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Päijät-Häme District

Why and how we use PYLL in our municipalities? How to promote health and welfare, and social security and sustainability in practice: view from City of Lahti and Päijät-Häme District in Finland. Päijät-Häme District. Population ~ 214,000 Main urban center Lahti Lahti. Legal background.

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Päijät-Häme District

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  1. Why and how we use PYLL in our municipalities?How to promote health and welfare, and social security and sustainability in practice: view from City of Lahti and Päijät-Häme District in Finland Risto Raivio, Head of General Practice Unit

  2. Päijät-Häme District Population ~ 214,000 Main urban center Lahti Lahti

  3. Legal background The Finnish Local Government Act (365/1995) 1§: • ”Municipality aims at promoting welfare of citizens and enhancing local sustainability” Objective of Health Care Act (1236/2010) in section 2 is to: • ”promote and maintain the population´s health and welfare, work ability and functional capacity, and social security;” • ”reduce health inequalities between different population groups” Risto Raivio, Head of General Practice Unit

  4. Why and how we use PYLL in city of Lahti? • There is an urgent need of a feasible, comparable and reliable instrument for assessing indicators of population´s health and social welfare; • and also monitoring the outcomes of development projects • PYLL is one of the indicators in Welfare Statement and Account in Lahti Risto Raivio, Head of General Practice Unit

  5. The City Strategy Finnish Local Government Act 1§ Welfare Account Environment account Aalborg Commitment Financial statement Revise account Operations and strategies of branches Budget plan Welfare Account and Statement in the City Strategy Operational Environment Analysis, SWOT Päijät-Häme district plan and strategy Lahti district competition and business strategy Innovation strategy University and education strategy Etc. Programmes/strategies Zoning plan Service concept Children and youth welfare plan Elderly people welfare plan Environment strategy and policy Health exercise strategy Internationalization strategy Design strategy HR strategy Etc...

  6. N2 M 2. N3-4 M3 N3-4 M1 N1 M1a N1a

  7. Summary of the lost capital in Lahti (allocation of actions according to PYLL) • Prevention of suicides 4 300 000 € (whole population) • Prevention of alcohol caused diseases 2 400 000 € (men) • Prevention of cardiovascular diseases 1 500 000 € (men) • Altogether 8 200 000 €

  8. Health promotion in Päijät-Häme district (main goals and plans) • Preventing alcohol and other psychoactive substance misuse • Preventing social exclusion and accumulation of underprivilegedness • Mental health strategy plan • Elderly people health service structure plan • Involving patients with LTC (long term conditions) to their own care • GOAL-project • HYVE-project Risto Raivio, Head of General Practice Unit

  9. GOAL = GOod Ageing in Lahti region (international name)Ikihyvä Päijät-Häme 2002-2012 (national name) Collaborators • University of Helsinki, Palmenia and Faculty of Social Sciences • National Institute for Health and Welfare • Joint Authority for Päijät-Häme Social and Health Care and its 15 municipalities • Lahti University of Applied Sciences

  10. Goals • To empower both professionals and population in health promotion • To increase welfare, diminish morbidity, and improve quality of life among ageing, and thereby to increase attractiveness of the region

  11. GOAL model GOAL group Municipal administration Sensitivity to emerging intervention needs Community-based interventions Interventions support each other ideologically, structurally and methodologically Lifestyle counseling T2DM Promotion of functional capability in elderly Evaluation and cohort study

  12. Hyve-project aims • To create a systematic model for the promotion of health and social well-being in Päijät-Häme district (15 municipalities) • Piloting of the model • Prevention of cardiovascular diseases especially type 2 diabetes = lifestyle counselling • Promotion of functional capacity of the elderly Risto Raivio, Head of General Practice Unit

  13. implementation collaboration Implementation of health promotion GOAL, cohort study 2002-2012 Prevention of T2D Dietitian for the health promotion 2003→ A systematic model for the promotion of health and social well-being in Päijät-Häme district Regional health promotion, 2004-2007 Hyve-project 2006-2008 CCG’s implementation 2004-2007 Tar Functional capability for elderly 2004-2007 New projects Other health promotion projects in the region

  14. Summary • PYLL is an excellent instrument in both assessing populations´ health and the outcomes of different health and social care interventions and development projects • To be successful in health promotion everyone should be involved (population, lay decicion-makers, health care professionals, and individual patients and their families) Risto Raivio, Head of General Practice Unit

  15. Risto Raivio, Head of General Practice Unit

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