When Telemedicine Does Deliver!: IT-Strategist, County Council of Uppsala. Eklund B. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

1. Benny Eklund
IT-Strategist, County Council of Uppsala

2. Experiences from Sweden
when patients get on line
access to the Medical Record

3. Milestones
• SUSTAINS Project started in 1997 (EU-funded)
• Getting the Electronic Health Records on line
for the Patient
• It initiated a long process in Sweden which led
to changing the legislation. New law since 1st
July 2008

4. Experiences after 6 years use at a
GP surgery
• Secure
• Easily implemented in General Practice
• Found usable by patient and doctor
• Improves quality of the EHR and the doctor-
patient relationship
• Empowers the patient
• The doctor Saves time

5. One
Example…

6. The Swedish Data Inspection Board

10. Possible services
• Mask sensitive data
• Track referrals
• Examine the EHR
• Change GP (when moving or similar)
• Book or rebook a consultation
• Pay a consultation fee
• Ask a question to the GP
• Fill out a Health Declaration Form
• Print out drug and lab result list before traveling abroad

11. Managing rights to access the
patient’s clinical information
• Providers now build up easy-to-access EHRs
for increased medical safety and provider
efficiency
• On the other hand patient must be offered
greater control who can access

12. Four possible patient statements
I want the widest
possible I want to open it I want to open
access! from home! it at the GP’s
surgery!
Keep it as it is!

13. Managing rights to access patients’
clinical information
• Self service
• The patient controls who has the right to access the
EHR
• Audit
• Patients check log by themselves

14. A major change of attitude among
health care providers?
• IKEA
• Shift of power from physicians to patients
• For healthcare providers the benefit is less
administration

15. Patient and doctor – Partners for
better Health Care