1 Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Int J Health Serv. 2019 Apr;49(2):204-211. doi: 10.1177/0020731418822236. Epub 2019 Jan 14.
Election to the parliament was held in Sweden on 9 September 2018. None of the traditional political blocks obtained a majority of the vote. The nationalist Sweden Democrats party increased their share of the vote from 13% in 2014 elections to 17% of the vote in 2018. As no traditional political block wants to collaborate with the Sweden Democrats, no new government has yet been formed, more than 2 months after the election. Health care was a prominent issue in the elections. Health care in Sweden is universal and tax-funded, with a strong emphasis on equity. However, recent reforms have emphasized market-orientation and privatization in order to increase access to care, and may not contribute to equity. In spite of a majority of the population being opposed to profits being made on publicly funded services, privatization of health and social care has increased in the last decades. The background to this is described. Health is improving in Sweden, but inequalities remain and increase. The Swedish Public Health Policy from 2003 has been revised in 2018, on the basis of a national review of inequalities in health. The revised policy further emphasizes reducing inequalities in health.
2018 年 9 月 9 日,瑞典举行了议会选举。没有一个传统的政治集团获得多数选票。民族主义的瑞典民主党在 2014 年选举中获得了 13%的选票,在 2018 年的选举中获得了 17%的选票。由于没有一个传统的政治集团愿意与瑞典民主党合作,选举后两个多月,仍未组建新政府。医疗保健是选举中的一个突出问题。瑞典的医疗保健是普及的,由税收资助,非常注重公平。然而,最近的改革为了增加获得医疗保健的机会,强调了市场化和私有化,这可能不利于公平。尽管大多数人反对在公共资助的服务中获利,但在过去几十年中,医疗和社会保健的私有化已经增加。对此进行了描述。瑞典的健康状况正在改善,但不平等现象仍然存在并在增加。2018 年,在对健康不平等进行国家审查的基础上,修订了 2003 年的瑞典公共卫生政策。修订后的政策进一步强调减少健康方面的不平等。