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[{"key": "dc.contributor.author", "value": "Kuuva, Niina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2011-03-11T10:41:15Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2011-03-11T10:41:15Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2010", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1153556", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/26661", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Pro gradu -tutkielmassa kartoitetaan n\u00e4kemyksi\u00e4 mielenterveysperusteisten ty\u00f6kyvytt\u00f6myysel\u00e4kkeiden my\u00f6nt\u00f6k\u00e4yt\u00e4nn\u00f6st\u00e4 ja ratkaisuk\u00e4yt\u00e4nn\u00f6n johdonmukaisuudesta. T\u00e4m\u00e4n lis\u00e4ksi tarkastellaan er\u00e4iden yhteiskunnallisten tekij\u00f6iden vaikutusta ratkaisuk\u00e4yt\u00e4nt\u00f6\u00f6n. Tutkielma pyrkii avaamaan vakuutusl\u00e4\u00e4k\u00e4reiden harkintavallan roolia ratkaisuk\u00e4yt\u00e4nn\u00f6n kannalta. \r\n\r\nTutkimusteht\u00e4v\u00e4\u00e4n pyrit\u00e4\u00e4n vastaamaan laadullisella aineistolla, johon kuuluu kahdeksan asiantuntijahaastattelua. Haastattelumetodina k\u00e4ytet\u00e4\u00e4n puolistrukturoitua teemahaastattelua. Aineiston analyysi toteutetaan teoriaohjaavan sis\u00e4ll\u00f6nanalyysin keinoin, jonka seurauksena saatavia tuloksia tulkitaan portinvartijuuden sek\u00e4 substantiaalisen ja proseduraalisen oikeudenmukaisuuden viitekehyksess\u00e4.\r\n\r\nAineistoanalyysin tuloksena voidaan esitt\u00e4\u00e4, ett\u00e4 vakuutusl\u00e4\u00e4k\u00e4rin harkinnassa voi esiinty\u00e4 eroja sen suhteen, kuinka ty\u00f6kyvytt\u00f6myysel\u00e4kkeenhakijan yksil\u00f6lliseen tilanteeseen liittyvi\u00e4 sosiaalis-taloudellisia tekij\u00f6it\u00e4 painotetaan. Tapauksien yksil\u00f6llisyys tekee kokonaisarvioinnista haasteellista, sill\u00e4 erityisesti niin sanotuissa rajatapausratkaisuissa on vaikea m\u00e4\u00e4ritt\u00e4\u00e4, mik\u00e4 on yksil\u00f6n kannalta kohtuullinen ratkaisu. Ty\u00f6kyvytt\u00f6myysel\u00e4kkeen ratkaisutoiminnan tarkastelussa ei riit\u00e4, ett\u00e4 siin\u00e4 huomioidaan pelk\u00e4st\u00e4\u00e4n vakuutusl\u00e4\u00e4k\u00e4rin suorittamaa arviointia, vaan n\u00e4k\u00f6kulma on laajennettava koskemaan koko ty\u00f6kyvytt\u00f6myysel\u00e4kkeenhakuprosessia. Yhteiskunnalliset tekij\u00e4t eiv\u00e4t vaikuta suoranaisesti my\u00f6nt\u00f6kriteereihin, mutta ne kanavoituvat ratkaisuk\u00e4yt\u00e4nt\u00f6\u00f6n pidemm\u00e4ll\u00e4 aikav\u00e4lill\u00e4 esimerkiksi el\u00e4kelaitoksen sidosryhmien kanssa teht\u00e4v\u00e4n yhteisty\u00f6n kautta sek\u00e4 siten, mill\u00e4 tavoin kohtuuden raja yhteiskunnassa m\u00e4\u00e4rittyy. \r\n\r\nTutkimuksen johtop\u00e4\u00e4t\u00f6ksen\u00e4 todetaan, ett\u00e4 el\u00e4kelaitoksiin keskitetty ratkaisutoiminta ja vakuutusl\u00e4\u00e4k\u00e4rij\u00e4rjestelm\u00e4 pyrkiv\u00e4t takaamaan ratkaisuk\u00e4yt\u00e4nn\u00f6n johdonmukaisuutta. Ty\u00f6kyvytt\u00f6myysel\u00e4kkeen my\u00f6nt\u00e4miseen on vaikea l\u00f6yt\u00e4\u00e4 yksiselitteisi\u00e4 lains\u00e4\u00e4d\u00e4nn\u00f6llisi\u00e4 kriteerej\u00e4, joten vakuutusl\u00e4\u00e4k\u00e4rin suorittama tapauskohtainen harkinta muodostuu ratkaisuk\u00e4yt\u00e4nn\u00f6n keskeiseksi osaksi.", "language": "", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Niina Kuuva (nimakuuv) on 2011-03-11 10:41:13.956944. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2011-03-11T10:41:15Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201103111886.pdf: 1152497 bytes, checksum: b14ac8f97ed81cf910e8c9bf6a8b8db6 (MD5)\r\nlicense.html: 5118 bytes, checksum: 10505c835cf70d165b7755e6c91ac5a2 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2011-03-11T10:41:15Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201103111886.pdf: 1152497 bytes, checksum: b14ac8f97ed81cf910e8c9bf6a8b8db6 (MD5)\r\nlicense.html: 5118 bytes, checksum: 10505c835cf70d165b7755e6c91ac5a2 (MD5)\r\n Previous issue date: 2010", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "98 sivua", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "ty\u00f6kyvytt\u00f6myysel\u00e4ke", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ratkaisuk\u00e4yt\u00e4nt\u00f6", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "vakuutusl\u00e4\u00e4k\u00e4ri", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "harkintavalta", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "mielenterveyden ongelmat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Ty\u00f6kyvytt\u00f6myysel\u00e4kkeiden ratkaisuk\u00e4yt\u00e4nn\u00f6n johdonmukaisuus : vakuutusl\u00e4\u00e4k\u00e4reiden harkintavalta mielenterveyssyihin perustuvien ty\u00f6kyvytt\u00f6myysel\u00e4kkeiden ratkaisuk\u00e4yt\u00e4nn\u00f6ss\u00e4", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.title.alternative", "value": "Vakuutusl\u00e4\u00e4k\u00e4reiden harkintavalta mielenterveyssyihin perustuvien ty\u00f6kyvytt\u00f6myysel\u00e4kkeiden ratkaisuk\u00e4yt\u00e4nn\u00f6ss\u00e4", "language": null, "element": "title", "qualifier": "alternative", "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201103111886", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", "language": "en", "element": "type", "qualifier": "dcmitype", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Yhteiskuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Social Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Yhteiskuntatieteiden ja filosofian laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Social Sciences and Philosophy", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Yhteiskuntapolitiikka", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Social Policy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "209", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6kyvytt\u00f6myys", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6kyvytt\u00f6myysel\u00e4kkeet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vakuutusl\u00e4\u00e4k\u00e4rit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "harkintavalta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "mielenterveysongelmat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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