KSDialogue EHealth Website

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KS-DialogueE-Health Website

• Maj-Len Sundin
• CEO
• Karolinska Hospital
• Stockholm, Sweden

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Swedish Interactive E-Health Web-site

• Added value by broader access to our expertise
• Global access no matter location in the world
• Important in the sense of patient knowledge and
  well being
• High degree of interaction between patients and
  specialist

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Case Study 1KS-Dialogue

• Traveller in Cambodia
• Receives bite from horse through an accident
• Risk of rabies
• Internet provides quick access to specialist
• Correct answer provided with regard to the case

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KS-DialogueKey Features

• Cross scientific
• High degree of involvement from several medical
  disciplines
• Two sided open and concealed
• The design allows both open and concealed
  questions
• Interactive as dialogues are supervised by
  specialists

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KS-DialogueKey Advantages

• Decline of routine unnecessary calls
  consultations
• Right patient at right treatment level
• Improved efficacy selectivity
  
  
  
  

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KS-Dialogue

• Start in May 2002
• Open part visited by 34/month browsing 200
  pages
• The 11 Medical Disciplines involved received 5,5
  questions
• of which 2 were answered
• KS-Dialogue is today a permanent and integrated
  part of the Hospitals Web-sites

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EU e-healthQuality Criteria for Health Websites

• 
  KS DIALOG
• Transparency and Honesty
  
  provider
  ok
  
  commercial purposes
  ?
  funding
  
  ok
  
• Authority
  
  sources
  ok
  
  credentials
  ok
• Privacy
  
  privacy,security and confidentiality
  ok
• Currency
  ok
• Accountability
  ok
• Accessability
  ok

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Case Study 23KS-Dialogue

• KS Dermatologist diagnoses rare genetic disease
  in a juvenile female patient
• Such question was posed by a concerned relative
  and selected by the supervising specialist
• Mail from a desperate juvenile asking for
  additional information about cancer, as such
  information was not provided in hospital where a
  relative was treated

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KS-DialogueExperience so far

• Bridges the communication problems between
  patients and doctors
• More questions are posed through the blinded
  section compared with face to face meetings
• Doctors gets enhanced opportunity to serve and
  treat patients in a better way
• Health providers learn a lot about what kinds of
  information the patient are looking for
• The patients becomes more involved and can follow
  disease progression well informed

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KS-DialogueCurrent Development

• Extension from initial eleven medical disciplines
  to involve all
• Initial usage of KS-Dialogue as a tool for
  discharged patients from hospital
• New features like cryptograms have been launched
  to serve long term patients
• Cross interaction with patient organizations and
  KS-Health Forum
• New potential markets of service to insurance
  Companies and their clients

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In line with KS Vision

• To be patient/consumer focused
• To empower patients
• To be good listeners
• To understand patient needs
• An educated patient is a better patient

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KS-DialogueSuccess Factors

• Meeting the expectations
• Improving the way that we provide information
• Effective use of the Internet and the Web

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BCG Survey in Germany Sweden

• Vast majority, 78 wants to use e-health
  web-sites
• for own and relatives purposes
• Desire for secure sites
• High credibility and trust in University Hospital
  Sites

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E-Health SitesKS-Dialogue

• Similar experience from Norway
• 45 willing to use internet interactively in
  contacts with the doctors
• 30 willing to change doctor to be able to
  contact E-Doctor
• Swedish National Board of Health estimates that
  64 of people between 16-64 had easy access to
  Internet
• Including the access at work the number rises to
  80
• 50 of population have been visiting e-health
  related sites

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KS-DialogueKey Benefits

• Additional opportunities of dialogue establishing
  relevant care level
• Better understanding between health care
  disciplines and the treated patient
• New opportunities for clinicians to establish
  effective dialogue with patients securing
  relevant health care
• Improve of KSs services
• Demonstrate core competences at Karolinska and to
  market the competence
• Closer interaction between the primary care
  organizations by availability and advice

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KS-DialogueKey Benefits cont.

• Effective tool of marketing for Karolinska at a
  global level
• Efficacy improvement
• Improved patient inflow selection and direction
• Enable patient to early make a choice at the
  point of entry
• Decrease unnecessary consultations and identify
  the need at care level
• Reduce the distance between the doctors and
  patients
• Better preparation of the patient prior to the
  hospital care
• Facilitate post operative and post discharge
  communication with patients

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Funding aspectsKS-Dialogue

• RoI insufficient as a measuring tool, may work
  contrarily
• Health Economics is an important tool to measure
  E-Health
• Long term investment approach
• Patient well being is a key objective, but
  difficult to measure

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KS-DialogueAn educated patient is a better
patient

• The physical contact with the patient can never
  be replaced
• The Internet is here to stay
• KS in the fore front of this development
• Proud to be that early in this development
• The message from me is clear start early move
  fast!
• M-L Sundin,
• CEO
• Karolinska Hospital
• S-17176 Stockholm
• www.KS.se
• Sweden