Tampere School of Public Health, University of Tampere, Tampere, Finland.
Int J Health Plann Manage. 2011 Jan-Mar;26(1):e1-e16. doi: 10.1002/hpm.1000.
The main purpose of this article is to analyse the institutional and political structures of the Finnish rehabilitation entity and the governmental efforts to improve the governance of the rehabilitation policy. Rehabilitation in Finland is a complex welfare system which has undergone several coordination attempts during the last two decades. The centrality of the coordination of this welfare system is obvious. Based on the content analysis of three Government's rehabilitation reports from 1994 to 2002 and their background papers, this article provides two main findings. First, the rehabilitation entity seems to be based on different funding strategies, different governing and different coordination models between the rehabilitation subsystems. Second, the governance discourse in the reports seems to be unchanging with a predominantly hierarchical mode. The article concludes with a discussion on the challenges to coordinate this kind of a complex welfare system as an entity and also how to overcome those challenges.
本文的主要目的是分析芬兰康复实体的制度和政治结构，以及政府为改善康复政策治理而做出的努力。在芬兰，康复是一个复杂的福利体系，在过去二十年中经历了多次协调尝试。这种福利体系的协调核心地位是显而易见的。本文基于对 1994 年至 2002 年政府的三份康复报告及其背景文件的内容分析，得出了两个主要发现。第一，康复实体似乎基于不同的资金策略、不同的治理和康复子系统之间不同的协调模式。第二，报告中的治理话语似乎一成不变，主要采用层级模式。文章最后讨论了协调这种复杂福利体系作为一个整体所面临的挑战，以及如何克服这些挑战。
