FUTURE CONNECTED
HEALTH
Sirkku Pikkujämsä
Director of Healthcare
City of Oulu
City of Oulu
Oulunearly 200 000 inhabitants
the 5th largest city in Finland
• Young population structure
• the average age 37,4 yrs
• High education level
• Both city center and sparsely
populated areas
• Ageing of the population
• High morbidity rate
• Economic situation unstable
• Youth and long-term
unemployment rates high
High morbidity
•
A SUMMARY INDEX OF PREVALENT DISEASES 2010
168,9
Hypertension
Coronary artery disease
100
Asthma
Diabetes
60,7 *)
Rheumatoid arthritis
Oulu
Cardiac insufficiency
Psychosis
NOHD
139,2
KP
V
Morbidity is also reflected in the costs; in 2012-2014
S
Oulu had the highest healthcare service costs / inhabitant
among the large cities in Finland.
P
Source: KELA,
Finland=100
10% of residents account for 81% of costs
% of total costs
The majority need a contact/ visit/ service
on an occasional basis
100%
90%
80%
70%
10 % of people, 81% of the costs
5% of people, 68% of the costs
60%
50%
40%
30%
20%
10%
A certain proportion of people require an intensive service model
- Coordination of services
- Careful and individualized planning because of complex needs
- Designated case worker, client manager, primary nurse, personal trainer
- Flow and integration of information between professionals
Kallein 1%
3%
5%
7%
9%
11 %
13 %
15 %
17 %
19 %
21 %
23 %
25 %
27 %
29 %
31 %
33 %
35 %
37 %
39 %
41 %
43 %
45 %
47 %
49 %
51 %
53 %
55 %
57 %
59 %
61 %
63 %
65 %
67 %
69 %
71 %
73 %
75 %
77 %
79 %
81 %
83 %
85 %
87 %
89 %
91 %
93 %
95 %
97 %
99 %
0%
% of residents
Study conducted among inhabitants on Oulu in 2013,
NHG and City of Oulu
Who make up the 10% with the heaviest service use?
Breakdown of total costs of the most expensive 10%**
2%
17%
Muut
Other
Kalliit
somaattiset
High-cost
somaticsairaudet
illnesses
11%
9%
6%
Diabeetikot
ja sydänja verisuonitautipotilaat
Patients with
diabetes,
cardiovascular diseases
”Health care clients
who do not use social
services”
38% of the costs
Psykiatrisen
erikoissairaanhoidon
(ei sos.palveluita)
Clients of specialised
psychiatricasiakkaat
services (no
social services)
12%
5%
38%
Clients of substance
abuce services
&housing services
Päihdepalveluiden
ja päihdeja mt-asumispalveluiden
asiakkaat
for sunstance abusers and psychiatric)
Vammaiskehitysvammapalveluiden
asiakkaat
Clients ofjadisability
and developmental
disability services
”Clients of social
services”***
Lastensuojelun
asiakkaat
Child protection
clients
62% of the costs
Elderly services clients
Vanhuspalveluasiakkaat
* NB: covers 81% of total costs
** Each resident is only included in one group, so that costs are not counted twice for anyone. If a person should be included in several groups based on their service
use, they are allocated to the lowest possible group on the list. This means that clients of services for the disabled and developmentally disabled do not include clients
of services for the elderly or child protection services. Clients of substance abuse services may have received psychiatric services, whereas clients of specialised
psychiatric services do not receive substance abuse services. Correspondingly, the group “high-cost somatic illnesses” only includes patients who are not clients of social
services, mental health services or psychiatric services.
***The total costs of persons classified as social services users comprise the use of both social and health care services
Segmentation of clients / patients
- not the same model for everyone
• High individual selfcare capacity – simple needs
– e-services
• High individual selfcare capacity – multiple or complex needs
– information, guidance, e-services
• Low individual selfcare capacity – various different needs
– personal trainer, coordination, professional collaboration
• Low individual selfcare capacity – high needs
– ”stand by the patient”
National Social and Healthcare Reform
Regional governance 2019
University Hospitals (5)
väestö 31.12.2012
HYKS erva
Helsinki ja Uusimaa
Etelä-Karjala
Kymenlaakso
KYS erva
Pohjois-Savo
Etelä-Savo
Itä-Savo
Keski-Suomi
Pohjois-Karjala
OYS erva
Northern Ostrobotnia
Kainuu
Keski-Pohjanmaa
Lapin
Länsi-Pohja
TAYS erva
Pirkanmaa
Etelä-Pohjanmaa
Kanta-Häme
Päijät-Häme
TYKS erva
Varsinais-Suomi
Satakunta
Vaasa
Pasi Parkkila 2015
1 869 617 as.
1 562 796
132 355
174 466
817 782 as.
248 233
104 803
44 881
250 369
169 496
990 km
39 kuntaa
24 kuntaa
9 kuntaa
6 kuntaa
68 kuntaa
20 kuntaa
9 kuntaa
4 kuntaa
21 kuntaa
14 kuntaa
739 475 inhab. 68 municipalities
400 959
77 435
78 237
118 189
64 655
1 106 115 as.
OULU
29 municipalities
8 kuntaa
10 kuntaa
15 kuntaa
6 kuntaa
67 kuntaa
518 157
198 944
175 472
213 542
23 kuntaa
19 kuntaa
11 kuntaa
14 kuntaa
865 184 as.
62 kuntaa
472 139
224 934
168 111
29 kuntaa
20 kuntaa
13 kuntaa
KUOPIO
TAMPERE
TURKU
HELSINKI
Oulu Innovation Alliance is
a strategic partnership agreement
A common goal and confidence in developing the region.
City of Oulu
• Implements business and innovation policy, including start-ups, growth, relocation,
conferences, and operating environment development services
University of Oulu
• Promotes free international level research and education, development and maintenance
of research infrastructures, and develops utilization paths of research results
VTT
• Produces new ideas, technology and innovations, develops new applications and
knowledge for business, and infrastructure that support research and business activities
Oulu University of Applied Sciences
• Applies, transfers and develops professional expert knowledge
Oulu University Hospital (OYS)
• Produces high quality, demanding specialized healthcare services for Northern Finland,
and trains future healthcare professionals
Technopolis
• Operates environments and services for companies and organizations
LUKE (Natural Research Institute Finland)
• Provides new solutions towards the sustainable development of the Finnish bioeconomy
and the promotion of new biobased businesses
The Oulu Region Joint Authority for Education (Osekk)
• Provides education services rooted in practical work life,
anticipating the challenges of the future.
Health and well-being for residents