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IT Brings the Danish Health Sector Together (Pdf) IT brings the Danish health sector together Danish Healthcare and IT Denmark, with 5.5 million inhabitants number of aspects that closely link I eHealth including telemedicine is and divided into five administrative IT to the provision of health and implemented in municipal, regional regions, has a predominantly public social care: and national collaboration. healthcare provision with 60 public and several small, private hospitals, I Homecare, nursing homes, 3500 primary care physicians, GPs, rehabilitation etc. are municipal Danish Health Sector I North Jutland Region and 250 pharmacies, not to mention tasks that integrate with the health- I Mid Jutland Region dentists, physiotherapists etc. care system, meaning patients 5.5 Mn. inhabitants I Region of Southern Denmark I Sealand Region can be discharged early from the 95% Citizens with access to I Capital Region of Denmark In addition to this, the Danish health- hospital. the Internet I Regional Municipality of Bornholm care sector is characterised by a I Broadband penetration is the 5.8 Mn. mobile phones highest in Europe and more than 95% of the population have access 60 Public hospitals with to the Internet. 21000 beds ■ I All healthcare institutions and >10 Small private hospitals Rønne GPs have access to both the open and the secured Danish Health Data 3500 GPs in 2100 clinics Regionerne: Network. All GPs have an electronic 811 Private Specialists ■ Nordjylland patient record system and use + 205 part time Aalborg Midtjylland Syddanmark electronic communication and trans- 250 Pharmacies Sjælland actions extensively. 2700 Dentists in 1650 clinics Hovedstaden I About 15 different electronic 1829 Psychotherapists in Bornholms patient record systems are inter- 580 clinics ■ Regionskommune Viborg operable in the GP sector and four 224 Chiropractors different homecare records are used 726 Psychologists in the municipalities. Through a ■ consensus process with vendors of 5 Regions Hillerød almost 100 systems, all patient 98 Municipalities ■ management systems for hospitals, 1 Private Health Vejle GPs, homecare and pharmacies have Insurance ■ incorporated the messaging system Sorø after special certification. I A unique personal identifier is issued to all Danish citizens at birth, and a software-based PKI digital signature is widely used, instead of the hardware-based chip card. 2 It couldn’t work without IT Over the last 20 years, IT communi- principle in the overall communi- In addition, videoconferences take cation has become indispensible to cation approach is that, as far as place and X-ray images, as well as the Danish healthcare services. Data possible, information must follow sound and moving pictures, are is stored digitally and the communi- the patient and not the other way exchanged and these underpin the cation of text, images and sound via around. cooperation between the specialists the Danish Health Data Network has involved. Citizens have access to become an integrated part of the The Danish healthcare services have both information and communica- cooperation between all groups in come a long way with this develop- tion with the entire healthcare ser- the health sector. It is impossible to ment. Overall, there has been signi- vice via the web portal, sundhed.dk, imagine daily life without it. ficant computerisation of the work and telemedicine solutions increa- tools used for record-keeping in singly enable patients to have direct The fundamental requirement is that hospitals and at GPs’ surgeries, for access to treatment and monitoring information must be available where example. Millions of messages – in their own homes. and when it is needed. It must be prescriptions, referrals, requisitions, communicated without error and laboratory reports, etc. – are com- There are still many IT solutions with a high level of data security municated via the Danish Health awaiting development, implementa- that ensures the confidentiality of Data Network every month. One of tion and distribution. The develop- personal data. the biggest current projects con- ment process never stops. We do cerns the Shared Medical Card, feel, however, that we are on the On this basis, IT solutions are devel- which gives all members of the right track and this view is con- oped and distributed to the entire Danish healthcare services on-line stantly supported by the everyday health sector and always with the access to an individual patient's experiences of eHealth in the citizen as the primary focus in terms status in terms of their medication. Danish healthcare sector. of the communication approach. The objective is for properly functioning communication to ensure that there for citizens is access to the best possible diagnosis, treatment and care using the most effective method and in a form that is as easy and accessible as possible. In practice, this means that those involved in the individual patient’s course of treatment must have access to all the relevant informa- tion. They must also be able to ob- Bertel Haarder Bent Hansen tain a second opinion from specia- Danish Minister of Interior and Health Chairman of the Association of Danish lists as required. Another basic Regions 3 Focus on the citizen The citizen is at the centre of the receives the best possible treatment organisation of eHealth in Denmark. from the health services. It is there- The aim is to make it easy for him or fore entirely appropriate to use her to communicate with the Danish the term “welfare technology and healthcare services and to obtain services” to refer to eHealth. information about health and ill- nesses. At the same time, it is a The two most important access stated goal that the communication routes to the Danish healthcare ser- between the parties involved in vices for citizens are their GP and the Danish healthcare services must the web portal, sundhed.dk. The be organised in such a way as to emergency department is of course ensure that the citizen always a third option, in the case of sudden illness or accident. nicate directly with the Danish The Danish Health Data Network The patient's GP healthcare services to a certain The Danish Health Data Network Every citizen has their own doctor, extent via sundhed.dk. or GP as they are known. He or she Citizen handles common health problems The citizen is in the picture and assesses on a case-by-case The internal communication of the basis whether they need to involve Danish healthcare services is based specialists in the treatment or to on the needs of citizens. For exam- refer the patient to a hospital. A ple, a citizen can collect his or her large proportion of GPs have their medicine from the pharmacy imme- GP sundhed.dk own website, where the citizen can diately after the GP has sent an Dentist Physio- make consultation appointments electronic prescription. Other exam- therapist and renew prescriptions, among ples are notifications of admission, other things. discharge letters and rehabilitation programmes which the hospital Chiropractor Psychologist Web-based information and sends to the municipal authorities. communication This ensures that the citizen The web portal, sundhed.dk, is the receives the correct follow-up access route to a great deal of promptly after hospital treatment. Municipality Hospital information on health, illness and Another example is patients, not the areas of the Danish healthcare least those who have chronic illness, X-ray Laboratory Pharmacy services. Here, citizens can find who are in direct contact with their information on classifications, treat- GP or hospital department via tele- ments, waiting lists, and much medicine solutions. more. It is also possible to commu- 4 sundhed.dk Citizens and healthcare professionals both searching for information via sundhed.dk sundhed.dk is the official Danish health information and to communi- general health information, book eHealth Portal for the public Danish cate with each other. appointments with their GP and healthcare services – the word renew prescriptions, as well as gain ‘sundhed’ means health in Danish. Two purposes and two profiles access to their own medication sundhed.dk has two purposes – the data, for instance. For the health- The Danish healthcare services are first is to support the national goals care professionals, sundhed.dk the joint public services of all the of the Danish healthcare services features include on-line services for Danish health authorities and provi- and the second is to communicate access to laboratory test results and ders and they are brought together the current activities of the Danish to data stored in electronic patient virtually at sundhed.dk. This makes healthcare services. records. it possible for patients, their fami- lies and healthcare professionals The portal features on-line services alike to access general and individual for the general public, who can find 5 Flow of electronic messages in the health sector Messages General sundhed.dk Hospital Municipality from and to... Practitioner Citizen On-line booking of Information and consultation communication appointments. between the On-line citizen and the consultations. Danish health- Prescription renewal care services sundhed.dk Information and communication between healthcare professionals Read the flowchart as follows, General Transfer of for example: Practitioner patient record Referrals. Request for prescription renewal Bookings Once the patient has been examined, the doctor sends an X-ray referral to the Imaging Diagnostic Department and receives an X-ray report in
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