vårdplan

Vårdplan is a written document used within Swedish health care and social care to coordinate and plan an individual’s ongoing care and treatment across different providers and care settings. It is typically applied for people with complex or long-term needs, such as chronic illnesses, rehabilitation, palliative care, or after hospital discharge.

A care plan describes the person’s health problems and diagnoses, goals and desired outcomes, and the planned interventions and medications. It specifies who is responsible for each part of the care, a schedule for follow-up and reassessment, and information about safety, potential risks, and the patient’s preferences and values. The plan should be developed in collaboration with the patient and, when appropriate, with relatives or carers, and it may include emergency information and contact details.

Vårdplaner are created and updated by professionals across care sectors, for example hospital staff, primary care physicians, and municipal care services. The document is shared among involved providers to ensure continuity of care, and it is updated whenever the patient’s situation changes or new goals are set. In many contexts, a coordinative or joint care plan (samordnad vårdplan) is used to further improve cross‑sector coordination and transitions between care settings.

Legal and practical aspects include that the plan is part of the patient’s care documentation, with adherence to privacy and consent rules. Patients are encouraged to participate in its development and have access to their own plan, supporting informed decisions and person-centered care.