Bridging the gap - hrvzz.hrhrvzz.hr/storage/documents/premoscivanje_jaza... · Bridging the gaps...
Transcript of Bridging the gap - hrvzz.hrhrvzz.hr/storage/documents/premoscivanje_jaza... · Bridging the gaps...
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Bridging the gap- Regional governance in Denmark
CEOAdam WolfDanish Regions
22-09-2015
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Danish Regions
• Organization for the five regions
• Established in 2007
• About 170 employees
• Politically led organization
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Danish Regions
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Electorate Region of Southern Denmark
Capital Region of Denmark
Region Zealand
North Denmark Region
Central Denmark Region
General assembly(205 regional councilmembers)
Political Board(17 members)
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Political and administrative divisions
Folketinget
5 regional councils
98 municipalities
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Regions in brief
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Region PopulationInhabitants per
square kilometers
Capital Region 1.766.677 698
Zealand 819.385 114
Southern Denmark 1.205.025 98
Central Denmark 1.282.250 99
North Denmark 582.413 74
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From 14 counties to 5 regions
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2007: Structural reform. The perhaps largestadministrative change in Danish history.
Voluntary merging of municipalities Establishing 5 regions
• 41 regional councilmembers in each region
• Direct elections every 4th years
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Structural reform: Timeline
25-09-2015 Danske Regioner
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Responsibilities of the regions
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• Healthcare – somatic and psychiatrictreatment, GP’s and specialist doctors
• Social institutions and special educationinstitutions
• Regional development
• Soil pollution and raw materials
• Public transportation
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Regional finances
No regional tax income:
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19.0%
1.3%
79.8% Block grants
Local co-financing
Activity pool
88%
3% 3%6%
Health care (incl.medicine)
Social services
Regional development
Hospital constructions
Operating budgets 2015
Health care (incl. medicine) 104.906
Social services 3.844
Regional development 2.999
Hospital constructions 7.119
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Regional development and Regional Growth Forums
• Regional Growth and Development Strategies
• Set the direction for regional investmentsby addressing regional challenges and possibilities
• 6 Regional Growth Forums
• 21 members representing the regional council, municipalities, the business community, educational institutions, employers and employees
• Invest about 80 percent of the EU Structural Funds in DK (47 mio. euros/year)
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Examples of regional specialization
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North Denmark• ICT• Maritime
area
Central Denmark• Production• Foods• Energy
Southern Denmark• Offshore energy• Design• Welfare tech
Capital Region• Medical industry• ICT• Tourism
Region Zealand• Bio economy• Construction• Transportation
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Effects of regional investments
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Participants Development if participants had followed same development as control group
Turnover in billion DKK
16 billion DKK (2.13 billion euros)
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Regional results – healthcare
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Productivity
Patient satisfaction
Hospital mortality
Sick leave (staff)
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Health expenses in perspective
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8,7% OECD average
Health expenses as % of GDP
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Low administrative expenses
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Percentage of hospital expenses
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A coherent healthcare system
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Civil society
Hospitals
Labour market Private sector
Municipalities Primary healthcare (GP’s)
(Rehabilitation, home nursing, elderly care)
Citizens/patients
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Bridging the gaps
• A coherent healthcare system – bridging the manyhealthcare actors
• Urbanization – bridging the gap between rural districts and cities
• A balanced labour market – bridging the gap betweenemployment, education and business policies.
• Implementing state policies
• Creating critical mass and coherence between local policies
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Challenges ahead
• Evaluation of the reform (2013)
• Regional differences
• Citizen reactions
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