The national implementation of 'Proactive Health Support' in Denmark since 2017: Expectations and challenges for the telephone-based self-management program.

Autor: Fredens M; DEFACTUM - Public Health & Health Services Research, Aarhus, Denmark. Electronic address: mia.fredens@rm.dk., Terkildsen MD; DEFACTUM - Public Health & Health Services Research, Aarhus, Denmark., Bollerup S; DEFACTUM - Public Health & Health Services Research, Aarhus, Denmark., Albæk J; Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Denmark., Nissen NK; DEFACTUM - Public Health & Health Services Research, Aarhus, Denmark., Winther S; Clinical Nursing Research Unit, Aalborg University Hospital, Denmark., Grønkjær M; Clinical Nursing Research Unit, Aalborg University Hospital, Denmark; Department of Clinical Medicine, Aalborg University, Denmark., Rasmussen MK; Centre for Innovative Medical Technologies, Odense University Hospital, Denmark., Benthien KS; Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Denmark., Toft U; Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Denmark., Hjarnaa L; Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Denmark., Rasmussen K; Production, Research and Innovation, Region Zealand, Sorø, Denmark., Nielsen CP; DEFACTUM - Public Health & Health Services Research, Aarhus, Denmark.
Jazyk: angličtina
Zdroj: Health policy (Amsterdam, Netherlands) [Health Policy] 2020 Jul; Vol. 124 (7), pp. 674-678. Date of Electronic Publication: 2020 May 23.
DOI: 10.1016/j.healthpol.2020.05.014
Abstrakt: In Denmark, as in many other Western countries, a small group of people are major hospital users and account for a large proportion of health care spending. Proactive Health Support (PaHS) is the first national Danish program that aims to reduce health care consumption targeting people at risk of becoming major users of health services. PaHS was part of the government's The sooner-the better national health policy, which includes a focus on policy programs targeting the weakest and most complex chronic patients at risk of high health care consumption. PaHS is a telephone-based self-management support program that uses a prediction model to identify people at high risk of acute hospital admissions. Reducing preventable hospital admissions and enhancing quality of life are central policy goals. The Danish policy was inspired by a Swedish policy program, and PaHS has been implemented based on policy transfer with political expectations that the Swedish results can be replicated in Denmark. The effects of PaHS are currently under study, and time will show whether expectations can be met. This paper discusses institutional conditions and expectations related to replicating a policy program and its outcomes. In addition, it highlights implementation issues that may affect the success of the policy program.
Competing Interests: Declaration of Competing Interest None declared.
(Copyright © 2020 The Author(s). Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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