| fullrecord |
[{"key": "dc.contributor.advisor", "value": "Ilmakunnas, Seija", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Er\u00e4j\u00e4rvi, Anni-Mari", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2024-04-11T05:58:12Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2024-04-11T05:58:12Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2024", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/94277", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Sosiaali- ja terveyspalveluilla on merkitt\u00e4v\u00e4 rooli suomalaisessa hyvinvointij\u00e4rjestelm\u00e4ss\u00e4. T\u00e4m\u00e4 perustuu siihen, ett\u00e4 julkisella vallalla on perustuslain mukaan velvollisuus edist\u00e4\u00e4 kansalaisten hyvinvointia, terveytt\u00e4, turvallisuutta sek\u00e4 kaventaa terveyseroja. Sote-menot ovatkin merkitt\u00e4v\u00e4 osa julkista taloutta.\n\nSuomessa toteutettiin vuoden 2023 alussa mittava sosiaali-ja terveydenhuoltoa koskeva uudistus, jossa muodostettiin n\u00e4iden palveluiden toteuttamisesta vastaavat hyvinvointialueet. Samalla my\u00f6s sote-rahoitusmallia uudistettiin. Muutosten yhteydess\u00e4 on noussut keskustelua terveydenhuollon monikanavaisuudesta ja etenkin yksityisen ty\u00f6terveyshuollon asemasta julkisen terveydenhuollon rinnalla. Useat tutkijat ovat osoittaneet yksityisten ty\u00f6terveyshuollon palvelujen k\u00e4yt\u00f6n v\u00e4hent\u00e4v\u00e4n alueen julkisten verorahoitteisten palvelujen kysynt\u00e4\u00e4 ja siten laskevan terveydenhuollon kokonaiskustannuksia. \n\nT\u00e4ll\u00e4 hetkell\u00e4 THL:n luoman terveydenhuollon rahoitusmallin avulla ei pystyt\u00e4 aukottomasti arvioimaan terveydenhuollon palveluntarpeen jakaantumista julkisen terveydenhuollon ja yksityisen ty\u00f6terveyshuollon v\u00e4lill\u00e4. T\u00e4m\u00e4 voi v\u00e4\u00e4rist\u00e4\u00e4 hyvinvointialueen saaman rahoituksen m\u00e4\u00e4r\u00e4\u00e4. Jotta rahoitusta on mahdollista jakaa perustuen todellisiin terveydenhuollon palveluiden tarpeisiin, tulee rahoitusmallin huomioida my\u00f6s ty\u00f6terveyshuollon osuus. Suoraa ty\u00f6terveytt\u00e4 kuvaavaa muuttuja ei sis\u00e4lly hyvinvointialueiden rahoitusmalliin ja se on tunnistettu puute. Riitt\u00e4v\u00e4\u00e4 ja laadukasta rahoitusmallin tarvevakioinnissa hy\u00f6dynnett\u00e4v\u00e4\u00e4 dataa ty\u00f6terveyshuollon kustannuksista ja palvelujen k\u00e4yt\u00f6st\u00e4 tarvitaan, jotta j\u00e4rjestelm\u00e4\u00e4 voidaan kehitt\u00e4\u00e4 oikeudenmukaisempaan suuntaan.\n\nT\u00e4m\u00e4n tutkielman regressioanalyysin tuottamat yhteydet osoittavat, ett\u00e4 yksityisen ty\u00f6terveyshuollon menoilla on negatiivinen yhteys julkisiin terveydenhuollon menoihin. Tulokset viittaavat toisaalta my\u00f6s siihen, ett\u00e4 ty\u00f6terveyshuollon palveluiden k\u00e4ytt\u00f6mahdollisuutta voi mahdollisesti kuvastaa esimerkiksi henkil\u00f6n sosioekonomisilla ominaisuuksilla. Tulokset tukevat siis yll\u00e4 manittua hypoteesia. Aihe on kuitenkin hyvin moniulotteinen. Sen sijaan, ett\u00e4 tulokset tarjoaisivat selkeit\u00e4 vastauksia, her\u00e4tt\u00e4v\u00e4t ne jopa enemm\u00e4nkin lis\u00e4kysymyksi\u00e4 ja tarvetta jatkotutkimuksille.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2024-04-11T05:58:12Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2024-04-11T05:58:12Z (GMT). No. of bitstreams: 0\n Previous issue date: 2024", "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": "Ty\u00f6terveyshuolto ja julkisten terveydenhuollon palveluiden rahoitus : alueellinen n\u00e4k\u00f6kulma", "language": null, "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-202404112844", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Jyv\u00e4skyl\u00e4 University School of Business and Economics", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Jyv\u00e4skyl\u00e4n yliopiston kauppakorkeakoulu", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Business and Economics", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Taloustieteet", "language": "fi", "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": "Economics", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Taloustiede", "language": "fi", "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.copyright", "value": "\u00a9 The Author(s)", "language": null, "element": "rights", "qualifier": "copyright", "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": "2041", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveyspalvelut", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6terveyshuolto", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "julkiset palvelut", "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": "rahoitus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hyvinvointialueet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveystaloustiede", "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/facilities#autotoc-item-autotoc-2).", "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#autotoc-item-autotoc-2.", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}]
|