Social and health-care priorities of local politicians in Finland: Do the attitudes of politicians reflect the actual processes in municipalities?

International Journal of Social Welfare

Volumn 13, Issue 1, 2004, Pages 69-76

  Lammintakanen, Johanna ^a   Kinnunen, Juha ^a  

^a UNIVERSITY OF EASTERN FINLAND   (Finland)

Author keywords

Attitudes; Politicians; Prioritisation in health care; Scandinavian welfare model

Indexed keywords

HEALTH EXPENDITURE; HEALTH SERVICES; PRIMARY HEALTH CARE; PUBLIC SPENDING; SOCIAL POLICY;

EURASIA; EUROPE; FINLAND; NORTHERN EUROPE; SCANDINAVIA;

EID: 1642268335     PISSN: 13696866     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1369-6866.2004.00298.x     Document Type: Article

References (33)

1. Aaron H, Schwartz WB (1990). Rationing health care: the choice before us. Science 247: 418-422.
2. Association of Local and Regional Authorities (2001). Kuntien vuosikatteet 1998-2000. [Annual margins of municipalities 1998-2000]. http://www.kuntaliitto.fi
3. Björk S, Rosen P (1993). Setting health priorities in Sweden: the politicians' point of view. Health Policy 26: 141-154.
4. Bowling A (1996). Health care rationing: the public's debate. British Medical Journal 312: 670-674.
5. Calman KC (1994). The ethics of allocation of scarce health care resources: a view from the centre. Journal of Medical Ethics 20: 71-74.
6. Hakkarainen A (1997). Sotka - a database for local democracy. Unpublished handout.
7. Ham C (1997). Priority setting in health care: learning from international experience. Health Policy 42: 49-66.
8. Harrison S (1997). Central government should have a greater role in rationing decisions. The case against. British Medical Journal 314: 970-973.
9. Holm S (2000). Developments in the Nordic countries - goodbye to the simple solutions. In: Coulter A, Ham C, eds. The global challenge of health care rationing. State of Health. Buckingham, Open University Press.
10. KELA (2001). Terveyspalvelujen kustannukset ja rahoitus Suomessa 1960-1999 [Economics of community health services in Finland 1960-1999]. Helsinki, Kansaneläkelaitoksen julkaisuja 58.
11. King's Fund (1993). Public disagrees with professionals over NHS rationing. British Medical Journal 306: 673.
12. Kinnunen J, Lammintakanen J, Myllykangas M, Ryynänen OP, Takala J (1998). Health care priorities as a problem of local resource allocation. International Journal of Health Planning and Management 13: 216-229.
13. Klein R, Day P, Redmayne S (1996). Managing scarcity. Priority setting and rationing in the National Health Service. State of Health. Buckingham, Open University Press.
14. Knuutinen M (1998). Kuntien muuttuva hallinto ja priorisointi. Tutkimus kuntien priorisointiprosessien käytännöstä ja teoreettisesta perustasta sekä yhteydestä kunnan ja valtion välisen suhteen muutokseen [Priorities setting and evolving municipal administration. A study of the processes in which priorities were set, their theoretical background and how processes relate to the changing relationship between local and national authorities]. Kuopio, Kuopio University Publications E. Social Sciences 54.
15. Malone N, Rycroft-Malone J (1998). Equity and rationing in the NHS: past to present. Journal of Nursing Management 6: 325-332.
16. Martikainen T, Uusikylä P (1997). Reforming health policy in Finland. A critical assessment. Helsinki, Ministry of Social Affairs and Health. Publications 13.
17. Ministry of Social Affairs and Health (1999a). Health care in Finland. Brochures 13. http://www.stm.fi/english/publicat/publications-fset.htm
18. Ministry of Social Affairs and Health (1999b). Policy on ageing. Brochures 4. http://www.stm.fi/english/publicat/publications_fset.htm
19. Möttönen S (1999). Kunnallisten palvelujen priorisoinnin ongelmallisuudesta [Problems of priority setting in municipalities]. Hallinnon tutkimus 1: 93-99.
20. Myllykangas M, Ryynänen OP, Kinnunen J, Takala J (1997). Comparison of doctors', nurses', politicians' and public attitudes to health care priorities. Journal of Health Services Research and Policy 1: 212-216.
21. Parsons W (1995). Public policy. An introduction to the theory and practice of policy analysis. Edward Elgar. Cambridge, Cambridge University Press.
22. Rissanen P, Häkkinen U (1999). Priority-setting in Finnish health care. Health Policy 50: 143-153.
23. Rosén P (2002). Attitudes to prioritisation in health services. The views of citizens, patients, health care politicians, personnel and administrators. Gothenburg, Nordic School of Public Health.
24. Ryynänen OP, Myllykangas M, Niemelä P, Kinnunen J, Takala J (1998). Attitudes to prioritisation in selected health care activities. Scandinavian Journal of Social Welfare 7: 320-329.
25. Ryynänen OP, Myllykangas M, Kinnunen J, Takala J (1999). Attitudes to health care prioritisation methods and criteria among nurses, doctors, politicians and the general public. Social Science and Medicine 49: 1529-1539.
26. Saltman R, Figueras J, eds. (1997). European health care reform. Analysis of current strategies. Copenhagen, WHO Regional publications, European series, no. 72.
27. Statistics Finland (2000). Municipalities and Regional Divisions based on Municipalities 2000. Helsinki. Handbooks 28.
28. Thorslund M, Bergmark A, Parker MG (1997). Difficult decisions on care and services for elderly people: the dilemma of setting priorities in the welfare state. Scandinavian Journal of Social Welfare 6: 197-206.
29. Vaarama M, Kautto M (1998). Social protection for the elderly in Finland. National Research and Developent Centre for Welfare and Health. Saarijärvi, Gummerus.
30. Valtonen H, Martikainen J (2001). Kuntien sosiaali- ja terveystoimen menojen jakauma ja jakauman muutokset vuosina 1975-1998 [The distribution of the health and social care expenditures in the Finnish municipalities and the changes of these distributions in 1975-1998]. Kuopio University Occasional Reports E. Social Sciences 24.
31. Van der Grinten T (2000). Actors in priority setting: intended roles and actual behavior. Paper presented in the Third International Conference on Priorities in Health Care. Amsterdam, November 23.
32. Walt G (1999). Implementing the health care reform: a framework for discussion. In: Saltman R, Figueras J, Sakellarides C, eds. Critical challenges for health care reform in Europe. State of Health. Buckingham, Open University Press.
33. WHO (1996). Health care systems in transition. Finland. Copenhagen. Regional Office for Europe.