Popular medical scheme is future-proof

The experiment spread to the whole country two years later. After five years of changing funding, a more permanent solution is now emerging.

From the turn of the year, it has been written into the general practitioners’ agreement.

It brings joy to Ældre Sagen.

– We think that is really positive. Now it has become more permanent, and there has been a fixed framework for nursing home doctors, says senior consultant at Ældre Sagen, Rikke Hamfeldt.

A nursing home physician gets stuck past the nursing home to which they are affiliated, next to their regular medical practice – for example, once a week.

Here they look after the residents who have them as a doctor and need to see them, and they teach the staff and review the residents’ medication when necessary.

Steen Rank Petersen, who is head of health in Gladsaxe Municipality, can also see several of the good results that the pilot project showed at the nursing homes in his municipality, which has an affiliated doctor.

– The acute inquiries are greatly minimized, and there is far more control over the medicine, he says.

Jørgen Skadborg, who is a general practitioner and chairman of the General Practitioners’ Organization (PLO), is also well satisfied with the scheme.

– You can believe it, he says.

Rikke Hamfeldt points to clear benefits for the elderly.

– The scheme is a really big advantage for the nursing home residents – it gives a great sense of security and satisfaction for them – and then we also know that it gives fewer admissions, and there is a better focus on the medication.

Despite the popularity and the positive experiences, only 44 percent of the municipalities had doctors attached to the scheme at all their nursing homes in 2020. This is shown by figures from the National Association of Local Authorities.

– All the experiences are positive, so we would have liked to have seen that we had come much further, says Rikke Hamfeldt.

Jørgen Skadborg points to two problems that may have led to the challenges of implementing the scheme.

Because the project was first funded through the rate pool funds from 2016 to 2019 and thus was temporary, it may have made several skeptics, he believes.

In connection with the scheme being introduced in 2016, 100 million was set aside for it until 2019. At the end of 2019, 20 million more was set aside to cover the scheme for the next two years.

– The second thing, which is the biggest obstacle – and it will unfortunately continue to be for a while yet – is that we are too few general practitioners, and we are too busy. That is our big challenge, he says.

Steen Rank Petersen agrees that it is a clear advantage that the scheme is now included in the doctors’ agreement. He hopes this means that more doctors can join the scheme in the long run.

Last year, 81 percent of the municipalities had a nursing home doctor at at least one care center.

Source: The Nordic Page


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