Population Health and Prevention in Denmark

Christian Harsløf, Head of Division, Local GovernmentDenmark

Municipal responsibilities in health

care

• Preventive care and health promotion

• Rehabilitation outside hospital

• Home nursing

• Co-financing regional health care

• Treatment of alcohol and drug abuse

• Child nursing

• Child dental services

• School health care

• Special dental care

• …and employment, social welfare, public schools, daycare etc.

14-11-2014 2

Municipal health service is

changing

14-11-2014

Primary Prevention

and public health

Chronic care

programs

Follow-up after

discharge

H

o

s

p

i

t

a

l

i

z

a

t

i

o

n

Physiotherapy

Rehabilitation

Palliative

treatment

Public Health in Denmark – from

niche to mainstream

Visibility Structural pevention

Other examples

The Health Profile

• Based on a survey conducted every 4 years (just before local elections) – self reported data

• About 100.000 participants (min. 15 years)

• Data on:

• Life style factors such as smoking, alcohol consumption, physical

activity, consumption of veg and fruit, sugar etc.

• Disease data such as diabetes, COPD, heart disease, cancer,

arthritis, psychiatric diseases, pain etc.

• Labour market relations

• General health status and health consumption

• Several background data such as residence, job status,

education income, gender, age, marital status etc.

• All data is available online and in App Store and free to use (Danish only)

14-11-2014 6

14-11-2014

Mental health

problems

• Lowest prevalenceamongst academics(7,5 %)

• Increase from 2010 to 2013 by 0,7 points.

14-11-2014

Heavy Smoking

(pct. of

population

• Primarily men areheavy smokers

• Correlated to education

14-11-2014

Obesity

• No significantdifference betweengenders

• Correlated to education

• 14,1 % of the adultpopulation is obese

14-11-2014

Daily physical

activity

18,1 %

• Correlated to education

• The citizens of the Capital Region is significantly more active than citizens in the rest of the country

Perspectives and use

• Research

• Combination with other health care data

• Data driven health care planning in general

• Screening

• Targeting interventions

• Targeting solutions

14-11-2014 12

• Tobacco

• Alcohol

• Physical Activity

• Mental Health

• Sexual Prevention

• Sun Protection

• Food and beverage

• Indoor Climate

• Hygiene

• Obesity

• Drug and substance

abuse

Prevention Packages – evidence based (where

possible) or quasi evidence based knowledge

on prevention