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

Author

Listed:
  • Fredens, Mia
  • Terkildsen, Morten Deleuran
  • Bollerup, Stina
  • Albæk, Jens
  • Nissen, Nina Konstantin
  • Winther, Susanne
  • Grønkjær, Mette
  • Rasmussen, Maja Kjær
  • Benthien, Kirstine Skov
  • Toft, Ulla
  • Hjarnaa, Louise
  • Rasmussen, Knud
  • Nielsen, Camilla Palmhøj

Abstract

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.

Suggested Citation

  • Fredens, Mia & Terkildsen, Morten Deleuran & Bollerup, Stina & Albæk, Jens & Nissen, Nina Konstantin & Winther, Susanne & Grønkjær, Mette & Rasmussen, Maja Kjær & Benthien, Kirstine Skov & Toft, Ulla , 2020. "The national implementation of 'Proactive Health Support' in Denmark since 2017: Expectations and challenges for the telephone-based self-management program," Health Policy, Elsevier, vol. 124(7), pages 674-678.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:7:p:674-678
    DOI: 10.1016/j.healthpol.2020.05.014
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    References listed on IDEAS

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    1. Sara J T Guilcher & Susan E Bronskill & Jun Guan & Walter P Wodchis, 2016. "Who Are the High-Cost Users? A Method for Person-Centred Attribution of Health Care Spending," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-15, March.
    2. David Benson & Andrew Jordan, 2011. "What Have We Learned from Policy Transfer Research? Dolowitz and Marsh Revisited," Political Studies Review, Political Studies Association, vol. 9(3), pages 366-378, September.
    3. Jonathan Stokes & Maria Panagioti & Rahul Alam & Kath Checkland & Sudeh Cheraghi-Sohi & Peter Bower, 2015. "Effectiveness of Case Management for 'At Risk' Patients in Primary Care: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-42, July.
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