title: Integrated regional services: are working process changes desirable and achievable?
abstract: In the hospital district of Helsinki and Uusimaa, 32 municipalities with one or more health centres provide primary care to their residents. Legal and organizational barriers between primary care and hospital care impede the continuity of patient care. Integrating primary and secondary care with the aid of information technology may facilitate a virtual electronic patient record, in which the viewing of images and other patient data is possible regardless of the organization that produced them. For example, in one trial, diabetic patients sent their home blood glucose measurements by modem to their health centre. Preliminary observations suggest that they could increase their glucose testing largely because they were able to transmit the results to the database and receive teleconsultations. Also, a picture archiving and communication system (PACS) has been in operation in two clinics of the Helsinki University Central Hospital for over two years and seven hospitals had become filmless by the end of 2001. A regional PACS is planned to be completed by the year 2004.
authors.affiliation: Department of Medicine, Hospital District of Helsinki and Uusimaa, Helsinki University Central Hospital, Helsinki, Finland.
authors.forename: Kari
authors.initials: K
authors.lastname: Harno
authors.forename: Carola
authors.initials: C
authors.lastname: Grönhagen-Riska
authors.forename: Hanna
authors.initials: H
authors.lastname: Pohjonen
authors.forename: Jaakko
authors.initials: J
authors.lastname: Kinnunen
authors.forename: Martti
authors.initials: M
authors.lastname: Kekomäki