{"id":15190,"date":"2021-10-20T11:20:08","date_gmt":"2021-10-20T09:20:08","guid":{"rendered":"https:\/\/www.vardforetagarna.se\/?p=15190"},"modified":"2023-03-23T11:35:22","modified_gmt":"2023-03-23T10:35:22","slug":"overskott-for-regiondriven-primarvard-2020-men-vad-hander-efter-pandemin","status":"publish","type":"post","link":"https:\/\/www.vardforetagarna.se\/2021\/10\/overskott-for-regiondriven-primarvard-2020-men-vad-hander-efter-pandemin\/","title":{"rendered":"\u00d6verskott f\u00f6r regiondriven prim\u00e4rv\u00e5rd 2020 \u2013 men vad h\u00e4nder efter pandemin?"},"content":{"rendered":"<p class=\"intro\">H\u00e5llbara och likv\u00e4rdiga villkor i regionernas v\u00e5rdval i prim\u00e4rv\u00e5rden \u00e4r en f\u00f6ruts\u00e4ttning f\u00f6r en utveckling av den n\u00e4ra v\u00e5rden. D\u00e4rf\u00f6r f\u00f6ljer V\u00e5rdf\u00f6retagarna \u00e5rligen de ekonomiska resultaten f\u00f6r landets regiondrivna v\u00e5rdcentraler. De kraftigt \u00e4ndrade f\u00f6ruts\u00e4ttningarna under 2020, till f\u00f6ljd av pandemin, g\u00f6r det sv\u00e5rt att dra n\u00e5gra slutsatser om prim\u00e4rv\u00e5rdens ekonomiska utveckling detta enskilda \u00e5r.<\/p>\n\n<p><\/p>\n\n\n\n<p>V\u00e5rdf\u00f6retagarnas \u00e5rligen \u00e5terkommande granskning av de ekonomiska resultaten i den regiondrivna prim\u00e4rv\u00e5rden visar ett samlat underskott p\u00e5 n\u00e4rmare 3,4 miljarder kronor f\u00f6r \u00e5ren 2011\u20132019. Underskotten tyder p\u00e5 att f\u00f6ruts\u00e4ttningarna i m\u00e5nga regioner varken \u00e4r l\u00e5ngsiktigt h\u00e5llbara eller likv\u00e4rdiga. N\u00e4r en region l\u00e5ter sina egna v\u00e5rdcentraler g\u00e5 med underskott f\u00e5r verksamheter i privat och offentlig regi olika f\u00f6ruts\u00e4ttningar, trots att uppdragsgivaren, regionen, \u00e4r densamma.<\/p>\n\n\n\n<p>N\u00e4r vi summerar de <a href=\"https:\/\/www.almega.se\/app\/uploads\/sites\/3\/2021\/10\/ekonomiskt-resultat-primarvard-egenregi-2020.pdf\">ekonomiska resultaten f\u00f6r 2020<\/a> redovisar elva regioner positivt resultat och tio regioner negativt. F\u00f6r f\u00f6rsta g\u00e5ngen sedan v\u00e5rdvalets start visar de 21 regionerna, sammantaget, ett \u00f6verskott p\u00e5 44 miljoner kronor.<\/p>\n\n\n\n<p>Men resultaten fr\u00e5n pandemi\u00e5ret 2020 s\u00e4ger mycket lite om f\u00f6ruts\u00e4ttningarna i prim\u00e4rv\u00e5rdens vardag under ett normal\u00e5r. Under 2020 har regionerna f\u00e5tt en ansenlig m\u00e4ngd extra statliga medel f\u00f6r att klara pandemins p\u00e5frestningar. Det har handlat b\u00e5de om generella statsbidrag och specifika s\u00e5dana som till exempel ers\u00e4ttning f\u00f6r merkostnader i sjukv\u00e5rden. Totalt r\u00f6r det sig om tiotals miljarder. Dessa statliga medel har bland annat kommit prim\u00e4rv\u00e5rden till del, vilket p\u00e5verkar resultaten och g\u00f6r det sv\u00e5rt att dra n\u00e5gra slutsatser om \u00e5rets granskning. Det \u00e4r den l\u00e5ngsiktiga utvecklingen av prim\u00e4rv\u00e5rdens f\u00f6ruts\u00e4ttningar som \u00e4r verkligt intressant. Det \u00e4r sannolikt att \u00e4ven innevarande och kommande \u00e5r p\u00e5verkas av statliga tillskott f\u00f6r att hantera pandemin och effekterna i form av uppskjutna v\u00e5rdbehov.<\/p>\n\n\n\n<p>Enligt V\u00e5rdanalys genomf\u00f6rdes cirka 2,7 miljoner f\u00e4rre fysiska l\u00e4karbes\u00f6k i prim\u00e4rv\u00e5rden under 2020 j\u00e4mf\u00f6rt med 2019. Det inneb\u00e4r en minskning med 20 procent. Samtidigt st\u00e4llde prim\u00e4rv\u00e5rden i b\u00e5de privat och offentlig regi om, \u00f6kade exempelvis de digitala v\u00e5rdkontakterna och ordnade \u00e4ven s\u00e4rskilda infektionsmottagningar i samverkan mellan v\u00e5rdgivare. Flera regioner justerade sina ers\u00e4ttningssystem f\u00f6r prim\u00e4rv\u00e5rden f\u00f6r att ge v\u00e5rdcentralerna stabila ekonomiska f\u00f6ruts\u00e4ttningar och s\u00e4kra fortsatt verksamhet i en os\u00e4ker tid. Det var kloka beslut fr\u00e5n regionledningarna, exempelvis i Region Sk\u00e5ne, Region Uppsala, Region Stockholm och Region V\u00e4sternorrland.<\/p>\n\n\n\n<p>F\u00f6r att omst\u00e4llningen till en n\u00e4ra v\u00e5rd ska forts\u00e4tta m\u00e5ste satsningarna p\u00e5 prim\u00e4rv\u00e5rden vara tillr\u00e4ckliga, uth\u00e5lliga och likv\u00e4rdiga f\u00f6r offentliga och privata v\u00e5rdgivare. Verksamheterna och patienterna f\u00f6rtj\u00e4nar l\u00e5ngsiktigt h\u00e5llbara villkor.<\/p>\n\n\n\n<p>Ta del av hela granskningen av de ekonomiska resultaten: <a href=\"https:\/\/www.almega.se\/app\/uploads\/sites\/3\/2021\/10\/ekonomiskt-resultat-primarvard-egenregi-2020.pdf\">V\u00e5rdval och h\u00e5llbara likv\u00e4rdiga villkor?<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>V\u00e5rdf\u00f6retagarnas \u00e5rligen \u00e5terkommande granskning av de ekonomiska resultaten i den regiondrivna prim\u00e4rv\u00e5rden visar ett samlat underskott p\u00e5 n\u00e4rmare 3,4 miljarder kronor f\u00f6r \u00e5ren 2011\u20132019. Underskotten tyder p\u00e5 att f\u00f6ruts\u00e4ttningarna i m\u00e5nga regioner varken \u00e4r l\u00e5ngsiktigt &hellip;<\/p>\n","protected":false},"author":13,"featured_media":11396,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[15],"tags":[],"article_type":[14,17],"agreement":[],"for-members":[],"class_list":["post-15190","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sjukvard","type-blogginlagg","type-rapporter"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u00d6verskott f\u00f6r regiondriven prim\u00e4rv\u00e5rd 2020 \u2013 men vad h\u00e4nder efter pandemin? - V\u00e5rdf\u00f6retagarna<\/title>\n<meta name=\"description\" content=\"Satsningarna p\u00e5 prim\u00e4rv\u00e5rden m\u00e5ste vara tillr\u00e4ckliga, 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