Integrated care: a Danish perspective

Rudkjøbing, Andreas; Olejaz, Maria; Birk, Hans Okkels; Nielsen, Annegrete Juul; Hernández-Quevedo, Cristina; Krasnik, Allan

doi:10.1136/bmj.e4451

Cited by 29 publications

(32 citation statements)

References 5 publications

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“…The reform also led to an increase in the centralization of healthcare services [30]. The rationale behind this was that by creating larger regions, a larger number of inhabitants and patients per region could be captured, thereby resulting in the better coordination and quality of care delivery services.…”

Section: Governance Model and Recent Changesmentioning

confidence: 98%

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Governance structures impact on eHealth

Kierkegaard

2015

Health Policy and Technology

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Section: Governance Model and Recent Changesmentioning

confidence: 98%

“…Although text-based message exchange is prevalent among primary care physicians, overall health information exchange in Denmark is still problematic and clinicians are unable to access all the necessary clinical information [30]. In particular, interoperability between hospital EHRs is a major cause of concern.…”

Section: Health Information Exchangementioning

confidence: 99%

Governance structures impact on eHealth

Kierkegaard

2015

Health Policy and Technology

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“…Coordination of care and the strengthening of primary care in this process has been a central policy goal for several decades, but was reinforced by some of the initiatives of a major public sector reform in 2007 and this policy is a direct offshoot of those ideas [12,28]. The policy is also considered an experiment to test whether new forms of paying for chronic care might be more appropriate [27].…”

Section: Policy Backgroundmentioning

confidence: 99%

“…GPs are gate-keepers to secondary and tertiary care that mostly takes place in hospitals and at privatepractising specialists [28]. The Danish health system, like most Western health systems, is grappling with the dual challenges of strengthening public health initiatives to prevent disease and providing care to a growing number of patients with chronic disease and comorbidity [12,28]. Several initiatives have been implemented to strengthen GPs' position as case managers and coordinators of care [12] and more structured approaches to case management for chronic care is one of the main aims of the new payment policy.…”

Section: General Practice In Denmarkmentioning

confidence: 99%

Evaluation of a policy to strengthen case management and quality of diabetes care in general practice in Denmark

Rudkjøbing¹,

Vrangbæk²,

Birk³

et al. 2015

Health Policy

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“…This study explores cancer rehabilitation in Denmark which is a rather small country with a total of 5.6 million inhabitants. Politically and administratively, Denmark is divided into three levels each involved in the planning and delivery of healthcare services: the state, 5 regions and 98 municipalities 21. The Danish cancer management programme published in 2012 outlines the overall integrated and coordinated organisation of cancer rehabilitation which has to be implemented by 2013 22.…”

Section: Introductionmentioning

confidence: 99%

Readiness for cancer rehabilitation in Denmark: protocol for a cross-sectional mixed methods study

2013

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IntroductionRehabilitation is a key element in most cancer care policies in recognition of the often unmet physical, psychological and social needs among the rising numbers of patients with cancer. A systematic assessment of patients’ needs and available rehabilitation services constitute the foundation for timely, comprehensive and coordinated cancer rehabilitation. This study aims to provide insight into the current organisation and practice of cancer rehabilitation in Denmark with special emphasis placed on the assessment of patients’ needs and availability of services across the cancer treatment trajectory.Methods and analysisA cross-sectional design using a mixed methods approach will be used in order to analyse the readiness for cancer rehabilitation in different sectors and from differing perspectives. Substudy 1 consists of an electronic survey among the 98 Danish municipalities and focuses on the availability and use of cancer rehabilitation services for patients with all types of cancers. In substudy 2, a survey among the 19 surgical and 12 oncological departments involved in colorectal cancer treatment in Denmark is conducted in order to describe the current clinical practice regarding the assessment of rehabilitation needs and referral to services. Substudy 3 involves a retrospective clinical audit and semistructured interviews at four randomly selected surgical and oncological departments treating colorectal patients with cancer in order to elucidate current needs assessment practices.Ethics and disseminationThe study was approved by the Danish Data Protection Agency and will be conducted in accordance with the principles of the Helsinki Declaration Representatives from municipalities and clinical practice are engaged in the design and execution of the study in order to ensure the usefulness of survey instruments, reflexive interpretation of data and transfer of implications into practice.ResultsPublished in international peer-reviewed scientific journals and presented at conferences, seminars and as short reports.

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Integrated care: a Danish perspective

Cited by 29 publications

References 5 publications

Governance structures impact on eHealth

Governance structures impact on eHealth

Evaluation of a policy to strengthen case management and quality of diabetes care in general practice in Denmark

Readiness for cancer rehabilitation in Denmark: protocol for a cross-sectional mixed methods study

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