{"id":1840,"date":"2015-02-03T12:35:26","date_gmt":"2015-02-03T09:35:26","guid":{"rendered":"http:\/\/andersadlercreutz.fi\/blog\/?p=1840"},"modified":"2015-02-03T12:37:14","modified_gmt":"2015-02-03T09:37:14","slug":"skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015","status":"publish","type":"post","link":"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/","title":{"rendered":"Skapa \u00e4kta engagemang &#8211; ins\u00e4ndare om SOTE-reformen, HBL 3.2.2015"},"content":{"rendered":"<p>Anette Karlsson skriver i HBL 24.1 om de socioekonomiska h\u00e4lsoskillnaderna i v\u00e5rt land. Hon tar upp\u00a0v\u00e5rdreformen som ett led i str\u00e4vandet att minska p\u00e5 dessa. Samma reform skall ocks\u00e5 garantera att likv\u00e4rdiga tj\u00e4nster \u00e4r tillg\u00e4ngliga i hela\u00a0landet. H\u00e4r \u00e4r ocks\u00e5 pudelns k\u00e4rna. V\u00e5rdreformen str\u00e4var till att g\u00f6ra tj\u00e4nsterna likv\u00e4rdiga, inte b\u00e4ttre.<\/p>\n<p>En av\u00a0grundtankarna med v\u00e5rdreformen \u00e4r att koppla samman bash\u00e4lsov\u00e5rden med specialsjukv\u00e5rden.\u00a0Problemet med v\u00e5rt nuvarande system \u00e4r att v\u00e5rdkedjan ofta bryts. H\u00f6ger hand vet inte vad den v\u00e4nstra\u00a0g\u00f6r, och f\u00f6rsummat preventivt arbete kompenseras med dyr specialsjukv\u00e5rd. Men i st\u00e4llet f\u00f6r att binda\u00a0samman dessa tv\u00e5 med informationstekniska l\u00f6sningar tar man till storsl\u00e4ggan och hamrar samman bas-\u00a0och specialsjukv\u00e5rd till stora stela enheter.<\/p>\n<p>De medel som v\u00e5rdreformen tar till riskerar att leda till ett slutresultat d\u00e4r vi alla har j\u00e4mnd\u00e5lig, i st\u00e4llet f\u00f6r\u00a0j\u00e4mnbra service. Och det verkar uppenbart, att de kommuner som sk\u00f6tt sin service v\u00e4l och producerat\u00a0goda, kostnadseffektiva tj\u00e4nster f\u00e5r lida mest. Den administrativa himmel som byggs \u00f6ver SOTE-omr\u00e5det\u00a0distanserar beslutsfattandet fr\u00e5n skattebetalarna och med det f\u00f6rsvagas ocks\u00e5 viljan och m\u00f6jligheten att\u00a0inverka p\u00e5 kvalitet och effektivitet.<\/p>\n<p>Jag h\u00e5ller med Anette om att oj\u00e4mlikheten i h\u00e4lsov\u00e5rdstj\u00e4nster \u00e4r ett problem.<\/p>\n<blockquote>\n<h6>Ingen blir dock gladare \u00f6ver\u00a0en framtid d\u00e4r skillnaderna i h\u00e4lsotj\u00e4nsternas tillg\u00e4nglighet och kvalitet minskar, om tj\u00e4nsterna samtidigt blir\u00a0s\u00e4mre.<\/h6>\n<\/blockquote>\n<p>I st\u00e4llet f\u00f6r att skapa mera administration borde vi f\u00f6rs\u00e4kra oss om att det finns ett \u00e4kta engagemang p\u00e5\u00a0beslutsfattarniv\u00e5 genom att se till att produktion, ansvar och kostnader uppkommer n\u00e4ra skattebetalare och\u00a0beslutsfattare. Och den koordinering som beh\u00f6vs g\u00f6rs med hj\u00e4lp av informationstekniska l\u00f6sningar, inte\u00a0byr\u00e5kratiska.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Anette Karlsson skriver i HBL 24.1 om de socioekonomiska h\u00e4lsoskillnaderna i v\u00e5rt land. Hon tar upp\u00a0v\u00e5rdreformen som ett led i str\u00e4vandet att minska p\u00e5 dessa. Samma reform skall ocks\u00e5 garantera att likv\u00e4rdiga tj\u00e4nster \u00e4r tillg\u00e4ngliga i hela\u00a0landet. H\u00e4r \u00e4r ocks\u00e5 pudelns k\u00e4rna. V\u00e5rdreformen str\u00e4var till att g\u00f6ra tj\u00e4nsterna likv\u00e4rdiga, inte b\u00e4ttre. En av\u00a0grundtankarna med v\u00e5rdreformen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1456,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[46,45],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.12 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Skapa \u00e4kta engagemang - ins\u00e4ndare om SOTE-reformen, HBL 3.2.2015 - Anders Adlercreutz<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Skapa \u00e4kta engagemang - ins\u00e4ndare om SOTE-reformen, HBL 3.2.2015 - Anders Adlercreutz\" \/>\n<meta property=\"og:description\" content=\"Anette Karlsson skriver i HBL 24.1 om de socioekonomiska h\u00e4lsoskillnaderna i v\u00e5rt land. Hon tar upp\u00a0v\u00e5rdreformen som ett led i str\u00e4vandet att minska p\u00e5 dessa. Samma reform skall ocks\u00e5 garantera att likv\u00e4rdiga tj\u00e4nster \u00e4r tillg\u00e4ngliga i hela\u00a0landet. H\u00e4r \u00e4r ocks\u00e5 pudelns k\u00e4rna. V\u00e5rdreformen str\u00e4var till att g\u00f6ra tj\u00e4nsterna likv\u00e4rdiga, inte b\u00e4ttre. En av\u00a0grundtankarna med v\u00e5rdreformen [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/\" \/>\n<meta property=\"og:site_name\" content=\"Anders Adlercreutz\" \/>\n<meta property=\"article:published_time\" content=\"2015-02-03T09:35:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-02-03T09:37:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/i0.wp.com\/andersadlercreutz.fi\/blog\/wp-content\/uploads\/2014\/12\/stetoskop_sote.png?fit=600%2C320&ssl=1\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"320\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Anders\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Skriven av\" \/>\n\t<meta name=\"twitter:data1\" content=\"Anders\" \/>\n\t<meta name=\"twitter:label2\" content=\"Ber\u00e4knad l\u00e4stid\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minuter\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/\",\"url\":\"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/\",\"name\":\"Skapa \u00e4kta engagemang - ins\u00e4ndare om SOTE-reformen, HBL 3.2.2015 - Anders Adlercreutz\",\"isPartOf\":{\"@id\":\"https:\/\/andersadlercreutz.fi\/blog\/#website\"},\"datePublished\":\"2015-02-03T09:35:26+00:00\",\"dateModified\":\"2015-02-03T09:37:14+00:00\",\"author\":{\"@id\":\"https:\/\/andersadlercreutz.fi\/blog\/#\/schema\/person\/47d4b72eded862b484f74bb4b3a2354f\"},\"breadcrumb\":{\"@id\":\"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/#breadcrumb\"},\"inLanguage\":\"sv-SE\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/andersadlercreutz.fi\/blog\/blogg\/?lang=sv\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Skapa \u00e4kta engagemang &#8211; ins\u00e4ndare om SOTE-reformen, HBL 3.2.2015\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/andersadlercreutz.fi\/blog\/#website\",\"url\":\"https:\/\/andersadlercreutz.fi\/blog\/\",\"name\":\"Anders Adlercreutz\",\"description\":\"Du. Jag. Vi. Kest&auml;v&auml;sti optimisti\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/andersadlercreutz.fi\/blog\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"sv-SE\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/andersadlercreutz.fi\/blog\/#\/schema\/person\/47d4b72eded862b484f74bb4b3a2354f\",\"name\":\"Anders\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sv-SE\",\"@id\":\"https:\/\/andersadlercreutz.fi\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/a144c9bda7a581ff6fabba169027e620?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/a144c9bda7a581ff6fabba169027e620?s=96&d=mm&r=g\",\"caption\":\"Anders\"},\"url\":\"https:\/\/andersadlercreutz.fi\/blog\/author\/admin\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Skapa \u00e4kta engagemang - ins\u00e4ndare om SOTE-reformen, HBL 3.2.2015 - Anders Adlercreutz","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/","og_locale":"sv_SE","og_type":"article","og_title":"Skapa \u00e4kta engagemang - ins\u00e4ndare om SOTE-reformen, HBL 3.2.2015 - Anders Adlercreutz","og_description":"Anette Karlsson skriver i HBL 24.1 om de socioekonomiska h\u00e4lsoskillnaderna i v\u00e5rt land. Hon tar upp\u00a0v\u00e5rdreformen som ett led i str\u00e4vandet att minska p\u00e5 dessa. Samma reform skall ocks\u00e5 garantera att likv\u00e4rdiga tj\u00e4nster \u00e4r tillg\u00e4ngliga i hela\u00a0landet. H\u00e4r \u00e4r ocks\u00e5 pudelns k\u00e4rna. V\u00e5rdreformen str\u00e4var till att g\u00f6ra tj\u00e4nsterna likv\u00e4rdiga, inte b\u00e4ttre. En av\u00a0grundtankarna med v\u00e5rdreformen [&hellip;]","og_url":"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/","og_site_name":"Anders Adlercreutz","article_published_time":"2015-02-03T09:35:26+00:00","article_modified_time":"2015-02-03T09:37:14+00:00","og_image":[{"width":600,"height":320,"url":"https:\/\/i0.wp.com\/andersadlercreutz.fi\/blog\/wp-content\/uploads\/2014\/12\/stetoskop_sote.png?fit=600%2C320&ssl=1","type":"image\/png"}],"author":"Anders","twitter_card":"summary_large_image","twitter_misc":{"Skriven av":"Anders","Ber\u00e4knad l\u00e4stid":"2 minuter"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/","url":"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/","name":"Skapa \u00e4kta engagemang - ins\u00e4ndare om SOTE-reformen, HBL 3.2.2015 - Anders Adlercreutz","isPartOf":{"@id":"https:\/\/andersadlercreutz.fi\/blog\/#website"},"datePublished":"2015-02-03T09:35:26+00:00","dateModified":"2015-02-03T09:37:14+00:00","author":{"@id":"https:\/\/andersadlercreutz.fi\/blog\/#\/schema\/person\/47d4b72eded862b484f74bb4b3a2354f"},"breadcrumb":{"@id":"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/#breadcrumb"},"inLanguage":"sv-SE","potentialAction":[{"@type":"ReadAction","target":["https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/andersadlercreutz.fi\/blog\/blogg\/skapa-akta-engagemang-insandare-om-vardreformen-hbl-3-2-2015\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/andersadlercreutz.fi\/blog\/blogg\/?lang=sv"},{"@type":"ListItem","position":2,"name":"Skapa \u00e4kta engagemang &#8211; ins\u00e4ndare om SOTE-reformen, HBL 3.2.2015"}]},{"@type":"WebSite","@id":"https:\/\/andersadlercreutz.fi\/blog\/#website","url":"https:\/\/andersadlercreutz.fi\/blog\/","name":"Anders Adlercreutz","description":"Du. Jag. Vi. Kest&auml;v&auml;sti optimisti","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/andersadlercreutz.fi\/blog\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"sv-SE"},{"@type":"Person","@id":"https:\/\/andersadlercreutz.fi\/blog\/#\/schema\/person\/47d4b72eded862b484f74bb4b3a2354f","name":"Anders","image":{"@type":"ImageObject","inLanguage":"sv-SE","@id":"https:\/\/andersadlercreutz.fi\/blog\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/a144c9bda7a581ff6fabba169027e620?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/a144c9bda7a581ff6fabba169027e620?s=96&d=mm&r=g","caption":"Anders"},"url":"https:\/\/andersadlercreutz.fi\/blog\/author\/admin\/"}]}},"jetpack_featured_media_url":"https:\/\/i0.wp.com\/andersadlercreutz.fi\/blog\/wp-content\/uploads\/2014\/12\/stetoskop_sote.png?fit=600%2C320&ssl=1","jetpack_shortlink":"https:\/\/wp.me\/p4T6Dh-tG","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/posts\/1840"}],"collection":[{"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/comments?post=1840"}],"version-history":[{"count":3,"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/posts\/1840\/revisions"}],"predecessor-version":[{"id":1845,"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/posts\/1840\/revisions\/1845"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/media\/1456"}],"wp:attachment":[{"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/media?parent=1840"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/categories?post=1840"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/andersadlercreutz.fi\/blog\/wp-json\/wp\/v2\/tags?post=1840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}