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[{"key": "dc.contributor.author", "value": "Kotam\u00e4ki, Kia", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-09-30T12:05:23Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-09-30T12:05:23Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2020", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/71945", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Valinnanvapauden laajentaminen on ollut useiden maiden terveydenhuollon uudistusten tavoitteena jo useiden vuosien ajan. Laajentamalla valinnanvapautta voidaan parantaa palvelujen laatua, vaikuttavuutta ja tuottavuutta. Valinnanvapauden n\u00e4hd\u00e4\u00e4n lis\u00e4\u00e4v\u00e4n sosiaali- ja terveyspalvelujen asiakasl\u00e4ht\u00f6isyytt\u00e4, jonka parantamisen on osoitettu lis\u00e4\u00e4v\u00e4n asiakkaiden sitoutumista hoitoon. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli selvitt\u00e4\u00e4, mitk\u00e4 tekij\u00e4t ovat yhteydess\u00e4 valinnanvapauden hy\u00f6dynt\u00e4miseen ja valinnanvapauden harkitsemiseen erikoissairaanhoidon hoitopaikan (sairaala) valinnassa. Osa tutkimukseen valikoiduista selitt\u00e4vist\u00e4 tekij\u00f6ist\u00e4 on osoitettu edellytyksiksi valinnan tekemiselle. Tutkimuksen aineisto oli vuonna 2017-2018 Terveyden ja hyvinvoinnin laitoksen ker\u00e4\u00e4m\u00e4 Kansallinen terveys-, hyvinvointi- ja palvelututkimuksella (Finsote) ker\u00e4tty aineisto. Aineisto analysoitiin tilastomenetelmin IBM Statistics 26 \u2013ohjelmistolla. Valinnanvapauden hy\u00f6dynt\u00e4misen ja valinnanvapauden harkitsemisen eroja selitt\u00e4vien tekij\u00f6iden mukaan tarkasteltiin ristiintaulukoimalla ja khiin neli\u00f6testill\u00e4. Valinnanvapauden hy\u00f6dynt\u00e4mist\u00e4 ja valinnanvapauden harkitsemista ja selitt\u00e4vien tekij\u00f6iden yhteytt\u00e4 tarkasteltiin bin\u00e4\u00e4risell\u00e4 logistisella regressioanalyysilla (N = 26422). Tutkimuksen tulokset osoittivat, ett\u00e4 Suomessa valinnanvapauden hy\u00f6dynt\u00e4minen ja valinnanvapauden harkitseminen erikoissairaanhoidon hoitopaikan valinnassa on melko harvinaista. Lis\u00e4ksi vaihtoehtojen oleminen ja vertailukelpoinen tieto palvelujentuottajista ovat yhteydess\u00e4 valinnanvapauden hy\u00f6dynt\u00e4miseen ja harkitsemiseen. T\u00e4m\u00e4n tutkimuksen perusteella tulisi kiinnitt\u00e4\u00e4 huomiota siihen, ett\u00e4 erikoissairaanhoito tarvitsevat potilaan ovat tietoisia valinnanvapauden mahdollisuudesta, heill\u00e4 on todellisia vaihtoehtoja, joista valita ja riitt\u00e4v\u00e4sti vertailukelpoista tietoa palveluntuottajista. Mik\u00e4li valinnanvapauden edellytykset eiv\u00e4t toteudu valveutuneen valinnan tekeminen on mahdotonta.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-09-30T12:05:23Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-09-30T12:05:23Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "63", "language": "", "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.title", "value": "Valinnanvapaus erikoissairaanhoidon hoitopaikan valinnassa", "language": "", "element": "title", "qualifier": null, "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-202009306020", "language": "", "element": "identifier", "qualifier": "urn", "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": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Terveyskasvatus", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Health Education", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"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": "restrictedAccess", "language": null, "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": "50411", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "erikoissairaanhoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveyspalvelut", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "valinnanvapaus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveydenhuolto", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "asiakkaat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "sote-uudistus", "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.rights.accessrights", "value": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/en/workspaces/facilities).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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