A Comparative Analysis: Telehealth Adoption and Digital Transformation in the Nordics vs. the Rest of Europe

Introduction

The Nordic region, particularly Sweden and Denmark, has established itself as a global leader in digital transformation across industries. Nowhere is this more evident than in the rapid adoption of telehealth and digital healthcare services. As healthcare leaders, digital strategists, and policymakers across Europe seek to benchmark their progress and learn from the Nordic model, it is essential to understand the unique drivers, barriers, and patient attitudes that have shaped the region’s success—and how these compare to other major European markets such as the UK, France, and Germany.

Telehealth Adoption: The Nordic Edge

Sweden and Denmark consistently outpace their European peers in telehealth adoption. Recent research shows that approximately a quarter of Swedes (25–29%) and Danes (21–22%) have used telehealth services, compared to much lower rates in the UK (15%), France (18%), and Germany (12%). Globally, the average stands at 27%—placing the Nordics at or above the international benchmark, and well ahead of most of Europe.

This leadership is not just about usage rates. Nordic patients are more likely to have had a healthcare visit—whether in-person or digital—within the past six months, and a majority of those who have used telehealth during the pandemic plan to continue doing so in the future (54% in both Sweden and Denmark). In contrast, intent to use telehealth post-pandemic is lower in the UK (24%) and Germany (23%), reflecting both cultural and systemic differences.

Patient Attitudes and Digital Healthcare Experiences

High Digital Trust and Expectations

Nordic consumers are characterized by high digital literacy, trust in digital services, and a strong preference for convenience. In Sweden and Denmark, patients expect seamless, user-friendly digital experiences—mirroring their expectations in banking and retail. This is reflected in the high satisfaction rates with digital channels and the willingness to manage healthcare needs online, from booking appointments to accessing medical records.

Patients in the Nordics are also more likely to demand a broader range of telehealth services, including follow-up appointments, prescription refills, specialist access, and mental health support. Notably, younger generations in Sweden are especially open to continued telehealth use, signaling a generational shift that will further accelerate digital healthcare adoption.

Barriers and Delays: A Different Profile

While concerns over COVID-19 exposure and appointment availability have driven delays in care across Europe, the Nordics report lower levels of cost-related barriers and lack of information compared to the global average. Only 10% of Swedes and Danes cite cost or lack of reimbursement information as a reason for delaying care, compared to 20% globally. Trust in telehealth and awareness of available services are also higher, reducing friction in the patient journey.

In contrast, the UK, France, and Germany face more pronounced barriers. In the UK, long wait times, limited telehealth options, and fragmented digital experiences are the most common reasons for delayed care. German patients report low telehealth adoption, with only 2% having seen a provider via telehealth in the past six months, and a strong attachment to in-person visits and established institutions.

Unique Drivers and Barriers in the Nordics

Drivers of Success

Barriers to Further Adoption

Lessons from the Nordic Model

What Can the Rest of Europe Learn?

  1. Leverage Digital Trust: Build on existing trust in healthcare institutions to introduce new digital services, emphasizing security, privacy, and patient control over data.
  2. Invest in Seamless, User-Centric Platforms: Prioritize intuitive, accessible digital tools for appointment booking, telehealth visits, and medical record access. Reduce friction and simplify navigation, drawing inspiration from digital banking and retail.
  3. Expand Service Offerings: Broaden the range of telehealth services to include follow-ups, prescription management, specialist consultations, and mental health support—areas where Nordic patients express strong demand.
  4. Personalize the Patient Journey: Use data (with consent) to deliver tailored communications, reminders, and recommendations. Personalization is a proven driver of satisfaction and engagement.
  5. Bridge Digital and Physical Care: Integrate digital and in-person touchpoints to create a true omnichannel experience, enabling patients to move seamlessly between online and offline care.
  6. Address Generational and Accessibility Needs: Design inclusive solutions for all age groups and abilities, providing support for those less comfortable with technology.

Actionable Recommendations for Healthcare Providers and Policymakers

Conclusion: The Nordic Blueprint for Digital Health Transformation

Sweden and Denmark offer a compelling blueprint for digital health transformation—one built on high digital trust, convenience, and patient-centric innovation. Their experience demonstrates that when healthcare systems invest in seamless, personalized, and integrated digital journeys, both adoption and satisfaction rise. For healthcare leaders across Europe, the path forward is clear: blend the best of digital and physical care, relentlessly innovate to meet evolving expectations, and put the patient at the center of every digital initiative.

Publicis Sapient partners with healthcare organizations across Europe to design and implement transformative digital health solutions. By learning from the Nordic model and adapting its lessons to local contexts, providers and policymakers can accelerate their own digital transformation journeys—and deliver better health outcomes for all.