Finnish Health Care in Brief

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Finnish Health Care in Brief

• 5.2 million Finns
• Public services provided by municipalities (gt
  400)
• Primary Care
• 200 HC stations
• GPs 11488 inhabitants
• Secondary Care
• 90 public hospitals
• Health 7,3 of GNP
• Private sector 20
• Pharmacy system

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Well-Being Services in Chronic Diseases

• Kari Harno, M.D. Ph.D.
• Helsinki University Central Hospital
• Hospital District of Helsinki and Uusimaa

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Age standardised death rates (age 0-49) in the
USA and selected industrialised countries (WHO
mortality data)
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The Nordic Welfare Model

• In Finland this model comprises
• universal coverage of services and equity to
  access
• this universal social security scheme includes
• health insurance with partial compensation
• for drugs and
• private health care services
• insurance for unemployment
• funding of services by taxation
• 91 tax based

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The Growth of Chronic Care Impact
Data from Harvard Public School of Health's
project on the global burden of disease
Growth in chronic diseases will continue to put
increased pressure on ALL healthcare systems,
worldwide.
Source WSJ WALDHOLZ ON HEALTH By MICHAEL
WALDHOLZ November 20, 2002
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Major Forces Influencing Health Care

• 40 of the population have one or more chronic
  conditions
• Chronic conditions account for more than two
  thirds of health care expenditures
• 80/20 Rule Limited number of conditions account
  for most of these health care expenditures

Percent of People over 70 Years of Age with
Selected Chronic Conditions
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Were Simply Not Getting the Job Done
Catherine Cowie, Researcher at the National
Institute of Diabetes and Digestive and Kidney
Diseases
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Responding to the challenge ideas from Europe

• The shifting balance of care and potential
  solutions
• growing opportunities for early intervention
• National Service Framework in UK and DEHKO in
  Finland
• changing balance between hospitals and
  alternative settings for care
• primary care teams and nurse-led clinics
• enhanced community support
• balance between professional and patient
  involvement in care is changing
• the informed patient and the potential of ICT
• developing a workforce to respond to the changing
  healthcare

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Whats Next?

• Allowing components of electronic health records
  to be the basis for improved care coordination
  and management across a continuum of care
  delivery sites
• The creation of real time, web-based personal
  health records that can be shared between
  patients and other members of their care team
  including doctors, nurses, pharmacists, and even
  family members
• Linkage to micro-chip enabled physiologic
  monitoring devices that can provide real time
  objective data as the basis for improved
  therapies

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Regional Health Network for continuum of care

• Link Directory System
• decentralized Health Care Records (legacy
  systems)
• are integrated with directory system
• points to all of the patients encounter records
  in various systems
• Healthcare Process Organizer Module

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Health Care Unbound Linking the EHR to the PHR
Personal Health Record
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Impact of a Personal Health Management System
Obesity
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Summary

• The delivery of healthcare is becoming
  increasingly complex
• as aging populations have multiple chronic
  disorders
• The way in which healthcare is provided must
  change
• to meet the challenge of complexity
• New ways of working include service integration
• between hospital, primary and social care and
  changing skillmix.
• Tax funded systems may find it easier to
  implement necessary changes

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