Kuntoutukseen osallistuminen ja eri osajärjestelmien ristikkäiskäyttö

Kuntoutus ◽  
2020 ◽  
Vol 43 (4) ◽  
pp. 6-20
Author(s):  
Hanna Rinne ◽  
Jenni Blomgren
Keyword(s):  
Health Care ◽  
Occupational Health ◽  
Social Insurance ◽  
Pension System ◽  
Rehabilitation Services ◽  
Occupational Health Care ◽  
The Public ◽  
Social Insurance Institution ◽  
The Social ◽  
The City

Tieto kuntoutuksen kentän kokonaisuudesta ja erilaisten kuntoutuspalveluiden käytöstä samoilla ihmisillä on varsin hajanaista ja puutteellista. Tutkimuksen tavoitteena on selvittää kuntoutukseen osallistumisen yleisyyttä ja päällekkäisyyttä eri osajärjestelmissä Oulun asukkailla vuonna 2018 laajalla rekisteriaineistolla (N = 192 844). Tutkimuksessa tarkastellaan julkisen sosiaali- ja terveyspalvelujärjestelmän kuntoutusta, Kelan kuntoutusta, työeläkekuntoutusta, työterveyshuollon fysioterapiaa ja Kelan korvaamaa yksityistä fysioterapiaa. Vuonna 2018 oululaisista 18 prosenttia sai vähintään yhden tutkitun osajärjestelmän kuntoutusta (N = 34 061). Yleisintä oli julkisen sosiaali- ja terveyspalvelujärjestelmän kuntoutus, harvinaisinta työeläkekuntoutus. Naiset osallistuivat kuntoutukseen miehiä yleisemmin. Kuntoutukseen osallistuminen oli miehillä yleisintä 65 vuotta täyttäneillä, naisilla 45–64-vuotiailla. Harvinaisinta se oli 16–24-vuotiailla miehillä ja alle 16-vuotiailla naisilla. Suurin osa (90 %) kuntoutukseen osallistuneista oli osallistunut vain yhden osajärjestelmän kuntoutukseen. Useamman osajärjestelmän kuntoutukseen osallistuminen oli naisilla miehiä yleisempää. Ikäryhmistä se oli yleisintä 45–64-vuotiailla ja harvinaisinta alle 16-vuotiailla. Vähintään kahden osajärjestelmän kuntoutukseen osallistuneet olivat keskimäärin vanhempia kuin vain yhden osajärjestelmän kuntoutukseen osallistuneet ja myös naisten osuus oli heillä suurempi. Rekisteritietoja kuntoutuksesta on hankala koota kattavasti, sillä järjestelmä on hyvin hajanainen ja toimijoita ja rekisterinpitäjiä on lukuisia. Myös kuntoutuksen määrittely aineistoista osoittautui vaikeaksi. Yhtenäiset tietojärjestelmät kuntoutuksesta palvelisivat paitsi tutkijoita, myös kuntoutujia. Abstract Prevalence and overlap of participation in rehabilitation in different subsystems – a register-based study among residents of the city of Oulu, Finland, in 2018 Knowledge of the whole spectrum of rehabilitation and of the use of different rehabilitation services by the same individuals is quite fragmented and incomplete. The aim of this study is to examine the prevalence and overlap of participation in rehabilitation in different subsystems among residents of the city of Oulu, Finland, in 2018 using extensive register-based data (N=192,844). The study examines rehabilitation organized by the public social and health care system, by the Social Insurance Institution of Finland, by the earnings-related pension system, as well as physiotherapy in occupational health care and private physiotherapy reimbursed by the Social Insurance Institution of Finland. In 2018, 18 per cent of the residents of Oulu received rehabilitation of at least one of the examined subsystems (N=34,061). Receiving rehabilitation of public social and health care was the most common; the rarest was rehabilitation within the earnings-related pension system. Women participated in rehabilitation more often than men. Using rehabilitation services was most common in men aged 65 and over, and in women aged 45–64. It was least common in men aged 16–24 years and in women under 16 years of age. The majority (90%) of those who participated in rehabilitation had participated in rehabilitation of only one subsystem. Participation in rehabilitation of several subsystems was more common in women than in men. It was most common in those aged 45–64 years and least common in those under 16 years of age. Those who received rehabilitation of at least two subsystems were, on average, older than those who received rehabilitation of only one subsystem, and more often women. It is difficult to compile comprehensive register data on rehabilitation, as the system is very fragmented and there are many organizers and registrars. Defining rehabilitation from the data also proved difficult. Unified information systems on rehabilitation would serve not only researchers but also rehabilitees. Keywords: rehabilitation, register-based research, Finland

scholarly journals Kayseri’de Sosyal Sigortalar Kurumu (SSK) Tarafından Üretilen Konut Kooperatiflerinin Nicel Gelişimi (1950-1980) / Quantitative Development of Housing Cooperatives Produced by Social Insurance Institution in Kayseri (1950-1980)

2017 ◽  
Vol 6 (3) ◽  
pp. 696
Author(s):  
Beyza Onur ◽  
Burcu Ceylan Duggan
Keyword(s):  
Social Insurance ◽  
Housing Stock ◽  
Spatial Development ◽  
The State ◽  
Social Insurance Institution ◽  
Housing Cooperatives ◽  
The Social ◽  
Quantitative Development ◽  
The Government ◽  
The City

<p><strong>Abstract</strong></p><p>In the post-republic period in Turkey, due to the increase in the rate of industrialization and urbanization, the need for housing in the cities has come to the agenda. In this period, the incentives and investments provided by the state played an important role in eliminating this need by providing the production of housing cooperatives. Between the years of 1950-1980 in Kayseri; the period of industrialization in the city has accelerated and the population of the city has increased. Therefore, the housing need that emerged in Kayseri in this process has been tried to be solved through the state cooperatives produced by the state. In this context, this study aimed to document the housing cooperatives produced by the Social Insurance Institution between 1950-1980 in Kayseri and to examine the quantitative development of the cooperatives. Kayseri Kocasinan Municipality and Kayseri Melikgazi Municipality archives were scanned to make this examination. As a result of the findings, it has been determined that the government has long been involved in the production of housing cooperatives within the economic plans and that the housing cooperatives have increased in quantity and Kayseri has contributed to the spatial development of the city by adding to the housing stock. In addition, in this study, researching housing cooperatives in Kayseri's architectural environment; it is thought that it will help to introduce the politics of generating housing in Turkey.</p><p><strong>Öz</strong></p><p>Türkiye’de Cumhuriyet sonrası dönemde, sanayileşme ve kentleşme hızının artmasına bağlı olarak kentlerde konut ihtiyacı gündeme gelmiştir. Bu dönemde devlet tarafından sağlanan teşvik ve yatırımlar, konut kooperatiflerinin üretilmesini sağlayarak bu ihtiyacın giderilmesinde önemli rol oynamıştır. Çalışmanın kapsamı olan Kayseri’de 1950-1980 yılları arası; kentte sanayileşme sürecinin hızlandığı ve kentli nüfusun arttığı dönem olmuştur. Bu nedenle bu süreçte Kayseri’de ortaya çıkan konut ihtiyacı, devlet eli ile üretilen konut kooperatifleri üzerinden giderilmeye çalışılmıştır. Bu bağlamda bu çalışma, Kayseri’de 1950-1980 yılları arasında Sosyal Sigortalar Kurumu (SSK) tarafından üretilen konut kooperatiflerini belgelemeyi ve kooperatiflerin nicel gelişimini incelemeyi amaçlamıştır. Bu incelemeyi yapabilmek için Kayseri Kocasinan Belediyesi ve Kayseri Melikgazi Belediyesi arşivleri taranmıştır. Elde edilen bulgular sonucunda, devletin ekonomik planları dâhilinde konut kooperatifi üretimine uzun süre yer verildiği ve bu sayede konut kooperatiflerinin nicel olarak arttığı ve Kayseri’nin konut stokuna önemli oranda eklenerek kentin mekânsal gelişimine katkıda bulunduğu saptanmıştır. Ayrıca bu çalışmada Kayseri’nin mimarlık ortamındaki konut kooperatiflerini araştırmanın; Türkiye’de bir döneme ait konut üretme politikasının tanıtılmasına yardımcı olacağı düşünülmektedir.</p>

scholarly journals Wybrane problemy przedsądowego postępowania w zakresie ubezpieczeń społecznych

2017 ◽  
Vol 109 ◽  
pp. 71-83
Author(s):  
Marek Pogonowski
Keyword(s):  
Social Insurance ◽  
National Interest ◽  
The State ◽  
Public Finances ◽  
The Public ◽  
Social Insurance Institution ◽  
The Social ◽  
Internal Procedures ◽  
Flow Of Information ◽  
Procedural Aspect

SELECTED PROBLEMS OF PREJUDICIAL PROCEEDINGS IN THE FIELD OF SOCIAL INSURANCEThe article describes the procedural aspect of the Social Insurance Institution which, as an institution performing the tasks of the state, conducts proceedings which assess the rights and obli­gations of customers. Conducted proceeding is terminated by adecision. Generally it is adeclara­tory decision, which means that it doesn’t create aright to benefits, only confirms them. The Social Insurance Institution issues aconstitutive decisions, giving law, so-called decisions discretion.The proceeding in the field of social insurance must take into account the principle of respect for the public finances. Balancing the interests of the citizen and the national interest requires know­ledge of law, ability to interpret and use it, but also well-educated, competent employees, precise internal procedures, efficient flow of information and modern tools.

scholarly journals E-SERVICES IN PUBLIC ADMINISTRATION ON THE BASIS OF THE POLISH SOCIAL INSURANCE INSTITUTION (ZUS)

2021 ◽  
Author(s):  
Anna Owczarczyk ◽  
Joanna Lazurek
Keyword(s):  
Public Administration ◽  
Critical Analysis ◽  
Social Insurance ◽  
Statistical Data ◽  
The Internet ◽  
Survey Questionnaire ◽  
The Public ◽  
Social Insurance Institution ◽  
The Social ◽  
Survey Results

The term e-services refers to such services that are delivered over the Internet and their rendition is frequently automated and remote. Apart from the Internet, an e-service may also be provided by means of mobile devices or television. The wider and wider range of e-services is offered by institutions from the public administration sector, striving to anticipate their client's expectations (especially those of the younger generation) and using the ongoing digitisation process. This study aims at presenting the role and opinions of e-service in one of the social insurance institutions, i.e. Social Insurance Institution (ZUS) where numerous electronic tools have been implemented facilitating work and enabling clients to make contact, get information, send and receive documents. All these efforts are made so as to increase accessibility for prospective and current clients as well as to make the institution's operations more efficient. To achieve this, the following research methods were used: a critical analysis of the literature, an analysis of statistical data, an analysis of survey results (conducted by ZUS), and a survey questionnaire (own research).

scholarly journals Presentation and Assessment of Provisions of Strategic Documents in the Context of Possibilities of Achieving Key Objectives as Well as the Vision and Mission of the Social Insurance Institution

2020 ◽  
Vol 54 (2) ◽  
pp. 53
Author(s):  
Anna H. Matuszewska
Keyword(s):  
Customer Satisfaction ◽  
Social Insurance ◽  
New Technologies ◽  
Traditional Approach ◽  
Public Institution ◽  
Modern Approach ◽  
Management By Objectives ◽  
The Public ◽  
Social Insurance Institution ◽  
The Social

<p>Traditional approach to management based on administration does not guarantee full achievement of its goals, nor is it satisfactory to service recipients. The focus on the widely understood stakeholders of the public domain is of the utmost value within the public sector. Thus, modern approach to management in public administration requires to abandon bureaucracy and improve the quality of services, customer satisfaction, and openness to new technologies. The article focuses on presenting and assessing the essence of changes in the Social Insurance Institution management which are supposed to ensure that the status of a modern public institution will be achieved. The process of transformations was conducive to developing a new model of management which is based on management by objectives, employs process-oriented management, and whose aim is to increase customer satisfaction.</p>

scholarly journals Winding up of open pension funds (OFE-s) in the context of Poland’s fiscal situation

2020 ◽  
pp. 30-40
Author(s):  
Grzegorz Gołębiowski ◽  
◽  
Piotr Russel ◽  
Keyword(s):  
Public Finance ◽  
Social Insurance ◽  
Negative Impact ◽  
Geometric Mean ◽  
Pension Funds ◽  
Point Of View ◽  
The Public ◽  
Social Insurance Institution ◽  
The Social ◽  
Central Statistical

Purpose – The aim of the paper is to assess changes in the functioning of open pension funds (OFE-s) in the context of Poland’s fiscal situation. These changes are beneficial from the point of view of the current condition of the public finance sector, however in the longer term they may have a negative impact on Poland’s fiscal situation. Research method – The authors analysed and processed data and information available from Eurostat, the Central Statistical Office, publications from the Ministry of Finance, the stooq.pl portal listing quotes on the financial market and publications in which the authors estimated hidden debt in Poland. Based on the analysis undertaken, conclusions relating to the studied problem were formulated. Results – The changes initiated in 2011 and consisting in limiting the significance of the capital pillar of the social security system in Poland (OFE-s), and subsequently planned in 2020, the final liquidation of open pension funds has a positive effect on the current condition of the public finance sector in Poland limiting the borrowing needs of the state, the deficit and registered public debt. The changes weaken Poland’s fiscal position as they contribute to a significant increase in hidden debt recorded on individual accounts and sub-accounts at the Social Insurance Institution. Originality /value – It was proved that in the years 2013-2019 the indexation rate (measured by the geometric mean) of funds on pension sub-accounts at the Social Insurance Institution was 36.7% higher than the profitability of 10-year treasury bonds, thus generating additional hidden debt. The analysis also indicated the possible negative long-term consequences for Poland’s fiscal situation resulting from the final liquidation of open pension funds.

Pelaksanaan Jaminan Kesehatan Oleh BPJS Kesehatan Dalam Perspektif Syariah

Liquidity ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 110-118
Author(s):  
Iwan Subandi ◽  
Fathurrahman Djamil
Keyword(s):  
Health Care ◽  
Financial Institution ◽  
Social Supports ◽  
Religious Leaders ◽  
The Public ◽  
The People ◽  
The Social ◽  
Ministry Of Finance ◽  
Health Support ◽  
The Government

Health is the basic right for everybody, therefore every citizen is entitled to get the health care. In enforcing the regulation for Jaringan Kesehatan Nasional (National Health Supports), it is heavily influenced by the foreign interests. Economically, this program does not reduce the people’s burdens, on the contrary, it will increase them. This means the health supports in which should place the government as the guarantor of the public health, but the people themselves that should pay for the health care. In the realization of the health support the are elements against the Syariah principles. Indonesian Muslim Religious Leaders (MUI) only say that the BPJS Kesehatan (Sosial Support Institution for Health) does not conform with the syariah. The society is asked to register and continue the participation in the program of Social Supports Institution for Health. The best solution is to enforce the mechanism which is in accordance with the syariah principles. The establishment of BPJS based on syariah has to be carried out in cooperation from the elements of Social Supports Institution (BPJS), Indonesian Muslim Religious (MUI), Financial Institution Authorities, National Social Supports Council, Ministry of Health, and Ministry of Finance. Accordingly, the Social Supports Institution for Helath (BPJS Kesehatan) based on syariah principles could be obtained and could became the solution of the polemics in the society.

Nollapersoona Kelan virkailijoiden direktiiveissä

Virittäjä ◽  
2020 ◽  
Vol 124 (3) ◽  
Author(s):  
Anu Rouhikoski
Keyword(s):  
Social Insurance ◽  
Service Encounters ◽  
Application Form ◽  
Modal Verbs ◽  
Social Insurance Institution ◽  
Person Pronoun ◽  
The Social ◽  
Modal Verb

Artikkelissa tarkastellaan nollapersoonaisen modaaliverbirakenteen käyttöä direktiivinä (esim. tämä hakemus pitäs vielä täyttää). Aineistona on 11,5 tuntia Kansaneläkelaitoksen eli Kelan toimistoissa videolle tallennettuja aitoja asiakaspalvelutilanteita, 131 yksittäistä tilannetta. Aineistossa esiintyvät neljä virkailijaa ovat noin 30-vuotiaita; asiakkaiden ikä vaihtelee noin 18 ja 80 vuoden välillä. Analyysi osoittaa, että nollapersoonan referenssi on ainakin muodollisesti avoin ja Kelan tilanteissa se usein kattaa sekä paikalla olevan asiakkaan että muut samassa tilanteessa olevat ihmiset. Siten nollapersoonalla ilmaistaan eksplisiittisesti, että kaikkia kohdellaan samoin säännöin eikä asiakkaalta vaadita mitään poikkeuksellista. Se ikään kuin perustelee itse itsensä. Modaaliverbi (esim. kannattaa, pitää, täytyä, voida) puolestaan tuo lausumaan jonkin keskustelun ulkoisen velvoitteen. Aineistossa nollapersoonaisia modaaliverbidirektiivejä käytetään usein silloin, kun virkailija ei käsittele itsestään selvänä, että asiakas tulee noudattamaan saamaansa direktiiviä, vaan direktiiviin liittyy epävarmuustekijöitä. Näitä ovat arkaluonteisuus, erilinjaisuus, toiminnon aiheuttama vaiva tai toiminnon uutuus vuorovaikutustilanteessa. Nollapersoonainen modaaliverbidirektiivi ottaa hienovaraisesti huomioon toimintoon liittyvät epävarmuustekijät mutta osoittaa silti toiminnon olevan tilanteessa tarpeellinen. Nollapersoonalausumia verrataan artikkelissa toiseen direktiivityyppiin, 2. persoonan modaaliverbilausumiin (esim. tää sun pitäs kuitenki täyttää vielä). Niissäkin modaaliverbi välittää tilanteen ulkopuolelta tulevan käskyn, mutta lausuma rajataan koskemaan ainoastaan yhtä asiakasta ja hänen velvollisuutensa tehdään näkyviksi. 2. persoonan modaaliverbidirektiiveillä annetaan yleensä lisäohjeita jo meneillään olevassa prosessissa tai toistetaan jokin jo annettu direktiivi. Lisäksi niitä käytetään yleensä vain silloin, kun asiakas on virkailijaa nuorempi, kun taas nollapersoonadirektiivejä esitetään kaikenikäisille asiakkaille.   Zero-person subjects and modal verbs in directives: a study of employees at the Social Insurance Institution of Finland  The article analyses the directive use of a Finnish zero person + modal verb construction, e.g. tämä hakemus pitäs vielä täyttää (‘one should fill in this application form’). The data comprises 11.5 hours of service encounters videotaped at the offices of the Social Insurance Institution of Finland (in Finnish: Kansaneläkelaitos = Kela), 131 encounters in total. The four employees in these encounters are all in their thirties, while their clients are between 18–80 years of age. The referent of a zero-person construction is formally open, and in the service encounters analysed here its referent is often not only the client but anyone else who finds themselves in a similar situation. Therefore, the zero person explicitly expresses the notion that all clients are treated in an equal manner. The modal verb (e.g. pitää, täytyä ‘must, have to, should’; voida ‘be able to’; kannattaa ‘be worthwhile’) denotes an obligation that comes from outside the situation at hand. The analysis of the data indicates that a zero person + modal verb construction is often used when the directive involves contingencies, such as delicacy, disalignment, imposition, or a previously undiscussed action. The zero person + modal verb construction displays the speaker’s orientation towards contingencies but also indicates the necessity of the action in question. The zero-person construction stands in contrast to another directive construction, that of the 2nd-person subject + modal verb (e.g. tää sun pitäs kuitenki täyttää vielä ‘you should still fill in this one’). The modal verb conveys an external obligation, but the 2nd-person pronoun refers to one sole person and makes explicit his/her responsibilities. This construction is mainly used when reformulating a previous directive or giving additional advice. Moreover, it is usually only used when addressing younger clients, whereas the zero-person construction is suitable to clients of all ages.

scholarly journals Health Priority Setting in Iran: Evaluating Against the Social Values Framework

2016 ◽  
Vol 8 (10) ◽  
pp. 212
Author(s):  
Hakimeh Mostafavi ◽  
Arash Rashidian ◽  
Mohammad Arab ◽  
Mohammad R. V. Mahdavi ◽  
Kioomars Ashtarian
Keyword(s):  
Health Care ◽  
Health System ◽  
Priority Setting ◽  
Social Values ◽  
City Council ◽  
Decision Makers ◽  
The Public ◽  
Health Technologies ◽  
Health Priority ◽  
The Social

<p><strong>Background:</strong> Health systems, as part of the social system, consider public values. This study was conducted to examine the role of social values in the health priority setting in the Iranian health system.</p><p><strong>Methods:</strong> In this qualitative case study, three main data sources were used: literature, national documents, and key informants who were purposefully selected from health care organizations and other related institutions. Data was analyzed and interpreted using the Clark-Weale Framework.</p><p><strong>Results:</strong> According to our results, the public indirectly participates in decision-making. The public representatives participate in the meetings of the health priority setting as parliament members, representatives of some unions, members of the city council, and donors. The transparency of the decisions and the accountability of the decision makers are low. Decision makers only respond to complaints of the Audit Court and the Inspection Organization. Individual choice, although respected in hospitals and clinics, is limited in health care networks because of the referral system. Clinical effectiveness is considered in insurance companies and some hospitals. There are no technical abilities to determine the cost-effectiveness of health technologies; however, some international experiences are employed. Equity and solidarity are considered in different levels of the health system.</p><p><strong>Conclusion:</strong> Social values are considered in the health priority decisions in limited ways. It seems that the lack of an appropriate value-based framework for priority setting and also the lack of public participation are the major defects of the health system. It is recommended that health policymakers invite different groups of people and stakeholders for active involvement in health priority decisions. </p>

Sweden: an extended working life policy that overlooks gender considerations

2017 ◽  
Author(s):  
Clary Krekula ◽  
Lars-Gunnar Engström ◽  
Aida Alvinius
Keyword(s):  
Gender Equality ◽  
Pension System ◽  
Financial Burden ◽  
Working Life ◽  
Close Relative ◽  
Policy Debate ◽  
The Public ◽  
Public Pension System ◽  
The Social ◽  
Social Security Scheme

The Swedish government policy on extended working life has since its introduction in the mid-1990s aimed to lower the costs of the public pension system and to reduce the financial burden for workers. By focusing on an idealised category of those who are "willing and able to work longer", the policy has neglected the obstacles faced by those with physically demanding jobs or with a big responsibility to care for a close relative. This mainly affects women and upholds a neoliberal view of older people. By only problematizing gender perspective on the challenges to gender equality in working life, a narrow understanding of gender equality is created which deviates from other national gender equality policies. The policy debate thereby contributes also to excluding older women and men from the Swedish gender equality project. Despite the argument that an extended working life is needed to ensure the value of pensions, this does not apply to those who are unable to continue working - they are instead expected to rely on the social security scheme.

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