Journal of Medical Systems

, 37:9991 | Cite as

eHealth in Denmark: A Case Study

  • Patrick KierkegaardEmail author
Original Paper


Denmark is widely regarded as a leading country in terms of eHealth integration and healthcare delivery services. The push for eHealth adoption over that past 20 years in the Danish health sector has led to the deployment of multiple eHealth technologies. However, in reality the Danish healthcare suffers from eHealth system fragmentation which has led to eHealth’s inability to reach full potential in delivering quality healthcare service. This paper will presents a case study of the current state of eHealth in the Danish healthcare system and discuss the current challenges the country is facing today.


Denmark eHealth Electronic medical records Healthcare Fragmentation 


Conflict of interest

The author declares that there is no conflict of interests.


This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.


  1. 1.
    Bhanoo SN (2010) Denmark Leads the Way in Digital Care. The New York TimesGoogle Scholar
  2. 2.
    Harrell E (2009) In Denmark’s Electronic Health Records Program, a Lesson for the U.S. - TIME. TIME Magazine. Time Inc.,Google Scholar
  3. 3.
    Economist (2011) Future-proofing western Europe’s healthcare. A study of five countries. Economist Intelligence UnitGoogle Scholar
  4. 4.
    Dobrev A, Haesner M, Hüsing T, Korte WB, Meyer I (2008) Benchmarking ICT use among General Practitioners in Europe. European Commission, Information Society and Media Directorate-GeneralGoogle Scholar
  5. 5.
    van der Zee, J., and Kroneman, M. W., Bismarck or Beveridge: a beauty contest between dinosaurs. BMC health services research 7:94, 2007. doi: 10.1186/1472-6963-7-94.CrossRefGoogle Scholar
  6. 6.
    Strandberg-Larsen M, Krasnik A (2008) Does a public single payer system deliver integrated services? A national survey study among professional stakeholders in Denmark, vol 8. 2008, vol 5. Igitur,Google Scholar
  7. 7.
    Olejaz, M., Nielsen, A. J., Rudkjøbing, A., Birk, H. O., Krasnik, A., and Hernández-Quevedo, C., Denmark: Health System Review. Health Systems in Transition 14(2):1–192, 2012.Google Scholar
  8. 8.
    laegemiddelstyrelsen (2012) Danish healthcare sector at a glance. Danish Health and Medicines Authority. Accessed 10 Oct. 2012
  9. 9.
    Protti D, Johansen I (2010) Widespread Adoption of Information Technology in Primary Care Physician Offices in Denmark: A Case Study. The Commonwealth FundGoogle Scholar
  10. 10.
    MedCom (2013) Lægesystemer i Danmark. Accessed Sep 19 2013
  11. 11.
    OECD Health Data 2012 (2012) Accessed 15 November 2012
  12. 12.
    RSI (2010) Udviklingen i regionale epj-landskaber 2007–2010 (trans: Sundheds-it RR). RSI: Regionernes Sundheds-it, vol RSI: Regionernes Sundheds-it. NextPuzzle ApS, CopenhagenGoogle Scholar
  13. 13.
    MedCom (2013) Sygehus-epj-systemer. Accessed Sep. 19 2013
  14. 14.
    Rigsrevisionen, Elektroniske patientjournaler på sygehusene. Rigsrevisionen, Copenhagen, 2011.Google Scholar
  15. 15.
    MedCom (2012) PLO-XML-/FNUX-format. Accessed 20-Sep 2013
  16. 16.
    Medcom (2013) MedCom Messages per Month. MedCom. Accessed 20 Sep 2013
  17. 17.
    Electronic Health Records: A Global Perspective. A Work Product of the HIMSS Enterprise Systems Steering Committee and the Global Enterprise Task Force. (2008). Healthcare Information and Management Systems Society (HIMSS).Google Scholar
  18. 18.
    Det digitale samfund 2010 (2010). IT- og Telestyrelsen,Google Scholar
  19. 19.
    RSI (2011) Telemedicinstrategi.Google Scholar
  20. 20.
    Rudkjøbing A, Olejaz M, Birk HO, Nielsen AJ, Hernández-Quevedo C, Krasnik A (2012) Integrated care: a Danish perspective. BMJ 345. doi: 10.1136/bmj.e4451
  21. 21.
    Boysen, M., Hospitalslæger har svært ved at håndtere recept-server. Dagens Medicin 02(11):2010, 2010.Google Scholar
  22. 22.
    Beskrivelse af GEPJ—på begrebsniveau (2004). National Board of Health,Google Scholar
  23. 23.
    Aanestad, M., and Jensen, T. B., Building nation-wide information infrastructures in healthcare through modular implementation strategies. The Journal of Strategic Information Systems 20(2):161–176, 2011. doi: 10.1016/j.jsis.2011.03.006.CrossRefGoogle Scholar
  24. 24.
    Nationalt Patientindeks. (2012) National Sundheds-it. Accessed 19 Sep. 2012
  25. 25.
    National-Sundheds-it (2012) What initiatives have we launched? National Sundheds-it. Accessed 19 Sep. 2012
  26. 26.
    Lund, S. R., Staten ramt af ny it-fadæse. Kommunen 19(05):2013, 2013.Google Scholar
  27. 27.
    Jyllands-Posten, Livsfarligt rod i patienters journaler. Jyllands-Posten, 5(Dec.), 2010.Google Scholar
  28. 28.
    Drevsfeldt S (2010) Kroniske patienter mangler oplysning og indlægges oftere., 3. August 2010,Google Scholar
  29. 29.
    Smith, P., Araya-Guerra, R., Bublitz, C., Parnes, B., Dickinson, L., Vorst, R. V., Westfall, J., and Pace, W., Missing clinical information during primary care visits. JAMA 293(5):565–571, 2005. doi: 10.1001/jama.293.5.565.CrossRefGoogle Scholar
  30. 30.
    Elder, N. C., and Hickner, J., Missing clinical information: The system is down. JAMA 293(5):617–619, 2005. doi: 10.1001/jama.293.5.617.CrossRefGoogle Scholar
  31. 31.
    Christiansen, M., and Nøhr, C., Undersøgelse af klinisk anvendelse af sundheds-it-systemer 2011 (trans: Informatics VCfH). Aalborg Universitet, Aalborg, 2012.Google Scholar
  32. 32.
    Region-Syddanmark (2012) Strategi og arkitektur for Effektiv Systemadgang. Region SyddanmarkGoogle Scholar
  33. 33.
    Stanton, J. M., Stam, K. R., Mastrangelo, P., and Jolton, J., Analysis of end user security behaviors. Computers & Security 24(2):124–133, 2005. doi: 10.1016/j.cose.2004.07.001.CrossRefGoogle Scholar
  34. 34.
    Vu, K.-P. L., Proctor, R. W., Bhargav-Spantzel, A., Tai, B.-L., Cook, J., and Eugene Schultz, E., Improving password security and memorability to protect personal and organizational information. International Journal of Human-Computer Studies 65(8):744–757, 2007. doi: 10.1016/j.ijhcs.2007.03.007.CrossRefGoogle Scholar
  35. 35.
    Adams, A., and Sasse, M. A., Users are not the enemy. Commun ACM 42(12):40–46, 1999. doi: 10.1145/322796.322806.CrossRefGoogle Scholar
  36. 36.
    Datatilsynet (2011) Datatilsynets Årsberetning. .Google Scholar
  37. 37.
    Prosa (2008) It-kirkegården. Accessed 1 May 2013
  38. 38.
    Robertson A, Cresswell K, Takian A, Petrakaki D, Crowe S, Cornford T, Barber N, Avery A, Fernando B, Jacklin A, Prescott R, Klecun E, Paton J, Lichtner V, Quinn C, Ali M, Morrison Z, Jani Y, Waring J, Marsden K, Sheikh A (2010) Implementation and adoption of nationwide electronic health records in secondary care in England: qualitative analysis of interim results from a prospective national evaluation. BMJ 341. doi: 10.1136/bmj.c4564
  39. 39.
    Campbell D (2011) NHS told to abandon delayed IT project. The Guardian, Thursday 22 September 2011Google Scholar
  40. 40.
    Dismantling the NHS National Programme for IT. (2011) Department of Health. Accessed 12 Oct 2012
  41. 41.
    Cresswell, K. M., Robertson, A., and Sheikh, A., Lessons learned from England’s national electronic health record implementation: implications for the international community. Paper presented at the Proceedings of the 2nd ACM SIGHIT International Health Informatics Symposium, Miami, 2012.Google Scholar
  42. 42.
    Coiera, E., Building a National Health IT System from the middle out. J Am Med Inform Assoc 16(3):271–273, 2009. doi: 10.1197/jamia.M3183.CrossRefGoogle Scholar
  43. 43.
    National Electronic Health Record (NEHR) (2011). Ministry of Health: SingaporeGoogle Scholar
  44. 44.
    Sundhedsstyrelsen, Aktivitet på Private Sygehuse 2006–2010. Sundhedsstyrelsen, Copenhagen, 2011.Google Scholar
  45. 45.
    Den private sygehussektor i tal. En faktuel rapport om den private sygehussektor udarbejdet på baggrund af en spørgeskemaundersøgelse sommeren 2010 (2010). Brancheforeningen for Privathospitaler og Klinikker., CopenhagenGoogle Scholar
  46. 46.
    Olesen, F., Hansen, R. P., and Vedsted, P., Delay in diagnosis: the experience in Denmark. British journal of cancer 101(Suppl 2):S5–8, 2009. doi: 10.1038/sj.bjc.6605383.CrossRefGoogle Scholar
  47. 47.
    Hansen, R., Vedsted, P., Sokolowski, I., Sondergaard, J., and Olesen, F., Time intervals from first symptom to treatment of cancer: a cohort study of 2,212 newly diagnosed cancer patients. BMC health services research 11(1):284, 2011.CrossRefGoogle Scholar
  48. 48.
    Vedsted, P., and Olesen, F., Are the serious problems in cancer survival partly rooted in gatekeeper principles? An ecologic study. British Journal of General Practice 61(589):e508–e512, 2011. doi: 10.3399/bjgp11X588484.CrossRefGoogle Scholar
  49. 49.
    Jyllands-Posten (2010) Politikere: Journalerne er blevet svigtet. Jyllands Posten, 05.12.10Google Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Computer ScienceUniversity of CopenhagenKøbenhavn SDenmark

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