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"This research-based edited volume offers a clear, multifaceted and practical overview of the Finnish health and social care sector trends in the 2020s. The health and social care reform is again current as new ways of organising the sector are being developed on the foundation of the reform that fell through in spring 2019.

The book introduces the Finnish health and social care services reform from three perspectives. The first part of the book looks at the sector from a macro perspective, that is, from the perspective of the service system reform. The articles deal with a historical overview of previous reforms, integration, and research on effectiveness and cost-effectiveness. The second part focuses on the organisational level issues such as reform of management and know-how and the challenges digitalisation poses for the health and social services. The third part of the book centres on the perspective of the people who implement the changes. The themes of the articles include care workers' multi-actor collaboration, person-centred case management and client involvement.

The book is based on research done at the University of Eastern Finland as well as Finnish and international research literature. The authors represent various disciplines: health and social management, social work, social psychology and other social sciences and law. The book is aimed at managers and professionals, experts, decision makers, researchers and teachers in the field of health and social care. It is also suitable as a textbook for management studies at the university level." - "Tämä tutkimukseen perustuva kokoomateos tarjoaa selkeän, monipuolisen ja käytännönläheisen yleiskatsauksen siitä, mihin suuntaan suomalainen sosiaali- ja terveysala on kehittymässä 2020-luvulla. Sosiaali- ja terveydenhuollon uudistus on jälleen hyvin ajankohtainen, kun keväällä 2019 kariutuneen uudistuksen perustalle ollaan rakentamassa uudenlaisia hyvinvointialueita tai sote-maakuntia ja monialaisia sosiaali- ja terveyskeskuksia.

Kirjassa avataan monipuolisesti maamme sosiaali- ja terveyspalvelujen uudistumista kolmesta eri näkökulmasta. Teoksen ensimmäisessä osassa tarkastellaan sosiaali- ja terveysalaa makrotason eli palvelujärjestelmän uudistumisen näkökulmasta. Artikkelien aiheina ovat historiallinen katsaus aiempiin uudistuksiin, integraatio sekä vaikuttavuuden ja kustannusvaikuttavuuden tutkimus. Toinen osa kohdistuu organisaatiotason kysymyksiin, kuten johtamisen ja osaamisen uudistumiseen sekä sosiaali- ja terveysalan digitalisaation haasteisiin. Kirjan kolmas osa keskittyy sosiaali- ja terveysalan muutoksiin niitä toteuttavien ihmisten näkökulmasta. Artikkeleiden teemoina ovat sote-työntekijöiden monitoimijainen yhteistyö, asiakaslähtöinen palveluohjaus sekä asiakasosallisuus.

Kirja pohjautuu Itä-Suomen yliopistossa tehtyihin tutkimuksiin sekä kotimaiseen ja kansainväliseen tutkimuskirjallisuuteen. Kirjoittajat edustavat monia eri tieteenaloja: sosiaali- ja terveysjohtamista, sosiaalityötä, sosiaalipsykologiaa ja muita yhteiskuntatieteitä sekä oikeustieteitä. Kirja on suunnattu sosiaali- ja terveysalan johtajille ja ammattilaisille, asiantuntijoille, päätöksentekijöille, tutkijoille ja opettajille. Se soveltuu myös oppikirjaksi yliopistojen ja ammattikorkeakoulujen johtamisopintoihin."

Cross-boundary collaboration, both multiprofessional and interorganizational, is needed when providing integrated care for people with multiple problems, who need services at the same time from diverse care providers. Multiple problems of clients also pose extra challenges for interaction between care professionals and clients. Emotional dynamics are always present in everyday interaction between human beings, but seldom explicitly addressed in research on integrated care. The aim of this reflective paper is to illustrate the emotional dimensions of integrated care in light of the experiences of care professionals in the context of care for people with multiple complex problems. The paper draws on a Finnish study on integrated care reflecting its findings from the perspective of emotional labor. The difficult life situations of people with multiple complex problems form an emotional burden, which is mirrored in the interaction between clients and professionals and affects relational dynamics among professionals. Professionals' fear of emotions and the different 'feeling rules' of care professions and sectors pose extra challenges to professionals' collaboration in this emotionally loaded context. Alongside the structural and functional aspects of integrated care, it is important that emotions embedded in everyday cross-boundary collaboration are recognized and taken into account in order to ensure the success of integrated care.

Cover -- Editorial advisory board -- Powerless positions, silenced voices? - critical views on health and social care management -- Leadership in transformation: a longitudinal study in a nursing organization -- Constructing accountability in inter-organisational collaboration -- Professional autonomy under pressure: towards a dialectical approach -- Economic and demographic challenges for social care -- Volunteers in a hospital -opportunity or threat? Exploratory study from Finland -- People with multimorbidity: forgotten outsiders ordynamic self-managers?.

Collaboration between health and social care managers – A social representations approach
This small-scale study explores collaboration between managers drawing on the theory of social representations. The data were produced using visual methods: middle managers (n=25) working in the field of health and social care and education reflected on collaboration in group discussions. The data were analyzed by content analysis. The study shows that emphasizing one's status and superiority was perceived negatively in the context of collaboration. Deconstructing hierarchies and the myth of individual strong manager seems central when promoting collaboration between managers.

"At a time of growing pressure on health and social care services, this book draws together contributions which highlight contemporary challenges for their management. Providing a range of contributions that draw on a Critical Management Studies perspective the book raises macro-level concerns with theory, demographics and economics on the one hand, as well as micro-level challenges of leadership, voice and engagement on the other. Rather than being an attempt to define the 'wickedness' of problems in this field, this book provides new insights designed to be of interest and value to researchers, students and managers. Contributions from international researchers explore four main topics: - identifying contemporary challenges in health and social care; - managing, leading and following; - listening to silent voices in delivering change; and - new methodologies for understanding care challenges. The concerns discussed in this volume are 'wicked' in so far as they are persistent, pernicious and beyond the curative abilities of any single organisation or profession. Such problems require collaboration but also new approaches to listening to those who suffer their effects. This book demonstrates such listening through its engagement with policy makers, leaders, followers, professions, patients, forgotten groups and silenced voices. Moreover, it considers how future research might be transformed so as to shine a more inclusive light on 'wicked' problems and their amelioration. This is a timely and engaging book that challenges you - the reader - to think again about how we should look at, engage with and support all those involved in health and social care"--

The concept of wicked problems: improving the understanding of managing problem wickedness in health and social care / Harri Raisio, Alisa Puustinen & Pirkko Vartiainen -- The politics of care: wicked concerns constituent in care reforms / Will Thomas & Susan Hollinrake -- Personalization of care: a wicked problem or a wicked solution? / Janet Anand, Gavin Davidson, Berni Kelly & Geraldine Macdonald -- The leader-follower fantasy: exploring leadership psycho-analytically / Gaurish Chawla & Mark Learmonth -- Lofty ideals and lowly troubles among nursing home managers / Monica Andersson Back & Charlotta Levay -- Ethics, leadership and care / Merja Sinkkonen & Sanna Laulainen -- Destructive leadership / Minna Hoffrén & Sanna Laulainen -- Empowering patients through communication technology? / Laura Visser, Inge Bleijenbergh, Yvonne Benschop & Allard van Riel -- Blame culture in the nhs / Ruth Strudwick -- A darker side to interorganisational relations / Kristina Brown -- Australian indigenous policy: critiquing ¿wicked¿ deficit discourses / Elizabeth Pyle, Deanna Grant-Smith & Robyn Mayes -- Unpicking dependency, managing becoming / Will Thomas -- Improving youth mental health? understanding ambivalence to seeking support among young people who have asperger syndromes / Edmund Coleman-Fountain & Bryony Beresford -- Action research in public management and governance studies / Marta Struminska -- Different ways to view wicked problems / Anneli Hujala, Sanna Laulainen, Andy Brookes, Maarit Lammassaari & Tamara Mulherin -- The promise of visual approaches / Jari Martikainen