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GUIDE TO THE PATIENT’s JOURNEY [The word “sundhed” is Danish for “health”] SUNDHED.DK The Danish portal for healthcare Denmark’s eHealth model Sundhed.dk About NNIT is one of the most ad- vanced in the world. • The portal registers more NNIT is a leading IT service than 300,000 unique visits provider. We offer world-class Healthcare professionals, a month – a very high IT consulting and services for public authorities and number in a population of regulated industries including citizens are connected in 5.4 million people life sciences and the public electronic networks, and sector. NNIT collaborates with • Flexible and cost-effective the citizens have online healthcare organisations to development platform access to their medical help them put patients at the featuring opportunities data. heart of their operations and for further development help them become high- A great part of this is facili- • Robust and highly performing businesses. tated at www.sundhed.dk automated architecture which is the Danish Na- able to aggregate and Call Vice President Public tional eHealth Portal. present the information Jan Kold at +45 30753933 or within a response time Anette Quist at +45 30790476 NNIT is proud to have built of .2 seconds to learn more about how we the portal and contributed can help you digitalise health- • Digital Signature to the digitalisation of care and welfare. secure log in healthcare. • Built from the ground up using Microsoft.net www.nnit.com [The word “sundhed” is page 3 Danish for “health”] GUIDE TO THE SUNDHED.DK PATIENT’S JOURNEY The Danish EDITOR IN CHIEF In this publication we welcome you to follow us on a patient’s journey Erik Rasmussen through the health care system. Just as you may see during eHealth portal for Week in Copenhagen, a patient’s journey should be well-connected, es- EDITORIAL TEAM pecially considering the situation today when all too often patients are Marion Hannerup, asking for more coherent treatment. Kalle Jørgensen and By participating in eHealth Week and reading this publication, you Jens Reiermann will gain new insights into how health care can be built up around a patient’s needs. healthcare GRAPHIC DESIGN At every step of the patient’s journey we examine and present how e- Marie Brodersen and Health, whether it is delivered through IT or telemedicine, can make the Hanne Falkenberg journey less burdensome for and at the same time empower the patients. ADVERTISING Denmark’s eHealth model Sundhed.dk About NNIT But before you embark on the journey, we invite you to browse through Sidsel Bogh Section 1 and discover or re-discover basic facts about the challenges to is one of the most ad- be addressed. At the end of the section you will find a survey presenting vanced in the world. • The portal registers more NNIT is a leading IT service TRANSLATION AND care managers’ views. They believe they will be able to deliver a better, than 300,000 unique visits provider. We offer world-class PROOFREADING more tailored service through telemedicine. And a cheaper one too. Healthcare professionals, a month – a very high IT consulting and services for Sandra Kirley and In Section 2, you will find patients’, professionals’ and professors’ public authorities and number in a population of regulated industries including Rachel Payne perspectives on how health care can be modelled around patients’ citizens are connected in 5.4 million people life sciences and the public needs. Denmark is one of three European countries where the foun- electronic networks, and sector. NNIT collaborates with PRINTING • Flexible and cost-effective dation of a new health care system based on networked e-Health has the citizens have online healthcare organisations to Rosendahls been established. development platform access to their medical help them put patients at the But if this magnificent journey is to become standard procedure in featuring opportunities data. heart of their operations and ISBN: 978-87-90275-47-1 health care, it takes much more than the technologies themselves. In for further development help them become high- COPYRIGHT © 2012 Section 3 you will see examples and how-to-do guides for addressing A great part of this is facili- • Robust and highly performing businesses. challenges on the way from an institutionalised health care to a system tated at www.sundhed.dk automated architecture built around the needs of a single citizen. If the new system is a success, which is the Danish Na- able to aggregate and Call Vice President Public the results will be intriguing. tional eHealth Portal. present the information Jan Kold at +45 30753933 or within a response time Anette Quist at +45 30790476 On behalf of the Monday Morning team I hope you will enjoy some NNIT is proud to have built of .2 seconds to learn more about how we inspiring days in Copenhagen and, with the help of this publication, we hope that this inspiration will last and that innovation will begin. the portal and contributed can help you digitalise health- • Digital Signature to the digitalisation of care and welfare. secure log in healthcare. Sincerely • Built from the ground up using Microsoft.net Jens Reiermann Health Editor www.nnit.com GUIDE TO THE PATIENT’S JOURNEY GUIDE TO THE PATIENT’S JOURNEY CONTENT 1 THE FUTURE OF HEALTH: FACTS, ANALYSIS, SURVEY HEALTHCARE – NOT DOCTORs – IN DEMAND Citizens are living longer and expecting better care. In 2025, one out of ten citizens will be a diabetic – a telling example of the evolution of chronic diseases. Economists predict the result will be a severe fiscal headache. But care leaders are looking on the bright side: Savings are spurring innovation and treatment will improve by utilising hitherto untapped resources from patients. 10 ECONOMIST: CITIZENS EXPECT BETTER FUTURE OF HEALTH CARE SPROUTS UP CARE – COSTS ARE SOARING THE PATIENT’S JOURNEY 12 SWOT ANALYSIS OF HEALTH CARE FROM HOME TO HOME 4 CHRONIC DISEASES – Further treatment of chronically ill patients is anchored in FACTS AND DEVELOPMENT networks and not in institutions. Danish investment of billions 14 COPD in health care reduces number of hospital beds and implies a 16 Diabetes substantial rise in the use of telemedicine. IT and technology a 18 Cancer 2prerequisite for the ongoing transformation. Empowered citizens 24 Cardiovascular Diseases will be the new partners in connected healthcare. 15 THE HERITAGE FROM HIppOCRATES AND 26 LISTEN TO YOUR BODY ANCIENT GREECE Chronic disease reduces citizens’ “healthy years”. They should pay more attention to signals from their bodies, 20 SURVEY: SAVINGS IMPROVES SERVICES preferably as early as possible. This will lengthen their lives. Telehealth can kick-start this development. 23 PHRASEBOOK: TRANSLATION BETWEEN TRADITIONAL HEALTH CARE AND EHEALTH 28 PATIENTS LOVE THEIR DIGITAL DOCTOR Upsurge in e-mail consultations. Even the elderly and less educated e-mail their doctor. Doctors and patients share data during consultations. 32 i-BOARDS FREE TIME TO PATIENTS Large interactive screens at hospitals give better a per- spective, reduce stress and free health care professionals from paperwork so they can care for patients. 36 NEW HOSPITALS BUILTFOR PATIENTS “Man First” is the philosophy behind the new superhos- pital in Odense. Architects and health care professionals collaborate on design and functionality. page 5 38 EHEALTH - EMPOWERMENT OF PATIENTS Older patients with chronic diseases are key figures in a historical transformation of the health sector’s services. 38 Technology and a close network between hospitals, community care and general practitioners are crucial Ehealth - factors for success. But patients say the pace of transfor- mation needs to step up. Empowerment of 44 PIONEERS OF TELEMEDICINE Only Denmark, England and Scotland have main- Patients streamed telehealth. Political leadership and involve- ment of stakeholders are behind this success. The next step will be to link the commercial market to the latest requirements in health care. 44 50 HEALTH ON YOUR MOBILE Mobile services enable patients to manage their disease. Pioneers of Experts believe it will save the patient from GP visits and hospital admissions. Telemedicine 54 GAMING FOR BETTER HEALTH Training is healthy, it makes you sweat – but is a bit dull. A simple computer game could change this for patients. 50 56 IT - A CORE BUSINESS IN HEALTH SERVICE Digital communication is standard in the Danish health Health on service. Hospitals, municipalities and general practi- tioners have now implemented tools to share data and Your Mobile knowledge about patients. The next step is to enable patients to write in their own patient notes. GUIDE TO THE PATIENT’S JOURNEY GUIDE TO THE PATIENT’S JOURNEY CONTENT 3 TRANSFORMATION OF HEALTH. CHALLENGES AND PROSPECTS CHANGE BEGINS BETWEEN THE EARS Minister for Health and Prevention expects the quality of treatment for patients to increase. She urges companies and public institu- tions to cooperate in order to meet the demands of e-Health. A breakdown of borders between institutions is a beginning, and an inclusion of all stakeholders a must if changes are to be realised. Stakeholders have to accept new roles to help execute these changes. 60 MINISTER PAVES THE WAY FOR e-HEALTH The future health service puts the patient first. Such is 66 the vision of Danish Minister for Health and Preven- tion, Astrid Krag. She hopes that companies will help with development and create a new growth area for Nurses Teaching Danish industry. Patients 62 MANAGEMENT SPURS TRANSFORMATION Lessons from pilots: Management should support renewal and avoid old habits and routines to reduce the potential of new technology. 68 64 FAREWELL FLORENCE NIGHTINGALE New technology challenges traditional roles for nurses Health and other care staff. They choose to work with people, not technologies. Technology 66 NURSES TEACHING PATIENTS Nurses and doctors must be able to speak the patient’s Challenges language if they are to teach chronically ill patients how to change their lifestyles.
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