哥本哈根市康复工作

RehabilitationintheCityofCopenhagen

哥本哈根市康复工作MereteRoenChristensen,HeadofQualityandRehabilitation

MereteRoenChristensen,哥本哈根市卫生保健部康复事务负责人（副司级）LarsDamkjaer,SpecialConsultantofQualityandRehabilitationLarsDamkjaer，哥本哈根市医疗保健部康复专家顾问TheHealthandCareAdministration,MunicipalityofCopenhagenShanghai15.-18sept2015ResponsibilityforhealthinDenmark

丹麦医疗卫生职责划分TheState/Nationallevel国家层面MinistryofHealthandNationalBoardofHealth卫生部和国家卫生委员会Regulation,legislation,qualitystandardizations政策法规制定，质量标准Regionallevel-TheCapitalRegion:大区级别–首都大区Hospitalservice–somaticandpsychiatric医院服务–身体和精神Generalpractitioners,medicalspecialistsetc.全科医生，医疗专家等Municipalitylevel-CityofCopenhagen,市级别-哥本哈根市TheHealthandCareAdministration:卫生保健部Healthpromotionanddiseasepreventionforallcitizens

全体民众的健康促进和疾病预防Rehabilitationprogramsafterdischargefromhospital (chronicdisease,muscularrehabilitation)出院后的康复项目（慢性疾病，肌肉康复）Elderlycareforcitizensage65andup–servicesandactivities年龄在65及以上民众的养老服务–服务和活动Rehabilitationwithouthospitalization无需住院的康复工作AfewfactsaboutCopenhagen哥本哈根部分数据Municipality:580.292people(Denmarktotal:5,7mill.)Area:89km2市：580.292人(丹麦共5.700.000人）地域：89平方公里GreaterCityarea:1,2mill.CapitalRegion:2mill.People城市大区：1.200.000,哥本哈根大区:2百万Lifeexpectancyforwomen:80years女性寿命:80岁Lifeexpectancyformen:74,7years男性寿命：74.7岁Strongpopulationgrowth:强势人口增长1000newcitizenseverymonth每月1000新市民In2025,therewillbe670,000

Copenhageners;anincreaseof33%

over20years.截止2025年，将达到670,000人，20年中33%的增长

Thisisduetoahighnumberofyoung

incomers,ahighratioofbirthstodeaths

andimmigration.由于年轻人数量多，高出生死亡率以及移民Therapistsemployed:330雇佣的治疗专家330名TheMunicipalityofCopenhagen哥本哈根市

CopenhagenCityCouncil哥本哈根市政委员会AuditDirectorateCopenhagen

哥本哈根审计总局CitizensAdviceService

公民咨询服务TheFinance

Committee

金融委员会TheCultureandLeisureCommittee

文化休闲委员会TheEmployment

andIntegration

Committee就业和一体化委员会TheTechnicaland

Environmental

Committee

技术和环境委员会TheChildrenand

YouthCommittee

儿童青少年委员会TheHealthand

CareCommittee

卫生保健委员会TheSocial

Services

Committee

社会服务委员会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卫生和保健部

Maintasksandservices:主要任务和服务Rehabilitationafterdischargefromhospital出院后康复Rehabilitationafterfunctionaldeclineintheelderly

老年人身体功能下降后的康复Rehabilitationofcitizenswithachronicdisease慢性病患者的康复Elderlycare:Includinghomecare,assistivedevices,residentialnursinghomes,rehabilitation,activityoffers,dentalcare,nursing,foodservice养老服务：包含家庭护理、辅助器械、居住性疗养院、康复服务、活动提议、牙科护理、护理服务、食品服务Healthpromotionanddiseasepreventionforallcitizens全体民众的健康促进和疾病预防

Healthcarechallengestothemunicipalities

市府的医疗卫生挑战Demography人口统计方面Moreelderlypeoplewithlongtermconditions.越来越多长期病患的老年人

In204025%ofthepopulationwillbemorethan65yearsofage(today19%)在2040年，25%的人口将超过65岁（目前为19%）Increaseinchronicdisease慢性疾病增加Increasednumberofcancersurvivors癌症病患幸存者增加Resources资源方面Fewerpeopleintheworkforce–givingasmallertax-baseleadingtoabudgetsqueeze劳动力越来越少–纳税少，预算紧Expectations

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

卫生资源分布方面的社会不平等性ShorterHospitalizationtime缩短的住院时间

fromapprox9daysto4.5days(goingto2.5days)从大约9天到4.5天（将降到2.5天）TheNationallevel国家层面

2007TheLocalGovernmentReformandHealthLegislation

2007年地方政府改革和卫生立法Fundamentalreformationofthemunicipalities(from271to98)市级的巨大变革（从271个市到98个市）Everycitizenentitledtorehabilitationfreeofchargeintheirmunicipality,providedtheyhavearehabilitationplanfromthehospital

只要市民有从医院得到的康复计划，他们就可享有免费康复服务Rehabilitationbecametheresponsibilityofthemunicipalities

康复服务成为市级政府的责任2008

2008年Municipalitiestakeoverresponsibilityforphysiotherapyfreeofchargeforcitizens(morediagnoses)市级政府接过为市民提供免费理疗的职责（更多的诊断）2015

2015年NewlegislationonrehabilitationinthemunicipalitiesandthehospitalsectorIntroducingabasicandadvancedlevelofrehabilitation.对市级和医院中康复的新立法，带来基本且提升的康复服务Newlegislationonrehabilitationinhomecare.对家庭护理康复的新立法Focusonthequalityofrehabilitation重视康复服务质量

TheRegionallevel大区级别

DoctorsinthehospitalprescribesanRehabilitationplan医院里的医生指定康复计划healthcareagreementsbetweenmunicipalities

andRegion–includingGP市府和大区间的卫生协议–包含全科医生Healthtasksonregionallevelandmunicipalitylevel

大区级别和市级别的卫生任务Thereisaneedforco-ordinationand

cooperationbetweenpr