Publications
Scientific journal:
Finnish Journal of eHealth and eWelfare (FinJeHeW), https://www.finjehew.fi
FinJeHeW is a scientific journal published jointly by the Finnish Society for Telemedicine and eHealth and the Finnish Association for Social and Health Care Informatics since 2009. The journal belongs to publication platform category 1. The ISSN of the journal is 1798-0798.
FinJeHeW welcomes scientific articles and other material related to information technology in social and healthcare services, telemedicine, and eHealth. Author guidelines are available on the journal’s website. The journal is published mainly in Finnish, but it also includes articles, abstracts, and other material in English. Manuscripts are evaluated using a double-referee peer review process. The journal publishes at least four issues per year as an online publication in PDF format. Each issue is freely available online. www.finjehew.fi.
Terveydenhuollon hallinnan muutosajureista fi
Change drivers of healthcare governance en
Tiivistelmä
Hyvinvointiyhteiskuntien kansallisiin terveydenhuoltojärjestelmiin kohdistuu taloudellisia, yhteiskunnallisia sekä teknologisia muutospaineita, jotka korostavat terveydenhuollon asemaa yhteiskunnissa. Samalla kuin siilomaisesta toimintamallista siirrytään asteittain integroidumpaan ja verkostomaisempaan ekosysteemiin, tiedostetaan toimijoiden välinen tiedonkulku ja läpinäkyvyys innovaatioita synnyttäväksi tuottavuustekijäksi.
Euroopan Unionin maiden terveydenhuollossa kansalaiset koetaan enenevässä määrin kuluttajiksi, jolla on sekä oikeuksia, mutta myös velvollisuuksia. Julkisen sektorin perinteisiä hallinnan (governance) malleja joudutaan jatkuvasti uudelleen arvioimaan ja muutoksesta onkin tullut pysyvä olotila, jota enenevässä määrin ohjaavat myös kansainväliset vaikutukset. Terveydenhuollossa luovuutta ja itseohjautuvuutta edistävät mekanismit nähdäänkin organisaatioiden keskeisiksi menestystekijöiksi. Tarve uudenlaiselle johtamisen kulttuurille on tunnistettu. Johtamisjärjestelmiä tukevat teoriat pyrkivät selittämään ja tarjoamaan viitekehyksiä, joihin tukeutumalla jatkuvaan kehittämiseen orientoituvat organisaatiot pyrkivät sopeutumaan alati uudistuviin olosuhteisiin, joissa julkisen ja yksityisen sektorin hybridit edustavat uudenlaista hallintamallia. Artikkelin tehtävänä on kuvata terveydenhuollon keskeisiä muutosajureita kansainvälisen kirjallisuuskatsauksen avulla. Tutkimuksen teoreettisena viitekehyksenä toimii luovan hallinnan teoria (Creative Governance). Tutkimus syventää ymmärrystämme terveydenhuollon keskeistä muutosajureista, kuten tehokkuusvaatimusten seurauksena integroituvista arvoverkoista, valinnanvapauden kautta lisääntyvästä kilpailusta sekä informaatioteknologian uusista mahdollisuuksista. Yhteistä muutosajureille näyttää olevan, että ne saavat voimansa terveydenhuollon toimialan kasvavasta taloudellisesta painoarvosta sekä sen seurauksena syntyvästä tarpeesta uudistaa henkilöstöintensiivisen toimialan johtamista. Tutkimus vahvisti osaltaan teoreettisen viitekehyksen oletuksia terveydenhuollon strategisesta, operatiivisesta sekä innovaatiojohtamisesta ja vahvisti näkemystä, että eri maiden lainsäädäntöjen ja käytäntöjen yhtenäistyessä luovan hallinnan teoria on sovellettavissa kansainvälisesti.
Abstract (English)
The healthcare systems of the welfare societies are subjected economic, social and technology pressures, which further emphasize the role of healthcare in societies. Simultaneously the progress leads to the gradual move to the more integrated ecosystems, where the flow of information and transparency between the participants are recognized as a denominator of creative productivity.
The citizens of the European countries are more and more categorized as the healthcare consumers, which have both rights and obligations. The need for constant re-evaluation of traditional public governance is obvious. The change has become a permanent condition, which is increasingly guided by international impacts. The mechanisms of creativity and self-management are seen as key success factors in healthcare. The need for a new kind of leadership culture has been identified. The management systems supported by theories seek to explain and provide frameworks for the organizations’ continuous improvement. The new hybrids of public and private sectors, are representing a new model of governance. The aim of the article is to describe the main change drivers of healthcare. The research was carried out through an international literature review. The Theory of Creative Governance is the theoretical framework of the study. The study deepens our understanding of the key change drivers of healthcare, such as efficiency requires better integration of value networks, the increasing competition through freedom of choice, and the new opportunities for information technology. The common drivers of change seem to get their strength out of the growing economic position of the healthcare industry and the needs to reform the governance of the personnel-intensive healthcare. The study strengthened the assumptions of the theoretical governance framework for the strategic, operational and innovation management of healthcare. The harmonization of the laws and practices in different countries means, that the theory of Creative Governance is applicable also internationally.
Avainsanat
Kanoninen lähde ja PDF: journal.fi. Tätä artikkelia ei ole kopioitu tälle palvelimelle.
Lisenssi: https://creativecommons.org/licenses/by-nc-nd/4.0
The society's 30-year history (available only in Finnish)
30 VUOTTA KEHITYKSEN KÄRJESSÄ – Suomen telelääketieteen ja e-Health seura 1995-2025, 2025,
ISBN 978-952-65791-1-5 (PDF)
The Society’s 30-Year History
30 Years at the Forefront – The Finnish Society of Telemedicine and eHealth 1995-2025, 2025.
ISBN: 978-952-65791-5-3 (pdf)
Podcasts
eHealth & Telemedicine Today – by STeHS
What’s happening in digital healthcare right now? In this podcast, STeHS brings you conversations on telemedicine, eHealth, and the evolving healthcare landscape—featuring voices from Finland and beyond.
Innovaatiot ja yrittäjyys suomalaisessa eHealthissa
This episode was recorded live at the eHealth2025 Conference, part of the 30th anniversary of the Finnish Society of Telemedicine and eHealth (STeHS). Hosts of this podcast are Titta Venho and Anna Saranlinna.In this discussion, Kalevi Virta, CEO of eWell Oy, and Arto Holopainen, Innovation Director at the City of Kuopio, share their perspectives on the development of the Finnish eHealth ecosystem, with a particular focus on innovation, entrepreneurship, and collaboration.The conversation explores how digital health has evolved in Finland over the past decades, highlighting key milestones such as mobile technologies, national digital health services, and international collaboration. The speakers reflect on the opportunities and challenges faced by startups and innovators in the health technology sector, including funding, regulation, and access to real-world testing environments.The episode also discusses the role of cities, ecosystems, and collaborative networks in supporting innovation, as well as the importance of early user engagement and cross-sector partnerships. Looking ahead, the discussion touches on future trends such as artificial intelligence, data-driven services, and the increasing demand for sustainable and scalable digital health solutions.Finally, the guests share practical advice for entrepreneurs and emphasize the need for stronger strategic leadership, long-term investment, and continued cooperation between public and private sectors to drive meaningful impact in healthcare.Note: This episode is in Finnish.Full transcript is available in https://www.telemedicine.fi/julkaisut/
Vaikuttavuus digitaalisissa terveyspalveluissa
This episode was recorded live at the eHealth2025 Conference, part of the 30th anniversary of the Finnish Society of Telemedicine and eHealth (STeHS). Hosts of this podcast are Titta Venho and Anna Saranlinna.In this discussion, Mika Perttu, Director of Digital Transformation at the City of Helsinki’s Social, Health and Rescue Division, and Minna Saranpää, Customer Manager and Social and Healthcare Specialist at Vivago Oy, explore the topic of impact and effectiveness in digital health and care services.As digitalisation continues to reshape how healthcare services are delivered, used, and evaluated, the conversation focuses on how to ensure that digital solutions truly create value for patients, professionals, and society. The speakers discuss how effectiveness can be defined, measured, and integrated into service development and decision-making.The episode highlights practical examples from both public and private sectors, addressing challenges such as fragmented systems, limited resources, and the need for better data-driven leadership. It also explores the future role of digital tools, including artificial intelligence and remote care, in improving outcomes and enabling more proactive and personalised healthcare services.Note: This episode is in Finnish.Full transcript is available: https://www.telemedicine.fi/julkaisut/
Women around the world in health care digitalisation
This episode was recorded live at the eHealth2025 Conference, part of the 30th anniversary of the Finnish Society of Telemedicine and eHealth (STeHS). Hosts of this podcast are Titta Venho and Anna Saranlinna.In this discussion, Dr Michelle Griffith, President of ISfTeH, a physician specializing in internal, lifestyle, and integrative medicine with over 30 years of clinical experience, and Professor Pirkko Kouri, Vice President of ISfTeH and a Finnish expert in health informatics and digital health education, explore the theme Women Around the World in Healthcare Digitalisation.Together, they reflect on how gender shapes the development, leadership, and use of digital health services across different cultural and global contexts. The conversation highlights both the challenges women face in technology-driven environments and the critical role they play in designing more inclusive, holistic healthcare solutions.The episode also offers insights into international collaboration, leadership experiences, and practical advice for women aiming to make an impact in the rapidly evolving field of telemedicine and eHealth.Full transcript will be available in: https://www.telemedicine.fi/julkaisut/
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Conference publications:
- XXXI Kansallinen ja kansainvälinen Telelääketieteen ja eHealth konferenssi, #eHealth2026: Effective digital solutions in health care and social welfare services, 2026, ISBN 978-952-65791-4-6 (PDF)
- XXX Kansallinen telelääketieteen ja eHealth seminaari, #eHealth2025: Strengthening Interoperability and Equality in Digital Health with Nordic Innovations, 2025, ISBN 978-952-65791-3-9 (PDF)
- XXIX National Seminar on Telemedicine and eHealth, #eHealth2024: From Research to Impact on Digital Health and Welfare Services, 2024, ISBN 978-952-69224-9-2 (PDF)
- XXVIII National Telemedicine and eHealth Seminar, #eHealth2023: Human oriented approach in eHealth and digital services, 2023, ISBN 978-952-69224-8-5 (pdf)
- XXVII National Telemedicine and eHealth Seminar, #eHealth2022: Digital Health – from Research to Applied Solutions, 2022, ISBN 978-952-69224-6-1 (PDF)
- XXVI National Telemedicine and eHealth Seminar, #eHealth2021: eHealth in a Lifecycle, 2021, ISBN: 978-952-69224-4-7 (pdf)
- XXV National Telemedicine and eHealth Seminar, eHealth2020: From Dream to Reality, 2020, ISBN: 978-952-69224-2-3 (pdf)
- XXIV National Telemedicine and eHealth Seminar, eHealth2019: Data-Driven Health, 2019, ISBN: 978-952-68112-9-1 (pdf)
- XXII National Telemedicine and eHealth Seminar, eHealth2018: Health communities facing cyber transformation, 2018, ISBN: 978-952-68112-8-4 (pdf)
- XXII National Telemedicine and eHealth Seminar, Win-Win-Win, for citizens, professionals and society, 2017, ISBN: 978-952-68112-6-0 (pdf)
- XXI National Telemedicine and eHealth Seminar, Nordic eHealth2016 Culture of experimentation and digitalisation, 2016, ISBN: 978-952-68112-4-6 (pdf)
- XX National Telemedicine and eHealth Seminar, eHealth, an engine for change, 2015, ISBN: 978-952-68112-2-2 (pdf)
- XIX National Telemedicine and eHealth Seminar, Towards effective eHealth, 2014, ISBN: 978-952-67213-9-2 (pdf)
- XVIII Kansallinen telelääketieteen ja eHealth seminaari: Teknologiatalkoilla parempiin hoitotuloksiin, 2013, ISBN: 978-952-67213-8-5 (pdf)
- XVII Kansallinen telelääketieteen ja eHealth seminaari: Tietoa tarpeeseen, 2012, ISBN: 978-952-67213-6-1 (pdf)
- XVI Kansallinen telelääketieteen ja eHealth seminaari: Maalta maailmalle – Aluemalli terveyspalveluiden kehittämisessä, 2011, ISBN: 978-952-67213-4-7 (pdf)
- XV Kansallinen telelääketieteen ja eHealth seminaari: Katse yli rajojen, 2010, ISBN: 978-952-67213-2-3 (pdf)
- XIV Kansallinen telelääketieteen ja eHealth seminaari: Terveyttä verkosta ja verkostosta, 2009, ISBN: 978-952-67213-0-9 (pdf)
- XIII Kansallinen telelääketieteen ja eHealth seminaari: e-Health kansalaisen palveluksessa, 2008 (pdf)