Search results for "hoivapalvelut"
showing 10 items of 24 documents
Outsourcing within the Nordic context: Care services for older people in Finland.
2018
The early 1990s economic setback brought significant reforms favoring the outsourcing of care in Finnish municipalities. Here, outsourcing refers to the practice of municipalities employing private organizations through different means (e.g., open tendering) to deliver public care services. In this context, this study examines the growth in the outsourcing of service housing and home-help services in 311 municipalities from 2001 to 2015 and investigates the municipal factors associated with outsourcing using four dimensions: care needs, population size, economic situation, and political ideology of the municipality. The findings reveal a steep increase in the outsourcing of home-help and se…
Care poverty : unmet care needs in a Nordic welfare state
2019
This article introduces the concept of care poverty, defined as inadequate coverage of care needs resulting from an interplay between individual and societal factors, and examines its level and predictors among the 75+ population in Finland. The data come from a survey conducted in 2010 and 2015. Despite the universalistic goals of the Finnish care system, 26 percent of respondents with limitations in daily activities faced care poverty with regard to instrumental activities of daily living; the activities of daily living care poverty rate was 17 percent. Concerning instrumental activities of daily living, care poverty was associated with income level, health status and living arrangements,…
Digital ageing in Europe: a comparative analysis of Italian, Finnish and Swedish national policies on eHealth
2023
AbstractAgeing Europeans are today healthier than previous generations and often manage to live independently up to a high age. The proportion of people 80 years of age and older has increased significantly, and with high age the risk of multi-illness and dementia increases. Strong urbanisation processes have changed the demographic structure in rural areas, and young women and men have migrated towards the urban areas to study and work, while older persons have remained behind. This demographic challenge of increasing numbers of persons older than 80 years with care needs living in remote rural areas has become a major European social problem. In tackling this dilemma, many European countr…
Users of home-care services in a Nordic welfare state under marketisation: the rich, the poor and the sick
2017
Stricter access to public services, outsourcing of municipal services and increasing allocation of public funding for the purchase of private services have resulted in a marketisation wave in Finland. In this context of a Nordic welfare state undergoing marketisation, this paper aims to examine the use of Finnish care services among older people and find out who are using these new kinds of private services. How wide is their use and do the users of private care services differ from those who are using public services? How usual is it to mix both public and private care services? The questionnaire survey data set used here was gathered in 2010 among the population aged 75 and over in the ci…
Revisiting the Nordic long-term care model for older people - still equal?
2022
With the extensive long-term care services for older people, the Nordic countries have been labelled ‘caring states’ as reported (Leira, Welfare state and working mothers: the Scandinavian experience, Cambridge University Press, Cambridge, 1992). The emphasis on services and not cash benefits ensures the Nordics a central place in the public service model (Anttonen and Sipilä, J Eur Soc Policy 6:87–100, 1996). The main feature of this ideal model is public social care services, such as home care and residential care services, which can cover the need for personal and medical care, as well as assistance with household chores. These services are provided within a formally and professionally b…
Hoivan tekijät : suomalainen hoivatyö pohjoismaisessa tarkastelussa
2009
Looking for the Easy Way Out : Demographic Panic and the Twists and Turns of Long-Term Care Policy in Finland
2019
This chapter aims to map the twists and turns in the development of long-term care policy in Finland since the start of the 1990s. The main argument of the chapter is that these changes have to a large part been motivated by what is called here ‘demographic panic’, that is, fear of consequences of population ageing to the public purse. Various policy changes have taken place during the last three decades. Since the late 1980s, Finnish long-term care policies have been made under the shadow of the ‘demographic time bomb’ discourse that argues that care expenditures are to rise exponentially if determined action is not taken to curb the expenditures. As a result, the focus of policy has been …
Vanhan ihmisen haavoittuvuus ja hoivateknologia kodissa
2022
Tässä luvussa tarkastelemme kotona asuvien vanhojen ihmisten, kotihoidon asiakkaiden, kokemuksia kotiin tuodusta hoivateknologiasta. Kysymme, mitä tapahtuu vanhan ihmisen hoivalle ja haavoittuvuudelle, kun teknologia tulee kotiin osana kotihoidon työntekijöiden hoivatyötä. Näkökulmamme hoivan teknologisoitumiseen on sen sosiaalisissa, ruumiillisissa ja organisatorisissa seurauksissa, joita lähestymme hoivan digitaalisen maiseman käsitteen kautta (digital landscapes of care) (Milligan & Wiles 2010; Lindberg & Carlsson 2018). Tarkastelun kohteena olevat hoivateknologiat ovat etäseurantajärjestelmä “Kukkatolppa”, videoneuvottelupuhelinjärjestelmä “Kuvapuhelin” ja siihen kytketty sisältöpalvelu…
Incorporating digital self-services into integrated mental health care:a physician’s perspective
2018
PurposeThis paper aims to enhance the current understanding of digital self-services (computerized cognitive behavioral therapy [cCBT]) and how they could be better incorporated into integrated mental health care from the physician’s perspective. Service marketing and information systems literature are combined in the context of mental health-care delivery.Design/methodology/approachAn online survey of 412 Finnish physicians was undertaken to understand physicians’ acceptance of cCBT. The study applies thematic analysis and structural equation modeling to answer its research questions.FindingsAdopting a service marketing perspective helps understand how digital self-services can be incorpor…