A study was designed to develop e-health knowledge in Finland, and create quantitative evidence of the benefits of e-health for productivity in the health-care process. First, a literature review was conducted. Then a multiple case study methodology was employed. This involves an interview study and a quantitative analysis of process data in order to understand the primary care processes concerning diabetes. Based on the results from the literature review, e-health has the potential to provide evidence-based, interactive tools to empower patient self-management, enhance practice/provider efficiency and work flow, and improve patient-provider communication. The effects of e-health in chronic disease management seem to be positive. Research is needed in order to evaluate the most efficient methods of handling routine communication and basic care online. We believe that e-health based services will offer effective ways of managing chronic diseases in future.
In western countries, the so-called demographic time bomb, that is, the ageing of the baby-boom generation, has become one of the most challenging issues. Although it has become almost clichéd in health care planning, its effects are being felt rather acutely in reality. The situation in Finland, as in many other western countries, is compounded by the fact that as demand for elderly care is increasing, the service systems are suffering from severe labor and tax funding shortages. In fact, population in Finland is aging faster than any other OECD country (Antolin, Oxley, & Suyker, 2001). Elderly care centers have difficulties in hiring qualified professional staff. Nursing staff are also burdened by heavy workloads. The situation will worsen by time as the number of elderly people in our population increases further, leading to increased strain on health care resources. The present service structure is not going to be able to respond to this demand. Yet health care funding, which depends on public financing, will decrease as the number of taxpayers declines due to the aging of our workforce. “Elderly dependence ratio,” a key demographic indicator, will approximately double over the next two decades (Eurostat, 2005).
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