2016 Volume 28 Issue E3 Pages 16-24
One of the drivers on the cost inflation in modern health and welfare systems is ageing. It is amplified by the fragmentation of care into narrow specialties that while failing to cater to whole-person needs also increase costs. To counteract these trends, elderly care needs to move from institutional to home care. This, however, requires service integration at the patient level. Service production systems need to be constructed with this end in mind. This article describes an experiment, Kotitori, undertaken in the city of Tampere, Finland. The model combines the functions of vendor management allowing the city to efficiently contract with several small-scale service producers, and patient-level case management.
