| IMPACT compared with present situation |
WAYS OF ALLEVIATING/STRENGTHENING IMPACTS |
| Individual's point of view |
|
| Better availability of services during emergency duty
hours |
Centralization of emergency duty |
| Longer journeys, different connections |
|
| Discretion on whether to seek treatment ('open house' no longer
available) |
Information campaign to influence attitudes |
| Sense of insecurity increases |
Launch phone counselling service |
| Employee's point of view |
|
| Doctors less tied up with emergency duty, more free time,
better capacity to cope with work, emergency duty more
feasible |
Centralization of emergency duty |
| Longer commutes with the emergency duty ring model |
Transport pools? |
| More time spent by nurses in counselling and advising patients
on the phone |
Launch phone counselling service |
| Loss of income as emergency duty time decreases |
Personnel rotation? |
| Municipality's point of view |
|
| Easier to ensure availability of medical services for
public |
|
| Rationalization of use of emergency duty services, reducing
number of 'unnecessary' visits |
|
| Lower need for manpower in emergency duty |
Allocate manpower elsewhere to combat unemployment. Work
organization, optimization of personnel resources |
| Patient transportation costs increase in small municipalities,
challenges to transport capacity |
Draw up comprehensive instructions on how to manage patient
transportation in various situations |
| Changes in the image of the municipality, loss of specialized
medical care, health centre as a place for treating chronic
patients |
|
| Increased need to provide information, requiring more
resources |
Launch phone counselling service |
| Changing visit flows (increase or decrease in business
environment) |
|
| Easier to fill positions in small municipalities |
|
| Additional need for physical space in Heinola |
|
| Busy hours in Heinola between 16.00 and 18.00 |
|
| Increased need to transmit information between health
centres |
Examine any legal issues involved in transferring medical case
histories |
| Local authority billing increases; revenue increase in
Heinola |
|