HealthTech Counsil

AGENDA–The Danish Health Care System–The eHealth Portal–Dilemmas of privacy, security and

efficiency–The Future

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THE DANISH HEALTH CARE SYSTEM• Public health care (85 % of costs are financed through

taxes) • Free access to most health services for all Danish

citizens• A homogenous health care system

NATIONAL: Legislation

REGIONAL: 5 Regions; 80 Hospitals and more

LOCAL: 98 Municipalities

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STEP BY STEP:1992: Health Data Network established1994: MedCom established to standardize messages2001: The regions involve the national government in the

establishment of a National eHealth Portal2003: the eHealth Portal (sundhed.dk) is launched2004: the eHealth Portal supports log-on, and displays personal

information2008: Patient-to-patient dialogue introduced on sundhed.dk2009: the eHealth Portal improves performance by updating

platform using .net2010: All regions make EHR’s available using the same standard2012: 3rd iteration of eHealth Portal launched

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OVERALL GOAL

• To set free the resources of the individual!

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THE PORTAL• was launched in 2003

• was relaunched on a new platform 2009 and again i 2012

• target audience = Citizens as well as Health Professionals across sectors

• integrates data from 110 (existing) sources

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SERVICES FOR PATIENTS

Directory of names and addresses

•Contact information

•E-services in the contact with the GP (booking, prescription renewal, consultation)

•Comparison of prices, quality and accessibilty

•Information about prevention, treatment and coping

Medical information (eg. information about treatments)

•Waiting list information from hospitals

•Preventive medicine

•Health laws and regulations

•Complete cross-sectoral list of health and prevention programs offered by municipalities or hospitals.

•Medical patient handbook with 3000 articles and 2000 illustrations

•Patient to patient dialogue in online patient networks

•Test yourself

2012

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SERVICES FOR PATIENTS (CONT.)

• Online Electronic Health Record (EHR) from hospitals• Cross-sectorial personal electronic medicine profile• List of contacts with public hospitals (since 1977)• List of all publically subsidized contacts in primary health sector

(since 2003)• Online Organ Donor Registration• Online Living Will • ’My log’ (lets the patient see which health professionals have

accessed their personal data)• My health at a glance• Some services to patients with diabetes or in AC therapy

2012

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FOR HEALTH PROFESSIONALSPatient data:•Online Electronic Health Record from hospitals•Cross-sectorial personal electronic medicine profile•Web access to laboratory data•Treatment feedback and benchmarking data regarding current patients with diabetes etc.

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PUBLIC ACCEPTANCE

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TYPES OF VIEWS

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WHAT ARE THE EFFECTS?

• A well prepared patient• A patient who feels co-responsible • Avoided complications• Increased cooperation between sectors

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SAFE ACCESS

2004: First national log-on solution prepared for citizens and health professionals

2010: 2nd generation security solution for citizens (shared with netbanking solutions)

2012: 2nd generation security solution for health professionals

All access by health professionals is logged, and log information regarding a patient is avialable to that patient.

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DILEMMAS• Access without consent?• Access for support functions to doctors?• Transparency for patients vs. time to convey

critical information• Time out?• Too many log ons in hospitals?• Bringing the services to smartphones and

iPads?

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THE FUTURE - ON THE DRAWING BOARDsundhed.dk plans to:

– Improve the EHR (incl. data from GP’s)– Improve Quality-rating information regarding

hospitals – Enable citizens to comment on their own data– Enable citizens to invite relatives to take part in the

flow of shared data.

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