Evidence map›Paper›PMID 40383868›Full record

ReviewEuropean journal of epidemiology2025

The healthcare system in Sweden.

Jonas F Ludvigsson, David Bergman, Catharina Ihre Lundgren, Kristina Sundquist, Jean-Luc Af Geijerstam, Anna H Glenngård, Marie Lindh, Johan Sundström, Johan Kaarme, Jialu Yao

Abstract readReview
In one paragraph

Review in European journal of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed.

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  18. [Needs-based equity: an international comparison].Innere Medizin (Heidelberg, Germany) · 2026
    Review
  19. Article
  20. Article

19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jonas F LudvigssonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SE-171 76, Sweden. jonasludvigsson@yahoo.com.ORCID http://orcid.org/0000-0003-1024-5602
David BergmanDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SE-171 76, Sweden.ORCID http://orcid.org/0000-0003-4808-1762
Catharina Ihre LundgrenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-2114-5949
Kristina SundquistCenter for Primary Healthcare Research, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0001-8031-279X
Jean-Luc Af GeijerstamThe Swedish Agency for Health and Care Services Analysis, Stockholm, Sweden.
Anna H GlenngårdDepartment of Business Administration, Lund University School of Economics and Management, Lund, Sweden.ORCID http://orcid.org/0000-0001-7500-4610
Marie LindhThe Swedish Stomach and Bowel Association, Stockholm, Sweden.
Johan SundströmClinical Epidemiology Unit, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-2247-8454
Johan KaarmeSwedish Association of Local Authorities and Regions, Stockholm, Sweden.
Jialu YaoDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SE-171 76, Sweden.ORCID http://orcid.org/0009-0004-2238-6810

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Swedish population is characterized by high life expectancy and low avoidable mortality rates. This review outlines the Swedish healthcare system, which offers universal access to all residents and has a long tradition of reforms for social equity. Responsibility for healthcare is shared between the state, the regions, and the municipalities. The Ministry of Health and Social Affairs provides the overall healthcare framework; additionally, several governmental agencies are directly involved in healthcare and public health initiatives. The 21 regions organize, finance, and provide most primary, secondary, and tertiary care, as well as health information channels. Resources for primary care are less plentiful than in many other countries. The 290 municipalities deliver care to elderly people and those with functional impairment. The Swedish healthcare system is primarily tax-funded, with 86% of total healthcare expenditures from public expenses and < 1% from voluntary health insurance. The gross domestic product (GDP) share of healthcare expenditures, 10.5% in 2022, is above the EU average. The level of unmet needs in the population is low, due to universal coverage and caps on user charges except for dental care. Sweden's healthcare system performs well on care quality and patient satisfaction, but suffers from workforce shortage and care fragmentation. Limitations in care coordination can be attributed to a siloed digital infrastructure and care governance, a low number of hospital beds per capita, and a compensation system that often does not incentivize coordination. Despite these challenges, life expectancy is high and avoidable mortality rates are low in Sweden.

Indexed as

Delivery of Health CareHealth ExpendituresHealth Services AccessibilityHumansLife ExpectancyQuality of Health CareSwedenUniversal Health InsuranceEpidemiologyHealth carePublic HealthSwedenSwedish

Identifiers

PMID40383868
PMCPMC12170770

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.