哥本哈根市康復(fù)工作

RehabilitationintheCityofCopenhagen

哥本哈根市康復(fù)工作MereteRoenChristensen,HeadofQualityandRehabilitation

MereteRoenChristensen,哥本哈根市衛(wèi)生保健部康復(fù)事務(wù)負(fù)責(zé)人（副司級）LarsDamkjaer,SpecialConsultantofQualityandRehabilitationLarsDamkjaer，哥本哈根市醫(yī)療保健部康復(fù)專家顧問TheHealthandCareAdministration,MunicipalityofCopenhagenShanghai15.-18sept2015ResponsibilityforhealthinDenmark

丹麥醫(yī)療衛(wèi)生職責(zé)劃分TheState/Nationallevel國家層面MinistryofHealthandNationalBoardofHealth衛(wèi)生部和國家衛(wèi)生委員會Regulation,legislation,qualitystandardizations政策法規(guī)制定，質(zhì)量標(biāo)準(zhǔn)Regionallevel-TheCapitalRegion:大區(qū)級別–首都大區(qū)Hospitalservice–somaticandpsychiatric醫(yī)院服務(wù)–身體和精神Generalpractitioners,medicalspecialistsetc.全科醫(yī)生，醫(yī)療專家等Municipalitylevel-CityofCopenhagen,市級別-哥本哈根市TheHealthandCareAdministration:衛(wèi)生保健部Healthpromotionanddiseasepreventionforallcitizens

全體民眾的健康促進和疾病預(yù)防Rehabilitationprogramsafterdischargefromhospital (chronicdisease,muscularrehabilitation)出院后的康復(fù)項目（慢性疾病，肌肉康復(fù)）Elderlycareforcitizensage65andup–servicesandactivities年齡在65及以上民眾的養(yǎng)老服務(wù)–服務(wù)和活動Rehabilitationwithouthospitalization無需住院的康復(fù)工作AfewfactsaboutCopenhagen哥本哈根部分?jǐn)?shù)據(jù)Municipality:580.292people(Denmarktotal:5,7mill.)Area:89km2市：580.292人(丹麥共5.700.000人）地域：89平方公里GreaterCityarea:1,2mill.CapitalRegion:2mill.People城市大區(qū)：1.200.000,哥本哈根大區(qū):2百萬Lifeexpectancyforwomen:80years女性壽命:80歲Lifeexpectancyformen:74,7years男性壽命：74.7歲Strongpopulationgrowth:強勢人口增長1000newcitizenseverymonth每月1000新市民In2025,therewillbe670,000

Copenhageners;anincreaseof33%

over20years.截止2025年，將達到670,000人，20年中33%的增長

Thisisduetoahighnumberofyoung

incomers,ahighratioofbirthstodeaths

andimmigration.由于年輕人數(shù)量多，高出生死亡率以及移民Therapistsemployed:330雇傭的治療專家330名TheMunicipalityofCopenhagen哥本哈根市

CopenhagenCityCouncil哥本哈根市政委員會AuditDirectorateCopenhagen

哥本哈根審計總局CitizensAdviceService

公民咨詢服務(wù)TheFinance

Committee

金融委員會TheCultureandLeisureCommittee

文化休閑委員會TheEmployment

andIntegration

Committee就業(yè)和一體化委員會TheTechnicaland

Environmental

Committee

技術(shù)和環(huán)境委員會TheChildrenand

YouthCommittee

兒童青少年委員會TheHealthand

CareCommittee

衛(wèi)生保健委員會TheSocial

Services

Committee

社會服務(wù)委員會Chairman主席MayorCarlChristianEbbesenChairman主席LordMayorFrankJensenChairman主席MayorAnnaMee

AllerslevChairman主席MayorMortenKabellChairman主席

MayorJesperChristensenChairman主席MayorNinnaThomsenChairman主席MayorPiaAllerslevAdministrationAdministrationAdministration行政管理Administration行政管理Administration行政管理Administration

行政管理Administration行政管理Administration行政管理Administration行政管理4

TheHealthandCareAdministration衛(wèi)生和保健部

Maintasksandservices:主要任務(wù)和服務(wù)Rehabilitationafterdischargefromhospital出院后康復(fù)Rehabilitationafterfunctionaldeclineintheelderly

老年人身體功能下降后的康復(fù)Rehabilitationofcitizenswithachronicdisease慢性病患者的康復(fù)Elderlycare:Includinghomecare,assistivedevices,residentialnursinghomes,rehabilitation,activityoffers,dentalcare,nursing,foodservice養(yǎng)老服務(wù)：包含家庭護理、輔助器械、居住性療養(yǎng)院、康復(fù)服務(wù)、活動提議、牙科護理、護理服務(wù)、食品服務(wù)Healthpromotionanddiseasepreventionforallcitizens全體民眾的健康促進和疾病預(yù)防

Healthcarechallengestothemunicipalities

市府的醫(yī)療衛(wèi)生挑戰(zhàn)Demography人口統(tǒng)計方面Moreelderlypeoplewithlongtermconditions.越來越多長期病患的老年人

In204025%ofthepopulationwillbemorethan65yearsofage(today19%)在2040年，25%的人口將超過65歲（目前為19%）Increaseinchronicdisease慢性疾病增加Increasednumberofcancersurvivors癌癥病患幸存者增加Resources資源方面Fewerpeopleintheworkforce–givingasmallertax-baseleadingtoabudgetsqueeze勞動力越來越少–納稅少，預(yù)算緊Expectations

期望值方面Highexpectationstolifeasseniorcitizens老年人對生活的高期望Inequality不平等性SocialInequalityinthedistributionofhealth

衛(wèi)生資源分布方面的社會不平等性ShorterHospitalizationtime縮短的住院時間

fromapprox9daysto4.5days(goingto2.5days)從大約9天到4.5天（將降到2.5天）TheNationallevel國家層面

2007TheLocalGovernmentReformandHealthLegislation

2007年地方政府改革和衛(wèi)生立法Fundamentalreformationofthemunicipalities(from271to98)市級的巨大變革（從271個市到98個市）Everycitizenentitledtorehabilitationfreeofchargeintheirmunicipality,providedtheyhavearehabilitationplanfromthehospital

只要市民有從醫(yī)院得到的康復(fù)計劃，他們就可享有免費康復(fù)服務(wù)Rehabilitationbecametheresponsibilityofthemunicipalities

康復(fù)服務(wù)成為市級政府的責(zé)任2008

2008年Municipalitiestakeoverresponsibilityforphysiotherapyfreeofchargeforcitizens(morediagnoses)市級政府接過為市民提供免費理療的職責(zé)（更多的診斷）2015

2015年NewlegislationonrehabilitationinthemunicipalitiesandthehospitalsectorIntroducingabasicandadvancedlevelofrehabilitation.對市級和醫(yī)院中康復(fù)的新立法，帶來基本且提升的康復(fù)服務(wù)Newlegislationonrehabilitationinhomecare.對家庭護理康復(fù)的新立法Focusonthequalityofrehabilitation重視康復(fù)服務(wù)質(zhì)量

TheRegionallevel大區(qū)級別

DoctorsinthehospitalprescribesanRehabilitationplan醫(yī)院里的醫(yī)生指定康復(fù)計劃healthcareagreementsbetweenmunicipalities

andRegion–includingGP市府和大區(qū)間的衛(wèi)生協(xié)議–包含全科醫(yī)生Healthtasksonregionallevelandmunicipalitylevel

大區(qū)級別和市級別的衛(wèi)生任務(wù)Thereisaneedforco-ordinationand

cooperationbetweenpr