J. Søgaard - Academia.edu (original) (raw)
Papers by J. Søgaard
Internationale sammenligninger af sundhedssystemer
Evaluering af forsøg med Lægeambulancen i Stor-Århus:DSI rapport 2001
Journal of Epidemiology & Community Health, 1987
irhus, Denmark SUMMARY A study was made of seasonality in twin birth rate in Denmark between 1977... more irhus, Denmark SUMMARY A study was made of seasonality in twin birth rate in Denmark between 1977 and 1984. We studied all twin births (N = 45 550) in all deliveries (N= 3 679 932) during that period. Statistical analysis using a simple harmonic sinusoidal model provided no evidence for seasonality. However, sequential polynomial analysis disclosed a significant fit to a fifth order polymomial curve with peaks in twin birth rates in May-June and December, along with troughs in February and September. A falling trend in twinning rate broke offin Denmark around 1970, and from 1970 to 1984 an increasing trend was found. The results are discussed in terms of possible environmental influences on twinning.
© 2012 the Nordic Societies of Public Health DOI: 10.1177/1403494811435487 Scandinavian Journal of Public Health, 2012; 40: 126–132 Background
Cardiovascular disease (CVD) is the primary cause of hospitalisations in Denmark. In 2005 CVD cau... more Cardiovascular disease (CVD) is the primary cause of hospitalisations in Denmark. In 2005 CVD caused 86,336 patients to be hospitalised in a total of 142,245 days. Hospitalisation rates differ substan-tially with respect to gender and socioeconomic char-acteristics. More men than women are hospitalised with CVD and the risk of hospitalisation due to CVD increases with higher age, lower education, and/or income. Ischaemic heart disease (IHD) leads to the most hospitalisations [1]. The Danish Heart Foundation (DHF) recom-mends that all patients hospitalised with CVD receive an individual assessment of the need for rehabilita-tion. Those in need of rehabilitation should be given access to cardiac rehabilitation (CR) [2]. CR aims to: (a) identify susceptible risk factors like smoking, diet, physical activity, blood pressure, (b) teach and motivate the patient to healthy living, and (c) maintain and, if possible, improve the patient’s physical, psychosocial, and work-related functioning ...
Skadebehandling i Danmark
Supplementary Material for: The RESCueH Programme: Testing New Non-Pharmacologic Interventions for Alcohol Use Disorders: Rationale and Methods
Excessive alcohol consumption is one of the most important lifestyle factors affecting the diseas... more Excessive alcohol consumption is one of the most important lifestyle factors affecting the disease burden in the Western world. The results of treatment in daily practice are modest at best. The aim of the RESCueH programme is to develop and evaluate methods, which are as practice-near as possible, and therefore can be implemented quickly and easily in everyday clinical practice. It is the first clinical alcohol programme to be transatlantic in scope, with implementation in treatment centers located in Denmark, Germany and the US. The RESCueH programme comprises 5 randomized controlled trials, and the studies can be expected to result in (1) more patients starting treatment in specialized outpatient clinics, (2) a greater number of elderly patients being treated, (3) increased patient motivation for treatment and thus improved adherence, (4) more patients with stable positive outcomes after treatment and (5) fewer patients relapsing into harmful drinking. The aim of this paper is to discuss the rationale for the RESCueH programme, to present the studies and expected results.
Socioeconomic costs due to tobacco smoking
Ugeskrift for læger, Jun 5, 2000
The objective of the study was to calculate costs attributable to smoking from both a societal an... more The objective of the study was to calculate costs attributable to smoking from both a societal and a public finance perspective. The Cost-of-Illness analysis was based on incidence data from 1995 and 1996, estimated with the attributable fraction, based on English and Danish RR-estimates respectively. The indirect costs are calculated with both the friction and the human capital method. In 1995, smoking attributable costs in Denmark amounted to 4100 million DKK with the friction method and based on Danish RR-estimates, including 3600 million in direct costs and 500 million in indirect costs. A public cash flow analysis showed a net revenue of about 3900 to 5600 million DKK. Compared with previous results for Denmark (1983), the annual costs to society increased by about 118%. It is suggested that similar Cost-of-Illness analyses are carried out at regular intervals to monitor the economic consequences of smoking in society.
Treatment costs of adjuvant cytotoxic therapy in premenopausal breast cancer patients
Acta Oncologica, 1988
The interest in cost calculations of medical treatment programs has increased during the last dec... more The interest in cost calculations of medical treatment programs has increased during the last decade. In the Danish Breast Cancer Cooperative Group's (DBCG) protocol 77B, 1,028 premenopausal patients were randomized after mastectomy to radiotherapy (RT) alone (control), RT + 12 cycles of cyclophosphamide (C) or to RT + 12 cycles of cyclophosphamide, methotrexate and 5-fluorouracil (CMF). This study analyzes the costs associated with systemic treatment and follow-up programs in the 3 regimens. Costs connected with the primary mastectomy and the radiotherapy, which were identical in the 3 regimens, have not been included in the analysis. The analysis shows that the expenses for the postoperative treatment and follow-up program for 9 years in the control regimen are 8,250 DKK, whereas the costs for the C regimen are 11,000 DKK, and the costs for the CMF regimen are 18,000 DKK.
[Occupational eczema in gardeners and greenhouse workers in the county of Funen]
Ugeskrift for laeger, 1998
The aims of the study were to assess the prevalence of and association between occupational derma... more The aims of the study were to assess the prevalence of and association between occupational dermatitis and possible risk factors in gardeners and greenhouse workers living on Funen, describe the distribution of different types of eczema and detect the allergens most commonly involved. A cross-sectional study, based on a postal questionnaire and subsequent patch testing of selected persons was carried out in 1958 gardeners. The response rate was 84.6%, and among 250 persons patch tested the most frequently sensitizing occupational allergens were plants of the Compositae family and the fungicide captan. Allergic occupational contact dermatitis was suspected in 43 persons (17%). Irritant eczemas outnumbered allergic eczemas and both were most often caused by plants. The lifetime prevalence of occupational dermatitis was 19.6%. Occupational mucosal symptoms, working with Compositae and training as a gardener in females were significantly associated with an increased prevalence of occupa...
[Cost analysis of dialysis treatment at the Odense University Hospital and the Sønderborg Hospital]
Ugeskrift for laeger, 1998
The major purpose of this paper is to investigate the treatment costs of dialysis treatment by mo... more The major purpose of this paper is to investigate the treatment costs of dialysis treatment by modality. In this study Odense University Hospital (OUH) and Sønderborg Hospital were chosen as cases. The costs of haemodialysis (HD) treatment are estimated to DKK 341-392,000 per patient during the first year, and DKK 328-379,000 per year the following years. The costs of continuous ambulatory peritoneal dialysis (CAPD) treatment are estimated to DKK 262-291,000 per patient during the first year, and DKK 251-277,000 per year the following years. The costs of CCPD (peritoneal dialysis with the aid of a machine), treatment are estimated to DKK 312-325,000 per patient during the first year, and DKK 296-308,000 per year the following years. The treatment costs of HD are lower than expected, while the treatment costs of PD are higher than expected. As a result of this the differences in treatment costs (HD versus PD) are much lower than expected, DKK 130,000 at the most.
The application of time-series data and analysis to study the effects of changes in unemployment ... more The application of time-series data and analysis to study the effects of changes in unemployment rates on mortality rates has been a controversial issue in health-unemployment research for many years. This article presents new criticism against previous aggregate time-series regression models and concludes that these models are misspecified in functional form, and the f-ratios used in significance tests are grossly overstated. Future empirical analysis of the Economic Change Model of Mortality, i.e. the aggregate, time-series relationship between mortality rates and economic variables must pay more attention to the salient characteristics of time-series data and implications for regression results.
Kortlægning af ressourceforbruget på kommunalt niveau til træning af ældre:-en sammenligning af 1996 og 1999 med hovedvægten på genoptræning
Analysis of screening data: colorectal cancer
International Journal of Epidemiology, 1997
The British journal of general practice : the journal of the Royal College of General Practitioners, 1999
BACKGROUND Polypharmacy, the simultaneous use of multiple drugs, is associated with adverse drug ... more BACKGROUND Polypharmacy, the simultaneous use of multiple drugs, is associated with adverse drug reactions, medication errors, and increased risk of hospitalization. When the number of concurrently used drugs totals five or more (major polypharmacy), a significant risk may be present. AIM To analyse the interpractice variation in the prevalence of major polypharmacy among listed patients, and to identify possible predictors of major polypharmacy related to the practice. METHOD Prescription data were retrieved from the Odense Pharmacoepidemiological Database, and individuals subject to major polypharmacy were identified. The age- and sex-standardized prevalence rate of major polypharmacy was calculated for each practice in the County of Funen in Denmark (n = 173), using the distribution of age and sex of the background population as a reference. The practice characteristics were retrieved from the Regional Health Insurance System. Possible predictors of major polypharmacy related to ...
Scandinavian Journal of Public Health, 2007
This is an economic evaluation that meets the criteria for inclusion on NHS EED.
BMC Health Services Research, 2008
Background: To inform Danish health care reform efforts, we compared health care system inputs an... more Background: To inform Danish health care reform efforts, we compared health care system inputs and performance and assessed the usefulness of these comparisons for informing policy. Methods: Retrospective analysis of secondary data in the Danish Health Care System (DHS) with 5.3 million citizens and the Kaiser Permanente integrated delivery system (KP) with 6.1 million members in California. We used secondary data to compare population characteristics, professional staff, delivery structure, utilisation and quality measures, and direct costs. We adjusted the cost data to increase comparability. Results: A higher percentage of KP patients had chronic conditions than did patients in the DHS: 6.3% vs. 2.8% (diabetes) and 19% vs. 8.5% (hypertension), respectively. KP had fewer total physicians and staff compared to DHS, with134 physicians/100,000 individuals versus 311 physicians/100,000 individuals. KP physicians are salaried employees; in contrast, DHS primary care physicians own and run their practices, remunerated by a mixture of capitation and fee-forservice payments, while most specialists are employed at largely public hospitals. Hospitalisation rates and lengths of stay (LOS) were lower in KP, with mean acute admission LOS of 3.9 days versus 6.0 days in the DHS, and, for stroke admissions, 4.2 days versus 23 days. Screening rates also differed: 93% of KP members with diabetes received retinal screening; only 46% of patients in the DHS with diabetes did. Per capita operating expenditures were PPP$1,951 (KP) and PPP $1,845 (DHS). Conclusion: Compared to the DHS, KP had a population with more documented disease and higher operating costs, while employing fewer physicians and resources like hospital beds. Observed quality measures also appear higher in KP. However, simple comparisons between health care systems may have limited value without detailed information on mechanisms underlying differences or identifying translatable care improvement strategies. We suggest items for more in-depth analyses that could improve the interpretability of findings and help identify lessons that can be transferred.
Sunde lunger-livet igennem: Argumenter for en national forpligtende indsats på lunge og allergiområdet
København: Dansk …, 2009
Privatisering og markedsgørelse i sundhedsvaesenet er noget vi snakker meget om i disse år. Vi, d... more Privatisering og markedsgørelse i sundhedsvaesenet er noget vi snakker meget om i disse år. Vi, det er politikere, laeger, andre sundhedspersoner, sundhedstjenesteforskere, journalister og ja, hele befolkningen. Vi ved at det har noget med de nye sundhedsforsikringer at gøre, og de mange nye privatsygehuse og privatklinikker, som er dukket op i de sidste 3-4 år. Men der er også så meget vi ikke ved noget om i denne udvikling. Kombinationen af vigtige aendringer i sundhedsvaesenet og lille faktuel viden om disse aendringers karakter, størrelsesorden og konsekvenser kan let fremmane mange myter. Myter er ikke et godt udgangspunkt for en kvalificeret debat. Det er måske heller ikke det bedste udgangspunkt for en fremadrettet regulering af det privat-offentlige samspil, som må udvikles hvis de nye private institutioner skal finde en konstruktiv plads i det danske sundhedsvaesen. Denne rapport beskriver den nye privatisering i det danske sundhedsvaesen, dvs. de nye private sundhedsforsikringer og de nye privatsygehuse, som er kommet ind i det danske sundhedsvaesen i dette ti år. Formålet er at beskrive, at vurdere konsekvenser og at pege på videnshuller. Perspektivet er kritisk konstruktivt og rettet mod en bedre fremtidig regulering af de private initiativer og af de privatoffentlige samspil. Rapporten er udarbejdet af Dansk Sundhedsinstitut på initiativ af Laegeforeningen. Under arbejdsprocessen har der vaeret to større møder mellem Laegeforeningen og DSI og undervejs har der vaeret nogle møder om mere tekniske spørgsmål. Rapporten er udarbejdet uafhaengigt af Laegeforeningen. Rapportens indhold, vurderinger og konklusioner udtrykker ikke nødvendigvis Laegeforeningens vurderinger eller meninger. Dette er en kort version af en lidt laengere version, som udkommer senere. Denne korte version er skrevet til den travle laeser, som har et godt kendskab til institutionerne i det danske sundhedsvaesen og ikke har behov for at få detaljer om lovgivning m.v. beskrevet. Dansk Sundhedsinstitut og Laegeforeningen vil gerne takke Laege Sofus Carl Emil Friis Og Hustru Olga Doris Friis Legat for støtte til udarbejdelse af den gennemførte undersøgelse.
EP1.11-19 Surveillance with PET/CT and ctDNA of Lung Cancer Patients After Completion of Definitive Therapy; A Randomized Trial
Journal of Thoracic Oncology
Socio-Economic Change and Mortality a Multivariate Coherency Analysis of Danish Time Series
Lecture Notes in Medical Informatics, 1983
Internationale sammenligninger af sundhedssystemer
Evaluering af forsøg med Lægeambulancen i Stor-Århus:DSI rapport 2001
Journal of Epidemiology & Community Health, 1987
irhus, Denmark SUMMARY A study was made of seasonality in twin birth rate in Denmark between 1977... more irhus, Denmark SUMMARY A study was made of seasonality in twin birth rate in Denmark between 1977 and 1984. We studied all twin births (N = 45 550) in all deliveries (N= 3 679 932) during that period. Statistical analysis using a simple harmonic sinusoidal model provided no evidence for seasonality. However, sequential polynomial analysis disclosed a significant fit to a fifth order polymomial curve with peaks in twin birth rates in May-June and December, along with troughs in February and September. A falling trend in twinning rate broke offin Denmark around 1970, and from 1970 to 1984 an increasing trend was found. The results are discussed in terms of possible environmental influences on twinning.
© 2012 the Nordic Societies of Public Health DOI: 10.1177/1403494811435487 Scandinavian Journal of Public Health, 2012; 40: 126–132 Background
Cardiovascular disease (CVD) is the primary cause of hospitalisations in Denmark. In 2005 CVD cau... more Cardiovascular disease (CVD) is the primary cause of hospitalisations in Denmark. In 2005 CVD caused 86,336 patients to be hospitalised in a total of 142,245 days. Hospitalisation rates differ substan-tially with respect to gender and socioeconomic char-acteristics. More men than women are hospitalised with CVD and the risk of hospitalisation due to CVD increases with higher age, lower education, and/or income. Ischaemic heart disease (IHD) leads to the most hospitalisations [1]. The Danish Heart Foundation (DHF) recom-mends that all patients hospitalised with CVD receive an individual assessment of the need for rehabilita-tion. Those in need of rehabilitation should be given access to cardiac rehabilitation (CR) [2]. CR aims to: (a) identify susceptible risk factors like smoking, diet, physical activity, blood pressure, (b) teach and motivate the patient to healthy living, and (c) maintain and, if possible, improve the patient’s physical, psychosocial, and work-related functioning ...
Skadebehandling i Danmark
Supplementary Material for: The RESCueH Programme: Testing New Non-Pharmacologic Interventions for Alcohol Use Disorders: Rationale and Methods
Excessive alcohol consumption is one of the most important lifestyle factors affecting the diseas... more Excessive alcohol consumption is one of the most important lifestyle factors affecting the disease burden in the Western world. The results of treatment in daily practice are modest at best. The aim of the RESCueH programme is to develop and evaluate methods, which are as practice-near as possible, and therefore can be implemented quickly and easily in everyday clinical practice. It is the first clinical alcohol programme to be transatlantic in scope, with implementation in treatment centers located in Denmark, Germany and the US. The RESCueH programme comprises 5 randomized controlled trials, and the studies can be expected to result in (1) more patients starting treatment in specialized outpatient clinics, (2) a greater number of elderly patients being treated, (3) increased patient motivation for treatment and thus improved adherence, (4) more patients with stable positive outcomes after treatment and (5) fewer patients relapsing into harmful drinking. The aim of this paper is to discuss the rationale for the RESCueH programme, to present the studies and expected results.
Socioeconomic costs due to tobacco smoking
Ugeskrift for læger, Jun 5, 2000
The objective of the study was to calculate costs attributable to smoking from both a societal an... more The objective of the study was to calculate costs attributable to smoking from both a societal and a public finance perspective. The Cost-of-Illness analysis was based on incidence data from 1995 and 1996, estimated with the attributable fraction, based on English and Danish RR-estimates respectively. The indirect costs are calculated with both the friction and the human capital method. In 1995, smoking attributable costs in Denmark amounted to 4100 million DKK with the friction method and based on Danish RR-estimates, including 3600 million in direct costs and 500 million in indirect costs. A public cash flow analysis showed a net revenue of about 3900 to 5600 million DKK. Compared with previous results for Denmark (1983), the annual costs to society increased by about 118%. It is suggested that similar Cost-of-Illness analyses are carried out at regular intervals to monitor the economic consequences of smoking in society.
Treatment costs of adjuvant cytotoxic therapy in premenopausal breast cancer patients
Acta Oncologica, 1988
The interest in cost calculations of medical treatment programs has increased during the last dec... more The interest in cost calculations of medical treatment programs has increased during the last decade. In the Danish Breast Cancer Cooperative Group's (DBCG) protocol 77B, 1,028 premenopausal patients were randomized after mastectomy to radiotherapy (RT) alone (control), RT + 12 cycles of cyclophosphamide (C) or to RT + 12 cycles of cyclophosphamide, methotrexate and 5-fluorouracil (CMF). This study analyzes the costs associated with systemic treatment and follow-up programs in the 3 regimens. Costs connected with the primary mastectomy and the radiotherapy, which were identical in the 3 regimens, have not been included in the analysis. The analysis shows that the expenses for the postoperative treatment and follow-up program for 9 years in the control regimen are 8,250 DKK, whereas the costs for the C regimen are 11,000 DKK, and the costs for the CMF regimen are 18,000 DKK.
[Occupational eczema in gardeners and greenhouse workers in the county of Funen]
Ugeskrift for laeger, 1998
The aims of the study were to assess the prevalence of and association between occupational derma... more The aims of the study were to assess the prevalence of and association between occupational dermatitis and possible risk factors in gardeners and greenhouse workers living on Funen, describe the distribution of different types of eczema and detect the allergens most commonly involved. A cross-sectional study, based on a postal questionnaire and subsequent patch testing of selected persons was carried out in 1958 gardeners. The response rate was 84.6%, and among 250 persons patch tested the most frequently sensitizing occupational allergens were plants of the Compositae family and the fungicide captan. Allergic occupational contact dermatitis was suspected in 43 persons (17%). Irritant eczemas outnumbered allergic eczemas and both were most often caused by plants. The lifetime prevalence of occupational dermatitis was 19.6%. Occupational mucosal symptoms, working with Compositae and training as a gardener in females were significantly associated with an increased prevalence of occupa...
[Cost analysis of dialysis treatment at the Odense University Hospital and the Sønderborg Hospital]
Ugeskrift for laeger, 1998
The major purpose of this paper is to investigate the treatment costs of dialysis treatment by mo... more The major purpose of this paper is to investigate the treatment costs of dialysis treatment by modality. In this study Odense University Hospital (OUH) and Sønderborg Hospital were chosen as cases. The costs of haemodialysis (HD) treatment are estimated to DKK 341-392,000 per patient during the first year, and DKK 328-379,000 per year the following years. The costs of continuous ambulatory peritoneal dialysis (CAPD) treatment are estimated to DKK 262-291,000 per patient during the first year, and DKK 251-277,000 per year the following years. The costs of CCPD (peritoneal dialysis with the aid of a machine), treatment are estimated to DKK 312-325,000 per patient during the first year, and DKK 296-308,000 per year the following years. The treatment costs of HD are lower than expected, while the treatment costs of PD are higher than expected. As a result of this the differences in treatment costs (HD versus PD) are much lower than expected, DKK 130,000 at the most.
The application of time-series data and analysis to study the effects of changes in unemployment ... more The application of time-series data and analysis to study the effects of changes in unemployment rates on mortality rates has been a controversial issue in health-unemployment research for many years. This article presents new criticism against previous aggregate time-series regression models and concludes that these models are misspecified in functional form, and the f-ratios used in significance tests are grossly overstated. Future empirical analysis of the Economic Change Model of Mortality, i.e. the aggregate, time-series relationship between mortality rates and economic variables must pay more attention to the salient characteristics of time-series data and implications for regression results.
Kortlægning af ressourceforbruget på kommunalt niveau til træning af ældre:-en sammenligning af 1996 og 1999 med hovedvægten på genoptræning
Analysis of screening data: colorectal cancer
International Journal of Epidemiology, 1997
The British journal of general practice : the journal of the Royal College of General Practitioners, 1999
BACKGROUND Polypharmacy, the simultaneous use of multiple drugs, is associated with adverse drug ... more BACKGROUND Polypharmacy, the simultaneous use of multiple drugs, is associated with adverse drug reactions, medication errors, and increased risk of hospitalization. When the number of concurrently used drugs totals five or more (major polypharmacy), a significant risk may be present. AIM To analyse the interpractice variation in the prevalence of major polypharmacy among listed patients, and to identify possible predictors of major polypharmacy related to the practice. METHOD Prescription data were retrieved from the Odense Pharmacoepidemiological Database, and individuals subject to major polypharmacy were identified. The age- and sex-standardized prevalence rate of major polypharmacy was calculated for each practice in the County of Funen in Denmark (n = 173), using the distribution of age and sex of the background population as a reference. The practice characteristics were retrieved from the Regional Health Insurance System. Possible predictors of major polypharmacy related to ...
Scandinavian Journal of Public Health, 2007
This is an economic evaluation that meets the criteria for inclusion on NHS EED.
BMC Health Services Research, 2008
Background: To inform Danish health care reform efforts, we compared health care system inputs an... more Background: To inform Danish health care reform efforts, we compared health care system inputs and performance and assessed the usefulness of these comparisons for informing policy. Methods: Retrospective analysis of secondary data in the Danish Health Care System (DHS) with 5.3 million citizens and the Kaiser Permanente integrated delivery system (KP) with 6.1 million members in California. We used secondary data to compare population characteristics, professional staff, delivery structure, utilisation and quality measures, and direct costs. We adjusted the cost data to increase comparability. Results: A higher percentage of KP patients had chronic conditions than did patients in the DHS: 6.3% vs. 2.8% (diabetes) and 19% vs. 8.5% (hypertension), respectively. KP had fewer total physicians and staff compared to DHS, with134 physicians/100,000 individuals versus 311 physicians/100,000 individuals. KP physicians are salaried employees; in contrast, DHS primary care physicians own and run their practices, remunerated by a mixture of capitation and fee-forservice payments, while most specialists are employed at largely public hospitals. Hospitalisation rates and lengths of stay (LOS) were lower in KP, with mean acute admission LOS of 3.9 days versus 6.0 days in the DHS, and, for stroke admissions, 4.2 days versus 23 days. Screening rates also differed: 93% of KP members with diabetes received retinal screening; only 46% of patients in the DHS with diabetes did. Per capita operating expenditures were PPP$1,951 (KP) and PPP $1,845 (DHS). Conclusion: Compared to the DHS, KP had a population with more documented disease and higher operating costs, while employing fewer physicians and resources like hospital beds. Observed quality measures also appear higher in KP. However, simple comparisons between health care systems may have limited value without detailed information on mechanisms underlying differences or identifying translatable care improvement strategies. We suggest items for more in-depth analyses that could improve the interpretability of findings and help identify lessons that can be transferred.
Sunde lunger-livet igennem: Argumenter for en national forpligtende indsats på lunge og allergiområdet
København: Dansk …, 2009
Privatisering og markedsgørelse i sundhedsvaesenet er noget vi snakker meget om i disse år. Vi, d... more Privatisering og markedsgørelse i sundhedsvaesenet er noget vi snakker meget om i disse år. Vi, det er politikere, laeger, andre sundhedspersoner, sundhedstjenesteforskere, journalister og ja, hele befolkningen. Vi ved at det har noget med de nye sundhedsforsikringer at gøre, og de mange nye privatsygehuse og privatklinikker, som er dukket op i de sidste 3-4 år. Men der er også så meget vi ikke ved noget om i denne udvikling. Kombinationen af vigtige aendringer i sundhedsvaesenet og lille faktuel viden om disse aendringers karakter, størrelsesorden og konsekvenser kan let fremmane mange myter. Myter er ikke et godt udgangspunkt for en kvalificeret debat. Det er måske heller ikke det bedste udgangspunkt for en fremadrettet regulering af det privat-offentlige samspil, som må udvikles hvis de nye private institutioner skal finde en konstruktiv plads i det danske sundhedsvaesen. Denne rapport beskriver den nye privatisering i det danske sundhedsvaesen, dvs. de nye private sundhedsforsikringer og de nye privatsygehuse, som er kommet ind i det danske sundhedsvaesen i dette ti år. Formålet er at beskrive, at vurdere konsekvenser og at pege på videnshuller. Perspektivet er kritisk konstruktivt og rettet mod en bedre fremtidig regulering af de private initiativer og af de privatoffentlige samspil. Rapporten er udarbejdet af Dansk Sundhedsinstitut på initiativ af Laegeforeningen. Under arbejdsprocessen har der vaeret to større møder mellem Laegeforeningen og DSI og undervejs har der vaeret nogle møder om mere tekniske spørgsmål. Rapporten er udarbejdet uafhaengigt af Laegeforeningen. Rapportens indhold, vurderinger og konklusioner udtrykker ikke nødvendigvis Laegeforeningens vurderinger eller meninger. Dette er en kort version af en lidt laengere version, som udkommer senere. Denne korte version er skrevet til den travle laeser, som har et godt kendskab til institutionerne i det danske sundhedsvaesen og ikke har behov for at få detaljer om lovgivning m.v. beskrevet. Dansk Sundhedsinstitut og Laegeforeningen vil gerne takke Laege Sofus Carl Emil Friis Og Hustru Olga Doris Friis Legat for støtte til udarbejdelse af den gennemførte undersøgelse.
EP1.11-19 Surveillance with PET/CT and ctDNA of Lung Cancer Patients After Completion of Definitive Therapy; A Randomized Trial
Journal of Thoracic Oncology
Socio-Economic Change and Mortality a Multivariate Coherency Analysis of Danish Time Series
Lecture Notes in Medical Informatics, 1983