Finland's digital care pathways revolution – Why call it a revolution?

Authors

• Jaana Kotila Helsinki University Hospital, Digital services
• Minna Rauhala Helsinki University Hospital, Digital services

DOI:

https://doi.org/10.23996/fjhw.177215

Keywords:

care pathway, patient care, digital technology, telemedicine

Abstract

Evidence indicates that digital care pathways (DCPs) are more effective at improving patient outcomes than traditional methods. Personalized approaches and comprehensive content play key roles in supporting long‑term success and adherence. Likewise, pathways specifically designed for individuals with chronic pain have been shown to reduce pain‑related anxiety and catastrophic thinking patterns. Remote access to services helps conserve healthcare resources, yet user acceptability remains essential for the success of digital health solutions. While DCPs can reach broader populations with fewer resources, cost savings are not guaranteed and depend on leadership‑driven process changes.

Studies on Tonsillectomy, Multiple Sclerosis, and Sleep Apnea pathways highlight the importance of analyzing service delivery and patient flow. While satisfaction with these DCPs is high, synchronous services remain necessary, indicating untapped potential. DCPs facilitate new modes of information exchange, offering structured educational content, and enabling professionals to understand patients’ home environments better. They also contribute to informed consent processes, as demonstrated by the kidney donation study, and require a combination of clinical and digital competence.

Patient–professional interaction is reshaped by increased patient-centeredness and empowerment. Digital literacy enhances engagement in decision-making and supports participatory care. The competence and proactive attitude of healthcare professionals are essential for successful implementation, yet a lack of organizational support may hinder their ability to guide patients. DCPs have increased patient involvement and altered professional roles, freeing more time for meaningful interaction. However, disparities persist, particularly among elderly patients and those with limited digital skills. Ensuring equitable access to and effective use of DCPs requires attention to professional competencies and inclusive design. Overall, the findings support the effectiveness of Omapolku DCPs while highlighting areas for further development and integration. Additional research is needed to strengthen the evidence base and optimize implementation.