“THE PATIENT SURVIVED DESPITE THE TREATMENT”. A study of Finnish health policy and New Public Management. Case: The Government Resolution on the Health 2015 public health programme.

Internationally, Finland has been among the most respected countries during several decades in terms of public health. WHO has had the most significant influence on Finnish health policy and the relationship has traditionally been warm. However, the situation has slightly changed in the last 10-20 years. The objectives of Finnish national health policy have been to secure the best possible health for the population and to minimize disparities in health between different population groups. Nevertheless, although the state of public health and welfare has steadily improved, the socioeconomic disparities in health have increased. This qualitative case study will demonstrate why health is political and why health matters. It will also present some recommendations for research topics and administrative reforms. It will be argued that lack of political interest in health policy leads to absence of health policy visions and political commitment, which can be disastrous for public health. This study will investigate how Finnish health policy is defined and organised, and it will also shed light on Finnish health policy formation processes and actors. Health policy is understood as a broader societal construct covering the domains of different ministries, not just Ministry of Social Affairs and Health (MSAH). The influences of economic recession of the 1990s, state subsidy reform in 1993, globalisation and the European Union will be addressed, as well. There is not much earlier Finnish research done on health policy from political science viewpoint. Therefore, this study is interdisciplinary and combines political science with administrative science, contemporary history and health policy research with a hint of epidemiology. As a method, literature review, semi-structured interviews and policy analysi will be utilised. Institutionalism, policy transfer, and corporatism are understood as the theoretical framework. According to the study, there are two health policies in Finland: the official health policy and health policy generated by industry, media and various interest organisations. The complex relationships between the Government and municipalities, and on the other hand, the MSAH and National Institute for Health and Welfare (THL) seemed significant in terms of Finnish health policy coordination. The study also showed that the Investigated case, Health 2015, does not fulfil all necessary criteria for a successful public health programme. There were also several features both in Health 2015 and Finnish health policy, which can be interpreted in NPM framework and seen having NPM influences.

The effects of ICT on school: teachers’ and students’ perspectives

The purpose of this study was to investigate the effects of information and communication technology (ICT) on school from teachers’ and students’ perspectives. The focus was on three main subject matters: on ICT use and competence, on teacher and school community, and on learning environment and teaching practices. The study is closely connected to the national educational policy which has aimed strongly at supporting the implementation of ICT in pedagogical practices at all institutional levels. The phenomena were investigated using a mixed methods approach. The qualitative data from three cases studies and the quantitative data from three statistical studies were combined. In this study, mixed methods were used to investigate the complex phenomena from various stakeholders’ points of view, and to support validation by combining different perspectives in order to give a fuller and more complete picture of the phenomena. The data were used in a complementary manner. The results indicate that the technical resources for using ICT both at school and at homes are very good. In general, students are capable and motivated users of new technology; these skills and attitudes are mainly based on home resources and leisuretime use. Students have the skills to use new kinds of applications and new forms of technology, and their ICT skills are wide, although not necessarily adequate; the working habits might be ineffective and even wrong. Some students have a special kind of ICT-related adaptive expertise which develops in a beneficial interaction between school guidance and challenges, and individual interest and activity. Teachers’ skills are more heterogeneous. The large majority of teachers have sufficient skills for everyday and routine working practices, but many of them still have difficulties in finding a meaningful pedagogical use for technology. The intensive case study indicated that for the majority of teachers the intensive ICT projects offer a possibility for learning new skills and competences intertwined in the work, often also supported by external experts and a collaborative teacher community; a possibility that “ordinary” teachers usually do not have. Further, teachers’ good ICT competence help them to adopt new pedagogical practices and integrate ICT in a meaningful way. The genders differ in their use of and skills in ICT: males show better skills especially in purely technical issues also in schools and classrooms, whereas female students and younger female teachers use ICT in their ordinary practices quite naturally. With time, the technology has become less technical and its communication and creation affordances have become stronger, easier to use, more popular and motivating, all of which has increased female interest in the technology. There is a generation gap in ICT use and competence between teachers and students. This is apparent especially in the ICT-related pedagogical practices in the majority of schools. The new digital affordances not only replace some previous practices; the new functionalities change many of our existing conceptions, values, attitudes and practices. The very different conceptions that generations have about technology leads, in the worst case, to a digital gap in education; the technology used in school is boring and ineffective compared to the ICT use outside school, and it does not provide the competence needed for using advanced technology in learning. The results indicate that in schools which have special ICT projects (“ICT pilot schools”) for improving pedagogy, these have led to true changes in teaching practices. Many teachers adopted student-centred and collaborative, inquiry-oriented teaching practices as well as practices that supported students' authentic activities, independent work, knowledge building, and students' responsibility. This is, indeed, strongly dependent on the ICT-related pedagogical competence of the teacher. However, the daily practices of some teachers still reflected a rather traditional teacher-centred approach. As a matter of fact, very few teachers ever represented solely, e.g. the knowledge building approach; teachers used various approaches or mixed them, based on the situation, teaching and learning goals, and on their pedagogical and technical competence. In general, changes towards pedagogical improvements even in wellorganised developmental projects are slow. As a result, there are two kinds of ICT stories: successful “ICT pilot schools” with pedagogical innovations related to ICT and with school community level agreement about the visions and aims, and “ordinary schools”, which have no particular interest in or external support for using ICT for improvement, and in which ICT is used in a more routine way, and as a tool for individual teachers, not for the school community.

Uuteen organisaatioon rakennettavan kustannuslaskentajärjestelmän sertifioiminen valtionhallinnossa: Case Maanmittauslaitos

Työn lähtökohtana oli tieto siitä, että Valtiontalouden tarkastusvirasto (VTV) on lähtenyt tarjoamaan kustannuslaskentajärjestelmien sertifiointeja valtion virastoille ja laitoksille. Ensimmäisenä tavoitteena oli selvittää, mitä kustannuslaskentajärjestelmien sertifioiminen valtionhallinnossa tarkoittaa. Työn toisena tavoitteena oli selvittää, miten Maanmittauslaitoksen kustannuslaskenta muuttuu vuoden 2014 vaihteessa tapahtuvan organisaatiouudistuksen johdosta, ja miten ja milloin tämä uusi kustannuslaskentajärjestelmä voidaan sertifioida. Diplomityö toteutettiin tapaustutkimuksena ja empiirinen aineisto kerättiin kvalitatiivisin menetelmin tekemällä organisaation sisäisiä ja ulkoisia haastatteluja. Maanmittauslaitoksen lisäksi haastateltavat osapuolet olivat VTV, Ernst & Young, sertifiointiprosessin lähes läpikäyneen Riista- ja kalatalouden tutkimuslaitoksen entinen ja nykyinen talouspäällikkö, Maa- ja metsätalousministeriö ja Valtiokonttori. Haastatteluiden lisäksi valtion virastoilta ja laitoksilta kysyttiin ovatko he kuulleet VTV:n tarjoamasta sertifiointipalvelusta ja ovatko he kiinnostuneita tästä kyseisestä palvelusta. Työn tuloksista käy ilmi, että VTV:n palvelu etenee samalla tavalla kuin mikä tahansa muu sertifiointiprosessi. VTV:n palvelu eroaa kuitenkin jonkin verran sertifioinnin perusrakenteesta, koska kustannuslaskentajärjestelmien tapauksessa ei ole laadittu yleisiä standardeja kustannuslaskennalle. Tämän vuoksi perusrakenteessa ei ole ollenkaan standardin omistajaa. Standardin omistajan paikalle sijoittuvat laki valtion talousarviosta ja asetus valtion talousarviosta. Maanmittauslaitoksen kustannuslaskenta muuttuu organisaatiouudistuksen myötä odotettua enemmän. Uuden organisaatiorakenteen vuoksi kustannuksia ei tarvitse vyöryttää toimintayksiköille, tulosyksiköille ja vastuualueille. Kustannukset vyörytetään jatkossa vain tuotteille ja projekteille. Maanmittauslaitoksen kannattaa sertifioida uusi kustannuslaskentajärjestelmänsä vuonna 2014, vaikka seuraavien vuosien aikana on tiedossa uusia muutoksia sekä organisaatioon, että tietojärjestelmiin. Ennen varsinaista tarkastusta Maanmittauslaitoksen kustannuslaskentajärjestelmä kuvattiin uudelleen.

Huoltoasemakiinteistöjen arviointiprosessi ja arviointimenetelmät: Case-huoltamokiinteistön arvonmääritys

The purpose of this research is to examine the appraisal of service station real estate. This is a case research and the case service station is located in Kanta-Häme region in Finland. In the empirical part data consisted of national land survey of Finland’s data, Case corporations financial statements and Haahtela-Kehitys Oy: real estate appraisal 2013 instructions. The aim of this research was to find out whether there is a most suitable method for the appraisal of service station real estate. In this research it was not possible to conclude that one of the appraisal methods was more suitable than the other for service station real estate appraisal. It can be pointed out that selection of the appraisal method depends on several factors such as purpose of the appraisal, available information and the evaluator’s point of view.

Tracing Innovation Practices in Seaports: the Ports of Klaipeda and Stockholm as Case Studies

This study explores variegated means through which ports have become increasingly entangled in the planning logic of neoliberal innovation-driven economy. The research topic belongs to the academic disciplines of economics and human geography. The aim of the thesis is to analyse how the notion of innovation, adopted in a variety of supranational and national port policy documents, is deployed in operational port environment in two different ports of the Baltic Sea Region: the port of Stockholm, Sweden, and the port of Klaipeda, Lithuania. This novel innovation agenda is visible in several topics I examine in the study, that is, port governance, environmental issues, and seaport – port-city interface. The gathered primary source material on port policy documents, strategies, development planning documents and reports is analysed by utilizing the qualitative content analysis research method. Moreover, the empirical part of the case study, that is, tracing innovation practices in mundane port activities is based on collected qualitative semi-structured interviews with port authorities in Klaipeda and Stockholm, researchers and other port experts. I examine the interview material by employing the theoretical reading research method. In my analysis, I have reframed port-related policy development by tracing and identifying the port transformation from “functional terminals” to “engines for growth”. My results show that this novel innovation-oriented rhetoric imprinted in the narrative “engines for growth” is often contested in daily port practices. In other words, my analysis reveals that the port authorities’ and other port actors’ attitudes towards innovations do not necessarily correspond to the new narrative of innovation and do not always “fit” within a framework of neoliberal economic thinking that glorifies the “culture of innovations”. I argue that the ability to develop innovative initiatives in the ports of Klaipeda and Stockholm is strongly predetermined by local conditions, a port’s governance model, the way port actors perceive the importance of innovations per se, demand factors and new regulations.

Suomen laskusuhdanteiden vertailu: 1990-luvun laman ja 2000-luvun globaalin finanssikriisin vaikutukset kuluttajille

Suomessa merkittävimpiä talouden laskusuhdanteita ja talouskriisejä ovat sotien jälkeen olleet 1990-luvun alun lama sekä vuonna 2008 alkanut finanssikriisin jälkeinen taantuma. Näillä kahdella ilmiöllä on ollut laajalti vaikutuksia koko kansantalouteemme, ja luonnollisesti suomalaisten kuluttajien taloudellinen hyvinvointi on muuttunut ilmiöiden myötä. Yksilöiden aiempaa huonompi taloudellinen hyvinvointi laskusuhdanteissa aiheutuu laskeneista tuloista, työttömyydestä ja varallisuushintojen laskusta sekä edellä mainittujen seurauksista. Tämän tutkielman tavoitteena on analysoida ja vertailla 1990-luvun laman ja 2000-luvun globaalin finanssikriisin aiheuttamia taloudellisia vaikutuksia suomalaisille kuluttajille. Lisäksi tarkoituksena on selvittää, minkä eri tekijöiden kautta laskusuhdanteet vaikuttavat kuluttajiin ja miksi. Tutkielman empiirisessä osiossa käytetään pääasiassa Tilastokeskuksen tuottamaa kvantitatiivista materiaalia sekä analyysin rikastamiseksi erilaisia kvalitatiivisia tutkimustuloksia aiheesta. Tutkielman lopputuloksena voidaan todeta 1990-luvun laman vaikuttaneen suomalaisiin kuluttajiin voimakkaammin ja pitkäkestoisemmin kuin finanssikriisin aiheuttaman taantuman. Laman vaikutukset kestivät useita vuosia, ja palautuminen oli hidasta. Erityisen suureksi ongelmaksi nousi työttömyyden voimakas kasvu. Finanssikriisin myötä työttömyys reagoi bruttokansantuotteen laskuun nähden sen sijaan maltillisesti, eivätkä esimerkiksi kotitalouksien tulot laskeneet samalla tavalla kuin laman aikana. Lisäksi merkittävässä osassa 1990-luvun lamaa oli asuntomarkkinoiden hintakupla ja sen puhkeaminen, jolla oli voimakas vaikutus reaalitalouteen. Laskukausien toisistaan poikkeavat vaikutukset johtuvat pitkälti niiden syntyyn johtaneiden syiden eroista sekä valtion talouspoliittisista toimista laskukausien helpottamiseksi. Siinä missä 1990-luvun lama johtui pääasiassa Suomen sisäisistä poliittisista päätöksistä ja pankkisektorista, oli finanssikriisi Suomen ulkopuolinen globaalin rahoitusmarkkinoiden häiriö.

The role of presidential advisory systems in US foreign policy-making : the case of the National Security Council and Vietnam, 1953-1961

Doctoral dissertation, University of Joensuu

Land use response to agricultural policy and market movements on Finnish dairy-farms

Selostus: Tuki- ja hintamuutosten vaikutus maitotilojen pellon käyttöön

Policy guidelines, the National Digital Library and Europeana

Minna Karvosen esitys Europeana työpajassa 20.11.2012 Helsingissä.

Collection Development Policy 2009–2015 Of The National Library Of Finland

The collections policy of the National Library of Finland guides the formation and development of collections. The policy also outlines the National Library’s collection, its national and international significance, and the guidelines for acquisition, selection, donation and disposal.