64 research outputs found

    THL sairaanhoitopiirien tukena : Raportti sairaanhoitopiirikierrokselta 2010

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    Half of the Finnish population accessed their own data: comprehensive access to personal health information online is a corner-stone of digital revolution in Finnish health and social care : Englanti

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    In Finland, the implementation of the national Kanta services’ second phase was carried out step by step from May 2010 to December 2017. My Kanta Pages, launched in 2010, is an online service where citizens can browse their own health information recorded in the Prescription Centre and the Patient Data Repository regardless of whether the healthcare services they had used were public or private. It is the patient accessible national electronic health records in Finland (PAEHR). The study objective was to investigate the use of the national PAEHR by using indicator data from 2010 to 2018. Cumulatively 2.8 million (M) persons (51% of the Finnish population, and 63% of the adults at least 18 year old) had accessed the PAEHR 23.2M times (49.2M sign-ins) by 31 December 2018. Altogether, 6.0M e-prescription renewal request were sent to healthcare via the PAEHR by 31 December 2018. Patient Data Management Service was implemented as part of the Patient Data Repository. By 31 December 2018, the Patient Data Management Service had records of 6.3M information notices, 3.3M consents and 93,732 refusals (consent restrictions). In addition, the Patient Data Management Service had records of 467,055 organ donation testaments and 93,484 living wills. Half of the Finnish population in general, and two out of three adults had used the national PAEHR by 31 December 2018. Since nine years after its launch, the adults’ use of the Finnish national PAEHR is still increasing and is approaching 50% annual use.In Finland, the implementation of the national Kanta services’ second phase was carried out step by step from May 2010 to December 2017. My Kanta Pages, launched in 2010, is an online service where citizens can browse their own health information recorded in the Prescription Centre and the Patient Data Repository regardless of whether the healthcare services they had used were public or private. It is the patient accessible national electronic health records in Finland (PAEHR). The study objective was to investigate the use of the national PAEHR by using indicator data from 2010 to 2018. Cumulatively 2.8 million (M) persons (51% of the Finnish population, and 63% of the adults at least 18 year old) had accessed the PAEHR 23.2M times (49.2M sign-ins) by 31 December 2018. Altogether, 6.0M e-prescription renewal request were sent to healthcare via the PAEHR by 31 December 2018. Patient Data Management Service was implemented as part of the Patient Data Repository. By 31 December 2018, the Patient Data Management Service had records of 6.3M information notices, 3.3M consents and 93,732 refusals (consent restrictions). In addition, the Patient Data Management Service had records of 467,055 organ donation testaments and 93,484 living wills. Half of the Finnish population in general, and two out of three adults had used the national PAEHR by 31 December 2018. Since nine years after its launch, the adults’ use of the Finnish national PAEHR is still increasing and is approaching 50% annual use

    Reaching for Precision Healthcare in Finland via Use of Genomic Data

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    Concerns over future healthcare capacity along with continuing demands for sustainability call for novel solutions to improve citizens' health and wellbeing through effective prevention and improved diagnosis and treatment. Part of the solution to tackle the challenge could be making the most of the exploitation of genomic data in personalized risk assessment, creating new opportunities for data-driven precision prevention and public health. Presently, the utilization of genomic data in the Finnish healthcare system is limited to a few medical specialty areas. To successfully extend the use of genomic information in everyday healthcare, evidence-based and feasible strategies are needed. The national actions that Finland is taking towards this goal are 1) providing scientific evidence for the utility of genomic information for healthcare purposes; 2) evaluating the potential health-economic impact of implementing precision healthcare in Finland; 3) developing a relevant legal framework and infrastructures for the utilization of genomic information; 4) building a national multidisciplinary expert network bringing together relevant professionals and initiatives to achieve consensus among the different stakeholders on specific issues vital for translating genomic data into precision healthcare; 5) building competence and genomic literacy skills among various target groups; and 6) public engagement (informing and educating the public). Taken together, these actions will enable building a roadmap towards the expedient application of genomic data in Finnish healthcare and promoting the health of our citizens.Peer reviewe

    Valtakunnallinen sosiaali- ja terveydenhuollon laitospaikkaselvitys

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    THL on koonnut yksiin kansiin ajankohtaisen ja kokonaisvaltaisen tiedon sosiaalija terveydenhuollon laitospaikoista. Selvitys on tehty aikana, jolloin lainsäädäntöä ja palvelujärjestelmää ollaan uudistamassa tai sitä on osittain jo uudistettu. Selvitys antaa pohjatietoa sekä alue- että valtakunnan tason suunnitteluun ja päätöksentekoon. Selvityksessä esitetään tietoa sairaalakapasiteetin käytöstä, ikääntyneiden laitoshoidosta ja sitä lähellä olevista asumispalveluista, vammaisten henkilöiden laitoshoidosta, lastensuojelun sekä päihdehuollon asiakkaiden julkisin varoin kustannetusta asumisesta. Sairaansijojen käyttöä ja käyttäjiä on tarkasteltu sairaalatyypeittäin, diagnooseittain, hoitojaksojen pituuksittain sekä ikäryhmittäin. Suomessa on tällä hetkellä n. 330 kunnallista, joko kuntien yksin tai kuntayhtymien omistuksessa olevaa sairaalaa, joissa hoidettiin vuonna 2013 noin 730 000 potilasta yli 1,2 miljoonalla hoitojaksolla. Päivittäin on käytössä noin 26 500 laskennallista laitospaikkaa. Neljännes kaikista sairaansijoista käytetään alle viikon mittaisissa jaksoissa. Kaikkien sairaaloiden sairaansijoista noin kolmannes on pitkäaikaispotilailla. Kaikista hoitopäivistä 75 vuotta täyttäneet käyttävät puolet. Suuri osa pitkäaikaishoidon potilaista ei ollut tarvettaan parhaiten vastaavassa hoitopaikassa. Väestön vanhetessa on tärkeä saada ajankohtaista tietoa, missä ikääntyneitä hoidetaan. Sosiaalihuollossa siirrytään laitoksista kohti kodinomaisempia asumismuotoja. Siirtymävaiheessa terminologia ei ole vielä vakiintunut laitosmaisen hoidon ja hoivan tai eritavoin tuettujen kodinomaisten asumismuotojen välille
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