{"id":8380,"date":"2026-08-04T09:48:25","date_gmt":"2026-08-04T07:48:25","guid":{"rendered":"https:\/\/moderaterna.se\/stockholm\/?page_id=8380"},"modified":"2026-08-04T09:49:12","modified_gmt":"2026-08-04T07:49:12","slug":"en-ny-primarvardsreform-med-patienten-i-centrum","status":"publish","type":"page","link":"https:\/\/moderaterna.se\/stockholm\/en-ny-primarvardsreform-med-patienten-i-centrum\/","title":{"rendered":"En ny prim\u00e4rv\u00e5rdsreform med patienten i centrum"},"content":{"rendered":"\n

Budgetf\u00f6rslag Moderaterna i Region Stockholm<\/strong><\/h2>\n\n\n\n

Problembeskrivning<\/strong>
V\u00e5rdcentralerna upplevs ofta som otillg\u00e4ngliga, b\u00e5de f\u00f6r patienter och f\u00f6r l\u00e4kare som i st\u00e4llet s\u00f6ker sig till akutsjukhusen. Husl\u00e4karreformen fr\u00e5n 1993 avskaffades tidigt och det v\u00e5rdval som inf\u00f6rdes senare har i praktiken inneburit att patienterna v\u00e4ljer en v\u00e5rdcentral snarare \u00e4n en personlig l\u00e4kare. Kontinuiteten brister och m\u00e5nga patienter m\u00f6ter olika l\u00e4kare vid varje bes\u00f6k.<\/p>\n\n\n\n

Tillg\u00e4ngligheten i prim\u00e4rv\u00e5rden m\u00e4ts i dag fr\u00e4mst genom v\u00e4ntetider och v\u00e5rdgarantier, men dessa m\u00e5tt s\u00e4ger inte tillr\u00e4ckligt om v\u00e5rdens kvalitet och kontinuitet. Samtidigt g\u00f6r omfattande regelverk och administrativa krav det sv\u00e5rt f\u00f6r mindre, l\u00e4karledda v\u00e5rdcentraler att etablera sig.<\/p>\n\n\n\n

Prim\u00e4rv\u00e5rden har ocks\u00e5 f\u00e5tt ett allt st\u00f6rre ansvar utan att resurserna f\u00f6ljt med. Begr\u00e4nsade \u00f6ppettider, bristande samverkan med \u00f6vriga v\u00e5rden och en v\u00e4xande brist p\u00e5 allm\u00e4nl\u00e4kare g\u00f6r att m\u00e5nga patienter s\u00f6ker sig till akutsjukv\u00e5rden i st\u00e4llet.<\/p>\n\n\n\n

Moderaternas f\u00f6rslag<\/strong><\/h2>\n\n\n\n
    \n
  • Ge alla inv\u00e5nare r\u00e4tt att v\u00e4lja l\u00e4kare<\/strong><\/li>\n<\/ul>\n\n\n\n

    Inv\u00e5narna ska kunna lista sig hos en personlig l\u00e4kare, inte bara p\u00e5 en v\u00e5rdcentral. Den personliga l\u00e4karen ska vara patientens f\u00f6rsta kontakt med v\u00e5rden, f\u00f6lja patienten \u00f6ver tid och ta ett \u00f6vergripande ansvar f\u00f6r v\u00e5rdkedjan. L\u00e4karen ska kunna f\u00f6lja patienten \u00e4ven om arbetsplatsen \u00e4ndras. Denna modell har pr\u00f6vats i bland annat Danmark, d\u00e4r patienterna v\u00e4ljer l\u00e4kare snarare \u00e4n byggnad. Sm\u00e5skaliga, l\u00e4karledda mottagningar har d\u00e4r bidragit till \u00f6kad kontinuitet, tydligare ansvar, h\u00f6gre patientn\u00f6jdhet och l\u00e4gre kostnader.<\/p>\n\n\n\n

      \n
    • M\u00e4t kontinuitet, inte bara v\u00e4ntetider<\/strong><\/li>\n<\/ul>\n\n\n\n

      Tillg\u00e4ngligheten i prim\u00e4rv\u00e5rden ska f\u00f6ljas upp med fler kvalitetsm\u00e5tt, exempelvis hur stor andel av patienterna som faktiskt f\u00e5r tr\u00e4ffa sin egen l\u00e4kare. Resultaten ska redovisas p\u00e5 aggregerad niv\u00e5 och anv\u00e4ndas f\u00f6r att styra resurser dit de g\u00f6r st\u00f6rst nytta.<\/p>\n\n\n\n

        \n
      • Skapa b\u00e4ttre f\u00f6ruts\u00e4ttningar f\u00f6r sm\u00e5skaliga v\u00e5rdcentraler<\/strong><\/li>\n<\/ul>\n\n\n\n

        F\u00f6rfr\u00e5gningsunderlaget f\u00f6r V\u00e5rdval V\u00e5rdcentral omfattar i dag n\u00e4ra 300 sidor, vilket f\u00f6rsv\u00e5rar etableringen av mindre verksamheter. Regelb\u00f6rdan ska minska och f\u00f6ruts\u00e4ttningarna f\u00f6rb\u00e4ttras f\u00f6r sm\u00e5skaliga, l\u00e4karledda v\u00e5rdcentraler, samtidigt som kontinuitet och l\u00e5ngsiktighet s\u00e4kerst\u00e4lls.<\/p>\n\n\n\n

          \n
        • Ut\u00f6ka v\u00e5rdcentralernas \u00f6ppettider<\/strong><\/li>\n<\/ul>\n\n\n\n

          F\u00f6r att v\u00e5rdcentralerna ska kunna utg\u00f6ra f\u00f6rsta behandlande instans inom den basala akuta v\u00e5rden m\u00e5ste v\u00e5rdcentralernas \u00f6ppettider anpassas till inv\u00e5narnas vardag. Inv\u00e5nare har olika behov i livet. En multisjuk patient har behov av h\u00f6g kontinuitet d\u00e4r patientens sjukdomshistoria \u00e4r v\u00e4lk\u00e4nd hos v\u00e5rdcentralen. En barnfamilj kan d\u00e4remot ha ett st\u00f6rre behov av att snabbt f\u00e5 en tid f\u00f6r en akut \u00e5komma. Moderaterna vill d\u00e4rf\u00f6r skapa b\u00e4ttre f\u00f6ruts\u00e4ttningar f\u00f6r fler kv\u00e4lls- och helg\u00f6ppna v\u00e5rdcentraler. Incitamenten f\u00f6r prim\u00e4rv\u00e5rden och den fasta l\u00e4karen att ta ett st\u00f6rre ansvar f\u00f6r sina listade patienter under fler av dygnets timmar beh\u00f6ver \u00f6ka.<\/p>\n\n\n\n

            \n
          • Reformera 1177<\/strong><\/li>\n<\/ul>\n\n\n\n

            Telefonr\u00e5dgivning under dagtid b\u00f6r i st\u00f6rre utstr\u00e4ckning hanteras av patientens v\u00e5rdcentral, d\u00e4r l\u00e4kare eller sjuksk\u00f6terskor k\u00e4nner patienten. 1177 ska i st\u00e4llet fokusera p\u00e5 r\u00e5dgivning under kv\u00e4llar och helger. Det ger b\u00e4ttre tr\u00e4ffs\u00e4kerhet och kortare v\u00e4ntetider.<\/p>\n\n\n\n

              \n
            • Ge v\u00e5rdens medarbetare st\u00f6rre frihet<\/strong><\/li>\n<\/ul>\n\n\n\n

              Beslutsfattandet ska flyttas n\u00e4rmare verksamheterna. Personalen ska ges st\u00f6rre mandat att besluta om resurser, arbetss\u00e4tt och organisatoriska prioriteringar. Minst tv\u00e5 l\u00e4karledda v\u00e5rdcentraler inom SLSO ska startas som pilotprojekt f\u00f6r att pr\u00f6va personalledda mottagningar i regionens egen regi. Moderaterna vill ocks\u00e5 inf\u00f6ra ett byr\u00e5kratitak d\u00e4r minst 80 procent av arbetstiden ska g\u00e5 till v\u00e5rdn\u00e4ra uppgifter.<\/p>\n\n\n\n

                \n
              • St\u00e4rk allm\u00e4nmedicinen<\/strong><\/li>\n<\/ul>\n\n\n\n

                Sverige saknar i dag \u00f6ver 4 400 allm\u00e4nl\u00e4kare. B\u00e4ttre m\u00f6jligheter att driva egna mottagningar och st\u00f6rre professionellt inflytande ska g\u00f6ra allm\u00e4nmedicin mer attraktivt och st\u00e4rka kompetensf\u00f6rs\u00f6rjningen.<\/p>\n\n\n\n

                  \n
                • Bek\u00e4mpa v\u00e4lf\u00e4rdsbrott<\/strong><\/li>\n<\/ul>\n\n\n\n

                  Sm\u00e5skaliga verksamheter och ett tydligare personligt ansvar g\u00f6r det sv\u00e5rare f\u00f6r oseri\u00f6sa akt\u00f6rer att utnyttja systemen. N\u00e4r ers\u00e4ttningen i h\u00f6gre grad knyts till den ansvariga l\u00e4karens legitimation st\u00e4rks transparensen och f\u00f6rtroendet.<\/p>\n\n\n\n

                    \n
                  • St\u00e4rk prim\u00e4rv\u00e5rdens resurser<\/strong><\/li>\n<\/ul>\n\n\n\n

                    Prim\u00e4rv\u00e5rdens andel av sjukv\u00e5rdsbudgeten beh\u00f6ver \u00f6ka i takt med att fler uppdrag flyttas dit. En resursstark prim\u00e4rv\u00e5rd ger b\u00e4ttre f\u00f6ruts\u00e4ttningar f\u00f6r f\u00f6rebyggande v\u00e5rd, kortare k\u00f6er, h\u00f6gre kvalitet och en mer sammanh\u00e5llen v\u00e5rdkedja.<\/p>\n","protected":false},"excerpt":{"rendered":"

                    Budgetf\u00f6rslag Moderaterna i Region Stockholm ProblembeskrivningV\u00e5rdcentralerna upplevs ofta som otillg\u00e4ngliga, b\u00e5de f\u00f6r patienter och f\u00f6r l\u00e4kare som i st\u00e4llet s\u00f6ker sig till akutsjukhusen. Husl\u00e4karreformen fr\u00e5n 1993 avskaffades tidigt och det v\u00e5rdval som inf\u00f6rdes senare har i praktiken inneburit att patienterna v\u00e4ljer en v\u00e5rdcentral snarare \u00e4n en personlig l\u00e4kare. Kontinuiteten brister och m\u00e5nga patienter m\u00f6ter olika […]<\/p>\n","protected":false},"author":55,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"6838,6295,4558,3175,3971,5255","_relevanssi_noindex_reason":"","footnotes":""},"subject":[],"class_list":["post-8380","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nEn ny prim\u00e4rv\u00e5rdsreform med patienten i centrum | Moderaterna i Stockholms stad och l\u00e4n<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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