Word: denmark
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...Denmark has several inherent advantages that have aided in the early adoption of electronic health records, according to Kenneth Ahrensberg of SDSD, the Danish government body responsible for the development of electronic health records. It is a small country (population: 5 million) with an IT-savvy citizenry. Trust in the federal government is high. Most helpfully, the country's healthcare is run by the public sector. When the country's health service established a National Patient Registry in 1977 - a system that required doctors to file patient visit details to the government health service in order to be reimbursed...
...advanced though it may be, Denmark's transition to digital records has not been seamless. After the government decided to move away from paper records in 1999, a team of officials came up with a new coding system that required doctors to insert all information and notes in alpha-numerical form. The system was never implemented and eventually abandoned in 2006 after many physicians and nurses complained. Now, instead of one over-arching system, record keeping utilizes various compatible systems, linking networks established by regional health agencies. "What we found is that EHR adoption must be done by evolution rather...
...Denmark has a centralized computer database to which 98% of primary care physicians, all hospital physicians and all pharmacists now have access. Danish residents can gain access to their own records through a secure website. The website alerts the patient by email if a doctor, pharmacist or nurse views their records, and allows patients to make appointments, set end-of-life wishes, and even email their doctor for advice on illnesses that do not require an office visit. While basic records go back to 1977, a detailed history is available of all "patient contacts" since...
...These systems and others in Denmark are attracting attention from healthcare reform advocates in the United States. A recent study by the nonprofit Commonwealth Fund rated the country's healthcare IT systems as the most efficient in the world, with computerized record keeping saving Danish physicians an average 50 minutes a day of administrative work. "That's essential for our doctors," says Jeff Harris of the American College of Physicians, who points out that U.S. family physicians have the highest administration costs in the developed world and "are already under strain from all the paperwork required to run an office...
...When TIME visited Copenhagen in March, the EHR evolution was evidently still in progress, with the latest phase focusing on the roll out of telemedicine programs. In the past year, Denmark has piloted two home monitoring programs for patients with diabetes and patients on blood thinning medication - groups that are at high risk of expensive emergency hospitalization. For diabetics, specially trained nurses make home visits to patients with diabetic foot ulcers - which often become infected and lead to amputations. Over a secure video link, the doctor and nurse discuss the ulcers and decide a course of treatment. For patients...