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Swedish Vision
for eHealth 2025
Erika Ericsson, Coordinator, Vision for e-health 2025
Agenda
2
• Challenges and opportunities
• Vision for eHealth 2025
• An overview of national eServices
available for patients and health
care professionals
Vision for eHealth 2025
In 2025, Sweden will be the best in the world
at using the opportunities offered by
digitisation and eHealth to make it easier for
people to achieve good and equal health
and welfare, and to develop and strengthen
their own resources for increased
independence and participation in the life of
society.
The need for welfare will increasePercentage changes in different age groups in ten years compared to today:
4
WORKING
AGE
How will we cope?
Extended
working lifeTechnology
6 out of 10 feel positive about
using digital technology for
care, consultation and treatment
6 out of 10 feel
positive about
getting care at
home with the
help of digital
technology
Access to internet at homePercentage of the population of different age groups, 2010-2018
Structural changes in Swedish health care
In the last years we have seen:
• development from inpatient care to outpatient care and from hospital care
to home care
• increased opportunities for patients to choose their provider
• Increased number of private providers, both online and physical clinics
Virtual Care/
Online
Consultations
Health and social care in Sweden
– a shared responsibility
10
• Establishes principles
and guidelines
• Sets the political agenda
for health and welfare
• Responsible for care of the elderly
in their homes or in special
accommodation
• Responsible for care for people
with physical disabilities and
psychological disorders.
• Responsible for
healthcare services
Central Government 21 County Councils 290 Municipalities
▪ Tax-financed and decentralised
▪ 21 county councils/regions finance almost all health
care and also provide most of the services
▪ Covers all residents – few have an additional private
health care insurance
▪ Reimbursement systems for paying the providers
▪ The share of private providers with public financing
varies significantly between different county
councils/regions
The Swedish health care system
National IT strategy for
health and social careNational eHealth Strategy Joint vision and action plan
for eHealth
2005 2010 2016 2017
eHealth is a long-term commitment
Vision for eHealth 2025
13
In 2025, Sweden will be the best in the world
at using the opportunities offered by
digitisation and eHealth to make it easier for
people to achieve good and equal health and
welfare, and to develop and strengthen their
own resources for increased independence
and participation in the life of society.
Consistent terminologyEnables information exchange
through the use of uniform terms
and structures
Legal frameworkIf regulations need to be changed,
the need for privacy and security
needs must be ensured
StandardsEnables systems to share
information in a secure way
Strategic areas for action
Steering and collaboration - the Government and the County Councils and Municipalities
govern and interact
Purpose:
> Strengthen collaborative efforts so
that the actors don’t just work well on
their own, but contribute to the joint
vision.
> Provide a joint arena for governance,
co-operation, coordination and follow-
up of activities in the action plan.
> Contribute to consensus on goals and
priorities.
Steering group National council
Drafting groupCoordination office
Political high-level
Legal framework Standards Consistent terminology Follow-up/Trend analysis
Governance – Vision for eHealth 2025
Three target groups for the vision
> Individual: User, Client, Patient or Family• easily accessible and quality assured information
• access to documentation
• personalized service
> Employees in social services and health care• well-functioning and collaborative electronic decision support
• necessary and structured information available
> Decision-makers in social services and healthcare• effective follow-up tools
• current and comprehensive decision-making for management
Health Care Portals Personal eServices
ePrescriptions
Medical Records Online
ePrescriptions: 99.9 %
> Increased quality
> Increased patient safety
> Increased citizen service
> Time savings
> Cost savings
> Better knowledge/data
1177.se – national healthcare portal
> Thousands of articles about
health care, diseases,
symptoms, medicines and
treatments
> Pictures, videos, graphics
> 10 000 anonymous questions
answered by doctors each
year
> Price winning several times
12 million
visits a
month
Health support and treatments online
Treatments for:
> Depression
> Anxiety
> Phobias
> Insomnia
> Neuropsychiatric disabilities
> Rehabilitation
> Addictions
> Support for parents and families
> Advice for lifestyle changes
> …
Personal e-services
A national platform for all personal e-services
> Personal health advice
> Book an appointment
> Renewing prescriptions
> Ordering home-tests
> List of your medicines
> Test results
> Manage services for your
children
> and much more…
4 million
visits a
month
Medical records online
> All regions have made medical records
accessible online for citizens
> Providing records from clinics with personal
information on diagnosis, treatments,
immunizations, medications, test results,
health care contacts, referrals …
> A common goal on making all records in
Sweden available in 2020
2 million
users
An integration platform connects the EHRs
Systems of health
care providers
Standardised information
management
Applications
EHR EHR EHR EHR EHR EHR EHR
National service platform (Inera)
IneraCambioTieto
Inera
Diagnos Vaccination Tests Drugs Warnings
National Medication List
Devices for home
monitoring/self-care
Future health care
information systems
