Pandemic preparedness and response regulations in Finland: Experiences and implications for post-COVID-19 reforms

Karreinen, Soila; Rautiainen, Pauli; Keskimäki, Ilmo; Satokangas, Markku; Viita-aho, Marjaana; Tynkkynen, Liina‐Kaisa

doi:10.1016/j.healthpol.2023.104802

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…Of course, the experience of every country in reflecting the post-pandemic situation is different, one from another. [10][11][12] Thus, in Indonesia, we need a local evaluation to discover the direct or indirect causes on cases and deaths occurring during the pandemic. The narration from the health workers will really clarify the focus of the problems that must be fixed.…”

Section: Introductionmentioning

confidence: 99%

Obstacles in Basic Health Service When Dealing with COVID-19: A Reflection for Improvement

Eyanoer,

Zaluchu

2024

JMDH

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Background & Aims: COVID-19 has been in control since mass vaccination and other coordinated efforts have been conducted. The WHO has even made an announcement to stop the public health emergency of international concern (PHEIC) toward COVID-19. Because of the very massive impacts of COVID-19, it is necessary to have a reflection toward what we have gone through to obtain information from inside the health service by interviewing the health officers who were the frontliners in fighting the disease during the pandemic. This research attempts to reveal the practical experiences of the officers when the COVID-19 pandemic took place. Methods: This research conducted in-depth interviews with the Heads of Puskesmas (a Public Health Center) and the staff of Puskesmas in Medan. The total sample number of informants is 30 people. The data were managed by preparing the suitable themes with the inductive approach. Results: There are three main themes obtained from the analysis results. Those three themes are 1) the condition of Puskesmas, 2) the impacts of the health service, and 3) the COVID-19 control. Those three themes show the fundamental problems affecting the efforts to overcome COVID-19. It is revealed that funding, personnel quantity, and bureaucracy cause the effort to overcome COVID-19 to have been impeded. Meanwhile, based on external factors, the officers had to deal with negative issues on COVID-19. Therefore, whether we like it or not to admit the fact, the health service has not been conducted maximally. Conclusion:It is necessary to have comprehensive revision and change to evaluate the condition of health service, particularly in Puskesmas. A wider and deeper reflection is required so that the pandemic preparation in the future can be improved further.

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Section: Introductionmentioning

confidence: 99%

Obstacles in Basic Health Service When Dealing with COVID-19: A Reflection for Improvement

Eyanoer,

Zaluchu

2024

JMDH

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System's Crisis Resilience as a Societal Crisis: Knowledge Structure and Gaze of the Finnish Health Care System

Heikkilä,

Heino,

Rautiainen

2024

Health Care Anal

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The crisis resilience of vital social systems is currently the target of constant development efforts in Finland, as their drifting into crisis would weaken societies’ functional abilities, safety, and security. This is also the case regarding the Finnish health care system. In an attempt to move beyond existing frameworks of crisis imagination, this article takes an unconventional stance by elucidating endogenous crisis dynamics present in the Finnish health care system. Delphi process was conducted for top experts in Finnish health care and crisis management. With a dissensus-seeking orientation, our aim was to fertilize disagreements among panelists to reveal key vulnerabilities in the health system. Despite our efforts to evoke dissensus, the panelists ended up generating a consensus that aims to protect the underlying assumptions of the health system’s knowledge structure. Through inductive analysis of expert discourses, the data was analyzed through our research question “what constitutes a crisis-proof health system and a crisis-prone health system”. What is framed as a strength of the system by our panelists, namely the ability to maintain legitimacy, improve efficiency, and guarantee continuity, can still have questionable implications that are left ungrasped. A system’s theory approach illustrates how such effects can develop and escalate beyond the reach of social interventions, and thus be predisposed to cause objectionable yet concealed social crises. The discussion illustrates how these endogenous crisis dynamics could be seen to materialize in real-life cases.

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COVID-19 endemic phase in Finland: An analysis of health policies and vaccination strategy

Tiirinki,

Sovala,

Jormanainen

et al. 2024

Health Policy and Technology

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Pandemic preparedness and response regulations in Finland: Experiences and implications for post-COVID-19 reforms

Cited by 5 publications

References 12 publications

Obstacles in Basic Health Service When Dealing with COVID-19: A Reflection for Improvement

Obstacles in Basic Health Service When Dealing with COVID-19: A Reflection for Improvement

System's Crisis Resilience as a Societal Crisis: Knowledge Structure and Gaze of the Finnish Health Care System

COVID-19 endemic phase in Finland: An analysis of health policies and vaccination strategy

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