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About me

MD PhD, Professor, Chair of the Department of Learning, Informatics, Management and Ethics and Director, Medical Management Centre (MMC), Karolinska Institutet. Joined Karolinska Institutet in 2002 to establish the MMC, as a Guest Professor from 2003 to 2010 and as a full Professor in a permanent position from 2010 onwards. 

Specialist in general internal medicine and in addition a qualification in medical administration awarded by the National Board of Health to Finnish medical specialists. Presented my doctoral thesis in 1981 on a systems study of regional service provision in internal medicine. After ten years as a clinician my research and early interest in issues relating to organisation led me to take up an administrative career. Worked for the Finnish Hospital League; been responsible for classification issues at the Finnish National Board of Health; and worked as chief medical administrator at a Finnish university hospital. Between 1988 and 1992 Professor of Health Services Management at the Nordic School of Public Health, and was appointed Professor of Health Services Management at the University of Helsinki in 1991, serving in that position until 2010, part-time during 2002-2010. In the period 1997-2002 the Chair of the University's Department of Public Health. In the years 2000-2001 I acted as part-time Director of the Centre for Health Systems Analysis in Gothenburg, Sweden.

I have served in a number of positions at national, Nordic and international level in the fields of public health and health services. Have been Secretary of the Finnish Government Council for Higher Education's Health Sciences Section; and Medical Secretary and Advisor to the Patient Injury Board at the Finnish Ministry of Health and Social Affairs. Since 1998 I have served as the Chairman of Folkhälsan, a large voluntary organisation that works to promote health among the Swedish-speaking population in Finland. In 2000-2008 the Board Chairman of the Finnish Institute for Occupational Health.

In 1997 a member of the Nordic panel of experts engaged by the Swedish National Agency for Higher Education to evaluate undergraduate medical training in Sweden, and in 1999 I served as Chairman of the Steering Committee during the Agency's evaluation of undergraduate training in allied health professions.

Board member of the European Health Management Association between 1989 and 1994, serving as its President between 1991 and 1993. Between 1995 and 2007 the Co-Chairman of the International Scientific Symposium at the US National Forum on Quality Improvement in Health Care. From November 2001 to April 2002 co-directed, appointed by the Finnish Government, a review of the need for structural changes in Finnish healthcare. Lead in 2002-2003 a Department of Social Affairs and Health task force to improve access to care in the Finnish healthcare system, resulting in a legislation requiring healthcare providers to guarantee access to services within defined time limits.

The Principal Investigator of the Nordic Council of Ministers' Patient Classification Project between 1994 and 1997. He has been involved in organisational development and in a consultative capacity in the field of public health services in a number of Nordic countries, and have been engaged in the administrative and management training of Finnish doctors since 1976.

My research has covered policy analysis in the field of public health services and international comparative studies of public health systems; health care utilisation studies; and evaluation of medical technologies and professional practice patterns, health services management, quality improvement and patient safety.

Research description

Clinical Management

Research in clinical management aims at bridging the gap between what is medically possible and thus desired and what is reasonable within inevitable resource constraints.

The clinical management research group wants to enhance the knowledge on how to plan, coordinate, administer, and deliver care, in order to achieve better outcomes and create value for individuals and their families. Our vision is to develop new approaches that will enable health care organizations to deliver the best clinical knowledge available in the best possible way.

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