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OECD

‘Sweden must improve mental care’: report

A new OECD report has concluded that Sweden does not do enough to help people who are mentally ill.

"There is a large gap between the care given to those who are seriously sick, and those who suffer from milder problems such as depression or anxiety," Emily Hewlett, from OECD's health division, said in a statement.

"It's clear that the latter receive less care then they should. In that regard Sweden needs to do more."

Only 15 percent of patients suffering from mental illness receive care from a specialist, the report said. It also confirmed Hewlett's statement that those with moderate mental issues often slip through the cracks.

"Unfortunately, mild and moderate disorders are not a priority area in Sweden's mental health strategy," it stated.

Social insurance minister Ulf Kristersson has asked OECD to examine mental illness relating to the workplace. He said he was not surprised by the issues presented in the new report.

"It's reasonable criticism and corresponds with my own analysis," Kristersson told newspaper Svenska Dagbladet.

"We are not adequately equipped when it comes to availability to care, and we frequently prioritize wrongly within primary care."

The report also noted that mortality rates for people with schizophrenia in Sweden had increased by 11 percent since 2006, and the rate had gone up for bipolar Swedes by 21 percent. That's three times the rate in neighbouring Denmark.

"It is possible that it is because Sweden is much better at gathering data," Hewlett said. "But no matter what the cause, it's so startling that one must take a closer look and continue to improve care."

About 23 percent of young Swedes between ages 15 and 24 have a mental disorder, the report revealed, leaving Sweden in the median for cases of mental illness.

About 29 percent of young Norwegians suffer a mental disorder, just slightly more than the rate for the US. The lowest rate was in Austria, where 15 percent had a mental disorder. 

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Emergency room visits to cost 50 francs in Switzerland

People who visit the emergency room for non-urgent treatment will now need to pay 50 francs after the Swiss government issued final approval for a rule change.

An ambulance approaches Geneva University Hospital. Emergency room visits will now cost 50 francs in Switzerland. Photo: Fabrice COFFRINI / AFP
An ambulance approaches Geneva University Hospital. Emergency room visits will now cost 50 francs in Switzerland. Photo: Fabrice COFFRINI / AFP

The proposal was originally developed by Zurich National Council member Thomas Weibel and received approval by the National Council in 2019. 

The Council of States on Wednesday accepted the parliamentary initiative, meaning that people who seek treatment in the emergency room for non-urgent health issues a fee of 50 francs. 

This will be introduced as a co-pay, meaning that the patients would have to pay out of their own pockets (i.e. it will not be covered by insurance). 

READ MORE: Switzerland to introduce 50 franc fee for emergency room visits

MPs argued that this measure may dissuade those who are not seriously ill from going to the emergency room and overloading the system, while also taking medical staff away from patients who need urgent help.

Opponents countered that this may discourage people from visiting hospital who actually need treatment, however the measure passed with a narrow majority. 

EXPLAINED: Everything you need to know about health insurance in Switzerland

No concrete indications were given as to what amounts to ’non-urgent’ treatment in the eyes of the law.

This is expected to be laid out by the National Council who are now charged with the responsibility of drafting the rules. 

Exemptions could apply to children and adolescents under the age of 16, patients referred to the emergency room by a doctor, and those whose treatment subsequently requires hospitalisation.

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