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Empowering patients to need less care and do better in Highland Hospital, South Sweden


Overall, the outcomes can be summarised as better access to information and treatment for all patients, high quality care for those patients in need of immediate treatment, lower morbidity for patients with flare-ups in their disease, satisfied and secure patients and satisfied staff, and lower use of health care system resources. In many ways, these outcomes were unplanned – the original intentions were essentially to treat patients more in line with our values and give them a greater role in their care, while also reducing the waiting lists. We believed that we could achieve these things while maintaining the quality of patients’ care. In practice, quality has improved considerably, a much better result than we expected.    Moreover, we have seen a substantial improvement in adherence to recommended drug regimes: 68% of patients with total ulcerative colitis have taken out from the pharmacy more than 70% of their prescribed dose, and for left-sided colitis the figure is 58%. These rates of adherence are considerably higher than those found in other investigations, where the adherence rates are as low as 30 – 50%.


About this case study
Main Contact

Dr. Jörgen Tholstrup
Chief Medical Officer
Highland District County Hospital
Eksjö, Sweden


Dr. Jörgen Tholstrup provided Governance International  with this case study on 30 March 2010. The case study was updated in June 2014.

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