Liina-Kaisa Tynkkynen
Biographic Data
| ID | 1734017 |
|---|---|
| NAME | Liina-Kaisa Tynkkynen |
| GIVEN NAMES | Liina-Kaisa |
| FAMILY NAME | Tynkkynen |
| SIGNATURE | TYNKKYNEN L |
| AFFILIATIONS | Tampere University |
| ORCID | 0000-0003-0729-1595 |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 7 |
| AUTHOR COUNT | 13 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2016 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
How health workers experience health system reform
BACKGROUND: Health system reforms have been ubiquitous in high-income countries during the past decades, yet research on how reform implementation is experienced by the health and care workforce (HCWF) remains scant. This is a critical omission, given that the recruitment and retention of the HCWF is recognized as one of the key challenges of health systems globally, and one which health system reforms often set out to solve. OBJECTIVE: To study …
Frames of cooperation
Cooperation and interaction are essential in governance networks (GNs), yet how they manifest in practice remains unclear. This study explores cooperation within GNs, focusing on interactional dynamics that shape horizontal policymaking during pandemic governance. Using an inductive frame analysis approach, we examine governance interactions through interviews from Finland’s COVID-19 response. We identify four frames of cooperation that reveal ho…
Making integrated care happen
Different forms of health and social care integration are promoted in many countries to address the complex needs of the population. This qualitative study explores integrative leadership from the perspective of middle managers. The study examines how national and regional integration aspirations are converted into micro-level multidisciplinary collaborations through leadership actions in primary health and social services. The study was conducte…
How is a large-scale reform perceived by citizens in Finnish primary health care
We build on the anthropology of health systems and policy to study how Finland's 2023 health and social services reform has been perceived and experienced by citizens, and how these perceptions reflect broader societal shifts. We draw on interviews (n = 65) and 11 months of ethnographic fieldwork completed from January to November 2024 in Finnish primary health care in three regions. Citizen reactions towards the reform were mixed, ranging from f…
Is the EU steering national social and health policy making? A case-study on Finland's national reform
As part of the European Semester, Finland received country-specific recommendations (CSRs) in 2013-2020 that encouraged the reform of national social and health services. These recommendations were part of efforts to balance public finances and implement public-sector structural reforms. Finland has been struggling to reform the national social and health care system since 2005. Only on 1 January 2023 did the new wellbeing services counties becom…
Work like a Doc
BACKGROUND: Medical residents work long, continuous hours. Working in conditions of extreme fatigue has adverse effects on the quality and safety of care, and on residents' quality of life. Many countries have attempted to regulate residents' work hours. OBJECTIVES: We aimed to review residents' work hours regulations in different countries with an emphasis on night shifts. METHODS: Standardized qualitative data on residents' working hours were c…
Pandemic preparedness and response regulations in Finland
The COVID-19 pandemic has plagued health systems in an unprecedented way and challenged the traditional ways to respond to epidemics. It has also revealed several vulnerabilities in countries' health systems and preparedness. In this paper we take the Finnish health system as an example to analyse how pre-COVID-19 preparedness plans, regulations, and health system governance were challenged by the pandemic and what lessons can be learned for the …
Power and politics in a pandemic
Power and politics are both critical concepts to engage with in health systems and policy research, as they impact actions, processes, and outcomes at all levels in health systems. Building on the conceptualization of health systems as social systems, we investigate how power and politics manifested in the Finnish health system during COVID-19, posing the following research question: in what ways did health system leaders and experts experience i…
Nordic responses to Covid-19
This paper explores and compares health system responses to the COVID-19 pandemic in Denmark, Finland, Iceland, Norway and Sweden, in the context of existing governance features. Content compiled in the Covid-19 Health System Response Monitor combined with other publicly available country information serve as the foundation for this analysis. The analysis mainly covers early response until August 2020, but includes some key policy and epidemiolog…
Balancing financial incentives during Covid-19
Agile, Institutionalised, and Dependency-driven
This study investigated the collaboration between public and third-sector organisations (TSOs) in the framework of collaborative governance. We examined how TSOs portray their collaboration with public organisations and what kind of collaboration agency can be identified based on these descriptions. Using a discourse analytical approach, we identified three multifaceted, and somewhat paradoxical, types of collaboration agency discourse in third-s…
When actions do not match aspirations - comparison of the European Union policy claims against what has been negotiated for health services, trade and investment
BACKGROUND: Obligations arising from trade and investment agreements can affect how governments can regulate and organise health systems. The European Union has made explicit statements of safeguarding policy space for health systems. We assessed to what extent health systems were safeguarded in trade negotiations using the European Union (EU) negotiation proposals for the Transatlantic Trade and Investment Partnership (TTIP) and the negotiated a…
All elderly people have important service needs’
This study examines discursive constructions of older people by analysing the talk of members of parliament in parliamentary discussions in Finland. While the perceptions of older people that are constructed in various public and private arenas have been relatively widely examined, the talk of political decision makers has not been studied to any large extent. However, decision makers' understandings of older people are likely to influence the wa…
Power and politics in a pandemic
Power and politics are both critical concepts to engage with in health systems and policy research, as they impact actions, processes, and outcomes at all levels in health systems. Building on the conceptualization of health systems as social systems, we investigate how power and politics manifested in the Finnish health system during COVID-19, posing the following research question: in what ways did health system leaders and experts experience i…
Agile, Institutionalised, and Dependency-driven
This study investigated the collaboration between public and third-sector organisations (TSOs) in the framework of collaborative governance. We examined how TSOs portray their collaboration with public organisations and what kind of collaboration agency can be identified based on these descriptions. Using a discourse analytical approach, we identified three multifaceted, and somewhat paradoxical, types of collaboration agency discourse in third-s…
All elderly people have important service needs’
This study examines discursive constructions of older people by analysing the talk of members of parliament in parliamentary discussions in Finland. While the perceptions of older people that are constructed in various public and private arenas have been relatively widely examined, the talk of political decision makers has not been studied to any large extent. However, decision makers' understandings of older people are likely to influence the wa…
How is a large-scale reform perceived by citizens in Finnish primary health care
We build on the anthropology of health systems and policy to study how Finland's 2023 health and social services reform has been perceived and experienced by citizens, and how these perceptions reflect broader societal shifts. We draw on interviews (n = 65) and 11 months of ethnographic fieldwork completed from January to November 2024 in Finnish primary health care in three regions. Citizen reactions towards the reform were mixed, ranging from f…
All elderly people have important service needs’
This study examines discursive constructions of older people by analysing the talk of members of parliament in parliamentary discussions in Finland. While the perceptions of older people that are constructed in various public and private arenas have been relatively widely examined, the talk of political decision makers has not been studied to any large extent. However, decision makers' understandings of older people are likely to influence the wa…
When actions do not match aspirations - comparison of the European Union policy claims against what has been negotiated for health services, trade and investment
BACKGROUND: Obligations arising from trade and investment agreements can affect how governments can regulate and organise health systems. The European Union has made explicit statements of safeguarding policy space for health systems. We assessed to what extent health systems were safeguarded in trade negotiations using the European Union (EU) negotiation proposals for the Transatlantic Trade and Investment Partnership (TTIP) and the negotiated a…
Nordic responses to Covid-19
This paper explores and compares health system responses to the COVID-19 pandemic in Denmark, Finland, Iceland, Norway and Sweden, in the context of existing governance features. Content compiled in the Covid-19 Health System Response Monitor combined with other publicly available country information serve as the foundation for this analysis. The analysis mainly covers early response until August 2020, but includes some key policy and epidemiolog…
Balancing financial incentives during Covid-19
Agile, Institutionalised, and Dependency-driven
This study investigated the collaboration between public and third-sector organisations (TSOs) in the framework of collaborative governance. We examined how TSOs portray their collaboration with public organisations and what kind of collaboration agency can be identified based on these descriptions. Using a discourse analytical approach, we identified three multifaceted, and somewhat paradoxical, types of collaboration agency discourse in third-s…
Work like a Doc
BACKGROUND: Medical residents work long, continuous hours. Working in conditions of extreme fatigue has adverse effects on the quality and safety of care, and on residents' quality of life. Many countries have attempted to regulate residents' work hours. OBJECTIVES: We aimed to review residents' work hours regulations in different countries with an emphasis on night shifts. METHODS: Standardized qualitative data on residents' working hours were c…
Pandemic preparedness and response regulations in Finland
The COVID-19 pandemic has plagued health systems in an unprecedented way and challenged the traditional ways to respond to epidemics. It has also revealed several vulnerabilities in countries' health systems and preparedness. In this paper we take the Finnish health system as an example to analyse how pre-COVID-19 preparedness plans, regulations, and health system governance were challenged by the pandemic and what lessons can be learned for the …
Power and politics in a pandemic
Power and politics are both critical concepts to engage with in health systems and policy research, as they impact actions, processes, and outcomes at all levels in health systems. Building on the conceptualization of health systems as social systems, we investigate how power and politics manifested in the Finnish health system during COVID-19, posing the following research question: in what ways did health system leaders and experts experience i…
Is the EU steering national social and health policy making? A case-study on Finland's national reform
As part of the European Semester, Finland received country-specific recommendations (CSRs) in 2013-2020 that encouraged the reform of national social and health services. These recommendations were part of efforts to balance public finances and implement public-sector structural reforms. Finland has been struggling to reform the national social and health care system since 2005. Only on 1 January 2023 did the new wellbeing services counties becom…
Frames of cooperation
Cooperation and interaction are essential in governance networks (GNs), yet how they manifest in practice remains unclear. This study explores cooperation within GNs, focusing on interactional dynamics that shape horizontal policymaking during pandemic governance. Using an inductive frame analysis approach, we examine governance interactions through interviews from Finland’s COVID-19 response. We identify four frames of cooperation that reveal ho…
Making integrated care happen
Different forms of health and social care integration are promoted in many countries to address the complex needs of the population. This qualitative study explores integrative leadership from the perspective of middle managers. The study examines how national and regional integration aspirations are converted into micro-level multidisciplinary collaborations through leadership actions in primary health and social services. The study was conducte…
How is a large-scale reform perceived by citizens in Finnish primary health care
We build on the anthropology of health systems and policy to study how Finland's 2023 health and social services reform has been perceived and experienced by citizens, and how these perceptions reflect broader societal shifts. We draw on interviews (n = 65) and 11 months of ethnographic fieldwork completed from January to November 2024 in Finnish primary health care in three regions. Citizen reactions towards the reform were mixed, ranging from f…
How health workers experience health system reform
BACKGROUND: Health system reforms have been ubiquitous in high-income countries during the past decades, yet research on how reform implementation is experienced by the health and care workforce (HCWF) remains scant. This is a critical omission, given that the recruitment and retention of the HCWF is recognized as one of the key challenges of health systems globally, and one which health system reforms often set out to solve. OBJECTIVE: To study …
Medicine (8 works) · Political science (8 works) · Business (7 works) · Corporate governance (6 works) · Health Policy (6 works) · Economics (5 works) · Health care (5 works) · Law (5 works) · Nursing (5 works) · Public relations (5 works)