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[北欧国家的健康与社会保险]

[Health and social insurance in Nordic countries].

作者信息

Brage Sören, Krohg Marit, Klockars Matti, Mikaelsson Bo, Permin Henrik, Thorlacius Sigurŏur

机构信息

Institutionen för folkhälsovetenskap Postbox 41, F-00014 Helsingfors universitet og Omsesidiga försäkringsbolaget Varma-Sampo Postbox 1 F-00098 Varma-Sampo.

出版信息

Tidsskr Nor Laegeforen. 2002 Jun 10;122(15):1486-91.

PMID:12190052
Abstract

BACKGROUND

There is no previous comparative review available of Nordic social insurance schemes for sickness benefits, rehabilitation allowance and disability pensions.

METHODS

Based on existing publications, a Nordic expert group in social insurance and insurance medicine has compared important aspects of the Nordic schemes.

RESULTS

The Nordic sickness benefit schemes have many similarities, but differ considerably in degree of compensation, with 100% coverage of salary in Denmark and Norway and less coverage in the other three countries. The length of the self certification period varies from 1 to 14 days. Longer sickness absence have to be certified by a doctor, usually the family physician. To counteract the increasing costs for sickness benefits, the follow-up of sick-listed persons is being intensified. Efforts are also directed towards earlier and more extensive medical and vocational rehabilitation. So far these efforts have had only marginal effect on sickness absence and disability pensioning.

INTERPRETATION

Basic needs for social security are still met by public insurance schemes in all Nordic countries. Private insurance schemes complement these to varying extent.

摘要

背景

此前尚无对北欧疾病津贴、康复津贴和残疾抚恤金社会保险计划的比较性综述。

方法

基于现有出版物,一个北欧社会保险与保险医学专家组对北欧各计划的重要方面进行了比较。

结果

北欧疾病津贴计划有许多相似之处,但在补偿程度上差异很大,丹麦和挪威的工资覆盖率为100%,其他三个国家的覆盖率较低。自我证明期从1天到14天不等。较长时间的病假必须由医生证明,通常是家庭医生。为了应对疾病津贴成本的增加,对列入病假名单人员的随访正在加强。还致力于更早、更广泛地开展医疗和职业康复。到目前为止,这些努力对病假和残疾抚恤金的影响微乎其微。

解读

所有北欧国家的公共保险计划仍能满足社会保障的基本需求。私人保险计划在不同程度上对这些需求起到补充作用。

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