Outsourcing within the Nordic context: Care services for older people in Finland

Puthenparambil, Jiby Mathew

doi:10.1080/08959420.2018.1465800

Cited by 11 publications

(8 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…From the FDA (Arribas-Ayllon & Walkerdine, 2011) viewpoint, the beginning of the picturephone trial promoted the technologisation of the older adults' care. This optimistic technology discourse is part of a broader development that includes recent trends such as the marketization (see e.g., Anttonen & H€ aiki€ o, 2011;Anttonen & Sipil€ a, 2012;Mathew Puthenparambil, 2019 ) and deinstitutionalization (Anttonen & Karsio, 2016;Kaskiharju, 2010) of care. Critical analyses on eHealth policies (Lindberg & Carlsson, 2018;Schou & Hjeholt, 2019;Sundberg, 2019) have shown that digitalization is made to appear inevitable and economically sound, improving the quality of care and older adults' quality of life, and to activate older adults in taking care of themselves.…”

Section: Resultsmentioning

confidence: 99%

“Picturephone in My Home”: Actor-Network Theory and Foucauldian Discourse Analysis on Northern Finnish Older Adults Starting to Use a Video Conferencing Service

Outila

Kiuru

2021

Journal of Technology in Human Services

View full text Add to dashboard Cite

Technology has been considered an important means to deliver services in a cost-effective manner in societies that are aging and implementing austerity policies. In this article, we analyze older adults' use of assistive technology, the picturephone, in home care by combining actor-network theory (ANT) and Foucauldian discourse analysis (FDA). We also apply Foucault's concepts of technologies of the self, regimen, and resistance. Our research materials consist of interviews with eight Northern Finnish older adults and observation data. According to our results, technological translation takes place when users associate picturephone technology with the discourses on health and safety, connectedness, and/or learning. When the technology discourse collides with or deviates from these discourses, it disrupts the technological translation, and older adults do not include the picturephone technology in their regimen, their daily life. In Finland, care policy favors technology and pursues its adoption in older adults' care. In our case, private companies, care workers, technology advisers, family members, and older adults are recruited to join this effort. Older adults' position in their social-material networks varies strongly in the different phases of the translation, and their technologies of the self have a significant effect on its outcome. This should be considered when designing and utilizing ICT technologies in elderly care.

show abstract

Section: Resultsmentioning

confidence: 99%

“Picturephone in My Home”: Actor-Network Theory and Foucauldian Discourse Analysis on Northern Finnish Older Adults Starting to Use a Video Conferencing Service

Outila

Kiuru

2021

Journal of Technology in Human Services

View full text Add to dashboard Cite

show abstract

“…The Ethics of Care in Local Care Strategies market-base is more extensive than in smaller municipalities (Mathew Puthenparambil, 2019). Interestingly, this development seems to be somewhat detached from political power dynamics at the local level.…”

Section: Case: City Of Jyväskylämentioning

confidence: 99%

“…Usually it is assumed that left-wing parties and politicians have more cautious attitudes towards marketisation than their right-wing counterparts do. However, the results regarding the link between the political composition of municipal councils and the level of marketisation have been mixed and recent studies do not show links between the political composition of the municipal councils and the level of marketisation in Finland (Saarinen and Forma, 2007;Hyvärinen and Lith, 2008;Fredriksson et al, 2010;Mathew Puthenparambil, 2019).…”

Section: Case: City Of Jyväskylämentioning

confidence: 99%

Dividing Responsibility for Care: Tracing the Ethics of Care in Local Care Strategies

Sihto¹

2020

Social Policy and Society

View full text Add to dashboard Cite

This article analyses local care policies through the lens of the feminist ethics of care. The focus is on the normative understandings regarding care that emerge in local care strategy documents and how these understandings relate with the concept of ‘responsibility’. In this article, strategies published by the municipality of Jyväskylä, Finland, between the years 2008 and 2016, are analysed using Trace analysis. The research questions are: How is the division of responsibility regarding care among different actors constructed in the strategies? How do the roles assigned to these different actors accord with the principles of ethics of care? The findings show that the documents emphasise individual responsibility in managing risks related to old age, as the norms of local societal institutions are largely detached from the principles of ethics of care. The analysis also reveals the absence of gender and human frailty from the care strategy documents. Rethinking the strategies through the lens of the ethic of care would mean reconceptualising responsibility as relational.

show abstract

“…Palvelujärjestelmän monimutkaistumisen ja yksityisten toimijoiden mukaan tulon myötä läheisten roolin on todettu kasvaneen palvelujen etsimisessä ja sopivan palvelukokonaisuuden koostamisessa (Kröger & Leinonen 2012;Kauppinen & Silfver-Kuhalampi 2015;Kallio maa-Puha 2017). Toinen tärkeä tulos oli, että tutkimus tuki jo aiemmin havaittua ilmiötä yksityisten palvelujen noususta keskeiseksi osaksi vanhuspalvelujärjestelmää (Puthenparambil 2019). Sen ohella, että aikuiset lapset itse huolehtivat monista asioista, he ostivat tai olivat valmiita hankkimaan erilaisia palveluita vanhemman kotiin, mikäli käytettävissä oli omia tai vanhemman varoja.…”

Section: Pohdintaunclassified

Aikuiset lapset muistisairaan vanhemman kotona asumisen mahdollistajina

Halonen¹

2022

gerontologia

View full text Add to dashboard Cite

Väestön vanhetessa ja muistisairauksien lisääntyessä aikuisten lasten merkitys muistisairaan vanhempansa kotona asumisen mahdollistajina vahvistuu. Tässä tutkimuksessa tarkastellaan aikuisten lasten muistisairaalle vanhemmalleen antamaa apua ja hoivaa sekä niiden antamiseen tarvittavaa tukea. Lisäksi tutkitaan, mistä aikuiset lapset ovat saaneet tukea vanhemman hoivaamiseen ja miten eri tahoilta saatava tuki ja palvelut vastaavat tuen tarpeisiin. Tutkimuksen aineisto kerättiin puhelinhaastatteluilla eri puolilla Suomea asuvilta aikuisilta lapsilta (n=20). Analyysimetodina oli laadullinen sisällönanalyysi. Tutkimus osoittaa, että aikuisilla lapsilla on tärkeä rooli sairastuneen vanhempansa arjen sujuvuuden seuraajina ja käytännön asioiden hoitajina. Merkittävä osa huolenpidosta kohdistuu kokonaisuuden koordinointiin. Tutkimuksen mukaan aikuisten lasten tuen tarpeet ovat yksilöllisiä, ja niihin vaikuttavat sairastuneen toimintakyky ja asumismuoto sekä autettavan ja aikuisen lapsen mahdollisesti saama tuki tai palvelu. Eniten kaivataan tukea sairauteen liittyviin tietoihin ja taitoihin sekä henkisen hyvinvoinnin ylläpitämiseen ja palveluohjausta palveluiden koordinointiin. Aikuisten lasten tuen tarpeet tulee huomioida aiempaa paremmin, jotta he voivat toimia vanhempansa kotona asumisen mahdollistajina. Adult children enabling a parent with memory disease to live at home As the population is aging and memory disorders are increasing, the role of adult children in enabling an elderly parent with memory disease to live at home is increasing. This study examines the situations of adult children caring for their parents with memory disease living at home, and their needs for support and services. In addition, it analyzes where adult children have received support and services, and how various sources of support meet their needs. The study data were collected through telephone interviews with adult children who live throughout Finland (n=20). The data were analyzed by theory-based content analysis. The results of the study show that the bulk of adult children’s care-giving focuses mostly on everyday practical matters. In addition, adult children play a significant role in coordinating services for their parents. Some of the family members felt that they carried complete responsibility for their impaired parent’s everyday care. According to the study, adult children’s needs for support greatly affect the life situation of the parent and their family, the parent’s functional ability, and the possibility to receive support and other services for both the parent and the family. Support is needed the most in regards to information and practical knowledge of the disease, mental health maintenance and coordinating services. Better observation of the adult child’s caregiving and support needs would aid them in enabling their parent to remain living at home.

show abstract

Outsourcing within the Nordic context: Care services for older people in Finland

Cited by 11 publications

References 31 publications

“Picturephone in My Home”: Actor-Network Theory and Foucauldian Discourse Analysis on Northern Finnish Older Adults Starting to Use a Video Conferencing Service

“Picturephone in My Home”: Actor-Network Theory and Foucauldian Discourse Analysis on Northern Finnish Older Adults Starting to Use a Video Conferencing Service

Dividing Responsibility for Care: Tracing the Ethics of Care in Local Care Strategies

Aikuiset lapset muistisairaan vanhemman kotona asumisen mahdollistajina

Contact Info

Product

Resources

About