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DOCTORS

Free digital doctor’s appointments available to Swedes at new clinic

People living in Sweden will have access to free primary healthcare over the internet after an online medical practitioner set up a clinic in the Södermanland county, where primary care is free.

Free digital doctor's appointments available to Swedes at new clinic
File photo: Emil Langvad/TT

The development reflects a growing breakthrough for digital health services, says the Swedish Association of Local Authorities and Regions (Sveriges Kommuner och Landsting, SKL).

On January 1st, company Doktor.se will take over a health centre in the Vingåker municipality, after which both physical and digital consultations will be offered to patients throughout the country, writes TT.

The entitlement of patients in Sweden to choose where they receive treatment under the country’s public healthcare system means the service will be available regardless of where they live in Sweden.

With primary care free of patient fees in Södermanland county, and the patient fee for digital care visits determined by the county in which the operating company is located, Doktor.se can offer digital consultations without charge, reports Dagens Medicin.

“When Sörmland [an alternative name for Södermanland, ed.] took the decision to offer free primary care, it was not based on the expectation that digital services would appear,” economist Annika Wallenskog of SKL told TT.

Doktor.se’s CEO Martin Lindman confirmed to Dagens Medicin that the heathcare firm would offer services to patients throughout the country.

Prior to receiving a digital visit, patients will consult a nurse who will assess their needs. Those not suitable for digital consultations will be advised to seek physical primary care.

Competitors to Doktor.se in counties where patients pay a fee receive smaller payments from county councils for providing healthcare. For example, the Min Doktor and Kry companies are based in Jönköping, where patients pay a 250 kronor consultation fee. That means that regional authorities must pay 400 kronor to the providing companies for each digital consultation. In Södermanland, the county must pay the full 650 kronor, writes Dagens Medicin.

Wallenskog said she had expected an online service to be established in a county with free primary care. An SKL task group will now look into the expected financial consequences of the development before county council directors meet to discuss the issue in a few weeks’ time.

READ ALSO: Digital appointments with doctors trialled in Sweden

SHOPPING

The unmanned supermarkets rescuing Sweden’s rural areas

One after another, grocery stores are shutting down in rural Sweden, leaving villagers to travel miles to buy food. But a new type of shop has sprung up in their wake: unmanned supermarkets in mobile containers.

The unmanned supermarkets rescuing Sweden's rural areas
Store manager Domenica Gerlach enters the Lifvs unmanned supermarket store in Veckholm, 80km outside Stockholm. Photo: Jonathan Nackstrand /AFP

In Veckholm, a village of a few hundred people 80 kilometres (50 miles) from Stockholm, the last grocery store closed more than a decade ago. Then, a year-and-a-half ago, even the little convenience store at the only petrol station locked its doors.

Villagers were left with no choice but to travel a half-hour by car to the closest supermarket.

But in July 2020, an automated, unmanned grocery store came to town. In a container dropped in the middle of a field, open 24 hours a day, the 20-square-metre (215-square-foot) supermarket sells hundreds of items — and there’s no cashier in sight.

“Since a while back, there has been nothing in this area and I think most of us living here have really missed that,” said Giulia Ray, a beekeeper in
Veckholm. 

“It’s so convenient to have this in the area,” she told AFP, doing her own shopping and restocking the shop’s shelves with her honey at the same time.

Shoppers unlock the supermarket’s door with an app on their smartphone. “We come here three times a week and buy stuff we need,” Lucas Edman, a technician working in the region for a few weeks, told AFP. “It’s a little bit more expensive but it’s fine. It’s a price I can pay to not go to another store.”

He scanned his pizzas and soda on the app on his phone, which is linked to his bank account and a national identification system — an added anti-theft security, according to the store. And it’s all done under the watchful eye of a single security camera.

Keeping costs down

In Sweden, the number of grocery stores — everything from superstores to small convenience stores — has dropped from 7,169 in 1996 to 5,180 in 2020, according to official statistics.

While the number of superstores has almost tripled in 24 years, many rural shops have closed down, often due, like elsewhere in Europe, to a lack of
profitability.

Daniel Lundh, who co-founded the Lifvs, has opened almost 30 unmanned stores in rural Sweden and in urban areas with no shops in the past two years.

“To be able to keep low prices for the customer, we have to be able to control our operation costs. So that means controlling the rent — that’s why
the stores are quite small — but also controlling the staffing cost,” Lundh said.

He plans to open his first unstaffed supermarkets outside Sweden early next year.

Domenica Gerlach, who manages the Veckholm store, only comes by once a week to receive deliveries. She also manages three other shops, all of them mobile containers.

Peter Book, the mayor of Enkoping, the municipality to which Veckholm belongs, has only good things to say about the three container stores that
have opened in his patch. And he’d like to see more.

“It makes it easier to take a step to move there if you know you have this facility,” he said.

Meeting place and ‘salvation’

In Sweden, one of the most digitalised countries in the world, Lifvs, like its Swedish rivals AutoMat and 24Food which have also popped up in rural
areas, benefits from a very wired population.

In 2019, 92 percent of Swedes had a smartphone. Ironically, the unmanned shops — plopped down in the middle of nowhere — also play a role as a “meeting place” for locals.

“You come here, you get some gas and you go inside and get something, and maybe someone else is here and you can have a chat,” Ray said.
Mayor Book echoed the notion, saying the stores make it possible to connect society”.

The pandemic has also proven the stores’ usefulness, since no contact with other people inside the shop is necessary.

Because of Covid-19, only one person at a time is allowed inside the Veckholm store.

“My mother lives nearby as well and … this has been a shop she could actually enter during all this time. She hasn’t been (able to go) anywhere,”
Ray said of her 75-year-old mother. “This has been a salvation for her.”

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