Presentation by dr Kristiina Mukula, medical councellor at the ministry of Social Affairs and Health Finland at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012

1. How occupational services are
provided in the context of integrated
primary health care
Plenary Session 5: Countries
experiences
Kristiina Mukala, PhD
Medical Councellor, Ministry of
Social Affairs and Health,
Finland

2. Kristiina Mukala 27.10.2011

3. Steering mechanisms
 Legislation
 Financing
 Information steering
Kristiina Mukala 27.10.2011

4. Legislation
 Occupational Health Care Act (1383/2001)
 State council degree (1484/2001)
 State council degree (1485/2001)
 Sickness Insurance Act – reimbursement (1113/2005)
 Occupational Safety and Health Act (738/2002)
 Act on the Supervision of Occupational Safety and
Health (44/2006)
 Act on Occupational Safety and Health Administration
 Health Care Act (1326/2010)
4 Etunimi Sukunimi

5. Arrangement of Occupational Health
Private
Entepreneur Enterprise
Enterprise
Municipal OHS
Health Center Enterprise Unit Enterprise
Farmer
Year 2004 2007 Year 2004 2007
Enterprice 61% 61% Enterprice 2% 1%
Employees 37% 32% Employees 25% 15%
OHS 31% 29% OHS 38% 26%
Enterprise Enterprise
Enterprise
Enterprise
Joint Model
Private Medical
OHS Unit
Enterprise Centre
Enterprise
Year 2004 2007 Year 2004 2007
Enterprice 4% 3% Enterprice 33% 36%
Employees 6% 5% Employees 32% 48%
OHS 7% 6% OHS 24% 39%
5 Kristiina Mukala

6. Financing
 ”Income insurance”
– Employees 23 %
– Employers 77 %
 Reimbursement
– 60 % in category 1, preventive
– 50 % in category 2, curative
– Yearly maximum limit in each category

7. Multiprofessional teams
 Professionals:
– Doctors
– Nurses
 Experts
– Physiotherapists
– Psychologist
– Nutrisionits
– Speechtherapist
– etc

8. Figures from 2009
 Coverage 87 % (1,85 million) of employees, 44 000
entrepreneurs
 Total employers’ expences of OHS 599 million euros
 OHS reimbursement 1,8 % (272 million euros) of the
total expences of health care (15,7 billion euros)
 Workplace visits 347 000 hours
 Health check-ups 956 000
 Curative care visits 5,1 milj.

9. Health Care Act 1326/2010
 Organizing Plan
 Care chain
 Unit of Primary Health Care

10. Co-operation in Health Care Sector
Special Health Care
Reha
bilitation
tTt
Occupational Primary Health Care
Health care
Kristiina Mukala 27.10.2011

11. Lähde: Niina Kuuva, ETK 2011
Kristiina Mukala 27.10.2011

12. Thank you!
Kristiina Mukala 27.10.2011