggjum viš gęši heilbrigšiskerfisins, t.d. fyrir įhrifum einkaašilla eins og lyfjafyrirtękja?

Norręnir spķtalar og heilbrigšiskerfi hafa tekist į viš žessar spurningar į ólķka vegu, allt frį įkvöršunum lękna ķ einstökum tilfellum til leišbeinandi reglna sem settar hafa veriš į tilteknum spķtölum eša stofnunum.

Meš žessum fundi vill Norręna lķfsišanefndin setja kastljósiš į žau sišfręšilegu gildi sem ęttu aš vera leišbeinandi ķ heilbrigšiskerfum nśtķmans. Markhópurinn er starfsfólk heilbrigšisstofnanna, stjórnmįlamenn, fręšimenn og allir žeir sem įhuga hafa į mįlinu.

Nįnari upplżsingar į ensku og dagskrį fylgja hér aš nešan.

 

Hard Choices in Nordic Health Care 2.0 Stockholm, 20 November 2017 Background:

All countries are facing ethical and economic problems in today's and, even more, in tomorrow's health care systems. One main reason is demographic changes in the population which gives rise to increasing demands of health care. In the western hemisphere, this is mostly due to a longer life expectancy which leads to an increase of disorders that are costly for the society at large, such as for example Alzheimers disease. Another main reason is the rapid progress in biomedical technologies which often leads to new possibilities of treatment but often to increasing costs in the health sector. The development of new drugs as well as other technologies is often costly. Many countries have experienced a need for new decisions concerning what the costs for a prolonged life, often limited to a fairly short time, can be justified. The gap between what can be done and what can be afforded in the health care sector is thus growing.

There has always been a need for priority settings within modern health care, but those have hitherto often been on a horizontal level, i.e. choices between different groups of disorders. These decisions have often been made on a political and administrative level, but often not explicit and with limited transparency towards the citizens.

Today we are facing new situations where vertical priority settings have come to the fore in a more explicit manner. New ethical questions are being raised like "how much is a life worth?" or "can a patient be denied treatment due to high costs?". These questions have hitherto been implicit in professional decisions but have now also been institutionalized in different manners in systems and processes that are set up in order to defend ethical principles of priority settings in relation to business proposals from the pharmaceutical industry and other similar stakeholders.

It is quite clear that these questions are worrying for politicians and chief administrative persons in all Nordic countries. The work in this area, however, seems to mostly be focused on economical and administrative processes, whereas the fundamental ethical principles that should guide all priority settings often are not discussed satisfactory. There may therefore be a good timing to bring the primary bioethical principles that are used in the Nordic countries to discussion. The principles used in the Nordic countries are similar but not identical and it could be of great interest to compare these principles and to examine what difference this could make in health care praxis. It could also be important to examine the "old and classical" principles with the challenges in the health care sector described above.

With this conference, the Nordic Committee for Bioethics aims to highlight fundamental ethical principles that should guide the priority settings in the modern health care. The conference is aimed at medical professionals, policy makers, academics and the general public, and is a follow-up of the NCBio workshop "Hard Choices in Nordic Health Care – Expensive treatments and priority settings", held in Stockholm in November 2015.

Please note that the seminar is free of charge, but participants pay their own travel and accommodation costs. The conference is organised in cooperation with the Swedish Society of Medicine.

Preliminary programme:

08:30 Opening and welcome, NCBio Chair Professor Kirsten Kyvik

08:40 Introductory remarks and presentation of the programme, Local host Professor Ingemar Engström Session 1: What are the goals of medicine?

08:45 Autonomy and trust in bioethics, Professor Maartje Schermer, ErasmusMC Rotterdam

09:15 The nature of suffering and the goals of medicine, Professor Fredrik Svenaeus, Södertörn University

09:45 Discussion

10:00 Coffee

Session 2: Needs or demands as driving forces in health care

10:30 Justice and priority settings in health care, Professor/Director Angus Dawson, University of Sydney

11:00 The cake and its bits: can universal health care systems survive (without) ethical priority setting?, Professor Christian Munthe, University of Gothenburg

11:20 Health care as a commodity or a sign of solidarity?, Professor Bettine Lemann Kristiansen, University of Aarhus

11:40 Discussion 12:00 Lunch Session 3: Does age matter?

13:00 All men and women are born equal, Professor Greg Bognar, Stockholm University

13:30 The question of age in priority settings, Professor Ole Frithjof Norheim, University of Bergen

14:00 Discussion 14:30 Coffee Session 4: How much is a life worth?

15:00 The place of economics in priority settings, Professor Samuli Saarni, University of Helsinki

15:30 Is there a limit to health costs, Professor Gudmundur Heidar Frimannsson, University of Akureyri

16:00 Discussion Final lecture:

16:30 Who should make the hard choices in health care, Director Birgir Jakobsson, Directorate of Health, Iceland

Venue: The Swedish Society of Medicine, Klara Östra Kyrkogata 10, 101 35 Stockholm

The conference is open for registration!


« Sķšasta fęrsla | Nęsta fęrsla »

Athugasemdir

1 Smįmynd: Jón Žórhallsson

Af hverju er fólk aš veikjast svona mikiš?

Gęti žaš veriš af žvķ aš žaš er ekki lifaš rétt?

Hverjar eiga aš vera FYRIRMYNDIDR samfélagsins?

Hvar er hin rétta og fullkomna sżn į hiš fullkomna samfélag?

http://thjodarskutan.blog.is/blog/thjodarskutan/category/3219/

Jón Žórhallsson, 9.10.2017 kl. 10:08

2 identicon

Žetta er bara "bull" ... ég get ekki séš, į hverju žetta byggist ... Svķžjóš hefur sjįlft fęrt heimsfręga lęknisžjónustu nišur ķ aš engin fįi lęknisžjónustu.  Bišrašir, menn eru fyrst settir fyrir "hjśkrunarkonu" sem dęmir um žaš hvort žaš sé žess virši aš hjįlpa žér.  Lęknisžjónustan er oršin "outsource" grein, žar sem fólk er rįšiš į 4-földu verši, til aš framkvęma 4-sinnum minna verk.

Bjarne Örn Hansen (IP-tala skrįš) 9.10.2017 kl. 12:22

Bęta viš athugasemd

Ekki er lengur hęgt aš skrifa athugasemdir viš fęrsluna, žar sem tķmamörk į athugasemdir eru lišin.

Innskrįning

Ath. Vinsamlegast kveikiš į Javascript til aš hefja innskrįningu.

Hafšu samband