![]() ![]() To our knowledge, there is at present no available record of digital decision support systems in general practice in Denmark. ĭigital solutions can be implemented into GP software systems as decision support systems to alert GPs of patients at high risk of disease, and aid GP decisions for referrals to diagnostic procedures or treatment initiation at specialists/the hospital. The gatekeeper role that GPs occupy in the Danish healthcare system makes general practice eligible for implementation of digital health interventions to improve the early detection of patients at risk of diseases in a Danish context. Further, digital consultations are available in general practice, and Denmark tops the list in an OECD comparison of European countries in eHealth adoptions, which overall suggests that the Danish general practice setting is quite mature in terms of digitization. ĭanish general practices are overall fully digitized, with patient records and clinical data communication between general practice, hospitals, and pharmacies fully computerized. Practices are usually fairly small, consisting of 2–3 GPs plus nurses and secretaries, serving 1500–1800 patients per GP. GPs are self-employed, and general practices are funded through contracts with public authorities. Access to care in the secondary healthcare sector is also free, providing that the patient received a referral from their GP, ands GPs are therefore usually the first point-of-contact to the healthcare system. Danish citizens have free access to a general practitioner (GP), who acts as a gatekeeper for referrals to specialist or hospital care, and 96% of Danes have contact with their GP over a three-year period. In this review, Denmark is used as an example country with universal healthcare coverage, as all citizens have access to needed medical services, which are primarily tax-funded. Digital health interventions can support healthcare providers in disease detection and prevention by providing prompts or alerts for patients at high risk of disease. Digital health covers a wide range of digital solutions such as telemedicine systems, decision support systems, patient apps, wearables and fitness trackers, etc. Implementation aspects should be reported more transparently in future publications to enable applicability of digital solutions as decision support to aid general practitioners in disease detection and management.ĭigital health interventions provide new approaches for utilizing health data in the prevention, diagnosis, and management of diseases. The review identified 13 digital solutions for decision support in general practice in a Danish healthcare setting aimed at detection and/or management of cancer, COPD, type 2 diabetes, depression, liver disease or multiple lifestyle-related diseases. 1.123 titles were identified through the database search and 240 titles were identified through the supplementary and snowball search. The review included 15 studies as key articles describing a total of 13 digital solutions for decision support in general practice in Denmark. The supplementary search was conducted in Infomedia and additionally included a snowball search in reference lists and citations of key articles identified in the database search. The primary search included a database search conducted in Embase and MEDLINE. This study was conducted as a rapid review. This review aimed to identify digital solutions developed for, tested, or implemented in general practice to support the decisions of GPs in disease detection and management, using Denmark as an example country of a universal healthcare setting. Digital health solutions hold the potential for supporting general practitioners in decision-making, and include telemedicine systems, decision support systems, patient apps, wearables, fitness trackers, etc.
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