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A Study on the Governance Reform of the Social and Health Services in Finland: The Establishment of the Wellbeing Services County and the Result of the First Regional Council Elections

  • Journal of the Scandinavian Society of Korea
  • Abbr : JSSK
  • 2022, (29), pp.81-116
  • Publisher : The Scandinavian Society of Korea
  • Research Area : Social Science > Area Studies > North Europe(Scandinavian)
  • Received : June 13, 2022
  • Accepted : July 4, 2022
  • Published : June 30, 2022

Shin, Young Kyu 1 Seo Hyeon Su 2

1한국보건사회연구원
2한국교원대학교

Accredited

ABSTRACT

Since the 2000s, Finnish governments have tried to transform social and health services provided by the municipality-centered delivery system. After several failed attempts for last two decades, the reform bill of the PM Marin’s government was finally passed through the Eduskunta (Finnish Parliament) in June 2021. The core aims of the bill are to create 21 wellbeing services counties (hyvinvointialueet), to transfer the responsibility to provide social and health services from municipalities to the newly established administrative organizations, and to develop Future Health and Social Services Centres (Tulevaisuuden sosiaali- ja terveyskeskukset) for the improvement of service accessibility and the reduction of inequality in service provision. The first elections to constitute 21 county councils were held on 23 January, 2022. During the election campaign, the key issues were about how to fix both inequality and inefficiency simultaneously and how to reform the decision-making system related to social and health services. The findings from this study on the Finnish case demonstrate that the role of public organizations will be emphasized and strengthened in the new service delivery system, and the three-tier governance of “central government-wellbeing services counties-municipalities” will replace the existing two-tier governance of “central government- municipalities.”

Citation status

* References for papers published after 2022 are currently being built.