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Hippokrates programme	Contents
NATIONAL PRESENTATION: Sweden

General Practice in Sweden

Health care structure
Sweden has a population of about 9 million people. The Swedish health care system is a public sector responsible for providing and financing health services for the entire population. Responsibility for these services rests primarily within the 21 county councils.
Primary health care in Sweden has since the late 1960/s been provided in health centers which has facilitated teamwork. Most family doctors are salaried employees, and it is most common to work in a health center, side by side and as a team with nurses, midwives and physiotherapists, but there are also some private alternatives. There is no long tradition in doctors listing patients; the doctors working in a health center hold responsibility for the people in the most nearby area. The last ten years though there has been some changes underway in the system of primary care, and there is now more diversity in the way of organizing local primary health care in different parts of the country. A new law stating that all citizens in Sweden has the right to choose a doctor who has qualified as a GP as their own family doctor has led to a more prominent position of the GP in the primary health care system in Sweden. In 2002 the government also put resources into the creation of FAMMI (Institute of Family Medicine, www.fammi.se) which has as its main purpose to enhance the position and provision of primary health care in Sweden in all aspects.

Education and training
Medical school, basic undergraduate medical education, is 5½ years, in which general practice occurs on the curriculum throughout the education. Internship is 18-21 months, of which 6 months in General Practice. Successful completion of this programme gets the doctor a license to practice (full registration). Specialist training is at a minimum 5 years, and is carried out in a salaried position with medical responsibility. There are nationally stipulated goals for what knowledge and skills the trainee shall aquire to become a specialist in family medicine and an individual plan for training is designed for each trainee. The whole time in training the registrar has a personal supervisor with whom the progress in skills and knowledge is continually evaluated and reflected upon.

Tasks in general practice
Primary care in Sweden provides all basic health care that does not demand medical and technical facilities of a hospital. That includes preventive and rehabilitative care, child- and maternity-health care services, healthcare in schools as well as medical care of the elderly in the community. The referral rate from general practitioners to specialists is less than ten percent.

Country coordinator:
Eva Jaktlund
Gubbyn 3357
841 96 Erikslund
Sweden
eva.jaktlund@swipnet.se

Arlövs Vårdcentral
Svenshögsvägen 6
232 38 Arlöv
Phone:+46 40536900
fax:+46 40435211

Welcome to our general practice in Arlov!

Geography:
Our clinic is situated in the small community of Burlöv, which is located between the larger towns of Malmö and Lund in the south of Sweden. A good location with a mixed population who generally visit their clinic before trying other health providers in the nearby towns with large hospitals and abundant private practices. Also nearby are airports (Sturup and Kastrup), the Oresund Bridge joining Sweden to Denmark and making travelling to the centre of exciting Copenhagen just thirty minutes by train or car.

Doctors:
We are a fairly large clinic with nine GP/s working in the clinic, some part-time some full-time. Most of the time there are 1-2 young doctors training in family medicine and 1 young doctor at preregistration level. At times we also have medical students in the clinic.

Staff:
The staff consists of over twenty employees ranging from nurses, secretaries, occupational therapists, physiotherapists to lab technicians.

Clinic:
We run a well equipped modern clinic with a fully computerised filing system. We service an area containing approximately 15.000 inhabitants.

Preferred visiting periods:
Avoid in general the months of June, July, August and December.

Accomodation:
There is plenty of low-cost accommodation available in the nearby towns of Malmö and Lund.

Please contact us for more information

Contact person:
Dr. Tommy Jönsson
jonsson.i.lomma@gamma.telenordia.se

Mölndals vårdcentral
Bergmansgatan 5,
431 30 Mölndal.
Telephone: +46 31 87 84 00

Welcome to Mölndals vårdcentral

Mölndals Vårdcentral is situated on the beautiful Swedish west coast in a small suburban city just outside Gothenburg. We are five doctors and six nurses working together, and two secretaries.

Jacob Wennberg, Inger Dagnell and Dimitri Edin Zylberstein have been fellow doctors since the start of the practise in 1994. Kenth Wikhager and Katarina Järbur came along in 2002 when the practise expanded.

We serve close to 10.000 inhabitants in Mölndal and we are responsible for several nursing homes for elderly and handicapped in our neighbourhood. We have a special child welfare clinic in our practice too.
Normal reception time is between 8.00 am to 5.00 pm but on Mondays, Wednesdays and Fridays we recieve patients in the evening up to 8.00 pm.
We have a psychologist working with us too, to better help our patients with psychiatric problems.

We are all very interested in teaching, and we like to supervise both medical students and doctors under education.

We do look forward to introducing a collegue from another country to the Swedish family practice. We also look forward to learn and be inspired by other ways to do the work of a family doctor in another country, culture and system. Please contact us for more information

Contact person:
Katarin Järbur
katarina.jarbur@svenskhalsovard.se

Jämjö vårdcentral
Hammarbyv 6
S-373 00 Jämjö
Tel: +46 455 735600

Welcome to Jämjö vardcentral

Our practice is located in the Southeast corner in Sweden where the migrating birds leave Sweden in the autumn and return early in the spring. Karlskrona the closest town is situated 25 kilometers to the west and has a long military history, now part of the worlds heritage. The area is rural and coastal with a few inhabited islands.

The practice was established in the early 70`s. The population is about 7000. We are three Family doctors who have worked here at least ten years: Elisabet Jernby, Börje Carlsson and Ingemar Lilja. Most of the time we also have a trainee. At the clinic there are also three nurses, two auxiliary nurses and two secretaries.

Our priorities are the old and sick with a high degree of accessibility and no waiting list.
We are all interested in palliative medicine and we have time put aside each week to visit our sick and dying patients in their homes. This is done with the close cooperation of our district nurses who also take care of our child health care.

You are welcome to visit us all year around and we can provide accommodations in our homes or according to your wish. Please contact us for more information!

The Family doctors in Jämjö
elisabet.jernby@ltblekinge.se
borje.carlsson@ltblekinge.se
ingemar.lilja@ltblekinge.se

Bäckagårds vårdcentral
Bäckagårdsvägen
30271 Halmstad
Telephone: +46 35 134306 or +46 35 134304

Welcome to Bäckagårds health center

Bäckagårds health center is in the city of Halmstad on the west coast of Sweden. The city is situated in a beautiful landscape with miles of sandy beaches. Halmstad is a popular summer resort, known for it's good opportunities for bathing in the shallow water and in the sun, and in the summer there is far more than the usual 80 000 inhabitants living in the city and the near surroundings. The city is easy accessible by plane, car or train.The nearest larger airports are in Gothenburg and Copenhagen.

Our surgery, which is recently renovated, is in the outer part of the central city, close to the sea in a well-situated area, where the majority of the inhabitants live in self-owned houses. The health centre serves about 5500 people. We also serve two geriatric wards, and a special-housing for healthy elderly people. As for all primary care health centers we take care of the preventive child care in our area. The surgery is well equipped: ECG-registrator, defibrillator, spirometer, eye- and ear-microscope. There are also facilities and equipment for gynaecological exams, procto- and rectoscopy examanitions and for chirurgia minor.

Three GP/s are working here: dr Mats Aili, who is also a pediatrician , dr Ulf Peber and dr Mats Rydberg. The staff also holds three nurses, secretaries, assistant nurse, physiotherapist and occupational therapist.There are district nurses as well.

The best time to come here is april-june or august-september. Please contact us for more information: mats.rydberg-@lthalland.se

Most welcome to Halmstad!

Dr Mats Rydberg

Rens Hälsocentral

Our health center, Rens Hälsocentral, is situated in the small town of Bollnäs, in the midst of Sweden, in a beautiful landscape of forests, mountains and lakes. Here is wildlife experience right at your doorstep. Quality of life is top priority.

At our health center are five GP's and two doctors in training. There are also nurses, assistant nurses, occupational therapists, chiropodist and physiotherapists working in the clinic.

We provide basic health care as well as child healthcare for a population of 9000 people. We use modern technology in our daily work, and in communicating with our patients; our website has all information about the health center, and patients can contact us by e-mail. The patients can even book their own consulting time at their doctor on the web.
The webaddress is www.renshc.nu. Please take a look, and see the staff and the premises.

Please contact Maria Öhrner at maria.ohrner@lg.se for more information.

Most welcome!