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2023 | OriginalPaper | Buchkapitel

15. Social and Healthcare Policy: Taming Complexities?

verfasst von : Ilpo Laitinen, Jari Stenvall, Päivikki Kuoppakangas

Erschienen in: Finnish Public Administration

Verlag: Springer International Publishing

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Abstract

Well-being matters to everyone. However, social and healthcare policies and organisations, as they used to exist, do not suffice anymore. Reforming and resigning policies and organisations are necessary to meet systemic governance challenges and the complex societal paradoxes that are the outcomes of unreconciled dilemmas. To maintain the welfare state in a changing world, the Finnish social and healthcare service has been actively trying to reform over the last 20 years. While retaining responsibility for well-being, the state now works across sectors and with hybrid governances to provide social and healthcare services. There is, for instance, a need to improve service quality and a drive for efficiency and a need to reconcile the dilemmas that create organisational paradoxes.

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Literatur
Zurück zum Zitat Alvehus, J., & Loodin, H. (2020). Making sense of institutional changes in the welfare professions. Scandinavian Journal of Public Administration, 24(2), 65–67. Alvehus, J., & Loodin, H. (2020). Making sense of institutional changes in the welfare professions. Scandinavian Journal of Public Administration, 24(2), 65–67.
Zurück zum Zitat Bagwell, J. (2020). Leading through a pandemic: Adaptive leadership and purposeful action. Journal of School Administration Research and Development, 5, 30–34.CrossRef Bagwell, J. (2020). Leading through a pandemic: Adaptive leadership and purposeful action. Journal of School Administration Research and Development, 5, 30–34.CrossRef
Zurück zum Zitat Baker, E. L., Irwin, R., & Matthews, G. (2020). Thoughts on adaptive leadership in a challenging time. Journal of Public Health Management and Practice, 26(4), 378–379.CrossRef Baker, E. L., Irwin, R., & Matthews, G. (2020). Thoughts on adaptive leadership in a challenging time. Journal of Public Health Management and Practice, 26(4), 378–379.CrossRef
Zurück zum Zitat Berti, M., & Simpson, A. V. (2021). The dark side of organizational paradoxes: The dynamics of disempowerment. Academy of Management Review, 46(2), 252–274.CrossRef Berti, M., & Simpson, A. V. (2021). The dark side of organizational paradoxes: The dynamics of disempowerment. Academy of Management Review, 46(2), 252–274.CrossRef
Zurück zum Zitat Berti, M., Simpson, A., Cunha, M. P., & Clegg, S. R. (2021). Elgar introduction to organizational paradox theory. Edward Elgar.CrossRef Berti, M., Simpson, A., Cunha, M. P., & Clegg, S. R. (2021). Elgar introduction to organizational paradox theory. Edward Elgar.CrossRef
Zurück zum Zitat Carmine, S., & Smith, W. K. (2021). Organizational paradox. Oxford University Press. Carmine, S., & Smith, W. K. (2021). Organizational paradox. Oxford University Press.
Zurück zum Zitat Conklin, J. (2001). Wicked problems and fragmentation [Unpublished working paper]. Conklin, J. (2001). Wicked problems and fragmentation [Unpublished working paper].
Zurück zum Zitat Conklin, J. (2003). Dialog mapping: Reflections on an industrial strength case study. In P. A. Kirschner, S. J. Buckingham Shum, & C. S. Carr (Eds.), Visualizing argumentation: Software tools for collaborative and educational sense-making (pp. 117–136). Springer.CrossRef Conklin, J. (2003). Dialog mapping: Reflections on an industrial strength case study. In P. A. Kirschner, S. J. Buckingham Shum, & C. S. Carr (Eds.), Visualizing argumentation: Software tools for collaborative and educational sense-making (pp. 117–136). Springer.CrossRef
Zurück zum Zitat Daniels, H. (2008). Reflections on points of departure in the development of sociocultural and activity theory. In B. Van Oers, W. Wardekker, E. Elbers, & R. Van Der Veer (Eds.), The transformation of learning: Advances in cultural-historical activity theory (pp. 58–75). Cambridge University Press.CrossRef Daniels, H. (2008). Reflections on points of departure in the development of sociocultural and activity theory. In B. Van Oers, W. Wardekker, E. Elbers, & R. Van Der Veer (Eds.), The transformation of learning: Advances in cultural-historical activity theory (pp. 58–75). Cambridge University Press.CrossRef
Zurück zum Zitat Engeström, Y. (1999). Innovative learning in work teams: Analyzing cycles of knowledge creation in practice. In Y. Engeström, R. Miettinen, & R.-L. Punamäki (Eds.), Perspectives on activity theory (pp. 377–406). Cambridge University Press.CrossRef Engeström, Y. (1999). Innovative learning in work teams: Analyzing cycles of knowledge creation in practice. In Y. Engeström, R. Miettinen, & R.-L. Punamäki (Eds.), Perspectives on activity theory (pp. 377–406). Cambridge University Press.CrossRef
Zurück zum Zitat Engeström, Y. (2018). Expertise in transition: Expansive learning in medical work. Cambridge University Press.CrossRef Engeström, Y. (2018). Expertise in transition: Expansive learning in medical work. Cambridge University Press.CrossRef
Zurück zum Zitat Gaim, M., Clegg, S., Cunha, M. P., & Berti, M. (2022). Organizational paradox. Cambridge University Press.CrossRef Gaim, M., Clegg, S., Cunha, M. P., & Berti, M. (2022). Organizational paradox. Cambridge University Press.CrossRef
Zurück zum Zitat Garavaglia, C., Sancino, A., & Trivellato, B. (2021). Italian mayors and the management of COVID-19: Adaptive leadership for organizing local governance. Eurasian Geography and Economics, 62(1), 76–92.CrossRef Garavaglia, C., Sancino, A., & Trivellato, B. (2021). Italian mayors and the management of COVID-19: Adaptive leadership for organizing local governance. Eurasian Geography and Economics, 62(1), 76–92.CrossRef
Zurück zum Zitat Hahn, T., & Knight, E. (2021). The ontology of organizational paradox: A quantum approach. Academy of Management Review, 46(2), 362–384.CrossRef Hahn, T., & Knight, E. (2021). The ontology of organizational paradox: A quantum approach. Academy of Management Review, 46(2), 362–384.CrossRef
Zurück zum Zitat Hampden-Turner, C. (1970). Radical man. Schenkman. Hampden-Turner, C. (1970). Radical man. Schenkman.
Zurück zum Zitat Hampden-Turner, C. (1981). Maps of the mind. Macmillan. Hampden-Turner, C. (1981). Maps of the mind. Macmillan.
Zurück zum Zitat Hampden-Turner, C. (1990). Charting the corporate mind: From dilemma to strategy. Blackwell. Hampden-Turner, C. (1990). Charting the corporate mind: From dilemma to strategy. Blackwell.
Zurück zum Zitat Hampden-Turner, C. (2009). Teaching innovation and entrepreneurship: Building on the Singapore experiment. Cambridge University Press.CrossRef Hampden-Turner, C. (2009). Teaching innovation and entrepreneurship: Building on the Singapore experiment. Cambridge University Press.CrossRef
Zurück zum Zitat Heifetz, R. (1994). Leadership without easy answers. Harvard University Press.CrossRef Heifetz, R. (1994). Leadership without easy answers. Harvard University Press.CrossRef
Zurück zum Zitat Heifetz, R., Grashow, A., & Linsky, M. (2009a). The practice of adaptive leadership: Tools and tactics for changing your organization and the world. Harvard University Press. Heifetz, R., Grashow, A., & Linsky, M. (2009a). The practice of adaptive leadership: Tools and tactics for changing your organization and the world. Harvard University Press.
Zurück zum Zitat Heifetz, R., Grashow, A., & Linsky, M. (2009b). Leadership in a (permanent) crisis. Harvard Business Review, 87(7/8), 62–69. Heifetz, R., Grashow, A., & Linsky, M. (2009b). Leadership in a (permanent) crisis. Harvard Business Review, 87(7/8), 62–69.
Zurück zum Zitat Hellman, M. (2021). How is the Nordic welfare state doing? Contemporary public constructs on challenges and achievements. Nordisk Välfärdsforskning, Nordic Welfare Research, 3, 160–179.CrossRef Hellman, M. (2021). How is the Nordic welfare state doing? Contemporary public constructs on challenges and achievements. Nordisk Välfärdsforskning, Nordic Welfare Research, 3, 160–179.CrossRef
Zurück zum Zitat Jarzabkowski, P., Bednarek, R., Chalkias, K., & Cacciatori, E. (2019). Exploring inter-organizational paradoxes: Methodological lessons from a study of a grand challenge. Strategic Organization, 17(1), 120–132.CrossRef Jarzabkowski, P., Bednarek, R., Chalkias, K., & Cacciatori, E. (2019). Exploring inter-organizational paradoxes: Methodological lessons from a study of a grand challenge. Strategic Organization, 17(1), 120–132.CrossRef
Zurück zum Zitat Kuoppakangas, P. (2015). Decision-making and choice in the adoption of a municipal enterprise form in public healthcare organisations: Reasoning, goals, legitimacy and core dilemmas. Turku School of Economics in the University of Turku, Series A-9-2016, Suomen yliopistopaino Oy – Juvenes Print. isbn:978-952-249-448-1. Kuoppakangas, P. (2015). Decision-making and choice in the adoption of a municipal enterprise form in public healthcare organisations: Reasoning, goals, legitimacy and core dilemmas. Turku School of Economics in the University of Turku, Series A-9-2016, Suomen yliopistopaino Oy – Juvenes Print. isbn:978-952-249-448-1.
Zurück zum Zitat Kuoppakangas, P., Kinder, T., Stenvall, J., Laitinen, I., Rannisto, P. H., & Ruuskanen, O. P. (2019). Examining the core dilemmas hindering big data-related transformations in public sector organisations. The NISPAcee Journal of Public Administration and Policy, 12(2), 131–156.CrossRef Kuoppakangas, P., Kinder, T., Stenvall, J., Laitinen, I., Rannisto, P. H., & Ruuskanen, O. P. (2019). Examining the core dilemmas hindering big data-related transformations in public sector organisations. The NISPAcee Journal of Public Administration and Policy, 12(2), 131–156.CrossRef
Zurück zum Zitat Kuusisaari, H. (2016). Kehittävä kollaboraatio. Uuden tiedon tuottaminen opettajien lähikehityksen vyöhykkeellä. [Developmental collaboration. Teachers’ collaborative knowledge creation at the zone of proximal development.] [Doctoral dissertation, University of Helsinki]. Unigrafia. Kuusisaari, H. (2016). Kehittävä kollaboraatio. Uuden tiedon tuottaminen opettajien lähikehityksen vyöhykkeellä. [Developmental collaboration. Teachers’ collaborative knowledge creation at the zone of proximal development.] [Doctoral dissertation, University of Helsinki]. Unigrafia.
Zurück zum Zitat Laitinen, I. (2015). Adult and lifelong learning as tools for organisational adaptation and change management. Journal of Adult and Continuing Education, 21(2), 36–54.CrossRef Laitinen, I. (2015). Adult and lifelong learning as tools for organisational adaptation and change management. Journal of Adult and Continuing Education, 21(2), 36–54.CrossRef
Zurück zum Zitat Laitinen, I. (2016). Työn mielekkyyden ja mahdollisuuksien tukeminen johtamisella. [Supporting the meaningfulness and capacities of work through leadership]. In A. Syväjärvi & V. Pietiläinen (Eds.), Inhimillinen ja tehokas sosiaali- ja terveysjohtaminen [Humane and effective social and health management] (pp. 147–186). Tampere University Press. Laitinen, I. (2016). Työn mielekkyyden ja mahdollisuuksien tukeminen johtamisella. [Supporting the meaningfulness and capacities of work through leadership]. In A. Syväjärvi & V. Pietiläinen (Eds.), Inhimillinen ja tehokas sosiaali- ja terveysjohtaminen [Humane and effective social and health management] (pp. 147–186). Tampere University Press.
Zurück zum Zitat Laitinen, I., & Ihalainen, J. (2022). Organisational learning during the coronavirus pandemic: A case study on models for extended learning and complexity management. Journal of Adult and Continuing Education, 28(2), 378–396.CrossRef Laitinen, I., & Ihalainen, J. (2022). Organisational learning during the coronavirus pandemic: A case study on models for extended learning and complexity management. Journal of Adult and Continuing Education, 28(2), 378–396.CrossRef
Zurück zum Zitat Laitinen, I., Harisalo, R., & Stenvall, J. (2013). Palvelutiede julkisten palveluiden uudistajana: Kansainvälinen vertailu. [Service science as a reformer of public services: An international comparison]. Tampere University Press. Laitinen, I., Harisalo, R., & Stenvall, J. (2013). Palvelutiede julkisten palveluiden uudistajana: Kansainvälinen vertailu. [Service science as a reformer of public services: An international comparison]. Tampere University Press.
Zurück zum Zitat Laitinen, I., Kinder, T., & Stenvall, J. (2018). Co-design and action learning in local public services. Journal of Adult and Continuing Education, 24(1), 58–80.CrossRef Laitinen, I., Kinder, T., & Stenvall, J. (2018). Co-design and action learning in local public services. Journal of Adult and Continuing Education, 24(1), 58–80.CrossRef
Zurück zum Zitat Lammintakanen, J., Rissanen, S., Peronmaa-Hanska, E., Joensuu, M., & Ruottu, T. (2016). Johtaminen ja kehittäminen sosiaali- ja terveydenhuollossa: monialaisen ja ammattiryhmäkohtaisen toiminnan käytännöt ja rakenteet. [Management and development in social and health care: Practices and structures of multidisciplinary and professional group-specific activities]. Valtioneuvosto, Finnish Government Publications 2242-0037. Lammintakanen, J., Rissanen, S., Peronmaa-Hanska, E., Joensuu, M., & Ruottu, T. (2016). Johtaminen ja kehittäminen sosiaali- ja terveydenhuollossa: monialaisen ja ammattiryhmäkohtaisen toiminnan käytännöt ja rakenteet. [Management and development in social and health care: Practices and structures of multidisciplinary and professional group-specific activities]. Valtioneuvosto, Finnish Government Publications 2242-0037.
Zurück zum Zitat Laulainen, S., Zitting, J., & Niiranen, V. (2020). Henkilöstön ja johtajien osaamisvaatimukset integroituvissa palveluissa. In A. Hujala & H. Taskinen (Eds.), Uudistuva sosiaali- ja terveysala. [The reforming social and health sector] (pp. 151–178). Tampere University Press. Laulainen, S., Zitting, J., & Niiranen, V. (2020). Henkilöstön ja johtajien osaamisvaatimukset integroituvissa palveluissa. In A. Hujala & H. Taskinen (Eds.), Uudistuva sosiaali- ja terveysala. [The reforming social and health sector] (pp. 151–178). Tampere University Press.
Zurück zum Zitat McKimm, J., Ramani, S., Forrest, K., Bishop, J., Findyartini, A., Mills, C., & Radu, G. (2022). Adaptive leadership during challenging times: Effective strategies for health professions educators: AMEE guide no. 148. Medical Teacher, 45(2), 128–138.CrossRef McKimm, J., Ramani, S., Forrest, K., Bishop, J., Findyartini, A., Mills, C., & Radu, G. (2022). Adaptive leadership during challenging times: Effective strategies for health professions educators: AMEE guide no. 148. Medical Teacher, 45(2), 128–138.CrossRef
Zurück zum Zitat Möttönen, S. (2019). Sote-uudistamisen anatomia. Yhteiskuntapoliittisia näkemyksiä sosiaali- ja terveydenhuollon reformista [The anatomy of social sector reform. Social policy views on social and health care reform] (p. 26). Kunnallisalan kehittämissäätiön julkaisu. Möttönen, S. (2019). Sote-uudistamisen anatomia. Yhteiskuntapoliittisia näkemyksiä sosiaali- ja terveydenhuollon reformista [The anatomy of social sector reform. Social policy views on social and health care reform] (p. 26). Kunnallisalan kehittämissäätiön julkaisu.
Zurück zum Zitat Niiranen, V., Zitting, J., & Laulainen, S. (2019). Challenges for management in implementing reforms at the ministry level and in health and social service organizations in Finland. Administrative Sciences, 9(3), 66.CrossRef Niiranen, V., Zitting, J., & Laulainen, S. (2019). Challenges for management in implementing reforms at the ministry level and in health and social service organizations in Finland. Administrative Sciences, 9(3), 66.CrossRef
Zurück zum Zitat Niskanen, O. P., Jokivuori, P., & Ruuskanen, P. (2020). Soten’ neljäs tuotantokausi’: dialogi ja luottamus politiikan ja virkamiestoiminnan rajapinnalla. [Social and health care sector’s’fourth production season’: Dialogue and trust at the interface of politics and civil service]. Hallinnon Tutkimus, 39(1), 36–51.CrossRef Niskanen, O. P., Jokivuori, P., & Ruuskanen, P. (2020). Soten’ neljäs tuotantokausi’: dialogi ja luottamus politiikan ja virkamiestoiminnan rajapinnalla. [Social and health care sector’s’fourth production season’: Dialogue and trust at the interface of politics and civil service]. Hallinnon Tutkimus, 39(1), 36–51.CrossRef
Zurück zum Zitat Paluch, S., & Blut, M. (2013). Service separation and customer satisfaction: Assessing the service separation/customer integration paradox. Journal of Service Research, 16(3), 415–427.CrossRef Paluch, S., & Blut, M. (2013). Service separation and customer satisfaction: Assessing the service separation/customer integration paradox. Journal of Service Research, 16(3), 415–427.CrossRef
Zurück zum Zitat Programme of Prime Minister Sanna Marin’s Government. (2019). Inclusive and competent Finland: A socially, economically and ecologically sustainable society. Finnish Government Publication No. 2019:33. Programme of Prime Minister Sanna Marin’s Government. (2019). Inclusive and competent Finland: A socially, economically and ecologically sustainable society. Finnish Government Publication No. 2019:33.
Zurück zum Zitat Ramalingam, B., Wild, L., & Ferrari, M. (2020). Adaptive leadership in the coronavirus response. Overseas Development Institute. Ramalingam, B., Wild, L., & Ferrari, M. (2020). Adaptive leadership in the coronavirus response. Overseas Development Institute.
Zurück zum Zitat Rittel, H. W., & Webber, M. M. (1973). Dilemmas in a general theory of planning. Policy Sciences, 4(2), 155–169.CrossRef Rittel, H. W., & Webber, M. M. (1973). Dilemmas in a general theory of planning. Policy Sciences, 4(2), 155–169.CrossRef
Zurück zum Zitat Saari, J., & Tynkkynen, L.-K. (2020). Still holding its breath: The Finnish welfare system under reform. In S. Blum, J. Kuhlmann, & K. Schubert (Eds.), Routledge handbook of European welfare systems (2nd ed., pp. 184–201). Routledge. Saari, J., & Tynkkynen, L.-K. (2020). Still holding its breath: The Finnish welfare system under reform. In S. Blum, J. Kuhlmann, & K. Schubert (Eds.), Routledge handbook of European welfare systems (2nd ed., pp. 184–201). Routledge.
Zurück zum Zitat Smith, W., Lewis, M., Jarzabkowski, P., & Langley, A. (2017). Introduction: The paradoxes of paradox. In W. Smith, P. Jarzabkowski, M. Lewis, & A. Langley (Eds.), The Oxford handbook of organizational paradox (pp. 1–26). Oxford University Press.CrossRef Smith, W., Lewis, M., Jarzabkowski, P., & Langley, A. (2017). Introduction: The paradoxes of paradox. In W. Smith, P. Jarzabkowski, M. Lewis, & A. Langley (Eds.), The Oxford handbook of organizational paradox (pp. 1–26). Oxford University Press.CrossRef
Zurück zum Zitat Stenvall, J., Laitinen, I., Yeoman, R., Thompson, M., & Mueller Santos, M. (2022). Urbanisation and public values. In Public values for cities and City policy (pp. 115–140). Palgrave Macmillan.CrossRef Stenvall, J., Laitinen, I., Yeoman, R., Thompson, M., & Mueller Santos, M. (2022). Urbanisation and public values. In Public values for cities and City policy (pp. 115–140). Palgrave Macmillan.CrossRef
Zurück zum Zitat Sturmberg, J. P., Tsasis, P., & Hoemeke, L. (2022). COVID-19: An opportunity to redesign health policy thinking. International Journal of Health Policy and Management, 11(4), 409–413. Sturmberg, J. P., Tsasis, P., & Hoemeke, L. (2022). COVID-19: An opportunity to redesign health policy thinking. International Journal of Health Policy and Management, 11(4), 409–413.
Zurück zum Zitat Suhonen, M., Leinonen, J., Nurmi, H., Kivivirta, V., & Syväjärvi, A. (2022). Digitalisaatio haastaa hyvinvointijohtamista ja edellyttää uusia painotuksia hallinnon tutkimukselle. [Digitalization challenges welfare management and requires new emphasis on administration research]. Hallinnon Tutkimus, 41(2), 166–173.CrossRef Suhonen, M., Leinonen, J., Nurmi, H., Kivivirta, V., & Syväjärvi, A. (2022). Digitalisaatio haastaa hyvinvointijohtamista ja edellyttää uusia painotuksia hallinnon tutkimukselle. [Digitalization challenges welfare management and requires new emphasis on administration research]. Hallinnon Tutkimus, 41(2), 166–173.CrossRef
Zurück zum Zitat Taskinen, H., & Hujala, A. (2020). Integraatio–sosiaali- ja terveyspalvelujen uudistamisen ydintä. Uudistuva sosiaali- ja terveysala. [Integration – The core of reforming social and health services. The reforming social and health sector]. In A. Hujala & H. Taskinen (Eds.), Uudistuva sosiaali- ja terveysala [The reforming social and health sector] (pp. 47–75). Tampere University Press. Taskinen, H., & Hujala, A. (2020). Integraatio–sosiaali- ja terveyspalvelujen uudistamisen ydintä. Uudistuva sosiaali- ja terveysala. [Integration – The core of reforming social and health services. The reforming social and health sector]. In A. Hujala & H. Taskinen (Eds.), Uudistuva sosiaali- ja terveysala [The reforming social and health sector] (pp. 47–75). Tampere University Press.
Metadaten
Titel
Social and Healthcare Policy: Taming Complexities?
verfasst von
Ilpo Laitinen
Jari Stenvall
Päivikki Kuoppakangas
Copyright-Jahr
2023
DOI
https://doi.org/10.1007/978-3-031-34862-4_15

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