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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></header><div id="yle__contentAnchor" class="GridSystem-sc-64703825-2 cgDuXi"><div class="GridSystem__GridRow-sc-64703825-1 ArticlePage__ArticleRow-sc-e1d3cc9d-2 exzfUk keyMxq"><main class="ArticlePage__ArticlePageMainColumn-sc-e1d3cc9d-0 hcJekb"><div class="GridSystem__GridCell-sc-64703825-0 ArticlePage__ArticleGridCell-sc-e1d3cc9d-1 hkEWsb hajacu"><div class="ArticleWrapper__Wrapper-sc-6c1d1f0b-0 faqnpo"><article class="yle__article arkki-theme-default" data-vrsproduct="uutiset"><header class="yle__article__header"><div class="aw-1b35ta eyzRIb"><a href="/web/20240418173001/https://yle.fi/t/18-207943/fi" aria-label="Lisää artikkeleita aiheesta Kunnat" class="TagLinkstyles__TagLinkBase-sc-w5hh4y-0 izzPbN">Kunnat</a></div><h1 class="sc-aXZVg cZXpWU yle__article__heading yle__article__heading--1">Kaupunki ei alistu hallituksen päätökseen lakkauttaa yöpäivystys Kouvolasta – Marita Toikka: ”Aivan käsittämätön linjaus”</h1><p class="aw-1gybjub aw-5vja16 jxdWmn eeXVLF yle__article__paragraph">Hallituksen mukaan Kouvolan Ratamokeskuksen yöpäivystys lakkaa viimeistään vuoden 2025 lopussa.</p><div class="aw-e30oo3 blLbha"></div><figure class="aw-u5oz0a clzEhy yle__article__figure"><script type="application/ld+json">{"@id":"74-20084130","@context":"https://web.archive.org/web/20240418173001/https://schema.org","image":{"@type":"ImageObject","description":"Kouvolan kaupunginjohtajan Marita Toikka tyrmistyi, kun kuuli päätöksestä. Arkistokuva.","copyrightHolder":"Pyry Sarkiola / Yle","url":"https://web.archive.org/web/20240418173001/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-123245165b0fb101c261","keywords":"Kouvola,Kouvolan kaupungintalo,Marita Toikka,kaupunginjohtajat"}}</script><div class="aw-1a00tic dwpOWN"><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/20240418173001im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1706098081/39-123245165b0fb101c261 2x, https://web.archive.org/web/20240418173001im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1706098081/39-123245165b0fb101c261 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240418173001im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1706098081/39-123245165b0fb101c261 2x, https://web.archive.org/web/20240418173001im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1706098081/39-123245165b0fb101c261 1x"/><img alt="Marita Toikka" src="https://web.archive.org/web/20240418173001im_/https://images.cdn.yle.fi/image/upload/c_crop,h_2362,w_4200,x_0,y_22/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1706098081/39-123245165b0fb101c261" 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>Kouvolan kaupunginjohtajan Marita Toikka tyrmistyi, kun kuuli päätöksestä. Arkistokuva.</span><span> Kuva: Pyry Sarkiola / Yle</span></figcaption></figure><div class="aw-1wk2icm iaIVgA"><div class="aw-qww0lc eFtfQt"><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Mari Siltanen</span></div></div></div><div class="aw-1hwlbbb hGamUL"><div class="aw-kzjed4 dgiUVP yle__article__date"><time class="aw-lsqctp jPSFYl yle__article__date--published" datetime="2024-04-17T12:09:13+03:00">17.4. 12:09</time><span aria-hidden="true" class="aw-131q90r bsXkQk">•</span><time class="aw-lsqctp jPSFYl yle__article__date--modified" datetime="2024-04-17T13:20:11+03:00">Päivitetty 17.4. 13:20</time></div></div></header><section class="yle__article__content"><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kouvolan kaupunki ei purematta niele hallituksen tiistaista päätöstä yöpäivystysten lakkauttamisesta. Hallituksen mukaan Kouvolan Ratamokeskuksen yöpäivystys lakkaa viimeistään vuoden 2025 lopussa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kouvolan kaupunginjohtajan <strong class="aw-ak79eh hgoSon yle__article__strong">Marita Toikka</strong> tyrmistyi, kun kuuli päätöksestä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Tämä on aivan käsittämätön linjaus näitä säästöjä haettaessa.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Asiaperusteet eivät tue</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Toikka kertaa kuinka yöpäivystyksen lakkauttaminen ei toisi hyvinvointialueelle yhtään säästöjä esimerkiksi ambulanssikyytien lisääntymisen sekä lisätilan rakentamisen takia. Samasta aiheesta on puhunut viimeksi <a class="aw-iao6s4 eiPrvP yle__article__link" href="https://web.archive.org/web/20240418173001/https://yle.fi/a/74-20084022" role="link">tiistaina hyvinvointialueen johtajaylilääkäri</a> <strong class="aw-ak79eh hgoSon yle__article__strong">Marja-Liisa Mäntymaa</strong>.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Karjalan prikaatin varuskunta jäisi myös kauas. Varuskunnan väki käyttää päivystystä lähes päivittäin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Jos kehysriihessä haetaan säästötoimenpiteitä, tämä linjaus ei julkisen sektorin näkökulmasta säästöä tuo. Päinvastoin lisää kustannuksia kokonaisuutta tarkastellen, sanoo kaupunginjohtaja Marita Toikka.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Kannanotto tulossa</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Hallituksen päätös tarkoittaa sitä, että sairaalatoimintaa koskevaan lakiin tehtäisiin muutoksia. Lakiesitys tulee eduskunnan käsittelyyn arvioiden mukaan syksyllä. Kaupunki haluaa poistaa Kouvolaan koskevan kohdan lakiluonnoksesta kokonaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Edunvalvonnassa kaupunki tekee yhteistyötä hyvinvointialueen kanssa, mutta valmisteilla on jo muodollinen kannanotto. Kaupunginhallitus päättää asiasta maanantaina.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Sen lisäksi Toikka ja muut kaupungin ihmiset ovat suoraan ministereihin yhteydessä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Missään nimessä Kouvola ei alistu tai suostu tämmöiseen ratkaisuun. Teemme kaikkemme näillä asiaperusteilla sen eteen, että tämä päätöslinjaus ei ole sitten se lopullinen laissa hyväksytty päätös.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Hyvinvointialue yllättyi päätöksen nopeudesta</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vs. hyvinvointialuejohtaja <strong class="aw-ak79eh hgoSon yle__article__strong">Lauri Lehdon</strong> mukaan oli yllätys, että hallitus päätti sairaalaverkosta jo kehysriihessä. Päätöstä odotettiin myöhemmin keväällä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Ensiajatus oli tietysti valtava pettymys, Lehto sanoo.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Yöpäivystys on lähdössä myös Iisalmesta, Jämsästä, Raahesta ja Varkaudesta. Lehdon mukaan on erikoista, että Kouvola on niputettu 80 000 asukkaan kaupunkina samaan nippuun 20 000 asukkaan kuntien kuten Jämsän kanssa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Hyvinvointialue aikoo tehdä kattavan vaikutusten arvioinnin. Hallituksella ei sellaista ole. Muut toimenpiteet selviävät myöhemmin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Meidän täytyy ennen kaikkea kaikin keinoin huolehtia siitä, että meidän väestö saa hyvinvointipalvelut, jotka laki heille takaa.</p></section><footer class="yle__article__footer"><h2 class="aw-zh6d69 giSvto">Aiheesta enemmän: Paketissa 1 linkki</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 kmCgij"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx iFwHup"><a href="/web/20240418173001/https://yle.fi/t/18-209306/fi" aria-label="Lisää artikkeleita aiheesta Terveys" class="TagLinkstyles__TagLinkBase-sc-w5hh4y-0 izzPbN">Terveys</a></div><h3 class="aw-x9ikft cGmEmT"><a 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Arkistokuva.","id":"39-123245165b0fb101c261","type":"image","alts":[{"language":"fin","value":"Marita Toikka"}],"blurhash":"LMD]Vk?w.9x]-obcNGt7I=RPWBRi","tags":[{"label":[{"language":"fin","value":"Kouvola"},{"language":"swe","value":"Kouvola"}],"extId":"18-180134"},{"label":[{"language":"fin","value":"Kouvolan kaupungintalo"},{"language":"swe","value":"Kouvola City Hall"}],"extId":"18-302930"},{"label":[{"language":"fin","value":"Marita Toikka"}],"extId":"18-301477"},{"label":[{"language":"fin","value":"kaupunginjohtajat"},{"language":"swe","value":"stadsdirektörer"}],"extId":"18-213267"}],"copyright":[{"language":"und","value":"Pyry Sarkiola \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":22,"width":4200,"height":2362}},{"name":"2:3","aspect":0.67,"coordinates":{"x":1161,"y":0,"width":1866,"height":2800}},{"name":"1:1","aspect":1,"coordinates":{"x":756,"y":0,"width":2800,"height":2800}},{"name":"5:2","aspect":2.5,"coordinates":{"x":0,"y":24,"width":4200,"height":1680}}],"height":2800,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1706098081","width":4200,"recommendedFormat":"jpg"},{"text":"Hallituksen mukaan Kouvolan Ratamokeskuksen yöpäivystys lakkaa viimeistään vuoden 2025 lopussa.","type":"text"},{"text":"Kouvolan kaupunki ei purematta niele hallituksen tiistaista päätöstä yöpäivystysten lakkauttamisesta. Hallituksen mukaan Kouvolan Ratamokeskuksen yöpäivystys lakkaa viimeistään vuoden 2025 lopussa.","type":"text"},{"text":"Kouvolan kaupunginjohtajan **Marita Toikka** tyrmistyi, kun kuuli päätöksestä.","type":"text"},{"text":"– Tämä on aivan käsittämätön linjaus näitä säästöjä haettaessa.","type":"text"},{"text":"Asiaperusteet eivät tue","level":2,"type":"heading"},{"text":"Toikka kertaa kuinka yöpäivystyksen lakkauttaminen ei toisi hyvinvointialueelle yhtään säästöjä esimerkiksi ambulanssikyytien lisääntymisen sekä lisätilan rakentamisen takia. Samasta aiheesta on puhunut viimeksi [tiistaina hyvinvointialueen johtajaylilääkäri](https:\u002F\u002Fyle.fi\u002Fa\u002F74-20084022) **Marja-Liisa Mäntymaa**.","type":"text"},{"text":"Karjalan prikaatin varuskunta jäisi myös kauas. Varuskunnan väki käyttää päivystystä lähes päivittäin.","type":"text"},{"text":"– Jos kehysriihessä haetaan säästötoimenpiteitä, tämä linjaus ei julkisen sektorin näkökulmasta säästöä tuo. Päinvastoin lisää kustannuksia kokonaisuutta tarkastellen, sanoo kaupunginjohtaja Marita Toikka.","type":"text"},{"text":"Kannanotto tulossa","level":2,"type":"heading"},{"text":"Hallituksen päätös tarkoittaa sitä, että sairaalatoimintaa koskevaan lakiin tehtäisiin muutoksia. Lakiesitys tulee eduskunnan käsittelyyn arvioiden mukaan syksyllä. Kaupunki haluaa poistaa Kouvolaan koskevan kohdan lakiluonnoksesta kokonaan.","type":"text"},{"text":"Edunvalvonnassa kaupunki tekee yhteistyötä hyvinvointialueen kanssa, mutta valmisteilla on jo muodollinen kannanotto. Kaupunginhallitus päättää asiasta maanantaina.","type":"text"},{"text":"Sen lisäksi Toikka ja muut kaupungin ihmiset ovat suoraan ministereihin yhteydessä.","type":"text"},{"text":"– Missään nimessä Kouvola ei alistu tai suostu tämmöiseen ratkaisuun. Teemme kaikkemme näillä asiaperusteilla sen eteen, että tämä päätöslinjaus ei ole sitten se lopullinen laissa hyväksytty päätös.","type":"text"},{"text":"Hyvinvointialue yllättyi päätöksen nopeudesta","level":2,"type":"heading"},{"text":"Vs. hyvinvointialuejohtaja **Lauri Lehdon** mukaan oli yllätys, että hallitus päätti sairaalaverkosta jo kehysriihessä. Päätöstä odotettiin myöhemmin keväällä.","type":"text"},{"text":"– Ensiajatus oli tietysti valtava pettymys, Lehto sanoo.","type":"text"},{"text":"Yöpäivystys on lähdössä myös Iisalmesta, Jämsästä, Raahesta ja Varkaudesta. Lehdon mukaan on erikoista, että Kouvola on niputettu 80 000 asukkaan kaupunkina samaan nippuun 20 000 asukkaan kuntien kuten Jämsän kanssa.","type":"text"},{"text":"Hyvinvointialue aikoo tehdä kattavan vaikutusten arvioinnin. Hallituksella ei sellaista ole. Muut toimenpiteet selviävät myöhemmin.","type":"text"},{"text":"– Meidän täytyy ennen kaikkea kaikin keinoin huolehtia siitä, että meidän väestö saa hyvinvointipalvelut, jotka laki heille takaa.","type":"text"},{"type":"links","links":[{"external":{"url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20240418173001\u002Fhttps:\u002F\u002Fyle.fi\u002Fa\u002F74-20084022"},"internal":{"id":"74-20084022"},"title":"Kouvolan Ratamokeskuksen yöpäivystys lakkaa viimeistään vuoden 2025 lopussa – keskussairaaloihin hallitus ei koske","datePublished":"2024-04-16T16:57:30+0300","subject":{"description":{"fi":"biologiset ilmiöt","sv":"övergripande fysiologiskt tillstånd","en":"state of physical, mental and social well-being in the absence of disease and infirmity","ru":null,"se":null},"exactMatch":["leiki:focus100k_na_17","freebase:\u002Fm\u002F0kt51","wikidata:Q12147","finto:http:\u002F\u002Fwww.yso.fi\u002Fonto\u002Fkoko\u002Fp31347","escenic:terveys"],"updated":"2022-10-02T21:22:17+03:00","alternativeIds":["18-206573","18-82667","18-49","18-147956","18-35138","18-19881"],"title":{"fi":"terveys","sv":"hälsa","en":"health","ru":"здоровье","se":"dearvvasvuohta"},"types":["MainConcept","Concept","YleNews","RecommendationCategory","YleSápmi","YleNovosti"],"id":"18-209306","contentHits":33910},"headline":{"image":{"alt":"Ratamokeskuksen päivystyksen pääulko-ovi.","source":"Pyry Sarkiola \u002F Yle","aspect":1.5,"caption":"Muualla kuin keskussairaaloissa olevat yöpäivystykset ovat edelleen vaarassa.","id":"39-122708765a111b3d737a","type":"image"},"full":"Kouvolan Ratamokeskuksen yöpäivystys lakkaa viimeistään vuoden 2025 lopussa – keskussairaaloihin hallitus ei koske"}}]}],"subjects":[{"description":{"fi":"julkisyhteisöt, hallintoalueet","sv":"offentligrättsliga samfund, förvaltningsområden","en":"","ru":null,"se":null},"exactMatch":["wikidata:Q15284","leiki:focus100k_na_1961","finto:http:\u002F\u002Fwww.yso.fi\u002Fonto\u002Fkoko\u002Fp62841","finto:http:\u002F\u002Fwww.yso.fi\u002Fonto\u002Fkoko\u002Fp48324","freebase:\u002Fm\u002F04t6r","finto:http:\u002F\u002Fwww.yso.fi\u002Fonto\u002Fkoko\u002Fp48173"],"updated":"2022-11-15T08:50:35+02:00","alternativeIds":["18-19276","18-127104","18-35097","18-82913","18-214082","18-13999","18-253","18-210778"],"title":{"fi":"kunnat","sv":"kommuner","en":null,"ru":null,"se":"gielddat"},"types":["MainConcept","Concept","YleSápmi"],"id":"18-207943","contentHits":20567},{"description":{"fi":"Suomen kaupunki, joka sijaitsee Kymijoen varrella Kymenlaakson maakunnassa. Kouvola perustettiin kauppalaksi vuonna 1922, ja vuonna 1960 Kouvolasta tuli yksi Suomen kuudesta ensimmäisestä uudesta kaupungista. Nykyinen Kouvolan kaupunki muodostui 1. tammikuuta 2009, kun Kouvolan, Anjalankosken ja Kuusankosken kaupungit, Elimäki, Jaala ja Valkeala yhdistyivät.\nKaupungissa asuu 85 861 ihmistä.\n\n","sv":"stad i landskapet Kymmenedalen i Finland. Staden är belägen cirka 132 kilometer nordost om Helsingfors och cirka 50 kilometer norr om Kotka. Folkmängden i Kouvola stad uppgår till cirka 85 979 invånare.\nStaden gränsar till följande städer och kommuner: Fredrikshamn, Heinola, Itis, Kotka, Lappträsk, Lovisa, Luumäki, Miehikkälä, Mäntyharju, Pyttis och Savitaipale.\nKouvola stad ingår i Kouvola ekonomiska region.\nKouvola stads språkliga status är enspråkig finsk.","en":null,"ru":null,"se":null},"exactMatch":["leiki:focus100k_na_1926","freebase:\u002Fm\u002F021tgg","leiki:focus100k_na_230622","wikidata:Q33686361","leiki:focus100k_na_635253","wikidata:Q204382"],"updated":"2020-11-17T10:25:21+02:00","alternativeIds":["18-147400","18-35001","18-56970","18-17789","18-91685","18-305041"],"title":{"fi":"Kouvola","sv":"Kouvola","en":null,"ru":null,"se":null},"types":["Concept","Place"],"id":"18-180134","contentHits":11795},{"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":4196},{"description":{"fi":"Ratamokeskus on sairaala ja sote-keskus Kouvolassa, lähellä keskustaa Kotiharjussa. Sairaala sijaitsee Kouvolan liikekeskustan pohjoispuolella Kankaan kaupunginosan pohjoisosassa sijaitsevalla Ruskeasuolla. Ratamokeskus valmistui ja otettiin käyttöön toukokuussa vuonna 2022.Ratamokeskuksessa on muun muassa päivystys ja 115 vuodepaikkaa sekä hammaslääkärin vastaanotto. Päivystys sijaitsee ensimmäisessä kerroksessa, samoin kuin kuvantaminen ja laboratorio sekä keittiö- ja ruokailutilat.\nToisessa kerroksessa on toimenpide- ja hoitotilat sekä perusterveydenhuollon vastaanottotilat ja hammashoitola. Vuodeosastot sijoittuivat kolmanteen ja neljänteen kerrokseen.\nPotilashuoneista puolet on yhden hengen huoneita ja loput kahden hengen huoneita. Jokaisessa huoneessa on oma wc- ja kylpyhuone. Ratamokeskus korvasi valmistuessaan Kuusankoskella sijaitsevan Pohjois-Kymen sairaalan.\nSairaalan rakennustyöt alkoivat vuonna 2018. Keskuksen rakennuttajana toimi Kymsote (Kymenlaakson sosiaali- ja terveyspalvelujen kuntayhtymä). Toisella tarjouskierroksella tuli kaikkiaan kolme tarjousta, joista Carea-sairaalat Oy:n hallitus valitsi hankkeen urakoitsijaksi Lujatalo Oy:n. Valinta tehtiin hinnan perusteella, ja Ratamokeskuksen rakennuskustannukset olivat runsaat 60 miljoonaa euroa.","sv":null,"en":null,"ru":null,"se":null},"exactMatch":["wikidata:Q97204856"],"updated":"2023-03-01T12:14:44+02:00","alternativeIds":[],"title":{"fi":"Ratamokeskus","sv":null,"en":null,"ru":null,"se":null},"types":["Concept"],"id":"18-348108","contentHits":18},{"description":{"fi":"Marita Toikka (s. 13. kesäkuuta 1973 Joutseno) on Kouvolan kaupunginjohtaja. Sitä ennen hän toimi Imatran kaupungin hallintojohtajana vuosina 2008–2017. Puoluekannaltaan Toikka on kokoomuslainen.","sv":null,"en":null,"ru":null,"se":null},"exactMatch":["wikidata:Q65240059"],"updated":"2019-09-13T13:29:03+03:00","alternativeIds":[],"title":{"fi":"Marita Toikka","sv":null,"en":null,"ru":null,"se":null},"types":["Concept"],"id":"18-301477","contentHits":13},{"description":{"fi":"Kouvolan seutukunta on yksi Suomen seutukunnista. Se sijaitsee entisessä Etelä-Suomen läänissä, Kymenlaakson maakunnassa. Siihen kuuluu vuoden 2009 kuntaliitosten myötä enää vain kaksi kuntaa, Kouvolan kaupunki ja Iitin kunta. Euroopan unionin alueluokitusjärjestelmässä seutukunnan LAU 1 (NUTS 4) -numero on 081. Iitin kunta siirtyy 2020-luvulla osaksi Päijät-Hämeen maakuntaa, jolloin Kouvola jää seutukunnan ainoaksi kunnaksi ja tämän seurauksena Kouvolan seutukunta ja Kotka-Haminan seutukunta mahdollisesti yhdistyy koko Kymenlaakson maakunnan kattavaksi seutukunnaksi. \nKouvolan seutukunta on kokenut suuria muuttotappioita 1990-luvun jälkipuoliskolla ja 2000-luvulla. Seutukunnan asukasluku on ollut parhaimmillaan yli 102 000. Kouvolan seudulla asukkaita on nyt 91 743 (2017-06-3030. kesäkuuta 2017).","sv":"Kouvola ekonomiska region (finska: Kouvolan seutukunta) är en av ekonomiska regionerna i landskapet Kymmenedalen i Finland. \nFolkmängden i Kouvola ekonomiska region uppgick den 1 januari 2013 till 94 251 invånare, regionens totala areal utgjordes av 3 570 kvadratkilometer och landytan utgjordes av 3 148 kvadratkilometer. I Finlands NUTS-indelning representerar regionen nivån LAU 1 (f.d. NUTS 4), och dess nationella kod är 081.","en":"Kouvola sub-region is a subdivision of Kymenlaakso and one of the Sub-regions of Finland since 2009.","ru":null,"se":null},"exactMatch":["wikidata:Q296433","leiki:focus100k_na_78092","freebase:\u002Fm\u002F0h3xt4w"],"updated":"2020-08-12T11:59:02+03:00","alternativeIds":["18-35006","18-85554"],"title":{"fi":"Kouvolan seutukunta","sv":"Kouvola ekonomiska region","en":"Kouvola Sub-Region","ru":null,"se":null},"types":["Concept","Place"],"id":"18-147408","contentHits":3645},{"description":{"fi":"Kymenlaakson maakunta (ruots. Kymmenedalen) on Suomen maakunta Kaakkois-Suomessa. Maakunnan nimi johtuu sen halki kulkevasta Kymijoesta, jonka varrella tai lähellä sitä ovat seudun suurimmat asutuskeskukset. Kymenlaakson maakuntakeskukset ovat Kotka ja Kouvola. Kotkassa sijaitsevat muun muassa maakunnan liiton hallinto, keskussairaala ja maakuntamuseo, Kouvolassa puolestaan maakuntakirjasto ja maakunnan suurin rautatieasema. Kouvola on ollut maakunnan suurin kaupunki vuonna 2009 tapahtuneiden kuntaliitosten jälkeen 87 964 asukkaalla. Maakunnan suurin kaupunkialue sen sijaan on Kotkan keskustaajama 53 206 asukkaalla.\nKymenlaakso oli Suomen ensimmäisiä laajasti teollistuneita alueita, jo 1800-luvulta alkaen. Teollisuus keskittyi Voikkaan ja Kotkan välisen rautatien varteen. Nykyään alue kärsii raskaan teollisuuden, pääosin paperiteollisuuden, taantumisesta, kun korvaavaa työllistäjää ei ole löytynyt. Taantumisen seurauksena alueella on muuttotappio pääosin Helsingin seudulle. Silti alueelle muuttaa väkeä jopa ulkomailta, etupäässä Venäjältä. Bruttokansantuote Kymenlaaksossa oli vuonna 2001 yhteensä 4 147 miljoonaa euroa.\nKymenlaakson maakuntaa ympäröivät Uusimaa lounaassa, Päijät-Häme luoteessa, Etelä-Savo pohjoisessa ja Etelä-Karjala idässä.","sv":"Kymmenedalen (finska: Kymenlaakso) är ett landskap i forna Södra Finlands län i Finland. Landskapet har uppstått längs Kymmene älv, som i söder mynnar ut i Finska viken vid landskapets huvudort, staden Kotka. Kymmenedalen består av sju kommuner.\nFolkmängden i Kymmenedalen uppgick den 31 december 2012 till 181 421 invånare, landskapets totala areal utgjordes den 1 januari 2012 av 7 455,52 kvadratkilometer, och därav utgjordes landytan av 5 147,78 km² . 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