Search results for "kustannustehokkuus"

Cost-efficiency assessments of marine monitoring methods lack rigor—a systematic mapping of literature and an end-user view on optimal cost-efficienc…

2021

Global deterioration of marine ecosystems, together with increasing pressure to use them, has created a demand for new, more efficient and cost-efficient monitoring tools that enable assessing changes in the status of marine ecosystems. However, demonstrating the cost-efficiency of a monitoring method is not straightforward as there are no generally applicable guidelines. Our study provides a systematic literature mapping of methods and criteria that have been proposed or used since the year 2000 to evaluate the cost-efficiency of marine monitoring methods. We aimed to investigate these methods but discovered that examples of actual cost-efficiency assessments in literature were rare, contr…

Precision, Applicability, and Economic Implications: A Comparison of Alternative Biodiversity Offset Indexes

2021

AbstractThe rates of ecosystem degradation and biodiversity loss are alarming and current conservation efforts are not sufficient to stop them. The need for new tools is urgent. One approach is biodiversity offsetting: a developer causing habitat degradation provides an improvement in biodiversity so that the lost ecological value is compensated for. Accurate and ecologically meaningful measurement of losses and estimation of gains are essential in reaching the no net loss goal or any other desired outcome of biodiversity offsetting. The chosen calculation method strongly influences biodiversity outcomes. We compare a multiplicative method, which is based on a habitat condition index develo…

Quality management in the public sector accounting department - (un)avoidable quality costs and unlikely financial impacts

2017

This paper investigates the nature of quality costs and the likelihood of their having financial impacts in the public sector. An illustrative quality development case project in an accounting department of a Finnish city administration is presented. The empirical data includes answers to a qualitative project question sheet, workshop material and participative observation. Quality problems are classified according to their quality cost category and the extent to which they are avoidable. Some of the quality costs proved unavoidable and some are likely to lack financial impact, exhibiting sticky cost behaviour. The study indicates that certain prevention and appraisal costs in the public se…

Recommendations for design and analysis of health examination surveys under selective non-participation

2019

Background The decreasing participation rates and selective non-participation peril the representativeness of health examination surveys (HESs). Methods Finnish HESs conducted in 1972–2012 are used to demonstrate that survey participation rates can be enhanced with well-planned recruitment procedures and auxiliary information about survey non-participants can be used to reduce selection bias. Results Experiments incorporated to pilot surveys and experience from previously conducted surveys lead to practical improvements. For example, SMS reminders were taken as a routine procedure to the Finnish HESs after testing their effect on a pilot study and finding them as a cost-effective way to inc…

The 10‐year treatment outcome of open dialogue‐based psychiatric services for adolescents: A nationwide longitudinal register‐based study

2022

Aim: To evaluate the 10-year treatment outcomes and cost-effectiveness of adolescents' mental health treatment initiated under the social network-oriented open dialogue (OD) approach. -- Methods: This longitudinal register-based study included all persons who, for the first time, received psychiatric treatment in Finland during the period 1 January 2003–31 December 2008, and who were aged 13–20 at onset (n = 44 868). The OD group included all persons whose treatment commenced in the Western Lapland catchment area (n = 780), this being the only region in Finland where OD covered the entire mental healthcare service at the time of inclusion. The comparison group (CG) included the rest of Finl…

Financial aspects of business models : reducing costs and increasing revenues in a cloud context

2018

The emergence of cloud computing induces opportunities for software vendors and for organizations with great storage needs. Indeed, software companies have begun to adopt cloud technologies and offer their software as a service to customers instead of selling software products. As a result, their revenue models have changed, and the diversity and complexity of the resulting pricing models have created both opportunities and impediments to competition in the market. On the other hand, due to the exponentially growing volume of digital content, organizations have an increasing demand for storage and need to choose between private, public, and hybrid storage solutions. This decision requires c…

Ecosystem rescue : when protection is not enough

2015

Fast track -hoitomallin taloudellinen arviointi Keski-Suomen sairaanhoitopiirissä

2010

Keski-Suomen sairaanhoitopiirissä gastrokirurgian kehitystyössä on viime vuosina keskitytty yhtenä osa-alueena perioperatiivisen hoidon ja potilasturvallisuuden parantamiseen sekä erityisesti fast track – hoitomalliin. Fast track -hoitomallin tavoite on optimoida potilaiden postoperatiivista toipumista käyttämällä mini-invasiivisia leikkausmenetelmiä,uusia anestesiamenetelmiä ja tehostamalla perioperatiivista hoitotyötä sekä vähentää komplikaatioiden syntymistä, sairaalassa oloa sekä kustannuksia suuren leikkauksen jälkeen. Tutkimuksen tarkoituksena on selvittää minkälaisia taloudellisia vaikutuksia fast track -hoitomallin käyttöönotolla on ollut sekä onko hoitomallin avulla saavutettu kust…

Mercury beats Minerva? : essays on the accelerating impact of market logic permeating higher education

2015

Fatness and Consequences of Neoliberalism

2021

My aim in this chapter is to inspect how neoliberal economic policy and rationale are enmeshed with conceptions of body, gender and health in the contemporary (primarily Western) cultural sphere and how they have been addressed in research literature, particularly concerning fatness and the fat body. In recent years, the fat body has been and is a target of intensifying biopolitical control. My point of departure is that different elements of neoliberal culture have found something to latch onto and exploit in the concept of the fat body. Social institutions such as health care policies; or structures, such as health care systems; not to mention social, moral, and political orders of the da…