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dc.contributor.authorTynkkynen, Liina-Kaisa
dc.contributor.authorPulkki, Jutta
dc.contributor.authorTervonen-Gonçalves, Leena
dc.contributor.authorSchön, Pär
dc.contributor.authorBurström, Bo
dc.contributor.authorKeskimäki, Ilmo
dc.date.accessioned2022-06-23T11:52:17Z
dc.date.available2022-06-23T11:52:17Z
dc.date.issued2022
dc.identifier.citationTynkkynen, L.-K., Pulkki, J., Tervonen-Gonçalves, L., Schön, P., Burström, B., & Keskimäki, I. (2022). Health system reforms and the needs of the ageing population : an analysis of recent policy paths and reform trends in Finland and Sweden. <i>European Journal of Ageing</i>, <i>19</i>(2), 221-232. <a href="https://doi.org/10.1007/s10433-022-00699-x" target="_blank">https://doi.org/10.1007/s10433-022-00699-x</a>
dc.identifier.otherCONVID_146532575
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/82021
dc.description.abstractPopulation ageing with an increasing number of people experiencing complex health and social care needs challenges health systems. We explore whether and how health system reforms and policy measures adopted during the past two decades in Finland and Sweden reflect and address the needs of the older people. We discuss health system characteristics that are important to meet the care needs of older people and analyse how health policy agendas have highlighted these aspects in Finland and Sweden. The analysis is based on “most similar cases”. The two countries have rather similar health systems and are facing similar challenges. However, the policy paths to address these challenges are different. The Swedish health system is better resourced, and the affordability of care better ensured, but choice and market-oriented competition reforms do not address the needs of the people with complex health and social care needs, rather it has led to increased fragmentation. In Finland, the level of public funding is lower which may have negative impacts on people who need multiple services. However, in terms of integration and care coordination, Finland seems to follow a path which may pave the way for improved coordination of care for people with multiple care needs. Intensified monitoring and analysis of patterns of health care utilization among older people are warranted in both countries to ensure that care is provided equitably.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofseriesEuropean Journal of Ageing
dc.rightsCC BY 4.0
dc.subject.otherSuomi
dc.subject.otherRuotsi
dc.subject.otherolder people
dc.subject.othermultiple care needs
dc.subject.otherequity
dc.subject.otherhealth care reforms
dc.subject.otherprimary care
dc.subject.otherhealth policy
dc.subject.otherFinland
dc.subject.otherSweden
dc.titleHealth system reforms and the needs of the ageing population : an analysis of recent policy paths and reform trends in Finland and Sweden
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202206233625
dc.contributor.laitosYhteiskuntatieteiden ja filosofian laitosfi
dc.contributor.laitosDepartment of Social Sciences and Philosophyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange221-232
dc.relation.issn1613-9372
dc.relation.numberinseries2
dc.relation.volume19
dc.type.versionpublishedVersion
dc.rights.copyright© 2022 the Authors
dc.rights.accesslevelopenAccessfi
dc.subject.ysopalvelujärjestelmät
dc.subject.ysoterveyspolitiikka
dc.subject.ysohoitotarve
dc.subject.ysoeriarvoisuus
dc.subject.ysouudistukset
dc.subject.ysoterveydenhuolto
dc.subject.ysoterveyspalvelut
dc.subject.ysoikääntyneet
dc.subject.ysosote-uudistus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p21189
jyx.subject.urihttp://www.yso.fi/onto/yso/p453
jyx.subject.urihttp://www.yso.fi/onto/yso/p17274
jyx.subject.urihttp://www.yso.fi/onto/yso/p3478
jyx.subject.urihttp://www.yso.fi/onto/yso/p6795
jyx.subject.urihttp://www.yso.fi/onto/yso/p2658
jyx.subject.urihttp://www.yso.fi/onto/yso/p3307
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p28346
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1007/s10433-022-00699-x
jyx.fundinginformationThis study was carried out as a part of the Social Inequalities in Ageing (SIA) project, which was funded by NordForsk (74637).
dc.type.okmA1


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