21,902 research outputs found
European Arctic Initiatives Compendium
Julkaistu versi
Assessing Finnish health care information system projects: How and why do they usually fail?
The role of information technology is constantly growing but carrying out information system projects has proven to be very difficult in Finland. Especially projects within the public healthcare have been unsuccessful. Finland is one of the leading IT countries in the world but facing many challenges in retaining its position.
The aim of the research was to find out the reasons behind the massive health care information system project failures that have occurred in Finland during the past years. The empirical material was a sample if news articles on the topic. The information was then deepened with related literature, which discussed, for instance, information systems procurement, and features related to especially health care information system projects.
A coherent strategy both for the stateâs overall IT operations and for the development of HCIS, and good knowledge in information systems procurement play important roles in the success of the projects. By having good knowledge in project procurement, public buyers will be able to divide projects into smaller parts and to reduce their dependency on the vendors. Managing the project after the procurement is actually a relatively small part, if the two foundation parts are in order. End-user participation and proper monitoring and evaluation are essential during the entire project.
In the future, the emphasis should be on successful examples instead of constantly focusing on negative outcomes. The media should not indulge in exaggeration. Cooperation between the buyers and vendors, between different buying organizations, and within the buying organizations should be enhanced.fi=OpinnÀytetyö kokotekstinÀ PDF-muodossa.|en=Thesis fulltext in PDF format.|sv=LÀrdomsprov tillgÀngligt som fulltext i PDF-format
PRIMUS/Informed Cities: Making research work for local sustainability
The final report of a three year European Commission FP7 project
A comparative study of institutional frameworks for local public service partnerships in Finland and Scotland
This research presents a cross-national comparative review of the institutional arrangements for how local public service partnerships are regulated and governed in Finland and Scotland.Both legal and administrative differences of partnership policies are analysed in order to explain the nature of the incentives and obligations for local governments to collaborate with external partners. Institutional theory and conceptual partnership approaches are utilised in the analysis. The Scottish institutional framework provides defined requirements for public-private partnerships. The partnership term is not recognised in the Finnish legal framework;instead it operates with the general concept of co-operation. Both Scottish and Finnish municipalities have more institutional obligations than incentives for partnerships or collaboration. The Scottish institutional framework requires municipalities to partner with external organisations, while in Finland, the legislature has not been proactive in promoting or encouraging public-private partnership. While the political incentives for partnerships are stronger in Scotland, Scottish municipalities have limited financial incentives to look for budgetary savings from partnership arrangements. In contrast, in Finland such financial incentives exist. However, the fixed forms of municipal-municipal collaboration may inhibit the search for more effective forms of partnerships
Community hospitals and their services in the NHS: identifying transferable learning from international developments - scoping review, systematic review, country reports and case studies
Background: The notion of a community hospital in England is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. However, there is a need to better understand the role of different models of community hospitals within the wider health economy and an opportunity to learn from experiences of other countries to inform this potential. Objectives This study sought to (1) define the nature and scope of service provision models that fit under the umbrella term âcommunity hospitalâ in the UK and other high-income countries, (2) analyse evidence of their effectiveness and efficiency, (3) explore the wider role and impact of community engagement in community hospitals, (4) understand how models in other countries operate and asses their role within the wider health-care system, and (5) identify the potential for community hospitals to perform an integrative role in the delivery of health and social care. Methods A multimethod study including a scoping review of community hospital models, a linked systematic review of their effectiveness and efficiency, an analysis of experiences in Australia, Finland, Italy, Norway and Scotland, and case studies of four community hospitals in Finland, Italy and Scotland. Results The evidence reviews found that community hospitals provide a diverse range of services, spanning primary, secondary and long-term care in geographical and health system contexts. They can offer an effective and efficient alternative to acute hospitals. Patient experience was frequently reported to be better at community hospitals, and the cost-effectiveness of some models was found to be similar to that of general hospitals, although evidence was limited. Evidence from other countries showed that community hospitals provide a wide spectrum of health services that lie on a continuum between serving a âgeographic purposeâ and having a specific population focus, mainly older people. Structures continue to evolve as countries embark on major reforms to integrate health and social care. Case studies highlighted that it is important to consider local and national contexts when looking at how to transfer models across settings, how to overcome barriers to integration beyond location and how the community should be best represented. Limitations The use of a restricted definition may have excluded some relevant community hospital models, and the small number of countries and case studies included for comparison may limit the transferability of findings for England. Although this research provides detailed insights into community hospitals in five countries, it was not in its scope to include the perspective of patients in any depth. Conclusions At a time when emphasis is being placed on integrated and community-based care, community hospitals have the potential to assume a more strategic role in health-care delivery locally, providing care closer to peopleâs homes. There is a need for more research into the effectiveness and cost-effectiveness of community hospitals, the role of the community and optimal staff profile(s). Funding: The National Institute for Health Research Health Services and Delivery Research programme
Studies on Inequalities in Information Society. Proceedings of the Conference, Well-Being in the Information Society
Siirretty Doriast
Mental Health in the Workplace: Situation Analyses, Finland
[From Introduction] Mental health problems are among the most important contributors to the global burden of disease and disability. Of the ten leading causes of disability worldwide, five are psychiatric conditions: unipolar depression, alcohol use, bipolar affective disorder (manic depression), schizophrenia and obsessive-compulsive disorder.
The burden of mental disorders on health and productivity throughout the world has long been profoundly underestimated.2 The impact of mental health problems in the workplace has serious consequences not only for the individuals whose lives are influenced either directly or indirectly, but also for enterprise productivity. Mental health problems strongly influence employee performance, rates of illnesses, absenteeism, accidents, and staff turnover.
The workplace is an appropriate environment in which to educate and raise individuals\u27 awareness about mental health problems. For example, encouragement to promote good mental health practices, provide tools for recognition and early identification of the symptoms of problems, and establish links with local mental health services for referral and treatment can be offered. The need to demystify the topic and lift the taboos about the presence of mental health problems in the workplace while educating the working population regarding early recognition and treatment will benefit employers in terms of higher productivity and reduction in direct and in-direct costs. However, it must be recognised that some mental health problems need specific clinical care and monitoring, as well as special considerations for the integration or reintegration of the individual into the workforce
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