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Kela publishes peer reviewed research findings and other current publications from our staff researchers as well as our associates – universities and research institutes.
Kela conducts multi-disciplinary research: our publication series contain writings from, among others, the fields of health sciences, medical sciences, social pharmacy, economics, social sciences, social law and statistics. Kela may also publish manuscripts, whose material is register or other data produced in Kela or which deal with Kela operations.
Texts submitted to be published by Kela must be previously unpublished. Manuscripts approved for publishing may be published elsewhere only with permission from Kela and the author.
Mattila-Holappa P. Mental health and labour market participation among young adults.
This study examines the background of young adults who were granted temporary work disability pension due to mental disorders in Finland, their clinical profile, the interventions targeted at them, and employment outcomes. The most common causes of disability were depressive mood disorders, psychotic disorders and mania or bipolar disorder. At the end of the five-year follow-up, 22% were employed, and a combination of psychotherapeutic and work-oriented interventions was found to be the best support for employment.
Koskinen H. Pharmaceutical expenditures, the reference price system and competition in the pharmaceutical market. A register study.
This doctoral study examines the implementation of a generic reference price system on pharmaceutical prices and market structure in the short and medium-to-long term. Furthermore, the additional impact over and above previously implemented generic substitution is assessed.
Tervola J. Supporting gender equality and integration. Immigrant families’ child care choices in the Nordic policy context.
The study scrutinizes the determinants of immigrant fathers’ use of parental leave as well as the length of child home care spells among immigrant families. Results from four substudies imply that immigrant families’ child care choices are affected by leave policy design, gender norms as well as immigrant-specific preferences for children’s integration and language acquisition.
Pekola P. The effects of competition and regulation on quality in physiotherapy.
The aim of this study is to evaluate the effect that competition and regulation have on quality in the physiotherapy of disabled individuals organised and financed by Kela. Within these services, patients have had a free choice of providers since in 2011. The research questions of this study all relate to the functioning of the market and the incentives of firms to compete for patients on quality both when prices were regulated and when they were market-determined.
Kotamäki M, Mattila J, Tervola J. Turning static pessimism to dynamic optimism. An ex-ante evaluation of unemployment insurance reform in Finland.
The research incorporates microsimulation method to calculate both static and dynamic effects on employment, public sector finances and income distribution. Accounting for dynamic i.e. behavioural response ends up in clearly more positive estimates of all outcomes.
Aaltonen K. Affordability of medicines from the pharmaceutical system perspective. Comparative analysis of Finland and New Zealand.
This study looks at the affordability and availability of pharmaceutical reimbursements in Finland and New Zealand. Its focus is on specific features of the reimbursement systems that affect the availability of medicines. Both systems studied have their strengths and weaknesses in relation to the affordability and availability of reimbursements In the Finnish reimbursement system, the level of out-of-pocket payments is higher, but the range of available new pharmaceuticals is broader.
Hussain MA, Kangas O. Is a handful of old tricks better than a sackful of new ones? Generations of research and post-retirement poverty in the European Union.
In welfare state research, it is customary to speak of generations of research: social expenditure; social rights; and the public-private mix in pension schemes. The aim of this working paper is to study to what extent the generations are linked to cross-national differences in old-age poverty measures as 40%, 50%, 60% and 70% of the national median income. The expenditure approach displays the strongest association with the outcome. The two other generations perform less well. All the approaches share the same problem: not only pensions but many other factors have impacts upon the economic situation of the retired population. Furthermore, the dependent variable, old age poverty is an elusive concept that opens need for a new generation of comparative welfare studies.
From idea to experiment. Report on universal basic income experiment in Finland.
“From Idea to Experiment” summarizes the central aspects presented in the preliminary report on the universal basic income experiment in Finland. This shortened version tends to make it possible for a non-Finnish speaking reader to get an idea of what our working group had in mind when sketching the initial experimental setting. Furthermore, it includes explanations why the experimental setting defined in the legislative bill deviates from the model sketched in the preliminary report.
Martikainen P, Murphy M, Moustgaard H, Mikkonen J. Changes in the household structure of the Finnish elderly by age, sex and educational attainment in 1987–2035.
The study evaluates changes in the living arrangements of Finnish men and women aged 65 years and older in the period 1987 to 2011 and projects living arrangements to 2035 by age, sex and education. The results indicate that future elderly population will be better educated than ever before and is more likely to live with a spouse or partner. Future living arrangement distributions of older people are strongly determined, in particular, by past household behaviour and, to a lesser extent, future changes in mortality.