The corona pandemic has hit Sweden's nursing homes hard.
To date, more than 2,800 people living in special housing have died.
The Swedish Health and Care Inspectorate, IVO, has therefore carried out a comprehensive review of care for the elderly.
More than 20,000 tips have been sent to the authority, which presented its conclusions on Tuesday.
- In this review, IVO has identified serious shortcomings in the regions of healthcare, says Sofia Wallström.
"It's about people"
An extensive journal review has been conducted with a focus on the homes that were worst affected during the pandemic during the review period.
The study has mainly looked at how people aged 85 to 95 were treated.
- 16 to 22 percent have not received an individual medical assessment.
This is a very high figure according to IVO's assessment.
It is important not to just see this as numbers.
It's about people, says Sofia Wallström.
- Such a high figure is not acceptable.
Many of those who have received a doctor's assessment have received one at a distance, not infrequently by telephone between doctors and staff at the accommodation.
The proportion who received a physical assessment is very low, according to IVO.
40 percent of the patients who did not receive an assessment from a doctor also did not receive an assessment from a nurse.
- This underlines the great seriousness of the care shortages, says Sofia Wallström.
The directive: Zero care at IVA
SVT has taken a closer look at parts of the basis for IVO's review, which also contains responses from more than 300 medically responsible nurses, MAS.
In the answers, much of the criticism that IVO now highlights emerges.
In Västernorrland, for example, decisions were made about palliative care without the doctor having access to the medical record, according to one of the questionnaire responses.
At a health center in Jönköping, doctors issued general guidelines, according to a nurse: "Zero cardiopulmonary resuscitation and zero care at IVA for everyone in special housing".
Also in Stockholm, "the directive was that the sick people should be cared for in housing", according to the response from the medically responsible nurse.