2024-05-022023/24:SoU8 · p.2SoUHealth & social services
National health care placement
National care-referral service for patients waiting for treatment
What's at stake: A national care-referral service can help patients get treatment faster elsewhere in the country when their own region cannot meet the care guarantee. Whether patients themselves, not just providers, can search the system affects how easy it becomes to actually use the right to timely care.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The vote concerns how the national care-referral service should be designed - whether patients themselves, not just healthcare providers, should be able to use the system to find care elsewhere in the country - or whether the government's ongoing agency assignments already cover this.
Yes Yes — the committee proposal
The committee views positively the assignment given to the eHealth Agency and the National Board of Health and Welfare to carry out measures supporting regions' work in enabling patients who are waiting for care to have it carried out elsewhere in the country, and judges this ongoing work to be sufficient. The motion calling for the assignment's direction to be adjusted is therefore recommended for rejection.
No No — the reservations
Reservation 4 (C)
The reserving member welcomes the work on a national care-referral service but wants its direction adjusted: the national care-search system should be accessible to patients themselves - not just to providers - so they can obtain care in another part of the country even if it costs the region more, and the service should also inform patients of their rights under the care guarantee and point them to where care is available, including quality data and the information needed for referral.
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 4 by C.
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, LLiberalerna, MModeraterna
Ja 271–20Ja 187–104
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 | Yes 18/0/0/6 | differs | confidence: medium | not addressed |
| S | No | Yes 93/0/0/13 | differs | confidence: medium | not addressed |
| MP | No | Yes 13/0/0/5 | differs | confidence: medium | not addressed |
| C | No | No 0/20/0/4 | match | confidence: high | explicit |
| L | No | Yes 11/0/0/5 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 13/0/0/6 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 60/0/0/8 | differsagainst own programme | confidence: medium | explicit |
| SD | No | Yes 62/0/0/10 | differs | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects motion 2023/24:2814 by Anders W Jonsson et al. (C) claim 2.
Original (Swedish)
Riksdagen avslår motion 2023/24:2814 av Anders W Jonsson m.fl. (C) yrkande 2.
Riksdag decision: The Riksdag has processed a communication from the Government, which concerns the National Audit Office's report on the state's work on waiting times in healthcare. The National Audit Office has examined whether several of the policy instruments the Government has used to reduce healthcare queues have been effective. The policy instruments are: The Care guarantee, which aims to provide care within certain time limits. The queue billion 2009–2014, which meant that the state paid out one billion kronor annually between 2009–2014. The funds were distributed to regions based on how well they met requirements linked to the care guarantee's time limits within specialist care. Standardised care pathways within cancer care (SVF), which, among other things, describe what investigations and initial treatments should be carried out for certain cancer diagnoses. The examination also concerns whether these policy instruments have affected the goal of equitable care according to need. The Government welcomes the examination and shares the National Audit Office's view that there is a need to review the effectiveness in order to strengthen the patient's position and the importance of the care guarantee as a state policy instrument. In the communication the Government reports measures taken and planned that are in line with the National Audit Office's findings and recommendations. The Riksdag laid the communication on the table, that is, concluded the matter. The Riksdag also rejected motion claims.
Counter-proposals
- The counter-proposal wants to make the national care search system accessible to patients so they can receive care in other regions. (C) — Reservation 4
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 demands equal and accessible healthcare regardless of where in the country you live and that care be provided based on need, not based on the capacity of incorrectly constructed systems.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan demands equal and accessible healthcare regardless of where in the country you live and that care be provided based on need, not based on the capacity of incorrectly constructed systems. That the patient themselves gets access to the care-seeking system and information about the rights under the care guarantee strengthens the individual's position against a fragmented healthcare apparatus. The region's cost must not, according to the plan, determine what care you receive.
Original (Swedish)
Planen kräver en jämlik och tillgänglig sjukvård oavsett var i landet man bor och att vården ges efter behov, inte efter kapaciteten i felaktigt konstruerade system. Att patienten själv får tillgång till vårdsöksystemet och information om vårdgarantins rättigheter stärker den enskildes ställning gentemot en uppstyckad vårdapparat. Regionens kostnad får enligt planen inte avgöra vilken vård man får.
- equal care throughout the countrydecisive»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equal, equitable and accessible, regardless of where in the country you live and regardless of who you are.”
- need before system capacity»Vård måste ges efter människors behov och inte efter kapaciteten i felaktigt konstruerade system.« (2022 manifesto ↗)“Care must be provided based on people's needs and not based on capacity in incorrectly constructed systems.”
- care independent of status»Din försäkring eller position i samhället ska inte avgöra vilken vård du får.« (2022 manifesto ↗)“Your insurance or position in society must not determine what care you receive.”
- strengthen the patient's position»Vården och omsorgen har styckats upp, mellan nivåer och aktörer, människor bollas runt i en stor administrativ apparat och det är ofta en kamp för den enskilde och dess anhöriga att få rätt tillgång till vård.« (2022 manifesto ↗)“Care and services have been fragmented, between levels and actors, people are shuttled around in a large administrative apparatus and it is often a struggle for the individual and their family to get proper access to care.”
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 a region that does not meet the care guarantee shall offer care in another region - the requirement that the patient himself may seek care elsewhere, even if it becomes more expensive for the region, is a direct extension of that.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto establishes that a region that does not meet the care guarantee shall offer care in another region - the requirement that the patient himself may seek care elsewhere, even if it becomes more expensive for the region, is a direct extension of that. The party also wishes to make healthcare's information services more accessible to the patient. The plan is however not explicit about the structure of the care-seeking system.
Original (Swedish)
Valmanifestet slår fast att en region som inte uppfyller vårdgarantin ska erbjuda vård i en annan region - kravet att patienten själv ska kunna söka vård på annat håll, även om det blir dyrare för regionen, är en direkt förlängning av det. Partiet vill också göra vårdens informationstjänster mer lättillgängliga för patienten. Planen är dock inte uttrycklig om vårdsöksystemets utformning.
- vård i annan regiondecisive»Om en region inte uppfyller vårdgarantin enligt lagen ska vård erbjudas i en annan region.« (2022 manifesto ↗)“If a region does not meet the care guarantee under law, care shall be offered in another region.”
- tillgänglig vårdinformation»Vi vill korta väntetiderna om man ringer 1177 och göra webbtjänsten mer lättöverskådlig.« (2022 manifesto ↗)“We want to shorten wait times when calling 1177 and make the web service more user-friendly.”
- likvärdig vård i hela landet»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents throughout the country shall have equal access to school, healthcare and care.”
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 one shall have the right to good care regardless of where in the country one lives and wants to shorten queues nationwide.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan states that one shall have the right to good care regardless of where in the country one lives and wants to shorten queues nationwide. Making the national care search system available to patients themselves follows from the plan's line on patient self-determination and that true choice requires good and easily accessible information about options. The plan also wants digital services in healthcare to be developed.
Original (Swedish)
Planen slår fast att man ska ha rätt till bra vård oavsett var i landet man bor och vill korta köerna i hela landet. Att göra det nationella vårdsöksystemet tillgängligt även för patienten själv följer av planens linje om patientens självbestämmande och att verklig valfrihet kräver bra och lättillgänglig information om valmöjligheterna. Planen vill dessutom att digitala tjänster i vården utvecklas.
- easily accessible information about optionsdecisive»Verklig valfrihet kräver att information om valmöjligheterna är bra och lättillgänglig.« (party programme ↗)“True choice requires information about options to be good and easily accessible.”
- equivalent care across the country»Du ska ha rätt till en bra vård, oavsett var i landet du bor.« (2022 manifesto ↗)“You shall have the right to good care, regardless of where in the country you live.”
- patient self-determination»Patientens självbestämmande och delaktighet är en allt viktigare del av hälso- och sjukvården.« (party programme ↗)“Patient self-determination and participation is an increasingly important part of healthcare.”
- digital healthcare services»Digitala tjänster inom vården ska utvecklas.« (party programme ↗)“Digital services in healthcare shall be developed.”
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 explicitly states that one should have the right to avoid queues by seeking care in other regions and that choice should increase so that the patient together with their doctor can choose care provider and time.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan explicitly states that one should have the right to avoid queues by seeking care in other regions and that choice should increase so that the patient together with their doctor can choose care provider and time. The counter-proposal's requirement that the national care-seeking system should be available to the patient themselves, even when care becomes more expensive for the region, is exactly the patient power the plan promises. That the referral service should also inform about healthcare guarantee rights follows from the same commitment.
Original (Swedish)
Planen säger uttryckligen att man ska ha rätt att välja bort köerna genom att söka vård i andra regioner och att valfriheten ska öka så att patienten tillsammans med sin läkare kan välja vårdgivare och tid. Motförslagets krav att det nationella vårdsöksystemet ska vara tillgängligt för patienten själv, även när vården blir dyrare för regionen, är exakt den patientmakt planen utlovar. Att förmedlingen också ska informera om vårdgarantins rättigheter följer av samma åtagande.
- right to avoid queuesdecisive»Köerna måste kortas och man ska ha rätt att välja bort köerna genom att söka vård i andra regioner.« (2022 manifesto ↗)“Queues must be shortened and one should have the right to avoid queues by seeking care in other regions.”
- patient choice»Vi vill öppna upp för fler vårdgivare och öka valfriheten så att patienter tillsammans med sin läkare kan välja vårdgivare och tid då operation eller behandling passar bäst utifrån patientens behov.« (2022 manifesto ↗)“We want to open up for more care providers and increase choice so that patients together with their doctor can choose care provider and time when operation or treatment is best suited based on the patient's needs.”
- choice adapts welfare»Människors rätt till valfrihet är det som ska trygga att den offentligt finansierade välfärden anpassas till individens behov.« (party programme ↗)“People's right to choice is what should ensure that publicly financed welfare is adapted to the individual's needs.”
- defended choice in care»Vi vill försvara valfriheten inom vård och omsorg och bedriva verksamheten nära vårdtagarna.« (2022 manifesto ↗)“We want to defend choice within care and conduct activities close to care recipients.”
The party programme requires that the Health and Medical Services Act establishes the individual's right to choose a healthcare provider even if it means treatment in another location or in another region, which is the core of the counter-proposal's requirement that the healthcare-seeking system be opened for the patients themselves.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme requires that the Health and Medical Services Act establishes the individual's right to choose a healthcare provider even if it means treatment in another location or in another region, which is the core of the counter-proposal's requirement that the healthcare-seeking system be opened for the patients themselves. The plan further requires that patient information be developed online so that comparisons between healthcare providers and regions are facilitated. The right to information about where treatment can be given is an explicit commitment.
Original (Swedish)
Partiprogrammet kräver att hälso- och sjukvårdslagen fastslår individens rätt att välja vårdgivare även om det innebär behandling på annan ort eller i annan region, vilket är kärnan i motförslagets krav på att vårdsöksystemet öppnas för patienterna själva. Planen kräver dessutom att patientinformationen utvecklas på nätet så att jämförelser mellan vårdgivare och regioner underlättas. Rätten till information om var behandling kan ges är uttryckligt åtagande.
- right to choose care in another regiondecisive»Hälso- och sjukvårdslagen ska fastslå individens rätt att välja mellan olika offentliga eller privata vårdgivare, även om detta betyder behandling på annan ort, i annan region eller i annat EU-land.« (party programme ↗)“The Health and Medical Services Act shall establish the individual's right to choose between different public or private healthcare providers, even if this means treatment in another location, in another region or in another EU country.”
- comparable patient information»Patientinformationen ska utvecklas och vara tillgänglig via nätet så att det blir enklare att göra jämförelser mellan olika vårdgivare eller regioner, i syfte att driva utvecklingen framåt, att stärka patienten och att underlätta val.« (party programme ↗)“Patient information shall be developed and be accessible online so that it becomes easier to make comparisons between different healthcare providers or regions, with the aim of driving development forward, strengthening the patient and facilitating choice.”
- choice and information»Patienten ska ha valfrihet inom alla områden där så är möjligt, och rätt till information om var behandlingen kan ges.« (party programme ↗)“The patient shall have choice in all areas where this is possible, and the right to information about where treatment can be provided.”
- digital choice reform»Vi vill se en digital valfrihetsreform och vårdgaranti där alla regioner ska åläggas att erbjuda en minst lika bra digital tillgänglighet som fysisk, där du utifrån din situation alltid ska välja hur du vill möta vården.« (2022 manifesto ↗)“We want to see a digital choice reform and care guarantee where all regions shall be required to offer digital accessibility at least as good as physical, where based on your situation you always shall choose how you want to meet the healthcare.”
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 election manifesto promises a national care mediation that matches care needs with capacity throughout the country and not just in the region where you live, which is precisely the direction the counter-proposal wants to establish.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto promises a national care mediation that matches care needs with capacity throughout the country and not just in the region where you live, which is precisely the direction the counter-proposal wants to establish. That where you live should not determine what care you get is the manifesto's starting point, and the party programme gives citizens freedom to choose their own healthcare provider. That the system is also accessible to the patient himself follows from the fact that the patient should have information and be able to influence their care.
Original (Swedish)
Valmanifestet lovar en nationell vårdförmedling som matchar vårdbehovet med kapaciteten i hela landet och inte bara i den egna regionen, vilket är just den inriktning motförslaget vill fastställa. Att bostadsorten inte ska avgöra vilken vård man får är manifestets utgångspunkt, och partiprogrammet ger medborgarna frihet att själva välja vårdgivare. Att systemet också blir tillgängligt för patienten själv följer av att patienten ska få information och kunna påverka sin vård.
- national care mediationdecisive»Inför en nationell vårdförmedling som matchar vårdbehovet med den vårdkapacitet som finns i hela landet – och inte bara i regionen där personen bor.« (2022 manifesto ↗)“Introduce a national care mediation that matches care needs with the care capacity that exists in the whole country - and not just in the region where the person lives.”
- equitable care regardless of residence»Var i landet du bor ska inte avgöra vilken sjukvård du får. Vården har blivit ett ojämlikt postkodlotteri.« (2022 manifesto ↗)“Where in the country you live should not determine what healthcare you receive. Care has become an unequal postcode lottery.”
- free choice of healthcare provider»Medborgarna ska ges frihet att själva välja vårdgivare.« (party programme ↗)“Citizens should be given freedom to choose their own healthcare provider.”
- patient's right to information»Att som patient få tillgång till information, kunna påverka vård« (party programme ↗)“That as a patient have access to information, be able to influence care”
flags: citat_migrerat
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 explicitly pledges a national healthcare matchmaking service that shall help patients with long waiting times get care where capacity is available, and that the patient once the guarantee is exceeded shall be able to turn to another healthcare provider and have additional costs covered.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan explicitly pledges a national healthcare matchmaking service that shall help patients with long waiting times get care where capacity is available, and that the patient once the guarantee is exceeded shall be able to turn to another healthcare provider and have additional costs covered. The counter-proposal's demand that the system be accessible to the patient themselves and apply even when it becomes more expensive for the region follows directly from that patient perspective.
Original (Swedish)
Planen lovar uttryckligen en nationell vårdförmedling som ska hjälpa patienter med lång väntetid att få vård där det finns ledig kapacitet, och att patienten vid överskriden garantitid ska kunna vända sig till annan vårdgivare och få merkostnaderna ersatta. Motförslagets krav att systemet ska vara tillgängligt för patienten själv och gälla även när det blir dyrare för regionen följer direkt av det patientperspektivet.
- national healthcare matchmakingdecisive»Inrätta en nationell vårdförmedling som ska hjälpa patienter med lång väntetid att få vård i en annan del av landet där det finns ledig kapacitet« (2022 manifesto ↗)“Establish a national healthcare matchmaking service that shall help patients with long waiting times get care in another part of the country where capacity is available”
- patient's right to another provider»Införa en förstärkt vårdgaranti för cancerpatienter – om inte vården kan ges inom angivna tidsgränser ska patienten ha rätt att vända sig till annan vårdgivare och bli ersatt för de merkostnader detta innebär« (2022 manifesto ↗)“Introduce an enhanced care guarantee for cancer patients – if care cannot be provided within the stated time limits, the patient shall have the right to turn to another healthcare provider and be reimbursed for the extra costs this entails”
- equal healthcare throughout the country»Du ska kunna känna dig trygg med att välfärden fungerar oavsett var i landet du bor.« (2022 manifesto ↗)“You should be able to feel secure in the knowledge that welfare works regardless of where in the country you live.”
- queues are a failure»Köer till välfärdstjänster är ett misslyckande« (party programme ↗)“Queues for welfare services are a failure”
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 wants to abolish healthcare queues and have a care guarantee office establish cooperation agreements with public and private care providers to increase capacity; the purpose is for the patient to quickly receive care regardless of where it is provided.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants to abolish healthcare queues and have a care guarantee office establish cooperation agreements with public and private care providers to increase capacity; the purpose is for the patient to quickly receive care regardless of where it is provided. Making the care search system accessible to the patient themselves and informing about the right under the care guarantee serves the same purpose, and according to the plan, the region's finances must not determine what care one receives.
Original (Swedish)
Planen vill avskaffa vårdköerna och låta ett vårdgarantikansli upprätta samverkansavtal med offentliga och privata vårdgivare för att öka kapaciteten; syftet är att patienten snabbt får vård oavsett var den utförs. Att göra vårdsöksystemet tillgängligt även för patienten själv och att informera om rätten enligt vårdgarantin tjänar samma syfte, och enligt planen får inte regionens ekonomi avgöra vilken vård man får.
- care from other care providerdecisive»Vårdgarantikansliet bör också ta fram underlag och upprätta samverkansavtal med olika vårdgivare, offentliga och privata, svenska och utländska, för att kunna öka vårdkapaciteten inom såväl behandling som operation och rehabilitering.« (2022 manifesto ↗)“The care guarantee office should also develop foundation and establish cooperation agreements with various care providers, public and private, Swedish and foreign, to be able to increase care capacity within both treatment and surgery and rehabilitation.”
- abolished healthcare queues»Avskaffa vårdköerna och införa en riktig vårdgaranti« (2022 manifesto ↗)“Abolish healthcare queues and introduce a real care guarantee”
- healthcare quality regardless of regional finances»Regionens, kommunens eller stadsdelens ekonomi får inte vara avgörande för vilken« (party programme ↗)“The region's, municipality's or city district's finances must not be decisive for which”
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.
Share and embed
Sources and documents
- The committee report on riksdagen.se (2023/24:SoU8)
- Committee report full text (HB01SoU8)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:2797 — med anledning av skr. 2023/24:48 Riksrevisionens rapport om statens arbete med väntetider i vården av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2023/24:2802 — med anledning av skr. 2023/24:48 Riksrevisionens rapport om statens arbete med väntetider i vården av Karin Rågsjö m.fl. (V)
- Motion 2023/24:2807 — med anledning av skr. 2023/24:48 Riksrevisionens rapport om statens arbete med väntetider i vården av Ulrika Westerlund m.fl. (MP)
- Motion 2023/24:2814 — med anledning av skr. 2023/24:48 Riksrevisionens rapport om statens arbete med väntetider i vården av Anders W Jonsson m.fl. (C)
- Regeringens skrivelse 2023/24:48 — Riksrevisionens rapport om statens arbete med väntetider i vården
Source: The Swedish Parliament