|Implemented in this survey?|
The government programme is formulated when a new government is formed. After parliamentary elections a new government was appointed in April 2007. From the health policy perspective, the most important themes of the new programme are to increase co-operation between municipalities and between primary and secondary care, reform user-fees in municipal services, promote quality and effectiveness of services, scale up health promotion and primary health care, and endorse private service production.
Each time when a new government is formed, the government programme is agreed upon by the political parties participating in the government. It is a plan of action defining the main tasks facing the incoming administration. The prime minister monitors the implementation of the programme. Normally government changes every four years after the parliamentary elections.
After the last parliamentary elections in March 2007, the new government was appointed in April 2007. The name of the new government programme is "A responsible, caring and rewarding Finland". It has about 70 pages alltogether and includes about 20 different tasks related to health policy.
Tasks related to organisational structure
Tasks related to access to services
Tasks related to costs/financing
Tasks related to health promotion
Tasks related to private service production
The function of the government programme is to be an agreement between the coalition parties on the political objectives of the government. General objectives of the programme in terms of health policy are to ensure the funding and availability of good quality and efficient social and health services and to increase population health.
State level direct political steering of the development of health care services.
State, Municipalities, Health care providers
|Medienpräsenz||sehr gering||sehr hoch|
The government programme is rather consensual and it does not contain any radical propositions in terms of health policy.
During the last two decades the Finnish governments have typically been coalition governments, which are based on two of the three largest political parties (the Finnish Centre Party, the National Coalition Party and the Finnish Social Democratic Party) while one of them is the leading opposition party.
After the parliamentary elections in March 2007, the new government was appointed in April 2007. It is a coalition of the Finnish Centre Party (8 ministers), the National Coalition Party (8 ministers), the Green Party (2 ministers) and the Swedish People's Party (2 ministers). The Prime minister is Mr. Matti Vanhanen (the Finnish Centre Party), who was already the head of the previous government. Compared to the previous government, the most notable change was the move of the Finnish Social Democratic Party from government to opposition and the move of the National Coalition Party from opposition to government. The Finnish Social Democratic Party had been in the government for the previous 12 years. As a consequence the new government is more of a right-wing government as previous government had been.
After the parliament elections in March 2007
|Implemented in this survey?|
The government programme is formulated by the political parties forming the new government. Many themes in the programme come from the (internal and public) documents which these parties produced for the election campaigns. Naturally opposition parties did not have any direct influence on the development of the government programme.
Some of the tasks defined in the programme are continuations from the previous government programme but there are also some new emphases. For example the promotion of private provision, creation of a comprehensive Health Care Act, reforming user-fees, increasing the transparency of the pricing and financing of municipal services and the expansion of patient rights to seek care across municipal borders are relatively fresh emphases.
The approach of the idea is described as:
amended: Continuation for the programme of the previous government
The government programme reflects the targets of the political parties forming the government and naturally they are very supportive of the programme while opposition parties have many objections to it. For example the Social Democratic Party and the Left Wing Alliance are rather opposed to the promotion of private service provision. Generallyproviders (municipalities, hospital districts and private providers) do not have any strong negative or supportive position on the government programme, although they can have strong positions on some specific issues. Health policy issues of the new government programme have so far not been discussed in the media very much.
|The government||sehr unterstützend||stark dagegen|
|The Ministry for Social Affairs and Health||sehr unterstützend||stark dagegen|
|Municipalities||sehr unterstützend||stark dagegen|
|Private providers||sehr unterstützend||stark dagegen|
|The parties in the government||sehr unterstützend||stark dagegen|
|The parties in the opposition||sehr unterstützend||stark dagegen|
The programme will lead to legislation changes. Political parties in the government have the majority of seats in parliament so they have good possibilities to pass legislation reforms which are necessary for the implementation of the programme.
|The government||sehr groß||kein|
|The Ministry for Social Affairs and Health||sehr groß||kein|
|Private providers||sehr groß||kein|
|The parties in the government||sehr groß||kein|
|The parties in the opposition||sehr groß||kein|
Key actors in the implementation of the health policy tasks included in the government programme are the government and the Ministry of Social Affairs and Health. Other actors are parliament (when legislation or state budget changes are needed), other agencies in state administration and municipalities as the organizers of the health services.
A more detailed and implementation-oriented National Development Programme for Social and Welfare is made based on the government programme for the next four years. The development programme will be approved by the government in November 2007. The Advisory Board of Social and Health Care appointed by the government have the responsibility of preparation, implementation and follow-up of the development programme. The board is chaired by the Minister of Health and Social Services and it includes a few other key stakeholders. The board has appointed five regional working groups which are responsible on adoption and implementation of the development programme in the regional level.
The office of the prime minister and the political parties involved in the government will monitor closely the implementation of the government programme. The outcome of the programme is also closely evaluated by other political parties.
Abschlussevaluation (intern), Abschlussevaluation (extern), Halbzeitevaluation
Not yet availabe
It can be expected that the programme, if successful, will increase co-operation between municipalities, between primary and secondary care providers and between public and private sector. Presumably it will also increase quality, effectiveness, cost-containment and innovativeness to some extent. Increasing user-fees in municipal services can increase the financial barriers for access to services among low-income people.
|Qualität||kaum Einfluss||starker Einfluss|
|Gerechtigkeit||System weniger gerecht||System gerechter|
|Kosteneffizienz||sehr gering||sehr hoch|
Impact of the government programme is very difficult to estimate at this point, though it has rather good possibilities to achieve at least part of its objectives.
The Government Programme "A responsible, caring and rewarding Finland" http://www.vn.fi/hallitus/hallitusohjelma/pdf/en.pdf