2024-05-152023/24:SoU7 · p.1SoUHealth & social services
Disease control matters
Responsibility for healthcare hygiene and management of care data in infectious disease control
What's at stake: According to the National Audit Office, divided responsibility for healthcare hygiene and shortcomings in care data can weaken preparedness for a new pandemic; the outcome affects how quickly and coherently such shortcomings are addressed, and thus the conditions for effective national infectious disease control.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The question was whether responsibility for healthcare hygiene should be consolidated under a single authority and whether the government should commission a dedicated inquiry into the collection and management of care data, or whether ongoing inquiries and initiatives are sufficient to strengthen infectious disease control.
Yes Yes — the committee proposal
The Committee welcomes the National Audit Office's report but points out that the government has already commissioned a special investigator to propose a national coordination responsibility for healthcare hygiene, and that several ongoing initiatives, including inquiries into health data and a national digital infrastructure for healthcare, are already addressing the collection and management of care data; the Committee therefore rejects the motion.
No No — the reservations
Reservation 1 (V)
The Left Party argues that Sweden is not sufficiently prepared for a new pandemic and that responsibility for healthcare hygiene, currently divided between the National Board of Health and Welfare and the Public Health Agency, should be consolidated under one appropriate authority in line with the National Audit Office's recommendation; it also wants the government to commission an inquiry into the authorities' legal conditions for collecting and managing care data, in order to achieve more effective infectious disease control.
Summarised from the committee report. Party labels in the summary come from the report, not from the vote.
What do the votes mean here?
Yes The committee proposal: rejecting the motions (keeping things as they are).
No Backing the counter-proposal: reservation 1 by V.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have held
Explicit commitments that contradicted the vote: KDKristdemokraterna
Ja 281–22Ja 264–39
Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.
How the AI parties would have voted
For each party: what its own plan – election manifesto and party programme – argues for in this case, next to how the party actually voted. The AI can only answer Yes or No; a party can also abstain.
| AI | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/21/0/3 | match | confidence: low | not addressed |
| S | No | Yes 92/1/0/13 | differs | confidence: low | not addressed |
| MP | No | Yes 16/0/0/2 | differs | confidence: medium | not addressed |
| C | No | Yes 19/0/0/5 | differs | confidence: low | not addressed |
| L | No | Yes 14/0/0/2 | differs | confidence: medium | derived |
| KD | No | Yes 17/0/0/2 | differsagainst own programme | confidence: medium | explicit |
| M | No | Yes 60/0/0/8 | differs | confidence: medium | not addressed |
| SD | No | Yes 61/0/0/11 | differs | confidence: medium | derived |
Broke with the party line
| SÅsa Eriksson (S, Västmanlands län) | No — party line: Yes |
MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.
Committee proposal
The Riksdag rejects motion 2023/24:2784 by Karin Rågsjö et al. (V) demands 1 and 2.
Original (Swedish)
Riksdagen avslår motion 2023/24:2784 av Karin Rågsjö m.fl. (V) yrkandena 1 och 2.
Riksdag decision: The National Audit Office presents in a report its review of national disease control. In a letter to the Riksdag, the Government sets forth its assessments and measures undertaken in response to the National Audit Office's report. The Government wishes responsibility for healthcare hygiene to be clarified in disease control work. Furthermore, the Government wishes to improve access to healthcare data in order thereby to have better preparedness and more effective disease control. In its letter to the Riksdag, the Government emphasizes that investigative work is ongoing in the area of disease control and healthcare data. The Riksdag placed the letter on file, which means the Riksdag concluded the matter.
Counter-proposals
- The counter-proposal wants unified responsibility for healthcare hygiene issues to be consolidated under an appropriate authority and for an investigation to be commissioned to improve healthcare data management. (V) — Reservation 1
Plan vs actual vote
Every party, in chamber order: what its own plan pointed to, how it voted, and the reasoning behind both. Highlighted rows are where the two differ — but a vote that follows the plan is a result too, so the reasoning is there for every party.
The plan requires that resources to healthcare increase to strengthen preparedness for crises and disasters and explicitly draws lessons from the pandemic's shortcomings.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires that resources to healthcare increase to strengthen preparedness for crises and disasters and explicitly draws lessons from the pandemic's shortcomings. Comprehensive official responsibility for healthcare hygiene and better legal prerequisites for disease control data are such preparedness measures, although the plan does not address the official structure. The plan simultaneously reminds that personal integrity must be protected when healthcare data is handled.
Original (Swedish)
Planen kräver att resurserna till vården ökar för att stärka beredskapen inför kriser och katastrofer och drar uttryckligen lärdom av pandemins brister. Ett samlat myndighetsansvar för vårdhygien och bättre rättsliga förutsättningar för smittskyddsdata är sådana beredskapsåtgärder, även om planen inte uttalar sig om myndighetsstrukturen. Planen påminner samtidigt om att den personliga integriteten måste skyddas när vårddata hanteras.
- strengthened crisis preparedness in healthcaredecisive»och stärka beredskapen inför kriser, katastrofer och krig.« (party programme ↗)“and strengthen preparedness for crises, disasters and war.”
- upgraded healthcare sector for crises»Sverige behöver rusta upp hela vårdsektorn för att kunna klara de mer normala skiftningarna i vårdbehov men också för att kunna växla upp kapaciteten i kristider.« (2022 manifesto ↗)“Sweden needs to upgrade the entire healthcare sector to handle more normal shifts in healthcare needs but also to be able to scale up capacity in crises.”
- lessons from the pandemic»Pandemin har gjort bristerna i sjukvården och äldreomsorgen tydliga.« (2022 manifesto ↗)“The pandemic has made the shortcomings in healthcare and elderly care clear.”
- integrity in healthcare data»har rätt till skydd av sin personliga integritet.« (party programme ↗)“has the right to protection of their personal integrity.”
The election manifesto wants to arm civil defence and health care preparedness and step up supervision of health care to guarantee quality, which argues for a collective national responsibility for care hygiene.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto wants to arm civil defence and health care preparedness and step up supervision of health care to guarantee quality, which argues for a collective national responsibility for care hygiene. The party simultaneously wants that sensitive tasks do not fall into wrong hands, which motivates investigating the authorities' legal basis for health care data. The plan does not, however, address the authority structure.
Original (Swedish)
Valmanifestet vill rusta det civila försvaret och sjukvårdens beredskap och växla upp tillsynen av vården för att garantera kvaliteten, vilket talar för ett samlat nationellt ansvar för vårdhygien. Partiet vill samtidigt att känsliga uppgifter inte hamnar i fel händer, vilket motiverar att myndigheternas rättsliga förutsättningar för vårddata utreds. Planen behandlar dock inte myndighetsstrukturen.
- strengthened health preparednessdecisive»Rusta upp det civila försvaret. Arbetet att förstärka det civila försvaret och krisberedskapen måste fortsätta, bland annat genom ökade resurser för att rusta och bygga beredskapslager för sjukvården« (2022 manifesto ↗)“Arm civil defence. Work to strengthen civil defence and crisis preparedness must continue, among other things through increased resources to arm and build preparedness stockpiles for health care”
- stepped up supervision»Tillsynen av sjukvården ska växlas upp för att garantera kvaliteten.« (2022 manifesto ↗)“Supervision of health care shall be stepped up to guarantee quality.”
- secure handling of health data»och att förhindra att känsliga uppgifter hamnar i fel händer« (2022 manifesto ↗)“and to prevent sensitive tasks from falling into wrong hands”
- preparedness in all care»Privata vårdgivare ska vara skyldiga att bidra med personal och vårdplatser i händelse av kris eller krig.« (2022 manifesto ↗)“Private care providers shall be obliged to contribute staff and care places in the event of crisis or war.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan states that no patient should come to harm and highlights the importance of work against antibiotic resistance, which speaks for unified national responsibility for healthcare hygiene rather than a shared one.
Plan documents: party programme
Reasoning and quotes
The plan states that no patient should come to harm and highlights the importance of work against antibiotic resistance, which speaks for unified national responsibility for healthcare hygiene rather than a shared one. The plan also wants digital services in healthcare to be developed, which presupposes clear legal conditions for health data. Investigating these conditions therefore aligns with the plan, while the patient's insight and integrity should be protected.
Original (Swedish)
Planen slår fast att ingen patient ska komma till skada och lyfter fram vikten av arbetet mot antibiotikaresistens, vilket talar för ett samlat nationellt ansvar för vårdhygien i stället för ett delat. Planen vill också att digitala tjänster i vården utvecklas, vilket förutsätter klara rättsliga förutsättningar för hälsodata. Att utreda dessa förutsättningar ligger därför i linje med planen, samtidigt som patientens insyn och integritet ska värnas.
- patient safetydecisive»En av grundprinciperna i vården är att ingen patient ska komma till skada.« (party programme ↗)“One of the basic principles of healthcare is that no patient should come to harm.”
- infection control and resistance»Det är även viktigt att uppmuntra ett internationellt perspektiv i hälso- och läkemedelsfrågor, som till exempel antibiotikaresistens.« (party programme ↗)“It is also important to encourage an international perspective in health and medicine issues, such as antibiotic resistance.”
- digital healthcare infrastructure»Digitala tjänster inom vården ska utvecklas.« (party programme ↗)“Digital services in healthcare should be developed.”
- patient insight into data»Patienten ska ha rätt till insyn i och inflytande över sin journal.« (party programme ↗)“The patient has the right to insight into and influence over his or her medical record.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan requires that society's preparedness for crisis be equipped and that the state does what it is for as efficiently as possible, which argues for shared responsibility for healthcare hygiene to be gathered under one authority.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that society's preparedness for crisis be equipped and that the state does what it is for as efficiently as possible, which argues for shared responsibility for healthcare hygiene to be gathered under one authority. The plan also wants to reduce healthcare's administrative burden with digital tools, which supports that the legal prerequisites for collecting healthcare data are investigated. Simultaneously, the plan requires that every intrusion into personal integrity be examined, which sets limits for data collection.
Original (Swedish)
Planen kräver att samhällets beredskap inför kris rustas och att staten gör det den är till för så effektivt som möjligt, vilket talar för att ett delat ansvar för vårdhygien samlas hos en myndighet. Planen vill också minska vårdens administrativa börda med digitala verktyg, vilket stödjer att de rättsliga förutsättningarna för insamling av vårddata utreds. Samtidigt kräver planen att varje ingrepp i den personliga integriteten prövas, vilket sätter gränser för datainsamlingen.
- strengthened crisis preparednessdecisive»Vi måste rusta civilförsvaret och samhällets beredskap inför krig och kris.« (2022 manifesto ↗)“We must equip civil defence and society's preparedness for war and crisis.”
- efficient and legally secure state»Centerpartiets uppgift är att se till att staten gör det den är till för, så effektivt och rättssäkert som möjligt« (party programme ↗)“The Centre Party's task is to ensure that the state does what it is for, as efficiently and legally securely as possible”
- digitalization of healthcare»Den administrativa bördan inom vården måste minska, bland annat med hjälp av digitala verktyg som är användbara och efterfrågade av medarbetarna.« (2022 manifesto ↗)“The administrative burden within healthcare must be reduced, not least through digital tools that are useful and sought after by staff.”
- integrity assessmentweak support»All lagstiftning bör prövas mot dess påverkan på människors personliga integritet.« (party programme ↗)“All legislation should be tested against its impact on people's personal integrity.”
flags: citat_svagt
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The election manifesto establishes that the state shall take greater responsibility for healthcare's strategic planning and preparedness, and the party programme that expanded national coordination and governance is needed.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto establishes that the state shall take greater responsibility for healthcare's strategic planning and preparedness, and the party programme that expanded national coordination and governance is needed. This argues for consolidating responsibility for infection control hygiene in one authority and for investigating the legal preconditions for managing healthcare data in disease control. The plan simultaneously requires that all new bills be analysed from an integrity perspective, which is a qualifying but not prohibitive objection.
Original (Swedish)
Valmanifestet slår fast att staten ska ta ett större ansvar för sjukvårdens strategiska planering och beredskap, och partiprogrammet att det behövs utökad nationell samordning och styrning. Det talar för att samla ansvaret för vårdhygien hos en myndighet och för att utreda de rättsliga förutsättningarna att hantera vårddata i smittskyddet. Planen kräver samtidigt att alla nya lagförslag analyseras ur integritetssynpunkt, vilket är en kvalificerande men inte hindrande invändning.
- state responsibility for preparednessdecisive»Staten ska ta ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård, beredskap och långsiktig kompetensförsörjning.« (2022 manifesto ↗)“The state shall take greater responsibility for healthcare's strategic planning, placement of highly specialized care, preparedness and long-term competence provision.”
- national coordination in healthcare»Sjukvårdens organisation och finansiering står inför flera utmaningar. Det behövs en utökad nationell samordning och styrning.« (party programme ↗)“Healthcare's organization and financing face several challenges. Expanded national coordination and governance is needed.”
- disease control as public health issue»Utvecklingen av antibiotikaresistens hotar folkhälsan.« (party programme ↗)“The development of antibiotic resistance threatens public health.”
- integrity assessment of data handling»Alla nya lagförslag ska analyseras ur integritetssynpunkt.« (party programme ↗)“All new bills shall be analysed from an integrity perspective.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The election manifesto requires national standards and technical specifications for all digital healthcare information, with the justification that information about the patient increases the possibilities for good healthcare, which is the core of the counter-proposal's demand for healthcare data.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto requires national standards and technical specifications for all digital healthcare information, with the justification that information about the patient increases the possibilities for good healthcare, which is the core of the counter-proposal's demand for healthcare data. The manifesto also wants to abolish the fragmented regional organization in favor of unified responsibility, which speaks for healthcare hygiene responsibility to be centralized in one authority. The handling of personal data must meanwhile take place with great caution.
Original (Swedish)
Valmanifestet kräver nationella standarder och tekniska specifikationer för all digital vårdinformation, med motiveringen att information om patienten ökar möjligheterna till god vård, vilket är kärnan i motförslagets krav om vårddata. Manifestet vill också avskaffa den splittrade regionala organisationen till förmån för ett samlat ansvar, vilket talar för att vårdhygienansvaret samlas hos en myndighet. Hanteringen av personuppgifter ska samtidigt ske med stor försiktighet.
- national digital healthcare informationdecisive»Trygg patientsäkerheten med nationella standarder och tekniska specifikationer för all digital vårdinformation. Information om patienten ökar möjligheterna för en god vård.« (2022 manifesto ↗)“Ensure patient safety with national standards and technical specifications for all digital healthcare information. Information about the patient increases the possibilities for good healthcare.”
- unified responsibility for healthcare»Avskaffa regionernas ansvar för sjukvården. Låt staten ta över ansvaret för vården med en gemensam organisation i stället för 21 olika.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare. Let the state take over responsibility for healthcare with a joint organization instead of 21 different ones.”
- safe and evidence-based healthcare»Den solidariskt finansierade hälso- och sjukvården ska vara ändamålsenlig och kostnadseffektiv, säker för patienterna och baserad på kunskap och beprövad erfarenhet« (party programme ↗)“Solidarily financed healthcare must be appropriate and cost-effective, safe for patients and based on knowledge and proven experience”
- careful handling of personal data»det offentliga måste tillämpa stor försiktighet och respekt för den personliga integriteten vid hantering av personuppgifter.« (party programme ↗)“the public must exercise great caution and respect for personal integrity in handling personal data.”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The plan states that the Corona Commission's conclusions about inadequate preparedness must lead to change and commits to better emergency stockpiles and long-term planning of civil defence.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan states that the Corona Commission's conclusions about inadequate preparedness must lead to change and commits to better emergency stockpiles and long-term planning of civil defence. It also wants to use digital decision support and structured working methods in care. To gather responsibility for healthcare hygiene with one agency and investigate the legal conditions for handling healthcare data serves precisely more efficient preparedness.
Original (Swedish)
Planen slår fast att Coronakommissionens slutsatser om bristande beredskap måste leda till förändring och åtar sig bättre beredskapslager och långsiktig planering av det civila försvaret. Den vill också använda digitala beslutsstöd och strukturerade arbetssätt i vården. Att samla ansvaret för vårdhygien hos en myndighet och utreda de rättsliga förutsättningarna att hantera vårddata tjänar just en effektivare beredskap.
- lessons from the pandemicdecisive»Coronakommissionens slutsatser om att äldreomsorgen inte stod förberedd och rustad att möta samhällsspridningen i pandemin måste leda till förändring.« (2022 manifesto ↗)“The Corona Commission's conclusions that elderly care was not prepared and equipped to meet pandemic spread must lead to change.”
- strengthened health preparedness»Bygga bättre beredskapslager« (2022 manifesto ↗)“Build better emergency stockpiles”
- data and digital decision support»Förbättra möjligheterna att ställa tidigare diagnoser, bland annat med hjälp av digitala beslutsstöd och strukturerade arbetssätt med till exempel riskprofilering« (2022 manifesto ↗)“Improve the possibility to reach earlier diagnoses, among other things with the help of digital decision support and structured working methods such as risk profiling”
- long-term crisis preparedness»Säkra en långsiktig planering för det civila försvaret« (2022 manifesto ↗)“Ensure long-term planning for civil defence”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan wishes to merge agencies and streamline public operations where possible, introduce a national patient record system and strengthen society's preparedness for all types of crises.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wishes to merge agencies and streamline public operations where possible, introduce a national patient record system and strengthen society's preparedness for all types of crises. Bringing together the shared responsibility for care hygiene under one agency and investigating the agencies' legal basis for handling healthcare data follows from these commitments and from the plan's criticism of fragmented management of healthcare.
Original (Swedish)
Planen vill slå samman myndigheter och renodla offentlig verksamhet där det är möjligt, införa ett nationellt patientjournalsystem och stärka samhällets beredskap för alla typer av kriser. Att samla det delade ansvaret för vårdhygien hos en myndighet och att utreda myndigheternas rättsliga förutsättningar att hantera vårddata följer av dessa åtaganden och av planens kritik mot en splittrad styrning av vården.
- consolidated agency responsibilitydecisive»Sverigedemokraterna vill också slå samman myndigheter och renodla offentliga verksamheter där det är möjligt.« (2022 manifesto ↗)“Sweden Democrats also wish to merge agencies and streamline public operations where possible.”
- national handling of healthcare data»Införa ett nationellt patientjournalsystem« (2022 manifesto ↗)“Introduce a national patient record system”
- strengthened pandemic preparedness»Sverigedemokraterna vill stärka samhällets beredskap för alla typer av kriser som kan uppstå.« (2022 manifesto ↗)“Sweden Democrats wish to strengthen society's preparedness for all types of crises that may occur.”
- review of healthcare management»Se över sjukvårdens organisation« (2022 manifesto ↗)“Review healthcare organization”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
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Sources and documents
- The committee report on riksdagen.se (2023/24:SoU7)
- Committee report full text (HB01SoU7)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:2784 — med anledning av skr. 2023/24:39 Riksrevisionens rapport om det nationella smittskyddet av Karin Rågsjö m.fl. (V)
- Regeringens skrivelse 2023/24:39 — Riksrevisionens rapport om det nationella smittskyddet
Source: The Swedish Parliament