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

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


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.

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År 2020
Udgiver Health Policy