Evaluation of novel programs in health counseling – their effectiveness in the oral health of young children, and their acceptance by parents and professionals in public dental service.

Aim and design: To evaluate family-based health counseling for young children, and to study the significance of adding parental self-care or the training of professionals to the programs. The effectiveness and acceptability of the programs were evaluated by comparing two new programs with an earlier one. Subjects and methods: The study was carried out in Vantaa, which was divided into three study areas. The subjects consisted of children born in 2008, particularly fi rstborn children, while children born in 2006 formed the historical control. The fi rst of the new programs emphasized oral hygiene and use of fl uoride, and the second program focused on proper diet and use of xylitol. The main outcome measure was mutansstreptococci (MS) in the dental biofi lm of two-year-olds, and the opinions of parents and dental professionals were evaluated using questionnaires. Results: The programs found wide acceptance among dental professionals. There were no group-related differences found in the MS scores of the two-year-olds. However, all groups combined, father’s advanced level of education and child’s proper use of xylitol were associated with negative MS scores. In the opinion of parents, the oral healthcare guidance at least somewhat met their expectations. Conclusions: The present fi ndings suggest that providing training and support for professionals in health education is important. The addition of parental self-care to supplement programs aimed at young children does not improve the program, although it may improve parental readiness to change their own health habits. Counseling for families might be best carried out through a routine patient-centered program.

Asiakkaan kysynnän ennustaminen

Perinteinen tilaus–toimitus-periaate on hiljalleen väistymässä antaen tilaa sähköisille hankintajärjestelmille. Yritykset ovat huomanneet, että tehostamalla hankintaprosesseja ne voivat saada aikaan suuriakin kustannussäästöjä. Toimintaa on ryhdytty tehostamaan yhdessä tavarantoimittajien, hankintapalveluita tarjoavien yritysten sekä sähköisten tukkureiden kanssa. Muutosten aika ei vielä kuitenkaan ole ohi. Sähköisten hankintajärjestelmien tarjoajat haluavat kehittää uusia ja yhä parempia palveluita, jotta asiakkaiden hankintaprosessit tehostuisivat entisestään. Yksi kehittelyn alla olevista uusista palveluista on ennustemenetelmät. Tutkielman teoriaosassa tarkasteltiin perinteisen hankintaprosessin uudistamista sähköiseksi kaupankäynniksi tarjonta- ja kysyntäketjujen kehittämisen kautta. Teoriassa tarkasteltiin hieman myös julkisen hallinnon hankintatoimea ja sitä, mitä hyötyjä se voi saada sähköisistä hankintaratkaisuista. Sähköisen hankintajärjestelmän tarjoajaa tutkielmassa edusti Kauppatalo Hansel Oy. Keskeisenä asiana tutkielmassa oli kysynnän ennustaminen sekä muutamien kvantitatiivisten ennustemenetelmien analysointi. Empiirisessä osassa tutkittiin case-yritysten hankintatoimen nykytilaa ja niiden halukkuutta ennustemenetelmien käyttöön hankintojen suunnittelun tehostamiseksi kyselylomakkeen avulla. Kyselyissä kävi ilmi, että asiakkailla eli tässä tapauksessa julkisen hallinnon eri organisaatioilla on halua lähteä mukaan uudenlaiseen toimintaan, vaikka tiettyä varautuneisuutta ja epäilyksiä toiminnan onnistumisesta on edelleen olemassa.

Service Description Creation Empowerment to Mobile End Users

Increasing usage of Web Services has been result of efforts to automate Web Services discovery and interoperability. The Semantic Web Service descriptions create basis for automatic Web Service information management tasks such as discovery and interoperability. The discussion of opportunities enabled by service descriptions have arisen in recent years. The end user has been considered only as a consumer of services and information sharing occurred from one service provider to public in service distribution. The social networking has changed the nature of services. The end user cannot be seen anymore only as service consumer, because by enabling semantically rich environment and right tools, the end user will be in the future the producer of services. This study investigates the ways to provide for end users the empowerment to create service descriptions on mobile device. Special focus is given to the changed role of the end user in service creation. In addition, the Web Services technologies are presented as well as different Semantic Web Service description approaches are compared. The main focus in the study is to investigate tools and techniques to enable service description creation and semantic information management on mobile device.

Public and private sector cooperative opportunities in the Finnish healthcare internationalization : views from the public sector’s perspective

Traditionally mostly publicly provided Finnish healthcare services are confronted today by the evident challenge of rising healthcare costs as the expenditure on health and social case has exceeded Finland’s national GDP growth significantly since the new millennium. While the opening of the traditional barriers through the EU’s new patient directive resulting in increasing international competition and the free flow of patients within the EU present opportunities for the Finnish healthcare services industry there are also several challenges for the existing healthcare system as proposed by the Ministry of Employment and the Economy in 2011. Due to the structure and nature of the current Finnish healthcare service system the greatest potential for internationalization is seen from a joint cooperation of the public and private sectors in an internationalization network for Finnish healthcare services. As its formation has recently also taken as a strategic initiative to be completed by the Ministry of Employment and the Economy and no earlier research exists on how this is seen in practice by the network actors, the purpose of this study is to examine the proposed solution of forming an internationalization network between the public and private sector actors in Finland in practice from the viewpoint of public sector actors. The research relied heavily on the reports by the Finnish Ministries in understanding the current situation of the Finnish healthcare services internationalization and its potential. Suitable theories were also used to build a more comprehensive view of the matter. The study applied a qualitative research approach on the explorative research problem. The data collection was achieved through expert interviews in two of the largest Finnish public healthcare service providers; the Turku and Helsinki Central University Hospitals. Expert interviews were considered as the most suitable method for data collection in order to create an in-depth understanding of the topic within the limitations of this thesis. In turn, two different public healthcare service providers were chosen to give a broader view of the field instead of focusing on a specific unit and also to allow a possible comparison between the two different organizations. The latter however was shown not to be suitable for the purposes of this study as the opinions of the respondents varied largely also within their own organizations. The conclusion is that while the actors agree on the evident internationalization of Finnish healthcare services, there are several large-scale structural challenges effectively preventing such activities while at the same time the opportunities within Finland vary, as there are several niches but no real large-scale advantages in the highly competitive industry. Interest towards cooperation between the sectors are seen especially in exploiting the advantages offered by the private sector in commercialization and marketization, yet however no clear views exist on how these activities should be governed or structured in the short-term as a larger reform of the entire Finnish healthcare service sector is needed in the long-term.

Luottamus seudullisen palvelukeskuksen hinnoittelun rakentumisen keinona

Tämän tutkimuksen tavoitteena oli selvittää millainen hinnoittelumalli koetaan asiakkaiden mielestä tasapuolisimmaksi ja millainen rooli luottamuksella on seudullisen perustietotekniikkapalvelukeskuksen ja sen asiakasorganisaatioiden sekä myös liikelaitoksen toimintaa ohjaavan asiakasyhteistyöryhmän jäsenten kesken palvelujen tuotteistamiseen ja hinnoitteluun liittyen. Teoreettisessa osuudessa selvitetään mitä tuotteistamisella tarkoitetaan ja miten tuotteistaminen liittyy hinnoitteluun, mitä hinnoitteluvaihtoehtoja julkishallinnon organisaatiossa voidaan käyttää, mitä luottamuksella käsitetään ja mitä seudullisen yhteistyön eri toimintamuotoja tässä palvelukeskuksessa on käytetty. Empiirisessä osuudessa on kuvattu ICT Kymiin kohdistuvaa tutkimusta ja sen tuloksia. Työ toteutettiin keväällä 2014 toimintatutkimuksena, jossa ICT Kymi -kunnallisen liikelaitoksen asiakasyhteistyöryhmä osallistui uuden hinnoittelumallin suunnitteluun. Aineistoa kerättiin haastatteluin sekä ryhmän työpajatapaamisissa ja kokouksissa. Tutkimuksen tuloksena havaittiin, että luottamus mahdollistaa tuotteistuksen tasosta poikkeavan, yksinkertaisemman hinnoittelumallin käytön.