scholarly journals Tieto valinnanvapauden edellytyksenä

Kuntoutus ◽  
2021 ◽  
Vol 40 (2) ◽  
pp. 5-18
Author(s):  
Anna-Marie Paavonen ◽  
Jenna Mäkinen ◽  
Anna-Liisa Salminen
Keyword(s):  
Health Care ◽  
Service Providers ◽  
Patient Choice ◽  
Public Health Care ◽  
Rehabilitation Services ◽  
Youth Work ◽  
Youth Workers ◽  
Research Assistant ◽  
Marketing Campaign ◽  
Available Information

Asiakkaan valinnanvapauden lisääminen on osa suomalaisen sosiaali- ja terveyspalvelujärjestelmän uudistamista. Valinnanvapauden toteutumisen edellytyksenä on, että asiakkailla on tietoa valittavina olevista palveluista ja että he kykenevät käyttämään tietoa valintojen tekemiseen. Nuoret tuntevat kuntoutuspalvelut huonosti, vaikka heillä olisi tarvetta niille. Tässä tutkimuksessa tarkastellaan Kelan vuosina 2015–2016 toteuttamaa nuorten kuntoutuspalveluiden viestintäkampanjaa (Mikä Kunto?), jonka tarkoituksena oli lisätä nuorten ja nuorten kanssa työskentelevien tietämystä Kelan järjestämistä kuntoutuspalveluista. Tulosten avulla pohditaan, millainen on tiedon merkitys valinnanvapauden edellytyksenä nuorten kuntoutuspalveluissa. Tutkimuksen aineisto kerättiin keväällä 2016 puhelinhaastatteluna ja internetkyselyin. Tutkimuksen informantteina ovat viestintäkampanjan kohderyhmänä olleet 16–30-vuotiaat nuoret (n = 584), kuntoutuksen palveluntuottajat (n = 19), etsivät nuorisotyöntekijät (n = 102) ja Kelan palveluneuvojat, jotka vastaavat kuntoutuksen palvelunumeroon (n = 49). Informanteilta kysyttiin, ovatko he huomanneet kampanjan ja onko kampanja vaikuttanut nuorten yhteydenottojen määrään ammattilaisiin kuntoutusasioissa. Lisäksi tarkasteltiin kampanjasivuston kävijämääriä. Enemmistö kuntoutuksen palveluntuottajista ja Kelan palveluneuvojista oli huomannut kampanjan. Sen sijaan puolet etsivistä nuorisotyöntekijöistä ja kolme prosenttia nuorista muisti kampanjan. Ammattilaisten mukaan nuoret olivat olleet vain vähän yhteydessä heihin kampanjan vaikutuksesta. Kampanjasivuston markkinointi näkyi sivuston kävijämäärissä. Viestintäkampanjan sijaan nuorten ohjautumista kuntoutuspalveluihin saattaisi olla parempi edistää tarjoamalla henkilökohtaista neuvontaa kuntoutuksesta mahdollisesti hyötyville nuorille. Jos tarjolla ei ole tukea palveluista saatavilla olevan tiedon hyödyntämiseen, nuoret saattavat jäädä palveluiden ulkopuolelle, jolloin palveluntuottajan valinnasta tulee toissijainen kysymys. AbstractInformation as a precondition for patient choice. How a marketing campaign succeeded to add knowledge on youth rehabilitation services?Authors:Anna-Marie Paavonen, M.Soc.Sci, Research assistant, Research at KelaJenna Mäkinen, M.Soc.Sci, Research assistant, Research at KelaAnna-Liisa Salminen, PhD, Docent, Head of Research Team, Research at Kela One precondition for patient choice in the public health care system is that comparative information on service providers is available. If patient choice is to improve the quality of health care patients should be able to use the available information appropriately. Finnish studies have shown that the youth is poorly informed about the vocational and mental health rehabilitation services. This study examines the effects of a marketing campaign (Mikä Kunto?) which aimed to raise youth awareness of rehabilitation services. The campaign was carried out by the Social Insurance Institution of Finland (Kela) in 2015–2016. The results are utilized to discuss the role of information as a precondition for patient choice in the youth rehabilitation services. The data was collected using a telephone interview and online questionnaires. The informants were young people aged 16–30 years (n = 584), rehabilitation providers (n = 19), youth workers in outreach youth work (n = 102) and Kela employees responsible for the rehabilitation phone services (n = 49). Informants’ awareness of the campaign was measured and the number of contacts by the youth with the latter informants in matters of rehabilitation. The analysis is complemented with the information on the number of visitors to the campaign website. A majority of the rehabilitation providers and Kela employees had noticed the campaign. In contrast, three percent of the youth and half of the youth workers in outreach youth work had noted it. The campaign affected only little the number of contacts by youth in matters of rehabilitation. Marketing of the campaign was shown in the number of visitors to the campaign website.Instead of a marketing campaign it could be more efficient to increase rehabilitation take-up by providing personal counselling to the youth in detecting rehabilitation need and in case management. If support for the use of available information is not offered the youth may not get the services they need and the possibility to choose the service provider becomes an irrelevant question. Key words: patient choice, information, rehabilitation, youth services

scholarly journals Patients’ Satisfaction with Public Health Care Services in Bangladesh: Some Critical Issues

2016 ◽  
Vol 3 (1) ◽  
pp. 51-62
Author(s):  
Muhammed Muazzam Hussain ◽  
Mohammed Mojammel Hussain Raihan
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Services ◽  
Large Scale ◽  
Service Providers ◽  
Group Discussion ◽  
Public Health Care ◽  
Care Services ◽  
Health Service Providers ◽  
Critical Issues

This paper attempts to explore the experiences of Bangladeshi patient with public health care services, clients self-perception of health, understanding their expectation and demands of health care towards government health practitioners and service providers. The study points out the issues and difficulties they faced in treatment or getting other services and presents some recommendations to improve the public hospital services.The study was undertaken using the interpretivist paradigm and based on qualitative research method with various data collection procedures, such as interview, focus group discussion (FGD), documentation survey, etc. were employed to collect necessary information. The data highlight a continuous cycle of marginalisation resulting from the interplay of health service providers and their business counter-parts e.g. private pharmaceutical companies, diagnostic centres which reduce the opportunity of protecting patients’ consumer rights at large scale. Therefore, the study suggests that policy makers and service providers should be more responsive to initiate effective policy measures and programmes to combat marginalisation and exclusion of that poor patient groups.  

Professionals’ views on integrated care

2017 ◽  
Vol 25 (4) ◽  
pp. 247-255 ◽  
Author(s):  
Outi Jolanki ◽  
Liina-Kaisa Tynkkynen ◽  
Timo Sinervo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Integrated Care ◽  
Information Exchange ◽  
Service Providers ◽  
Patient Choice ◽  
Content Type ◽  
Health Care Clinics ◽  
Primary Health ◽  
Health And Social Care

Purpose Integrated care policies have been at the heart of recent health reforms in many European countries. The purpose of this paper is to study the integration from the perspective of health care personnel working in primary health care clinics. Design/methodology/approach The study employs data from interviews collected in a research project examining patient choice and integrated care in primary health care clinics in Finland. The interviews were conducted in five cities in Southern Finland in 17 primary health care clinics in Autumn 2014. Among the interviewees there were both doctors (n=32) and nurses (n=31). Findings The typical problems hindering integration were, according to the workers, poor communication and insufficient information exchange between professionals, unclear definition of responsibilities between professionals, and lacking contacts and information exchange between health and social care professionals. To secure availability and continuity of care, doctors and nurses did extra work and exceeded their duties or invented ad hoc solutions to solve the problem at hand. According to professionals, patients were forced to take an active role as coordinator of their own care when responsibilities were not clearly defined between professionals. Originality/value This paper highlights that successful integration requires taking into account the requirements of the day-to-day work of health care clinics, and clarifying what facilitates and what hinders practical collaboration between different actors in health care and between health care and other service providers.

Youth Work Service Providers' Attitudes Towards Computerized CBT for Adolescents

2012 ◽  
Vol 41 (3) ◽  
pp. 265-279 ◽  
Author(s):  
Theresa Fleming ◽  
Sally Merry
Keyword(s):  
Young People ◽  
Social Service ◽  
Service Providers ◽  
Youth Work ◽  
Youth Workers ◽  
Structured Interviews ◽  
Youth Service ◽  
Group Settings ◽  
Human Contact ◽  
Service Staff

Background:Attitudes of social service providers towards computerized CBT (cCBT) might affect use of cCBT by their clients and may provide important insights that should be considered in dissemination. There is no literature exploring the attitudes of providers of youth work services towards cCBT despite the likelihood of them having close relationships with young people at high risk of mental ill-health.Method:Focus groups and semi-structured interviews were undertaken with a total of 40 providers (21 youth workers and social service staff providing alternative schooling, justice or other intensive youth work programmes to adolescents, 6 youth service managers, 2 trainers, 5 peer leaders and 6 trainees).Results:Participants considered supporting young people who were distressed to be an important part of their role. They were generally interested in cCBT, especially those who were more mental health oriented and those who saw a cCBT programme in action. Their greatest concerns regarding cCBT related to it possibly displacing human contact, while advantages were seen as its appeal to young people and its potential therapeutic power. They would utilize cCBT in a range of ways, with many wishing to offer it in group settings. Training and resources would be required for them to use cCBT.Conclusions:Many providers of youth work services would like to be involved in the use of cCBT; this might extend the reach of cCBT to vulnerable young people. They would wish to utilize cCBT in ways that fit their current approaches. Providers’ opinions need to be considered in the dissemination of cCBT.

E-health developments in the system of health services in Hungary and the European Union

2014 ◽  
Vol 155 (21) ◽  
pp. 822-827
Author(s):  
Ágnes Váradi
Keyword(s):  
Health Care ◽  
European Union ◽  
Public Discourse ◽  
Action Plan ◽  
Fundamental Rights ◽  
Public Health Care ◽  
The European Union ◽  
Contemporary Issue ◽  
Definition Of ◽  
Basic Features

The question of electronic solutions in public health care has become a contemporary issue at the European Union level since the action plan of the Commission on the e-health developments of the period between 2012 and 2020 has been published. In Hungary this issue has been placed into the centre of attention after a draft on modifications of regulations in health-care has been released for public discourse, which – if accepted – would lay down the basics of an electronic heath-service system. The aim of this paper is to review the basic features of e-health solutions in Hungary and the European Union with the help of the most important pieces of legislation, documents of the European Union institutions and sources from secondary literature. When examining the definition of the basic goals and instruments of the development, differences between the European Union and national approaches can be detected. Examination of recent developmental programs and existing models seem to reveal difficulties in creating interoperability and financing such projects. Finally, the review is completed by the aspects of jurisdiction and fundamental rights. It is concluded that these issues are mandatory to delineate the legislative, economic and technological framework for the development of the e-health systems. Orv. Hetil., 2014, 155(21), 822–827.

A Comparative Study of the State of Ethics in Youth Work Practice in Jamaica, Australia, New Zealand and the United Kingdom

2019 ◽  
Vol 16 (2) ◽  
Author(s):  
Cleopatra Monique Parkins
Keyword(s):  
United Kingdom ◽  
New Zealand ◽  
Code Of Ethics ◽  
Critical Role ◽  
Work Practice ◽  
Primary Data ◽  
Youth Work ◽  
Youth Workers ◽  
Ethical Practices ◽  
The United Kingdom

Even though youth work has played a critical role in fostering the holistic development of today’s youth, much controversy has surrounded the practice. Nevertheless, youth workers are slowly being accorded professional status, and a code of ethics has been developed in some jurisdictions. Some states are still to adopt this code; consequently the credibility of youth workers and the sector in general sway with the wind. This article presents a comparative analysis of ethical practices of youth work in Jamaica, Australia, New Zealand and the United Kingdom, examining current trends in observing ethics and addressing ethical issues. In the case of Jamaica, the researcher used the non-probability convenience sampling technique and collected primary data from a questionnaire administered to a sample of youth workers. The perspective of the ministerial arm responsible for youth work in Jamaica was also captured through an interview. In the case of Australia, New Zealand and the United Kingdom, the framework of the profession and specifically matters pertaining to ethical practices were examined through the use of secondary data sources, which included reports on youth work practices in the selected countries. A mixed methodology was employed in analysing the data collected. The major findings of this study confirmed that advancing youth work as a profession is dependent on the acceptance and integration of a formal code of ethics, that youth workers must receive training on ethics and that a national youth work policy is important to guide youth work practice. In accordance with the findings, the researcher makes a number of recommendations and highlights notable best practices that may help with the overall professionalisation of the sector.

Economic Burden of Public Health Care Was Higher than that of Hospitalization and Treatment Associated with COVID-19 In China

2020 ◽  
Author(s):  
Xiaohua Liang ◽  
Lun Xiao ◽  
Xue-Li Yang ◽  
Xuefei Zhong ◽  
Peng Zhang ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Economic Burden ◽  
Public Health Care

Health Care

2018 ◽  
Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre
Keyword(s):  
Health Care ◽  
Technological Progress ◽  
Health Care Systems ◽  
Third Party ◽  
Medical Expenditure ◽  
Public Health Care ◽  
The Public ◽  
Common Features ◽  
Care Systems

This chapter reviews the public health care systems as well as their challenges. It first shows how expenditure on health care has evolved in previous decades and deals with the reasons for the growth observed in almost every European country. It emphasizes the role of technological progress as a main explanatory factor of the increase in medical expenditure but also points to the challenges facing cost-containment policies. Especially, the main common features of health care systems in Europe, such as third-party payment, single provider approach and cost-based reimbursement are discussed. Finally the chapter shows that although inequalities in health exist in the population, health care systems are redistributive. Reforms are thus needed but the trade-off between budgetary efficiency and equity is difficult.

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