Ministry of Social Affairs and Health

Brochures 2002:6eng

2003-01-17


DECISION IN PRINCIPLE BY THE COUNCIL OF STATE ON SECURING THE FUTURE OF HEALTH CARE

ISSN 1236-2123
ISBN 952-00-1235-4

Facts about Finland

  • Area 338,145 km2
  • Inhabitants 5.2 million
  • Life expectancy 78 years
  • Currency euro/EUR  (USD=0.8956, average rate)
  • Gross domestic product at current prices EUR 26,033 /inhabitant
  • Wage-earners’ average monthly pay for regular hours of work EUR 2,142
  • President elected every 6th year
  • Parliament 200 MPs, elected every 4th year
  • Government 13 ministries
  • Regional government 5 Provinces plus the autonomous Province of Åland Islands
  • Local government 448 municipalities (in 2002, largest 560,000 inhabitants, smallest 128 inhabitants)

A few words about the Finnish public health care system

Primary Health Care

The responsibility for organizing health care in Finland lies with the local authority municipalities across the country. These can either provide primary health care services independently or join with the neighbouring municipalities in joint municipal boards which set up joint health centre. They can also buy in health care services from other munici-palities or the private sector. There are altogether about 270 health centres in Finland (2002 figure). Each health centre can have several units.

Health services are funded mainly from taxation revenue, partly from local taxation and partly from central govern-ments grants. The central government contribution to municipal social welfare and health care expenditure is determined by the population, age structure and morbidity of the municipality plus a number of other computational factors. Around 10 per cent of public health care costs are covered by customer charges.

Specialist Medical Care

The local authorities are responsible for organizing specialist medical care for residents of the municipality. To this end, the country is divided into 20 hospital districts. Each hospital district has a central hospital, five of which are university hospitals. Each municipality must belong to one or other of the hospital districts. The hospital district organize and provide specialist medical services for the population of their area.

Private Health Care

Public health provision is supplemented by private health care services. They are concentrated primarily in the larger municipalities. Less than 10 per cent of physicians work exclusively in the private sector, but many public health service doctors hold private surgeries outside their regular working hours. There are also a few private hospitals in Finland.

Patients can reclaim part of the fees charged by private doctors from the national health insurance system; a similar system also applies to private dental charges.