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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?
Danish GPs can ask their patients to find a different doctor, but only in specific circumstances. Photo: Ida Guldbæk Arentsen/Ritzau Scanpix

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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HEALTH

Are Danes cutting back on cigarettes and alcohol?

Danish stores sold a significantly lower quantity of alcohol and cigarettes over the counter last year, new data from Statistics Denmark show.

Are Danes cutting back on cigarettes and alcohol?

Some 3,852 cigarettes were sold year, which amounts to 804 per person over the age of 18. But that compares to a figures of 854 per person on 2022.

Cigarette sales in Denmark have been declining since 2018.

Sales of sprits, beer and wine fell by 7.8 percent, 5.3 percent and 0.9 percent respectively.

Danish business sold the equivalent of 44.4 million litres of pure alcohol, which works out at 11.9 units per week on average for each person over the age of 18.

Although that is a lower value than in 2022, it still exceeds the amount recommended by the Danish Health Authority (Sundhedsstyrelsen).

The Health Authority recommends that adults over 18 drink no more than 10 units per week and no more than four in a single day.

READ ALSO: Should Denmark raise the minimum age for buying alcohol?

“The numbers are still too high and it’s an average that could have a skewed distribution,” University of Southern Denmark professor, Janne Tholstrup, said in relation to the alcohol sales figures. Tholstrup has published research on Denmark’s alcohol culture.

That is in spite of a 30-year-trend of falling alcohol consumption, according to the professor.

“The majority of Danes stay under the recommended 10 unite per week. That means there is a large group with a persistently excessive consumption of alcohol,” she said.

The Statistics Denmark figures also show that sales of loose tobacco – such as the type used in roll-up cigarettes and pipes – also fell last year. Some 58 tonnes less were sold compared to 2022.

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