Integrated health and social care with the citizens perspective in focus is on the run in all Nordic countries. Healthcare and care are offered in people’s homes out of their own needs. Although there are challenges in organizing integrated services due to silo-thinking and different areas of responsibility. Digitalisation and remote service solutions are important prerequi­sites for maintaining the quality of the Nordic welfare model. In addition, digital service models are a necessary first step to create efficient integrated healthcare and care.
Integrated healthcare and social care services will mitigate the challenges of an ageing population, lack of manpower and not at least, create more wellbeing for less or at least the same amount of money. The Nordic project Integrated Healthcare and Care through distance spanning solutions (iHAC) is working to make healthcare and social care more accessible to citizen through distance spanning solutions and service integration.
The iHAC project is one of several activities in the Nordic Vision 2030’s action plan and contributes to the Nordic Council of Ministers’ goal of being the most sustainable and integrated region in the world by 2030. Whilst the former project, Healthcare and care throughout distance spanning solutions (VOPD) focused on the implementation of service, this report presents examples of different ways of organizing cross-sectoral collaboration to achieve integrated digital health and social service provisions.
In this publication, you can read about how five different regions have organized integrated healthcare and care, what they have in common, and what differs. To help the reader observe and understand these similarities and differences, a theoretical framework on governance is presented, written by The Norwegian Centre for E-health Research. The governance framework has been found useful when looking at the complexity that characterizes the organization and adoption of integrated e-health and distance-spanning social care solutions.
The Nordic Welfare Centre would parti­cularly like to thank the participants in the iHAC project’s working group, their project partner Centre for Rural Medicine – Region Västerbotten, The Norwegian Centre for E-health Research, as well as the organizations in each country that have contributed with descriptions of their regions.
Eva Franzén, Director
Bengt Andersson, Senior adviser