1. eHealth strategies and
solutions in Sweden
Jonas Ekström, MD
Medical director of Västmanlands hospital Sala
Object owner of EMR systems in the County of Västmanland

2. • Healthcare system in Sweden
• eHealth in Sweden 2014
• The National eHealth strategy
• What have come out of the strategy?
-some examples of solutions
• eHealth in Sweden in the future

3. Healthcare in Sweden
• 9.6 million citizens
• 21 counties / regions responsible for
healthcare
• The counties range between 60,000
– 1.2 million citizens
• The county has taxation rights,
usually 10-11%
• Healthcare is either produced by the
county itself or purchased from
private providers

4. eHealth in Sweden 2014
• All hospitals and primary care centers use EMR
(electronic medical records)
• Six major EMR systems are currently used in Sweden
• Many counties have selected one EMR-suite, making
patient information sharing easy within the county
• Private providers typically use the EMR of the county
where they are active

5. A National eHealth strategy
• Cooperation between Ministry of Health and other
national authorities, county/regional org., and private
care provider org.
• #1 2005 focus on security solutions, frameworks, new
legislation, and standards.
• #2 2010 focus on deployment, use, and benefit of the
technology, rather than its development.

6. The eHealth strategy

7. What have come out of the
strategy?
• National Healthcare staff eID – registry services
• National ePrescription service
• 1177.se – The Care Guide
• ”My Care” – single point access for patient e-services
• ”National Patient Overview”
• ”My Chart online”
• Electronic referral service

8. 1177.se The Care Guide
• A national phone number and website for questions and
guidance about symptoms, diseases, and healthcare.
• Decision support for nurses giving advice on the phone.
• Information available in different languages.

13. ”My Care”
• Common web solution for patients to access all eHealth
services with secure login
• Providers specify eHealth services available (varies
between providers)
• Popular services are: schedule/reschedule an
appointment or send a question to your doctor

22. National Patient Overview
• All care providers publish patient information to the
National Patient Overview
• Healthcare staff can access the information if the patient
consent
• Each provider decides which information they want to
publish—not a complete picture
• Not so much used—shared EMR systems in the
counties/regions reduces the need

25. eHealth in Sweden in the future
• Further development of MyCare (example: forms that
feed into the providers’ EMR)
• Development of a national database for medication that
EMRs can sync their list of medication to
• Launch of ”personal health accounts”, a state service
where the citizen can store information about his/her
health from different sources and give access to this
information to third party providers
(e.g. ”apps”).

26. Links
• www.nationellehalsa.se
for more information on the eHealth strategy
• www.1177.se
”The Care guide”
• www.halsaformig.se
for more information about the development of personal
health accounts