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Why we’re (slightly) changing how The Local covers the coronavirus

The Local Sweden's editor explains why live reports on the latest coronavirus cases in Sweden aren't as useful as they used to be, and why we are stepping up our focus on the impact the virus is having on readers' lives, and what practical measures to take.

Why we're (slightly) changing how The Local covers the coronavirus
A quiet Thursday at Stockholm's Arlanda Airport. Photo: Fredrik Sandberg/TT

Hej,

Our main mission during the coronavirus situation has been to keep you as informed as we possibly can. This has included sharing the official advice and keeping essential updates paywall-free, the latest news and keeping an up-to-date list of what we know about Sweden's patients and how they contracted the virus.

I think the time has come to focus slightly less on the latest statistics and more on the practical measures we can all take to help prevent the virus from spreading too quickly.

That's partly thanks to reader feedback, partly because I think articles that explain the situation and what to do, rather than a constant stream of updates on new confirmed cases, are probably more useful to all of you, and partly because it is starting to get harder to make sure the statistics are fully accurate.

I'll explain why.

From today, Stockholm will no longer be testing all suspected cases of the coronavirus. Up until now their focus was on testing each and every one who returned from a high-risk area with symptoms, and then tracing all their contacts to stop the virus from spreading.

Now that we have had the first signs of so-called community infection, when the virus is starting to spread in Sweden (this is not the case for all of Sweden, only the Västra Götaland and Stockholm regions), health authorities believe this is no longer the best approach.

Instead, Stockholm will focus on protecting the elderly and people in hospital with underlying health conditions, so the testing will mainly be limited to those at-risk groups from now on.

The vast majority of patients get only a mild version of the virus and don't need treatment, but it is crucial that they don't pass the virus on to other people who may be worse affected.

This means that if you experience any symptoms of the coronavirus (such as a fever and a cough), however mild, you are urged to stay at home and not use public transport. If your health deteriorates, you should of course call health services. Here are the numbers to call.

Sweden confirmed its first coronavirus death yesterday, an elderly patient who contracted the virus inside the country, so it is important that we help protect the most vulnerable.

I know there are plenty of stories that matter to our international readers in Sweden. The latest news, potential school closures, unemployment laws if you're laid off, how healthcare works, what it's like being cut off from family amid travel bans and flight cancellations, and so much more. We are doing our best to make sure that your stories are heard. If you have any questions or feedback, please don't hesitate to email.

As always, you can read all The Local's latest articles here.

Thank you for reading,

Emma Löfgren
Editor, The Local Sweden

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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