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Country profiles of <strong>health</strong> system responses to the <strong>crisis</strong> | Norway<br />

455<br />

Salaries <strong>and</strong> motivation of <strong>health</strong> sector workers<br />

• No response reported.<br />

Payment to providers<br />

• As part of the coordination reform, increased financial responsibility was<br />

given to the municipalities <strong>and</strong> there has been a shift in funding from<br />

hospitals to municipalities (since 2012).<br />

Overhead costs: restructuring the Ministry of Health <strong>and</strong> purchasing agencies<br />

• No response reported.<br />

Provider infrastructure <strong>and</strong> capital investment<br />

• Introduction of a coordination reform to shift resources from specialist to<br />

primary care <strong>and</strong> prevention (measures implemented from 2012).<br />

Priority setting or protocols to change access to treatments, coordination<br />

of care <strong>and</strong> patterns of use<br />

• Introduction of measures to improve coordination of care <strong>and</strong> reduce use of<br />

hospital services (e.g. agreements between hospitals <strong>and</strong> municipalities regarding<br />

h<strong>and</strong>ling of patients with chronic diseases <strong>and</strong> patients who no longer need<br />

hospital treatment), as part of the coordination reform (since 2012).<br />

• Mini-HTAs were carried out by the regional <strong>health</strong> authorities to slow down<br />

the implementation of new <strong>and</strong> undocumented technologies (since 2013).<br />

Waiting times<br />

• No response reported.<br />

Health promotion <strong>and</strong> prevention<br />

• Strengthened role for municipalities in <strong>health</strong> promotion <strong>and</strong> prevention<br />

activities (2012).

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