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Quality report: Access to treatment in primary health care

Overview

Description of statistic

The Access to treatment in primary health care statistics contain information on the realisation of access to primary health care in public health care, that is, in wellbeing services counties and in ser-vices provided by other public service providers, excluding the Åland Islands. The services purchased by these service providers are also included in the data collection. 

Data on access to primary health care has been collected from pri-mary health care since 2005. At first, data was only collected by means of a survey, and since 2014, data has been obtained both through an annual survey and from the continuously updated Avo-hilmo register.

The statistical report and the indicators are published once a year. Between the publication dates, information on access to treatment is available from database reports updated monthly. The data pub-lished in the statistical report and indicators reflect the situation at the time of extraction and may change in database reports, as the data are continuously updated in the Avohilmo register.

Relevance

The statistics are intended for health care supervisory authorities, administrative authorities, health care professionals, management, decision-makers, planners and researchers who need information on the realisation of access to treatment in primary health care.

The data reported in the Access to treatment in primary health care statistics are based on legislation. The maximum times for access to non-urgent primary health care provided by wellbeing services coun-ties, that is, the so-called care guarantee, are laid down in the Health Care Act (1326/2010). The care guarantee also applies to stu-dent health care for higher education students, which is laid down in the Act on Student Health Care for Higher Education Students (695/2019), as well as prisoner health care as laid down in the Im-prisonment Act (767/2005) and the Remand Imprisonment Act (768/2005). 

The Finnish Institute for Health and Welfare (THL) is a statistical authority in health care, and the production of data on access to treatment is a statutory task of THL. The Finnish Institute for Health and Welfare (THL) produces data on access to treatment, for exam-ple, for the wellbeing services counties for the publication of the data and for the supervisory authorities of the Finnish Supervisory Agency (LVV). The data can also be used, for example, as a tool for self-monitoring and monitoring of wellbeing services counties and for evaluation between wellbeing services counties.

Data content of the statistics

The statistics on access to treatment in primary health care cover information on public primary health care and non-urgent access to oral health care realised in primary health care, excluding Åland. 

In the statistics, information by wellbeing services county is com-piled from the information on actual visits, care notifications, sub-mitted to the register by the service provider. The regional division presented in the statistical report is thus based on the responsibility for organising the services, not on the client’s municipality of resi-dence.

Data on the patient’s contact, assessment of the need for treatment and the completed service event are used to monitor access to treatment. The contact and service event may take place face-to-face, by telephone or in digital services, for example. The realisation times of the above-mentioned monitoring points are used in moni-toring the realisation of the statutory maximum times. In addition, structured results of the assessment of the need for treatment, the nature of the visit, the form of service, the method of contact, the urgency of the service event and the information of the professional who participated in the service event are used in the monitoring of the realisation of access to treatment.

When the service event is realised as a purchased service, infor-mation on, for example, the purchased service, the possible service voucher and the organisation ID of the client of the purchased ser-vice is required for realised visits and remote contacts in accordance with the care notification guide.
The text and concept sections of the statistical report present the concepts used in the statistics, which are based on the law.

Statistics process

Source material 

The source material for the statistics is the primary health care out-patient care notification register (Avohilmo). The Avohilmo register contains care notification data on outpatient care in primary health care, occupational health care, home care and private health care. The data is submitted to Avohilmo directly from the patient infor-mation systems used by health care organisations at the service event level, usually once a day. In addition to the customer’s per-sonal identity code, the service events contain information on the treatment, health care professional and organisation.

The information must also be submitted to THL when a public au-thority, such as a wellbeing services county, procures a service from a private service provider as a purchased service, by providing a ser-vice voucher or by outsourcing the service. The party responsible for organising the services, that is, the client, must ensure that the in-formation thus implemented is submitted to the Avohilmo register. The information is submitted either with the organiser’s own infor-mation or by the service provider. If the service provider submits information on a purchased service, it must be accompanied by in-formation on the client’s organisation. Purchased services may also exist between public organisations.

The content of the annual primary health care access to treatment survey is developed in cooperation with supervisory authorities, health care administration authorities, respondents and users. The information content is described in its entirety in the Care Notifica-tion Guide, which is updated regularly.
Care notification guide (Julkari) (in finnish and swedish) 

The register data of the statistics is used to generate monthly data-base reports, which can be found on the THL website.

The register material is supplemented with a separate survey on access to treatment in primary health care, conducted once a year. Respondents to the survey include the medical directors and chief dentists of the wellbeing services counties, the FSHS and prisoners’ health care. The survey collects data for supervisory authorities that cannot be obtained from the Avohilmo register. These include infor-mation on the patient’s access to contact and publication of data, in accordance with sections 51 and 55 of the Health Care Act. The con-tent of the survey is reviewed and updated annually, taking into ac-count the feedback received with supervisory authorities as well as development needs.

Method of data collection 

Since 2014, data collection on access to treatment has been per-formed from the Avohilmo register and a separate survey conducted once a year. Data is continuously obtained in the Avohilmo register from service providers’ customer and patient information systems based on entries on patient care made by the professionals. 

This statistical report takes into account data recorded in the Avo-hilmo register by 15 April 2026. If necessary, THL also accepts sup-plementation to the data after the statistics have been published. In these cases, the data is updated in the database reports and the data in the next statistical publication that contains realisation data from previous years.

The content of the annual survey on access to treatment in primary health care is processed in cooperation with the supervisory authori-ties. The survey is conducted and tested by THL. Responding to the survey is monitored and any missing information is requested to be supplemented during and after the survey response period. Avo-hilmo experts answer questions about the survey and access to treatment and, if necessary, forward questions to supervisory au-thorities.

Data validation 

The data in the Avohilmo register is obtained directly from the pa-tient information systems used by the service providers through an interface built for receiving Avohilmo data. There are only a few checks in the data reception that can cause the data to be rejected. The service event data must be include the personal identity code in the correct format (with the exception of community visits), the ser-vice provider’s ID (TOPI code) and at least one correct-form time stamp for the event: contact, assessment of the need for treatment, appointment or start time of the visit.

The material submitted to the register is used to generate a visit report by service provider every night. Service providers must check their own data regularly. The Avohilmo team reacts to missing or incomplete information every 2–4 weeks. If necessary, resending of data is requested.

As a rule, the correction of Avohilmo data is performed by the ser-vice providers resending the corrected data through the normal data transfer route. THL will only make corrections to the register in ex-ceptional cases.

Until 2025, separate quality reports on treatment access data were published for quality review of Avohilmo register data included in the monitoring of maximum times of access to treatment. The re-ports made it possible to examine both the quality of recording the data used in calculating the maximum times and the connection of the different stages of the service event to the whole.

In October 2025, summary view reports on primary health care treatment access data for the last five years were published, which also contain tabs on the quality of treatment access data.
Access to treatment in primary health care
Access to treatment in oral health care

The maximum time specific treatment access database reports also have indicators that can be used to estimate the number and cover-age of service events that are part of the monitoring of maximum times. 
The quality and coverage of treatment access information was regu-larly discussed with service providers and information system sup-pliers. The collaboration meetings focused on treatment access data concerning the region in question.

Processing of the data 

Timed procedures form database reports for monitoring maximum times from Avohilmo register data once a month. At this point, the data is not corrected. Plain-language names and hierarchies con-nected to code sets are added to the data, and the data is aggre-gated for reporting. The information in this statistical report is mainly based on the data obtained from the database reports described above.

Treatment access data summary view reports also contain a de-scription of the criteria for extracting reports.

Data revision

The data collection of the Avohilmo register is up-to-date, and ser-vice providers can, if necessary, correct or supplement data they have previously submitted, or send previously missing data retroac-tively. Typically, the year preceding the annual time series changes somewhat (1–2% of total volume), and the year prior to that changes only little. Regional changes may be more significant.

Quality assessment of the statistics

Accuracy and reliability 

There are several possibilities for errors in register data, related to different practices in recording patient data, inadequate recording, different implementations of patient information systems, different versions of patient information systems and code sets in use, and problems with the provision of information. When viewing data on access to treatment, the coverage of visit data and treatment access data in the Avohilmo register must be taken into account. If there are inadequacies in the visit data received in the register, they are also reflected in the treatment access data.

The lower the volume and coverage of the data, the lower the gen-eralisability of the data to the region that the data describes and comparability with data concerning other regions. Low coverage also distorts national averages. The database reports do not exclude mi-nor data, that is, all data entered in the register are reported. This statistical report presents the key data for the statistical year.

The quality and comprehensiveness of the access data presented in this report reflect the quality and comprehensiveness of the data recorded by health care professionals in the patient record systems as well as how the recorded data have been collected in the patient record systems and submitted to the Avohilmo register. THL sup-ported public service arrangers and patient information system sup-pliers in improving the quality of data by producing instructions and quality information concerning treatment access data, participating in recording networks and organising collaboration meetings regarding treatment access data.

The coverage regarding all service events received in the register was generally considered good by wellbeing services county, with the exception of the shortcomings regarding the wellbeing services county of Vantaa and Kerava and the City of Helsinki concerning the past few years, caused by a change in the patient information sys-tem. However, a more detailed examination revealed shortcomings, for example, by form of service. For example, service events in men-tal health and assistive device services in primary health care were not recorded in the register in some of the wellbeing services coun-ties.

In order to monitor access to treatment, the health care professional had to record a structured assessment of the need for treatment and the realised service event. The amended legislation taking effect on 1 September 2023 added several new maximum times to moni-tor. In addition, from the beginning of 2025, different maximum times were introduced for patients of different ages. Learning new recording practices, changing recording codes and more complex legislation may have weakened the quality of recording from 2023 onwards.

Different patient information systems and their different versions varied in the degree to which they made it possible to record the assessment of the need for treatment and to link the recording of the need for treatment with the service event. 

In 2025, some of the wellbeing services counties did not have the statutory treatment need assessment result classification in use for all service providers in the region. In this case, it was not possible to record all the information on the maximum times as laid down in the Act and to measure the realisation of the maximum times. These missing data included, for example, the completion of further visits to a physician, dentist or specialist within the maximum time.
A section of this quality report has been dedicated to the quality deviations in the 2025 statistical report (Section 8).

Timeliness and punctuality  

The statistical report on Access to treatment in primary health care is published annually in the year following the statistical year. Up-to-date information on the topic of the statistical report is published on a monthly basis as database reports and summary view reports.

The Avohilmo register, from which data are primarily obtained for the statistics, is generally updated once a day based on the care notification data submitted by service providers.

Coherence and comparability 

The basic unit for data collection in this statistical report is service providers, which correspond to the health centre structure of mu-nicipalities and joint municipal authorities that was in force until the end of 2022. When the wellbeing services counties started in 2023, the service providers were also directed under wellbeing services counties for previous years in the statistics. In other words, the ser-vice provider structure has changed a lot since 2023, which means that there are regional differences in comparability by service pro-vider.

The change in the patient information system in the wellbeing ser-vices county of Vantaa and Kerava as well as the City of Helsinki has caused general information gaps in recent years. This report includes more information on the matter, especially in the subchapter con-cerning this year.

This statistical report cannot be compared with statistical reports published before 2024, as in previous years the statistical report was published twice a year and the reporting period was one month (March and October). The last report covering monthly data was completed based on March 2024 data.

Institutional mandate  

The collection of data is based on the Act on the National Institute for Health and Welfare (688/2008). The statutory task of THL is to monitor the health and welfare of the population.  

The collection of the data content on the monitoring of access to treatment is based on the section on access to treatment in the Health Care Act. 
Health Care Act 1326/2010, section 51§ (Finlex)

Data sharing and publishing 

THL publishes data on waiting times for realised visits obtained from the Avohilmo register on a monthly basis at the level of well-being services county and national service providers as well as at the more detailed level of location if the data is available. The sta-tistical reports are published on the website of the Finnish Institute for Health and Welfare (THL).

According to the Health Care Act, wellbeing services counties and other public service providers must publish key figures on the reali-sation of the maximum times of access to treatment based on in-formation published by THL, in a public information network on a monthly basis.

The statistical products published by THL are public, but register data containing personal data is confidential. The Finnish Social and Health Data Permit Authority Findata grants permits for using the data based on the Act on the Secondary Use of Health and Social Data (552/2019).

Confidentiality 

As an authority, the Finnish Institute for Health and Welfare is obli-gated to report collected data related to health and welfare. The data used to draw up THL’s statistics is primarily confidential, and personal data may not be published. The protection of processed data is based on the Act on the National Institute for Health and Welfare (688/2008), the Statistics Act (280/2004) and the Act on the Openness of Government Activities (621/1999), the EU General Data Protection Regulation (EU) 2016/679 and the Data Protection Act (1050/2018). 

THL’s datasets are secured at all stages of processing. Data and information systems can only be accessed by persons who have a data permit to use certain data for clearly defined purposes. Others do not have the ability to view, process, change or delete data. Writ-ten instructions have been drawn up for ensuring the data protec-tion of completed statistics. All THL personnel who process data have signed a non-disclosure agreement.

The privacy notice of the register can be viewed online at thl.fi.
Privacy notice, Avohilmo

Special issues concerning the 2025 statistics 

Quality problems concerning the Avohilmo register

The patient information system introduced in Vantaa in 2019 and in Helsinki and Kerava in 2021 has caused problems in Avohilmo regis-ter data since its introduction. As a result, the total number of ser-vice events first decreased considerably. For Vantaa and Kerava, the number of service events in 2024 and 2025 has returned to approx-imately the same level as in the reference year. In Helsinki, the number of service events far exceeds the level of the reference year. (Table).

Table. Change in the number of primary health care events (%) in 2018–2025 compared to 2019*. In Vantaa, the reference year is 2018.
Year Vantaa (%) Helsinki (%) Kerava(%)
2018 0 - -
2019 -48 0 0
2020 -62 9 1
2021 -59 -29 -43
2022 -50 -38 -56
2023 -31 -10 -40
2024 14 44 -8
2025 15 49 -7

* For Helsinki and Kerava, the year 2019 was selected as the reference year, as 2020 was the year of the pandemic and the operations in primary health care were abnor-mal. Source: Avohilmo register 9 March 2026.

The shortfall in the number of service events in 2019–2023 for Van-taa as well as in 2021–2023 for Helsinki and Kerava seems to remain a permanent quality deviation. As of 2024, continuous efforts will be made to correct the data.
In 2021–2023, the deviation from the reference years was -42% in 2022. This means that these municipalities had a total of 1.6 million fewer service events than in the reference year. Of the total number of service events in 2022, this was approximately 3.2%. 

In 2025, in these municipalities, the deviation from the reference years was 36% higher, or 1.3 million service events. This is about 2.5% of the service events in the whole country in 2025.

The above-mentioned quality deviations in 2024 and 2025 almost exclusively concern remote contacts. The deviations concentrated in remote contacts generally apply to all forms of service, including maternity and child health clinic services, where the number of ser-vice events should be fairly even annually. 
There was no clear deviation in the number of service events in oral health care in the City of Helsinki and the wellbeing services county of Vantaa and Kerava immediately after the patient information sys-tem was changed. From the impact of the pandemic, data de-creased in roughly the same proportion as in other regions. In 2024 and 2025, the number of oral health care service events in the City of Helsinki and the wellbeing services county of Vantaa and Kerava is approximately 50% higher than before the pandemic. In other re-gions, the number of service events is slightly over 10% lower than before the pandemic.
The increase in the number of service events in oral health care in 2024 and 2025 was also due to an increase in remote contacts.

In the same way, the quality deviations concerning the entire register in the City of Helsinki and the wellbeing services county of Vantaa and Kerava as described above also affected the numbers of service events extracted from the monitoring of access to treatment, that is, they were likely to be too high. However, the share of service events included in the reporting of access to treatment compared to all non-urgent service events did not deviate from the corresponding share in other regions in 2025. Even the waiting times in access to treatment did not differ from other regions. Instead, access to treatment in Helsinki, Vantaa and Kerava in the comparison between wellbeing services counties was realised so that Helsinki was usually slightly higher than average and the wellbeing services county of Vantaa and Kerava was roughly average.

Quality problems due to patient information systems in reporting access to treatment

The previous chapter describes the impact of the patient infor-mation system on the City of Helsinki as well as the wellbeing ser-vices county of Vantaa and Kerava. This section describes quality problems impacting specifically the reporting of access to treat-ment.

Before the establishment of the wellbeing services counties on 1 January 2023, municipalities and joint municipal authorities were responsible for health centre operations. Municipalities and joint municipal authorities formed approximately 130 service providers, each with their own patient information systems. Even a different version of the same patient information system or a separate data-base could be in use. 

From the perspective of patient information systems, the situation was still partly the same in 2025. This means that some wellbeing services counties did not yet use a shared patient information sys-tem in their entire region, or that they had only just introduced it or were about to introduce it. This had a significant impact on recording the new maximum times that entered into force after 1 September 2023.

On 1 January 2025, the Health Care Act changed again regarding ac-cess to treatment. Separate maximum times for those age 22 or under and those aged 23 or over were introduced. This led to the introduction of new treatment need assessment result classification codes. In 2025, most regions did not yet use the latest codes. THL also instructed the recording of new maximum times when only old recording codes were in use. 

If only the treatment need assessment result classification valid from 2007 to 1 September 2023 was in use, in primary health care, the entries could only be made for some of the maximum times of first service events. In 2025, nine primary health care service provid-ers were still using the treatment need assessment result classifi-cation valid before 1 September 2023. The follow-up visits and first service event in primary health care within three months, as laid down in legislation, which in 2025 only concerned those under the age of 23, could thus not be recorded.

The recording result classification valid from 1 September 2024 to 31 December 2024 was used by 75 service providers, making it the most used code set. Based on THL’s guidelines, this result classifi-cation could also be used for recording the maximum times that entered into force on 1 January 2025. However, the use of obsolete codes could cause inaccuracies and misunderstandings in recording. In addition, recording the therapy guarantee was not possible with any of the old codes. 

The latest code set introduced on 1 January 2025 was used by 61 service providers. None of the service providers were only using the latest code set for the entire year of 2025. The introduction of new codes in patient information systems takes up to several years of time. However, only the latest version of the code set should be used. 

More detailed information by patient information system can be found in the database and summary view reports. 

One of the patient information systems had “Y21 Treatment during first contact” as the default result code for the assessment of the need for treatment. Because in a large number of entries, the health care professionals did not change the result code, that is, the cor-rectness of the result was not checked, it is estimated that up to 2.4 million service events not belonging to the monitoring of access to treatment were erroneously included in the reporting. The as-sessment was made by calculating the ratio of entries made using the Y21 result code in other patient information systems to all en-tries included in the monitoring of access to treatment. The error is exacerbated by the fact that the assessment of the need for treat-ment was mandatory in the patient information system in question, that is, the result code had to be considered in all cases. If the code was not actively changed, it was included as a service event belong-ing to the monitoring of access to treatment. 

The patient information system in question was the only system or the key system in the wellbeing services counties of Central Uusimaa, Southwest Finland, Pirkanmaa and North Savo. In these regions, the number of service events was too high by roughly 52%. 

In addition to the four regions mentioned above, the patient infor-mation system in question was also used in other wellbeing services counties as one of multiple systems. These included the wellbeing services counties of Western Uusimaa, Eastern Uusimaa, Lapland, etc. However, the proportion of erroneously recorded extra events was low compared to other treatment access data in the region.
In practice, the share of treatment access visits of all non-urgent service events in these regions was too high. For example, various preventive service events, service events in accordance with a treatment or rehabilitation plan or serial visits that were not part of the monitoring of access to treatment were incorrectly included in the service visits.

When the code “Y21 Treatment during first contact” is used, it means that the treatment is realised until completion on the same day as the assessment of the need for treatment is made, and the patient no longer needs to be booked an appointment to deal with the same matter. In this case, it can be assumed that additional ser-vice events would shorten waiting times for access to treatment in these regions. However, for most of these erroneous events, an ap-pointment was booked or treatment did not take place on the same day. There are 1.6 million such cases out of 2.4 million erroneous service events.

When examining the realisation of access to treatment in these re-gions, waiting times in all service forms and age groups are slightly below the average of wellbeing services counties. For example, 83% of first treatment events took place within 14 days in 2025. In the regions that used this problematic patient information system, the share was 77–84%. 

The error is concentrated in those under the age of 23, in which case in comparisons between wellbeing services counties, access to treatment in 14 days in these regions was 77–80%, compared to the national average of 82%. These erroneously recorded events, which do not belong to the monitoring of access to treatment, concentrate specifically on preventive services (maternity and child health clinics, school health care) and thus on those under the age of 23. They undergo a wide range of health examinations that would not be part of the monitoring of access to treatment.

When only looking at outpatient care in these four wellbeing services counties, waiting times for access to treatment are evenly distribut-ed among the other wellbeing services counties. The waiting times for outpatient care for those under the age of 23 in the comparison of wellbeing services counties are at or slightly below the average level, but not significantly different from other wellbeing services counties.

However, there were so many extra service events that it also has an impact at the national level. Service events estimated to be in-correct accounted for about 30% of all treatment access visits in the country. The number of service events reported was too high, and the share of treatment access visits of all non-urgent visits was too high by 15–20 percentage points. This played a role in the realisation of access to treatment at the national level in the age group of un-der 23 years of age and, in particular, in preventive services in this age group.
This error has been in the patient information system in question since late 2023. The wellbeing services counties have been repeat-edly informed of the error in collaboration meetings and the supplier of the patient information system since 2023, but the situation re-mained unchanged in the data for 2025. The information system supplier stated that it would correct the use of the code and esti-mated that the error would be eliminated in 2026. 

This patient information system which produced incorrect infor-mation is not used in oral health care, so there is no corresponding problem with that data.

Coverage of data on access to treatment

In 2025, more treatment access data was received in the Avohilmo register than ever before, a total of approximately 8.8 million. How-ever, it should be noted that a share of these data, an estimated 30%, was incorrect. Treatment access data were continuously devel-oped together with service arranger and patient information system suppliers.

However, the number of access data received from oral health care services decreased compared to the previous year. 

In particular, there were shortcomings in the information on the pa-tient achieving contact and further visits to a physician, dentist and specialist dentist as well as in some services. For example, many wellbeing services counties lacked information on access to treat-ment for mental health as well as substance use and addiction ser-vices.

There were significant regional and service-specific differences in the coverage of treatment access data in 2025, which may be due to the usability and up-to-dateness of the patient information system, recording and regional practices. The completeness and correctness of the treatment access monitoring data is primarily affected by the correct and uniform recording of data by health care professionals and the differences in patient information systems. Recording was found difficult due to multiple maximum times, measurement meth-ods and age groups, and a lot of questions emerged about it. The differences in the quality of recording between patient information systems were due to, for example, the up-to-dateness of the code set and the fact that they guide the user in very different ways.

The Sustainable Growth Programme for Finland (RRP) also included goals related to access to treatment in primary health care. The goal of investment 1 was that the seven-day time limit for access to treatment in non-urgent care visits would be 77% by the end of 2025. The realisation at the end of 2025 was 81%. The goal of in-vestment 3 was that the national up-to-date monitoring of the max-imum waiting time guarantee would be realised in all health centres by the end of 2025. The target was achieved when examined at the wellbeing services county level. 

More detailed information can be found in the database and sum-mary view reports.

Purchased services

The service arranger, that is, the wellbeing services county, Helsinki, FSHS or prisoner health care, is responsible for submitting the pur-chased service data to the Avohilmo register. There were difficulties in getting this information in the register and identifying it from the register data, for example, regarding service voucher visits.

According to the survey on access to treatment in primary health care concerning information between January 2025 and January 2026, conducted in early 2026, only prisoner health care had no pur-chased services. In oral health care, there were no purchased ser-vices in the wellbeing services counties of Kanta-Häme nor Vantaa and Kerava.

7 out of 24 respondents to the primary health care treatment access survey estimated that all visits carried out as purchased services and service vouchers in the region are included in the monthly treatment access reports published by THL as database reports. The number was the same as in the previous year’s survey. In oral health care, the corresponding figure was 8 out of 24 respondents, that is, the same as in the previous year’s survey. In other words, there were shortcomings in the availability of purchased services in most of the regions. The situation did not change compared to the preceding year, even though the guidelines were clarified and the matter was discussed in collaboration meetings. More information on the survey responses can be found in the appendices to this sta-tistical report.

Information on purchased services could be submitted to the Avo-hilmo register along with the public sector data. In that case, treat-ment access data was included in the reporting, but it was difficult or impossible to identify them from the data of the public service provider. 

It was possible to open a separate service provider ID (TOPI code) for the producer of completely outsourced operations. In that case, the service provider sent the information to Avohilmo itself, or it was submitted to the register along with the information submitted by the service organiser. They could be identified as outsourced ser-vices on the basis of the service provider’s ID. 

The third way to submit treatment access data to the Avohilmo reg-ister was that the purchased service provider sent the data along with its own data. In that case, the purchased service events had to be accompanied by the service organiser’s order information so that they could be separated from the service provider’s other events. Obtaining these or linking them to the assessment of the need for treatment performed in the public sector did not work as it should.
In 2026, getting data on purchased services into care notification registers will be developed.