scholarly journals Finnish Innovations in Medicine and Social Sphere

2017 ◽  
Vol 8 (1) ◽  
pp. 120-129 ◽  
Author(s):  
Svetlana L Akimova
Keyword(s):  
Health Care ◽  
Older People ◽  
Social Services ◽  
Health Care System ◽  
Social Institutions ◽  
Molecular Medicine ◽  
Vacuum Therapy ◽  
Social Sphere ◽  
Innovative Products ◽  
Care System

The article presents data collected during the tour dedicated to the medical and social institutions of Finland about new solutions and Finnish innovations in medicine and the social sphere. The article describes the principles of the Finnish health care system, including the work of maternal and child welfare clinics, as well as common European approaches in geriatrics. Thе article describes the features of geriatric services in Finland. It reflects the role of the municipal social services to provide residents of barrier-free environment in their regions. The article presents the facts from the personal experience exploring the Finnish system of medical and social support to older generation focused on the application of the latest scientific developments. The article presents innovative products for comfortable living of older people, including a traveling exhibition of technologies for older people, specialized furniture and household items available in the functional building DoMedi and others. This article describes the function of public and private Finnish services and the Finnish Centre for Elderly, including a Finnish non-profit organization Valli. The article presents the features of a private home for the elderly “Wilhelmiina” in Helsinki and scientific developments behalf Miyna Sillanpää Foundation. The article describes the innovative products, created in the Health Innovation Village at the Finnish office of GE: vacuum therapy device for the treatment of edema, a portable device for the treatment of depression, a sensor for measuring the electrical activity of muscles. The paper presents the solutions offered by the Finnish university hospitals, including personalized medicine technology for patients with cancer, developed at the Institute of Molecular Medicine, University of Helsinki. The article describes the work of one of the divisions of the institute - Biobank. The article describes the general approach to reform the health care system in Finland.

Changes in Cuban Health Care: An Argument against Technological Pessimism

1977 ◽  
Vol 7 (3) ◽  
pp. 383-400 ◽  
Author(s):  
Sally Guttmacher ◽  
Ross Danielson
Keyword(s):  
Health Care ◽  
Social Services ◽  
Health Care System ◽  
Health Workers ◽  
Care Delivery ◽  
Social Changes ◽  
The Past ◽  
Political Economic ◽  
Care System

Since the popular revolution in 1959, alterations in the organization and delivery of health care in Cuba have paralleled the country's broader political, economic, and social changes. This paper discusses the evolution of the Cuban health care system during the past seventeen years within the wider context of societal development. The authors compare three “snapshots” of Cuba, the first in 1959, the second in 1970, and the last in 1976, and touch upon such issues as the organization of health care delivery, the recruitment and socialization of health workers, and aspects of the process of receiving health care. They point out that the Cuban experience should be of particular interest to the developing world. For though it is true that a larger portion of Cuban national resources has been directed to the health and social services than in other developing countries, nonetheless, it was largely through the reorganization and equalization of the prerevolutionary health care system that improvement in the health status of the population was achieved. It appears that Cuba could well serve as an example for those who are skeptical about the possibility of combining technical development with improvement in the humane quality of care.

scholarly journals A Usability and Feasibility Study: GENIE - An App Supporting Self-Management among Older Adults who are High Users of the Health Care System (Preprint)

2020 ◽  
Author(s):  
Ruta Valaitis ◽  
Laura Cleghorn ◽  
Ivaylo Vassilev ◽  
Anne Rogers ◽  
Jenny Ploeg ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Health Care ◽  
Social Networks ◽  
Social Services ◽  
Health Care System ◽  
Self Management ◽  
Health And Social Services ◽  
Primary Care Clinicians ◽  
Care System

BACKGROUND Primary care providers have been tasked with fostering self-management through managing referrals and linking patients to community-based health and social services. This study evaluated a web-based tool –GENIE (Generating Engagement in Network InvolvEment)– as a component of the Health TAPESTRY program to support self-management of older adults who are high health care system users. GENIE aims to empower patients to leverage their personal social networks to access community services towards reaching their health goals. GENIE maps client’s personal networks, elicits preferences, and filters local health and social resources from a community service directory based on results of a questionnaire that explores client’s interests. In the Health TAPESTRY program, volunteers conducted home visits to gather health information on tablets and implemented the GENIE tool. A report was generated for the primary care team for follow up. OBJECTIVE This study examined the usability, feasibility, and perceived outcomes of the implementation of GENIE with older adults who were enrolled in Ontario’s Health Links Program, which coordinates care for the highest users of the health care system. METHODS This study involved two primary care clinician focus groups, one clinician interview, a volunteer focus group, client telephone interviews, field observations, and GENIE utilization statistics. RESULTS Eight patients, three volunteers, and 16 primary care clinicians participated. Patients were most interested in services that were health-related (exercise and socialization). Overall, participants perceived GENIE to be useful and easy to use, despite challenges related to email set up, disease terminology, instructions for personal network mapping, and clarity of questionnaire items. Volunteer facilitation was critical to support implementation of Genie. Tool completion averaged 39 minutes. Almost all patients identified a community program or activity of interest using GENIE. Half followed up on health and social services and added new members to their network over 6 months, while one participant lost a member. Clinicians had concerns about accuracy, suitability, and quantity of suggested programs and services generated from the tool and believed that they could better tailor choices for their patients highlighting the inherent tension between user-centred preferences focused on capabilities and bio-medical definitions of need shaping professional judgement. However, clinicians did note that GENIE strengthened their understanding of patients’ personal social networks. CONCLUSIONS This study demonstrated GENIE’s potential, facilitated by volunteers, to expand patients’ social networks and link them to relevant health and social services to support self-management. Volunteers require training to effectively implement GENIE for self-management support and can help overcome time limitations that primary care clinicians face. Refining the filtering capability of GENIE to allow for better tailoring of results to address the complex needs of those who are high system users may help to improve primary care provider’s confidence in such tools. CLINICALTRIAL Not applicable

scholarly journals The health care system: an overview

2020 ◽  
pp. 25-33
Author(s):  
O.I. Kyselova ◽  
K.O. Nadtochiy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Social Institutions ◽  
Well Being ◽  
The State ◽  
Main Element ◽  
Physical And Mental Health ◽  
Care System

Health care is the most important social sphere of society, on the state of which depends not only the health of the population, but also the political stability of the state. The health of the population is the basis of its well-being, the development of society in its social and economic expression. Recently, the health problems of the population have been repeatedly considered in connection with strengthening the security of the country, the development of urgent measures to maintain the health of less vulnerable groups in difficult conditions of socio-economic transformation. Healthcare is an integral part of international development. An effective health care system can make a significant contribution to the country's economy, its development and industrialization. Health care is an important factor that determines the general physical and mental health, well-being of people not only in one country but also around the world. Health care as the leading branch of activity of the country, the purpose is the organization and maintenance of accessible medical care of the population. It is the main element of national security. Is a set of measures of economic, political, social, legal, scientific, medical, sanitary, anti-epidemic and cultural nature, aimed at preserving and strengthening the physical and mental health of each person, maintaining a healthy life and, in this case, deteriorating health I, then - the provision of medical care. Special social institutions are created for this purpose. This article analyzes the relevance of health care and examines that these issues are major and health care is a leading sector of Ukraine, which aims to organize and provide affordable health care.

scholarly journals Crisis and Challenges in the Health Care System: A Personal Point of View

1989 ◽  
Vol 5 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Dan Michaeli
Keyword(s):  
Public Health ◽  
Health Care ◽  
World War Ii ◽  
Social Services ◽  
Health Care System ◽  
Modern Society ◽  
Public Health Care ◽  
Public Health Services ◽  
The Public ◽  
Care System

Public health care systems in countries all over the world are confronted with increasing difficulties. The problems are mainly economic, but they also reflect difficulties of adaptation to changes both in society as a whole and within the health care services.The atmosphere of a crisis results from internal struggles within the health care system and with other welfare and social services that face economical difficulties, while confronting accelerated demographical, social, technological, and cultural changes.The situation is more acute because of the inability of modern society to provide the public health care system with resources (human and financial) according to the expectations that have developed in the welfare state since the end of World War II.New welfare policy, adjusted to the changes that occur within the society, is needed. In this struggle, the public health services find themselves in the center of the discussion as one of the whole of public social services and in competition with other public welfare systems.Economical and organizational problems are the most acute and attract a great deal of interest, and they are amply discussed in many articles and conferences. I shall not deal with them in this article.

scholarly journals THE SOCIAL INSTITUTION OF MEDICINE. PART I

2018 ◽  
Vol 17 (1) ◽  
pp. 4-11
Author(s):  
A. V Reshetneykov
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Social Institutions ◽  
Social Institution ◽  
System Transformation ◽  
The Social ◽  
Basic Institution ◽  
Family State ◽  
Care Support ◽  
Care System

The concept of social institution correlates to period of becoming of sociology as a science and is related to classical works of O. Comte, E. Durkheim and G. Spencer. The institutional approach to studying society in classical interpretation includes five main social institutions ensuring stability of social system: family, state (politics), economics (manufacturing), education, religion. Nowadays, medicine is to be considered as an independent social institution and to proceed its investigation in the light of opening opportunities from positioning of sociology. The article minutely considers process of transformation of medicine into basic institution at the turn of XX-XXI centuries. At that it is emphasized that evolution process of institutionalization of medicine requires a new in-depth comprehension with regard to modern social transformational processes in the system of health protection. Simultaneously, an understanding is required concerning such fundamental aspects as changing situation in health care system, transformation of views of patient on process of medical care support and one's expectations from health care system, alterations of concepts of patient-physician relationships and re-arrangement of models of interaction of individual person with state, society, social institutions and groups.

Health reform in Finland: current proposals and unresolved challenges

2016 ◽  
Vol 11 (3) ◽  
pp. 303-319 ◽  
Author(s):  
Richard B. Saltman ◽  
Juha Teperi
Keyword(s):  
Health Care ◽  
Social Services ◽  
Health Care System ◽  
Health Reform ◽  
Single Channel ◽  
Public Funding ◽  
Governance Structure ◽  
Occupational Health Services ◽  
The Impact ◽  
Care System

AbstractThe Finnish health care system is widely respected for its pilot role in creating primary-care-led health systems. In the early 1990s, however, a severe economic downturn in Finland reduced public funding and weakened the Finnish system’s deeply decentralized model of health care administration. Recent Bank of Finland projections forecasting several decades of slow economic growth, combined with the impact of an aging population, appear to make major reform of the existing public system inevitable. Over the last several years, political attention has focused mostly on administrative consolidation inside the public sector, particularly integration of health and social services. Current proposals call for a reformed health sector governance structure based on a new meso-level configuration of public administration. In addition, Finland’s national government has proposed replacing the current multi-channel public funding structure (which includes health insurance subsidies for occupational health services) with a single-channel public funding structure. This commentary examines several key issues involved in reforming the delivery structure of the Finnish health care system. It also explores possible alternative strategies to reform current funding arrangements. The article concludes with a brief discussion of implications from this Finnish experience for the wider health reform debate.

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