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10.5596C12.2636 10.5596 12.1176 10.349 12.0783 9.37285H14.4503C14.9976 9.37285 15.2418 9.15664 15.2418 8.67213C15.2418 7.64237 15.0266 6.27171 13.165 6.27171C11.5931 6.27171 10.8919 7.12946 10.8919 9.05247C10.8919 10.9297 11.5452 11.6281 13.3016 11.6281C14.0318 11.6281 14.6097 11.5152 14.8366 11.4111C14.9811 11.3495 15.1138 11.2572 15.1138 11V10.8122C15.113 10.5699 14.9748 10.4239 14.7432 10.4239Z" fill="currentColor"></path><path d="M12.0846 8.41359C12.1301 7.57715 12.4701 7.20312 13.1831 7.20312H13.1838C13.8614 7.20312 14.1661 7.56532 14.1975 8.41202L12.0846 8.41359Z" fill="currentColor"></path><path d="M31.4197 13.2932H25.348L23.7136 18.0002H20.0957L26.4898 0.198242H30.7749L37.0436 18.0002H33.1032L31.4197 13.2932ZM28.4689 3.60924L26.1405 10.5302H30.6719L28.4689 3.60924Z" fill="currentColor"></path><path d="M49.178 18L45.1885 11.925H42.4616V18H38.9421V0.621C38.9421 0.621 41.1944 0 45.2332 0C49.8676 0 52.6393 1.62 52.6393 5.2515C52.6393 8.9595 50.3601 10.5525 48.7258 11.277L53.3826 18H49.178ZM42.466 9.1125H46.4556C48.1661 8.3925 48.9586 7.47 48.9586 5.6025C48.9586 3.6585 47.5706 2.889 45.2914 2.889C43.8541 2.889 42.466 3.1365 42.466 3.1365V9.1125Z" fill="currentColor"></path><path d="M55.4691 17.9996V0.24707H67.5319V3.25757H59.0109V7.71257H66.3677V10.6016H59.0109V14.9846H67.7558V17.9996H55.4691Z" fill="currentColor"></path><path d="M70.3842 17.9996V0.24707H82.4469V3.25757H73.926V7.71257H81.2828V10.6016H73.926V14.9846H82.6708V17.9996H70.3842Z" fill="currentColor"></path><path d="M88.7872 17.9996H85.2947V0.24707H88.5633L97.1111 11.4746V0.24707H100.631V17.9996H97.9798L88.7872 6.20057V17.9996Z" fill="currentColor"></path><path d="M113.831 13.2932H107.759L106.129 18.0002H102.511L108.901 0.198242H113.186L119.455 18.0002H115.514L113.831 13.2932ZM110.884 3.60924L108.556 10.5302H113.087L110.884 3.60924Z" fill="currentColor"></path></svg><p class="_1m3quf82 fck75q2">Sarjat. 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class="aw-1ag6w51 nvljT"><a href="/web/20240325125512/https://yle.fi/t/18-216363/fi" aria-label="Lisää artikkeleita aiheesta Terveydenhuolto" class="aw-l7odld jXfkxq">Terveydenhuolto</a></div><h1 class="sc-aXZVg cZXpWU yle__article__heading yle__article__heading--1">”Edessä on pitkä ja kivinen tie”, sanoo kaupunginvaltuutettu – jo tuhannet vastustavat hyvinvointialueen säästöjä Savossa</h1><p class="aw-1gybjub aw-5vja16 jxdWmn eeXVLF yle__article__paragraph">Eri puolilla Pohjois-Savoa on ryhdytty puolustamaan lähipalveluja keräämällä nimiä adresseihin. Iisalmessa adressi keräsi yli 11 000 nimeä.</p><div class="aw-e30oo3 blLbha"></div><figure class="aw-u5oz0a clzEhy yle__article__figure"><script type="application/ld+json">{"@id":"74-20080741","@context":"https://web.archive.org/web/20240325125512/https://schema.org","image":{"@type":"ImageObject","description":"Vieremän soteaseman puolesta perustettu adressi puolestaan keräsi kaikkiaan noin 2 500 nimeä. Aiemmin maaliskuussa Vieremän kunta kutsui hyvinvointialueen päättäjät ja seutukunnan asukkaat lähipalvelukävelylle.","copyrightHolder":"Jukka Eskanen / Yle","url":"https://web.archive.org/web/20240325125512/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_575,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-125632465efff8ea835e","keywords":"Vieremä,Pohjois-Savon hyvinvointialue,Sote,terveyspalvelut"}}</script><div class="aw-1a00tic khcfKr"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240325125512im_/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_575,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1710227774/39-125632465efff8ea835e 2x, https://web.archive.org/web/20240325125512im_/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_575,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710227774/39-125632465efff8ea835e 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240325125512im_/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_477,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1710227774/39-125632465efff8ea835e 2x, https://web.archive.org/web/20240325125512im_/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_477,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710227774/39-125632465efff8ea835e 1x"/><img alt="Kolmisenkymmentä ihmistä kävelee lumista kylätietä pitkin. Kuva otettu takaapäin." src="https://web.archive.org/web/20240325125512im_/https://images.cdn.yle.fi/image/upload/c_crop,h_2265,w_4028,x_3,y_750/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710227774/39-125632465efff8ea835e" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Vieremän soteaseman puolesta perustettu adressi puolestaan keräsi kaikkiaan noin 2 500 nimeä. Aiemmin maaliskuussa Vieremän kunta kutsui hyvinvointialueen päättäjät ja seutukunnan asukkaat lähipalvelukävelylle.</span><span> Kuva: Jukka Eskanen / Yle</span></figcaption></figure><div class="aw-1wk2icm iaIVgA"><div class="aw-qww0lc eFtfQt"><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Anna Ronkainen</span></div></div></div><div class="aw-1hwlbbb iumvhG"><div class="aw-64d2lh cPAYLb"><div class="aw-kzjed4 dgiUVP yle__article__date"><time class="aw-lsqctp jPSFYl yle__article__date--published" datetime="2024-03-25T12:51:02+02:00">12:51</time></div></div><a href="https://web.archive.org/web/20240325125512/https://yle.onelink.me/46xJ/07zyq6zz?deep_link_sub1=74-20080741" class="aw-pqa0kd GtYAc">Avaa Yle-sovelluksessa<svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true"><path d="M15 2a1 1 0 1 0 0 2h3.586l-9.293 9.293a1 1 0 1 0 1.414 1.414L20 5.414V9a1 1 0 1 0 2 0V3a1 1 0 0 0-1-1h-6ZM5 7a1 1 0 0 0-1 1v11a1 1 0 0 0 1 1h11a1 1 0 0 0 1-1v-6a1 1 0 0 1 2 0v6a3 3 0 0 1-3 3H5a3 3 0 0 1-3-3V8a3 3 0 0 1 3-3h6a1 1 0 1 1 0 2H5Z" fill="currentColor"></path></svg></a><div class="aw-itub5i eehAxh"><div><button aria-label="Jaa artikkeli" aria-disabled="false" id="share-menu-button" aria-haspopup="true" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonText-sc-17sr1bx-3 jrqhnK kvhUhF"><span class="Buttonstyles__iconSize-sc-17sr1bx-4 Buttonstyles__IconWrapper-sc-17sr1bx-6 cazOWd dPcqZv yds-button__icon"><svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true" class="aw-wi5224 fZrvxl"><path fill-rule="evenodd" clip-rule="evenodd" d="M12.43 3.078a1 1 0 0 1 1.087.207l8.182 8a1 1 0 0 1 0 1.43l-8.182 8a1 1 0 0 1-1.7-.715v-3.855h-.008c-1.968.029-3.972.988-5.827 2.417L3.61 20.389a1 1 0 0 1-1.592-.981l.5-2.597.014-.062c.23-.883.58-1.911.986-2.865.4-.94.88-1.876 1.387-2.532.964-1.246 2.07-2.138 3.405-2.709 1.057-.45 2.219-.684 3.508-.76V4a1 1 0 0 1 .612-.922Zm1.388 3.298v3.48h-1c-1.529 0-2.727.202-3.722.627-.984.42-1.826 1.081-2.609 2.093-.351.454-.753 1.206-1.129 2.09a19.46 19.46 0 0 0-.874 2.525l.277-.213c2.023-1.559 4.445-2.798 7.028-2.833h2.029v3.479L19.57 12l-5.752-5.624Z" fill="currentColor"></path></svg></span><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 WDnuQ yds-button__text">Jaa</span></button></div></div></div></header><section class="yle__article__content"><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Eri puolilla Pohjois-Savoa on ryhdytty puolustamaan lähipalveluja keräämällä nimiä adresseihin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Esimerkiksi Iisalmessa ja <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240325125512/https://yle.fi/a/74-20071961" role="link">Varkaudessa</a> on kerätty nimiä sairaaloiden ympärivuorokautisen päivystyksen säilyttämisen puolesta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Jos päivystystä ryhdytään yöajasta supistamaan, niin toiminta supistuu monella tavalla jo iltapäivästä, Iisalmessa kerätyn adressin perustaja kaupunginvaltuutettu <strong class="aw-ak79eh hgoSon yle__article__strong">Sanna Kauppinen</strong> (sd.) muistuttaa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Tällä Kauppinen tarkoittaa sitä, että enemmän tutkimuksia ja hoitoa tarvitsevat potilaat ohjataan jo aiemmin Kuopion yliopistolliseen sairaalaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Se tulee ruuhkauttamaan Kysin päätä jo aiemmin päivällä, Kauppinen uskoo.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Iisalmessa noin 11 000 nimeä kerännyt adressi luovutetaan tänään Pohjois-Savon hyvinvointialueen edustajille ja myöhemmin sosiaali- ja terveysministeriölle.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Ministeriö esitti osana <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240325125512/https://yle.fi/a/74-20068882" role="link">sairaalaverkon muutosesitystä</a> Iisalmen ja Varkauden ympärivuorokautisesta päivystyksestä luopumista.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kauppinen on nimimäärään tyytyväinen, mutta se myös yllätti.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Valtava määrä, en olisi uskonut koskaan. Tässä näkee, miten tärkeä asia on yläsavolaisille.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Ylä-Savossa asuville ympärivuorokautisen päivystyksen lakkauttaminen Iisalmessa tarkoittaisi Kauppisen mukaan lähipalvelujen heikkenemistä ja huomattavasti pidempiä matkoja hoitoon Kuopioon.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Aika joka siihen käytetään on myös ihan eri luokkaa.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Lähipalvelut ihmisille tärkeitä</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vieremän soteaseman puolesta perustettu adressi puolestaan keräsi kaikkiaan noin 2 500 nimeä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Adressi luovutetaan tiistaina Vieremällä järjestettävässä asukastilaisuudessa, missä esitellään hyvinvointialueen säästösuunnitelmia ja keskustellaan aiheesta osallistujien kanssa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Tällä nimimäärällä on pakko olla vaikutusta. Tämä on ihmisille tärkeä asia, kun niin suuri määrä ottaa kantaa, Vieremän adressin perustajan Vieremän Keskustan kuntayhdistyksen puheenjohtaja <strong class="aw-ak79eh hgoSon yle__article__strong">Mikko Heiskanen</strong> sanoo.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Myös iisalmelaisvaltuutettu Sanna Kauppinen näkee, että kuntien ja kuntalaisten toiminta lähipalveluiden puolesta eri puolilla Savoa kertoo siitä, että niitä tarvitaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lähipalvelujen vieminen kauemmaksi heikentää alueiden houkuttelevuutta ja heikentää esimerkiksi työllisyyttä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Palveluja tarvitaan siellä, missä ihmiset ovat. Ei voida ajatella, että kaikki keskitetään sinne, missä niitä on tuottavinta tuottaa, Kauppinen korostaa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Hän kertoo, että Iisalmen seudulla kerätyssä adressissa lähetettiin jo terveisiä päättäjille esimerkiksi siitä, että ikäihmiset ja lapsiperheet eivät pian uskalla asua alueella, kun päivystys on niin kaukana.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Joku kertoi harkinneensa muuttoa Iisalmeen, mutta pistänyt muuttosuunnitelmat jäihin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">–Tässä on edessä pitkä ja kivinen tie, Kauppinen ennakoi tulevaa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Myös Varkaudessa kerättyyn adressiin tuli määräaikaan mennessä yli 9 000 nimeä. Se luovutetaan niin ikään sosiaali- ja terveysministeriölle myöhemmin keväällä.</p></section><footer class="yle__article__footer"><h2 class="aw-zh6d69 dMYkJU">Aiheesta enemmän: Paketissa 2 linkkiä</h2><h2 class="sc-eqUAAy dUJkWc yle__article__heading yle__article__heading--3" aria-hidden="true">Aiheesta enemmän</h2><div class="yle__article__links" role="list" aria-label="Aiheesta enemmän"><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240325125512/https://yle.fi/t/18-327171/fi" aria-label="Lisää artikkeleita aiheesta Hyvinvointialueet" class="aw-l7odld jXfkxq">Hyvinvointialueet</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240325125512/https://yle.fi/a/74-20079977" class="aw-3ocnud eBKakF">Vieremäläiset vaativat sote-asemaa – jo parituhatta allekirjoittanut hyvinvointialueelle suunnatun vetoomuksen</a></h3><time 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class="MinimalHeadlines__BulletContainer-sc-79c54a90-8 hKwNaR"><div class="MinimalHeadlines__BulletCell-sc-79c54a90-9 byezyD"><time class="DateTime___StyledTime-sc-f3193d7a-0 gdLaWp MinimalHeadlines__Date-sc-79c54a90-6 jsOWFj" datetime="2024-03-25T12:00:36+0200">12:00</time></div></div><div class="MinimalHeadlines__Texts-sc-79c54a90-2 cQedTi"><a href="/web/20240325125512/https://yle.fi/t/18-189456/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-79c54a90-3 hLpKvJ">Jääkiekko</a><h3 class="Typography-sc-905807c5-0 kNWETm link-accent"><a href="/web/20240325125512/https://yle.fi/a/74-20080696" class="MinimalHeadlines__Link-sc-79c54a90-10 bMuisZ visitable-link">Ilves on vetänyt itseltään mattoa alta – asiantuntija selvittää mestarisuosikin kompuroinnin ja KalPan yllätysvireen taustat</a></h3></div></li></ol></div></aside></div><div style="font-size:0;visibility:hidden">.</div></div></div></div></div><div class="Decoration__FooterContainer-sc-f9321a15-0 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Iisalmessa adressi keräsi yli 11 000 nimeä.","mainMedia":[{"alt":"Kolmisenkymmentä ihmistä kävelee lumista kylätietä pitkin. Kuva otettu takaapäin.","source":"Jukka Eskanen \u002F Yle","aspect":1.3333333333333333,"caption":"Vieremän soteaseman puolesta perustettu adressi puolestaan keräsi kaikkiaan noin 2 500 nimeä. Aiemmin maaliskuussa Vieremän kunta kutsui hyvinvointialueen päättäjät ja seutukunnan asukkaat lähipalvelukävelylle.","id":"39-125632465efff8ea835e","type":"image","alts":[{"language":"fin","value":"Kolmisenkymmentä ihmistä kävelee lumista kylätietä pitkin. 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Kuva otettu takaapäin.","source":"Jukka Eskanen \u002F Yle","aspect":1.3333333333333333,"caption":"Vieremän soteaseman puolesta perustettu adressi puolestaan keräsi kaikkiaan noin 2 500 nimeä. Aiemmin maaliskuussa Vieremän kunta kutsui hyvinvointialueen päättäjät ja seutukunnan asukkaat lähipalvelukävelylle.","id":"39-125632465efff8ea835e","type":"image","alts":[{"language":"fin","value":"Kolmisenkymmentä ihmistä kävelee lumista kylätietä pitkin. Kuva otettu takaapäin."}],"blurhash":"LGGv09J??csk_3_2xtIU_NyDIUem","tags":[{"label":[{"language":"eng","value":"Vieremä"},{"language":"fin","value":"Vieremä"},{"language":"swe","value":"Vieremä"}],"extId":"18-146125"},{"label":[{"language":"eng","value":"The wellbeing services county of North Savo"},{"language":"fin","value":"Pohjois-Savon hyvinvointialue"},{"language":"swe","value":"Norra Savolax välfärdsområde"}],"extId":"18-333056"},{"label":[{"language":"eng","value":"Sote"},{"language":"fin","value":"Sote"},{"language":"swe","value":"Sote"}],"extId":"18-357505"},{"label":[{"language":"eng","value":"Human Health Activities"},{"language":"fin","value":"terveyspalvelut"},{"language":"swe","value":" hälso- och sjukvårdstjänster"}],"extId":"18-84396"}],"copyright":[{"language":"und","value":"Jukka Eskanen \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":3,"y":750,"width":4028,"height":2265}},{"name":"1:1","aspect":1,"coordinates":{"x":711,"y":0,"width":3024,"height":3024}},{"name":"5:2","aspect":2.5,"coordinates":{"x":3,"y":1033,"width":4028,"height":1611}}],"height":3024,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1710227774","width":4032,"recommendedFormat":"jpg"},{"text":"Eri puolilla Pohjois-Savoa on ryhdytty puolustamaan lähipalveluja keräämällä nimiä adresseihin. Iisalmessa adressi keräsi yli 11 000 nimeä.","type":"text"},{"text":"Eri puolilla Pohjois-Savoa on ryhdytty puolustamaan lähipalveluja keräämällä nimiä adresseihin.","type":"text"},{"text":"Esimerkiksi Iisalmessa ja [Varkaudessa](https:\u002F\u002Fyle.fi\u002Fa\u002F74-20071961) on kerätty nimiä sairaaloiden ympärivuorokautisen päivystyksen säilyttämisen puolesta.","type":"text"},{"text":"– Jos päivystystä ryhdytään yöajasta supistamaan, niin toiminta supistuu monella tavalla jo iltapäivästä, Iisalmessa kerätyn adressin perustaja kaupunginvaltuutettu **Sanna Kauppinen** (sd.) muistuttaa.","type":"text"},{"text":"Tällä Kauppinen tarkoittaa sitä, että enemmän tutkimuksia ja hoitoa tarvitsevat potilaat ohjataan jo aiemmin Kuopion yliopistolliseen sairaalaan.","type":"text"},{"text":"– Se tulee ruuhkauttamaan Kysin päätä jo aiemmin päivällä, Kauppinen uskoo.","type":"text"},{"text":"Iisalmessa noin 11 000 nimeä kerännyt adressi luovutetaan tänään Pohjois-Savon hyvinvointialueen edustajille ja myöhemmin sosiaali- ja terveysministeriölle.","type":"text"},{"text":"Ministeriö esitti osana [sairaalaverkon muutosesitystä](https:\u002F\u002Fyle.fi\u002Fa\u002F74-20068882) Iisalmen ja Varkauden ympärivuorokautisesta päivystyksestä luopumista.","type":"text"},{"text":"Kauppinen on nimimäärään tyytyväinen, mutta se myös yllätti.","type":"text"},{"text":"– Valtava määrä, en olisi uskonut koskaan. Tässä näkee, miten tärkeä asia on yläsavolaisille.","type":"text"},{"text":"Ylä-Savossa asuville ympärivuorokautisen päivystyksen lakkauttaminen Iisalmessa tarkoittaisi Kauppisen mukaan lähipalvelujen heikkenemistä ja huomattavasti pidempiä matkoja hoitoon Kuopioon.","type":"text"},{"text":"– Aika joka siihen käytetään on myös ihan eri luokkaa.","type":"text"},{"text":"Lähipalvelut ihmisille tärkeitä","level":2,"type":"heading"},{"text":"Vieremän soteaseman puolesta perustettu adressi puolestaan keräsi kaikkiaan noin 2 500 nimeä.","type":"text"},{"text":"Adressi luovutetaan tiistaina Vieremällä järjestettävässä asukastilaisuudessa, missä esitellään hyvinvointialueen säästösuunnitelmia ja keskustellaan aiheesta osallistujien kanssa.","type":"text"},{"text":"– Tällä nimimäärällä on pakko olla vaikutusta. Tämä on ihmisille tärkeä asia, kun niin suuri määrä ottaa kantaa, Vieremän adressin perustajan Vieremän Keskustan kuntayhdistyksen puheenjohtaja **Mikko Heiskanen** sanoo.","type":"text"},{"text":"Myös iisalmelaisvaltuutettu Sanna Kauppinen näkee, että kuntien ja kuntalaisten toiminta lähipalveluiden puolesta eri puolilla Savoa kertoo siitä, että niitä tarvitaan.","type":"text"},{"text":"Lähipalvelujen vieminen kauemmaksi heikentää alueiden houkuttelevuutta ja heikentää esimerkiksi työllisyyttä.","type":"text"},{"text":"– Palveluja tarvitaan siellä, missä ihmiset ovat. Ei voida ajatella, että kaikki keskitetään sinne, missä niitä on tuottavinta tuottaa, Kauppinen korostaa.","type":"text"},{"text":"Hän kertoo, että Iisalmen seudulla kerätyssä adressissa lähetettiin jo terveisiä päättäjille esimerkiksi siitä, että ikäihmiset ja lapsiperheet eivät pian uskalla asua alueella, kun päivystys on niin kaukana.","type":"text"},{"text":"Joku kertoi harkinneensa muuttoa Iisalmeen, mutta pistänyt muuttosuunnitelmat jäihin.","type":"text"},{"text":"–Tässä on edessä pitkä ja kivinen tie, Kauppinen ennakoi tulevaa.","type":"text"},{"text":"Myös Varkaudessa kerättyyn adressiin tuli määräaikaan mennessä yli 9 000 nimeä. Se luovutetaan niin ikään sosiaali- ja terveysministeriölle myöhemmin keväällä.","type":"text"},{"type":"links","links":[{"external":{"url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20240325125512\u002Fhttps:\u002F\u002Fyle.fi\u002Fa\u002F74-20079977"},"internal":{"id":"74-20079977"},"title":"Vieremäläiset vaativat sote-asemaa – jo parituhatta allekirjoittanut hyvinvointialueelle suunnatun vetoomuksen","datePublished":"2024-03-20T08:19:31+0200","subject":{"description":{"fi":"Hyvinvointialue on Marinin hallituksen sote-uudistuksessa kunnista ja valtiosta erillinen julkisoikeudellinen yhteisö, jolla on alueellaan itsehallinto. Eduskunta hyväksyi 23.6.2021 sosiaali- ja terveydenhuollon uudistusta koskevat lakiesitykset. Uudistuksen toimeenpanoa koskevan lain mukaan sosiaali- ja terveydenhuollon ja pelastustoimen tehtävät ja järjestämisvastuu siirtyvät kunnilta hyvinvointialueille 1.1.2023.Alueellisen yhteistyön ja tarkoituksenmukaisen palvelurakenteen toteuttamiseksi hyvinvointialueista muodostetaan viisi yhteistyöaluetta, jotka vastaavat nykyisiä yliopistosairaaloiden erityisvastuualueita.\nHyvinvointialue järjestää sille lailla säädetyt tehtävät, joita toiminnan alkaessa ovat sosiaali- ja terveydenhuollon sekä pelastustoimen järjestäminen. Hyvinvointialue voi hoitaa alueellaan myös sen lakisääteisiä tehtäviä tukevia tehtäviä, kuten kansainvälinen toiminta ja hyvinvointialueiden keskinäinen edunvalvonta. Se voi alueellaan tai yhdessä toisen hyvinvointialueen kanssa harjoittaa vähäriskistä liiketoimintaa, joka tukee sen lakisääteisten tehtävien hoitamista. Sopimuksen nojalla hyvinvointialueet voivat hoitaa tehtäviään yhdessä. Yhteistyön muotoja ovat: yhteinen toimielin, yhteinen virka, sopimus viranomaistehtävän hoitamisesta ja hyvinvointiyhtymä. Hyvinvointiyhtymän toimialana voi olla vain tukipalvelujen tuottaminen. Hyvinvointiyhtymälle ei voida siirtää järjestämisvastuuta.","sv":"Ett välfärdsområde är ett från kommunerna och staten separat offentligrättsligt samfund som har självstyre inom sitt område. Välfärdsområdet och dess dottersammanslutningar bildar en välfärdsområdeskoncern.\nDet finns sammanlagt 21 välfärdsområden som ansvarar för ordnandet av social- och hälsovården och räddningsväsendet.\nHelsingfors stad ansvarar för att ordna social- och hälsovården och räddningsväsendet inom sitt område. ","en":null,"ru":null,"se":null},"exactMatch":["wikidata:Q107302308","finto:http:\u002F\u002Fwww.yso.fi\u002Fonto\u002Fkoko\u002Fp89736","leiki:focus100k_na_1487043"],"updated":"2023-01-05T09:17:09+02:00","alternativeIds":["18-328616","18-330270"],"title":{"fi":"hyvinvointialueet","sv":"välfärdsområden","en":"Wellbeing Services County","ru":null,"se":null},"types":["MainConcept","Concept"],"id":"18-327171","contentHits":4024},"headline":{"image":{"alt":"Ilmakuvassa joukko ihmisiä kävelee lumisella tiellä.","source":"Sami Takkinen \u002F Yle","aspect":1.7777777777777777,"caption":"Joukko kunnan nykyisiä ja entisiä asukkaita käveli kunnanjohtajan johdolla yli 50 kilometriä Iisalmeen terveyspalvelujen säilyttämisen puolesta maaliskuun alussa. Vieremällä on nykyisin terveyskeskus.","id":"39-125638765f012fe78381","type":"image"},"full":"Vieremäläiset vaativat sote-asemaa – jo parituhatta allekirjoittanut hyvinvointialueelle suunnatun vetoomuksen"}},{"external":{"url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20240325125512\u002Fhttps:\u002F\u002Fyle.fi\u002Fa\u002F74-20075405"},"internal":{"id":"74-20075405"},"title":"Pohjois-Savon hyvinvointialueella jopa kymmentä terveyskeskusta- tai asemaa uhkaa lakkautus","datePublished":"2024-02-20T14:30:38+0200","subject":{"description":{"fi":"Hyvinvointialue on Marinin hallituksen sote-uudistuksessa kunnista ja valtiosta erillinen julkisoikeudellinen yhteisö, jolla on alueellaan itsehallinto. Eduskunta hyväksyi 23.6.2021 sosiaali- ja terveydenhuollon uudistusta koskevat lakiesitykset. 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Yhteistyön muotoja ovat: yhteinen toimielin, yhteinen virka, sopimus viranomaistehtävän hoitamisesta ja hyvinvointiyhtymä. Hyvinvointiyhtymän toimialana voi olla vain tukipalvelujen tuottaminen. Hyvinvointiyhtymälle ei voida siirtää järjestämisvastuuta.","sv":"Ett välfärdsområde är ett från kommunerna och staten separat offentligrättsligt samfund som har självstyre inom sitt område. Välfärdsområdet och dess dottersammanslutningar bildar en välfärdsområdeskoncern.\nDet finns sammanlagt 21 välfärdsområden som ansvarar för ordnandet av social- och hälsovården och räddningsväsendet.\nHelsingfors stad ansvarar för att ordna social- och hälsovården och räddningsväsendet inom sitt område. 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