Suchergebnisse

In this book Jukka Korpela offers an analysis of the trade in kidnapped Finns and Karelians into slavery in Eastern Europe. Blond slaves from the north of Europe were rare luxury items in Black Sea and Caspian markets, and the high prices they commanded stimulated and sustained a long-distance trade based on kidnapping in special robbery missions and war expeditions. Captives were sold into the Volga slave trade and transported through market webs further south. This business differed and was separate from the large-scale raids carried out on Crimeans for enslavement in Eastern Europe, or the mass kidnappings characteristic of Mediterranean slavery. The trade in Finns and Karelians provides new perspectives on the formation of the Russian state as well as the economic networks of official and unofficial markets in Eastern Europe.

Lännessä totuus on matemaattisesti mitattava ja rationaalisesti selitettävä asia. Täällä moniarvoisen, demokraattisen sekä läpinäkyvyyttä ja ihmisoikeuksia kunnioittavan laillisuusyhteiskunnan ajatellaan olevan absoluuttinen, historiasta ja kulttuurista irti oleva asia ja kaikkien tavoite. Historiatiede kuitenkin selittää myös moraaliset ja tiedolliset rakenteet ajasta ja paikasta riippuviksi. Sattumien summana länsimainen, mutta maailman mitassa poikkeuksellinen arvomaailma syntyi vähitellen keskiajalta lähtien ja levisi läntisen talouden myötä ja alkoi dominoida viimeisen vuosisadan aikana. Valtaa ja oikeudenmukaisuutta voidaan kuitenkin toteuttaa myös yksilöitä syrjivissä, mystiikkaa ja salakähmäisyyttä suosivissa klaaniverkostoissa. Ne myös tarjoavat suuret näköalat rikkauksiin. Venäjän yhteiskunta näyttää länsimaista käsin korruptoituneelta, irrationaalilta, rosvoklaanien hallitsemalta ja ihmisoikeuksia loukkaavalta. Pyrkimys rakentaa Venäjästä länsimainen demokratia on epäonnistunut useasti. Artikkeli esittää syyksi sen, että kun lännestä poikkeavat perusrakenteet on valittu kaukana historiassa, uuden toimintatavan liimaaminen päälle ei onnistu, koska perinteinen järjestelmä on oman kulttuurin silmissä legitiimi ja toimiva. Artikkelissa käydään läpi näkemyksen tueksi aate- ja taloushistorian pitkiä rakenteita ja niiden kehitystä varhaiskeskiajalta nykyisyyteen.

Jukka Korpela ; Inhaltsverzeichnis ; Volltext // Exemplar mit der Signatur: München, Bayerische Staatsbibliothek -- 2001.36821

This paper suggests that the productivity and efficiency of social and health care services can be improved considerably by redesigning and streamlining the processes. The paper presents the theory of constraint (TOC) and five-focusing step (5FS) solution to the productivity and efficiency problems of an integrated mental and addiction care outpatient clinic (MTPA-model) team. The MTPA is an integrated walk-in clinic where clinical decisions on key patient groups are supported by a clinical decision support system (CDSS). One of the critical service processes of the MTPA is a CDSS-assisted adult ADHD diagnostics process.
The aim of the paper is to describe the improvement of productivity and efficiency of a typical multidiscipline team of MTPA-model. A combination of the action research approach and design science research was applied to solve the emerging service process problems and create a CDSS. The paper outlines the principles of the TOC applied for the established CDSS-assisted adult ADHD diagnostics process. The bottlenecks or constraints of an adult ADHD process are defined. The data from the designed CDSS and the currently used electronic health record provided material for applying the 5FS methodology for improving the productivity and efficiency of the adult ADHD process.
We suggest that applying the 5FS-process of TOC to mental and addiction care processes generally, and to the multi-professional team especially, is an effective way to negotiate constructively about the bottlenecks or constraints of the process and improve the productivity and efficiency of integrated mental health and addiction care services and operations. Based on the results, a general framework for improving the productivity and efficiency of a multi-professional team and health care services organization by applying the 5FS methodology is proposed.

Public social and health care organizations everywhere are facing challenges caused by an aging population, declining birth rates, and urbanization. To address these challenges, innovative operating models and flexible IT solutions supporting collaboration between public-sector organizations are required.
Our paper introduces an example of a progressive collaboration model between the Rescue Department of South Karelia (EKP) and South Karelia social and health care district (Eksote), which are frontrunners in the synergy-producing cooperation of rescue board services at the rescue department level with social and health services. The purpose of our qualitative case study is to investigate how Eksote and EKP could further strengthen their public-public partnership (PuP) to improve regional risk management by jointly planning and executing preventive actions and services. The main objectives are to: 1) understand the reasoning behind and the success factors of a public-public partnership; 2) investigate how a joint customer and process management system could support the partnership between a social and health care organization and a rescue department; and 3) identify ways to improve the public-public partnership between a social and health care organization and a rescue department.
This study builds on the existing literature on public-public partnerships by incorporating a customer and process management system into the partnership between a social and health care organization and a rescue department. The empirical data were collected via 16 semi-structured interviews conducted between June 2020 and April 2021. The results indicate that the public sector must determine new and innovative ways of working together to overcome the challenges prevalent in the current operational environment. To support collaborative actions and processes between social and health care organizations and rescue departments, actions are needed on national, regional, organizational, and professional levels. As the public sector is facing similar challenges everywhere, the results can be utilized in Finland and in the international setting.