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Health system reforms and the needs of the ageing population—an analysis of recent policy paths and reform trends in Finland and Sweden
Population 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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Netherlands
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9012246/ https://www.ncbi.nlm.nih.gov/pubmed/35465210 http://dx.doi.org/10.1007/s10433-022-00699-x |
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author | Tynkkynen, Liina-Kaisa Pulkki, Jutta Tervonen-Gonçalves, Leena Schön, Pär Burström, Bo Keskimäki, Ilmo |
author_facet | Tynkkynen, Liina-Kaisa Pulkki, Jutta Tervonen-Gonçalves, Leena Schön, Pär Burström, Bo Keskimäki, Ilmo |
author_sort | Tynkkynen, Liina-Kaisa |
collection | PubMed |
description | Population 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. |
format | Online Article Text |
id | pubmed-9012246 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Netherlands |
record_format | MEDLINE/PubMed |
spelling | pubmed-90122462022-04-18 Health system reforms and the needs of the ageing population—an analysis of recent policy paths and reform trends in Finland and Sweden Tynkkynen, Liina-Kaisa Pulkki, Jutta Tervonen-Gonçalves, Leena Schön, Pär Burström, Bo Keskimäki, Ilmo Eur J Ageing Original Investigation Population 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. Springer Netherlands 2022-04-15 /pmc/articles/PMC9012246/ /pubmed/35465210 http://dx.doi.org/10.1007/s10433-022-00699-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Investigation Tynkkynen, Liina-Kaisa Pulkki, Jutta Tervonen-Gonçalves, Leena Schön, Pär Burström, Bo Keskimäki, Ilmo Health system reforms and the needs of the ageing population—an analysis of recent policy paths and reform trends in Finland and Sweden |
title | Health system reforms and the needs of the ageing population—an analysis of recent policy paths and reform trends in Finland and Sweden |
title_full | Health system reforms and the needs of the ageing population—an analysis of recent policy paths and reform trends in Finland and Sweden |
title_fullStr | Health system reforms and the needs of the ageing population—an analysis of recent policy paths and reform trends in Finland and Sweden |
title_full_unstemmed | Health system reforms and the needs of the ageing population—an analysis of recent policy paths and reform trends in Finland and Sweden |
title_short | Health system reforms and the needs of the ageing population—an analysis of recent policy paths and reform trends in Finland and Sweden |
title_sort | health system reforms and the needs of the ageing population—an analysis of recent policy paths and reform trends in finland and sweden |
topic | Original Investigation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9012246/ https://www.ncbi.nlm.nih.gov/pubmed/35465210 http://dx.doi.org/10.1007/s10433-022-00699-x |
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