Danish Healthcare and Welfare System

The findings confirm that municipal services can systematically document their contributions to HaH delivery, which is essential for aligning economic incentives in a system with shared regional and municipal responsibilities. Denmark's health system has three administrative tiers: the state regulates policy, five regions operate hospitals and employ GPs, and 98 municipalities provide home nursing and long-term care. Denmark's ageing population is driving increased demand for acute healthcare while hospitals face capacity constraints and staff shortages, motivating a shift toward home-based care. Municipal acute teams are financed at the municipal level but operate under clinical oversight from regional emergency department physicians. Because municipalities do not routinely collect activity-level resource data, conventional costing using aggregated expenditure cannot accurately capture HaH resource use. Transferability may be limited in systems with different organisational structures, GP roles, municipal responsibilities or sick leave legislation. The study took place in the Danish public healthcare and welfare system. The Region of Southern Denmark spine centre includes orthopa…