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4.94919H8.53717V11C8.53717 11.3456 8.61648 11.5602 9.00906 11.5602H9.24697C9.64819 11.5602 9.70237 11.2769 9.70237 11V4.64697C9.70237 4.32818 9.70237 3.79633 9.11113 3.79633ZM14.7432 10.4239C14.667 10.4239 14.5901 10.4389 14.5006 10.4563L14.4668 10.4626C14.2862 10.4989 13.9831 10.5596 13.5042 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 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12l5.293-5.293Z" fill="currentColor"></path></svg></button></div></div></nav></div></div></div></div></div></div></header><div id="yle__contentAnchor" class="GridSystem-sc-39885cb3-2 dDfYFm"><div class="GridSystem__GridRow-sc-39885cb3-1 ArticlePage__ArticleRow-sc-41629861-2 ilNPAE jitmbX"><main class="ArticlePage__ArticlePageMainColumn-sc-41629861-0 bxSwIi"><div class="GridSystem__GridCell-sc-39885cb3-0 ArticlePage__ArticleGridCell-sc-41629861-1 cQGuBX fdHCsD"><div class="ArticleWrapper__Wrapper-sc-ccda10cc-0 focYLE"><article class="yle__article arkki-theme-default" data-vrsproduct="uutiset"><header class="yle__article__header"><div class="aw-1ag6w51 nvljT"><a href="/web/20231219102421/https://yle.fi/t/18-327171/fi" aria-label="Lisää artikkeleita aiheesta Hyvinvointialueet" class="aw-l7odld jXfkxq">Hyvinvointialueet</a></div><h1 class="sc-aXZVg cZXpWU yle__article__heading yle__article__heading--1">Työnantajajärjestö selvitti: hyvinvointialueet pulittavat suuren summan vuokrattavista lääkäreistä ja hoitajista</h1><p class="aw-1gybjub aw-5vja16 jxdWmn bBeDuh yle__article__paragraph">Työnantajajärjestön arvion mukaan hoitajien ja lääkärien vuokraamiseen kuluu arviolta 625 miljoonaa euroa. ”Todellinen hintalappu voi olla suurempikin”, sanoo pääekonomisti.</p><div class="aw-e30oo3 blLbha"></div><figure class="aw-u5oz0a clzEhy yle__article__figure"><script type="application/ld+json">{"@id":"74-20065739","@context":"https://web.archive.org/web/20231219102421/https://schema.org","image":{"@type":"ImageObject","description":"Lähihoitaja Sariina Jokiranta vaihtoi yksityiseen yritykseen ja kertoi palkkansa nousseen. Jokiranta kuvattiin työtilanteessa 11. joulukuuta 2023.","copyrightHolder":"Marko Melto / Yle","url":"https://web.archive.org/web/20231219102421/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_800,w_1200/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-12141006577fb626343b","keywords":"lähihoitajat,kotihoito,Vanhusten kotihoito,Tampere,Pirkanmaa"}}</script><div class="aw-1a00tic iSByMz"><div class="aw-1x5xgun dGBNdd"><div class="aw-1lwlbkg fwYnbB"><div class="aw-9ft7vc"><picture><source data-testid="source-for-S" srcset="https://web.archive.org/web/20231219102421im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_800,w_1200/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1702362460/39-12141006577fb626343b 2x, https://web.archive.org/web/20231219102421im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_800,w_1200/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1702362460/39-12141006577fb626343b 1x"/><img alt="Lähihoitaja ja vanha nainen katsovat toisiaan pöydän yli." src="https://web.archive.org/web/20231219102421im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1687,w_3000,x_0,y_114/ar_1.7777777777777777,c_fill,g_faces,h_675,w_1200/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1702362460/39-12141006577fb626343b" class="aw-15lr7gn bNAUcv"/></picture></div></div><div class="aw-1u0aotp gkhKjp"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw cYBvFS"><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>Lähihoitaja Sariina Jokiranta vaihtoi yksityiseen yritykseen ja kertoi palkkansa nousseen. Jokiranta kuvattiin työtilanteessa 11. joulukuuta 2023.</span><span> Kuva: Marko Melto / Yle</span></figcaption></figure><div class="aw-1wk2icm iaIVgA"><div class="aw-qww0lc eFtfQt"><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Eelis Bjurström</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="2023-12-19T10:26:30+02:00">10:26</time></div></div><a href="https://web.archive.org/web/20231219102421/https://yle.onelink.me/46xJ/07zyq6zz?deep_link_sub1=74-20065739" 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">Hyvinvointialueilla menee yhä enemmän rahaa ostopalveluihin ja vuokratyövoimaan kuten vuokralääkäreihin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Asia selviää Kunta- ja hyvinvointialuetyönantajat KT:n <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20231219102421/https://www.kt.fi/uutiset-ja-tiedotteet/2023/hyvinvointialueiden-vuokratyovoiman-ja-ostopalvelujen-kustannukset">lokakuussa tehdystä kyselystä</a> alueille. KT ajaa kuntien ja hyvinvointialueiden etuja.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Pelkästään hoitajien ja lääkärien vuokraamiseen kuluu tänä vuonna KT:n mukaan arviolta 625 miljoonaa euroa, mutta summa on suuntaa-antava arvio. Kyselyyn vastasi 13 hyvinvointialuetta 21:stä, eivätkä kaikki yhdenmukaisesti.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Kustannukset olivat loppuvuotta kohden kasvussa, joten vuokratyön todellinen hintalappu voi olla suurempikin, sanoo KT:n pääekonomisti <strong class="aw-ak79eh hgoSon yle__article__strong">Juho Ruskoaho</strong> tiedotteessa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph"><a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20231219102421/https://yle.fi/a/74-20064136">Yle selvitti vastikään</a>, minkä hintaisia sopimuksia alueilla on yksityisten yritysten kanssa. Esimerkiksi lääkäristä päivystykseen Etelä-Pohjanmaalle maksettiin 192 euroa tunnissa. Hyvinvointialueet käyttävät vuodessa miljardeja euroja palveluihin, joita eivät itse kykene tuottamaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vuokratyövoima on kuitenkin vain osa kaikista hyvinvointialueiden ostopalveluista. Rahaa menee myös terveyskeskusten ulkoistuksiin ja vanhusten vuorokautisen asumisen ostoihin. Joitain palveluita ostetaan myös muilta alueilta.</p><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Näin käytetty raha jakautuu lääkärien ja hoitajien kesken</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">KT:n kyselyn perusteella noin puolet vuokratyöhön käytettävästä rahasta menee hoitajiin ja puolet lääkäreihin. Alueiden välillä on kuitenkin suuria eroja.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">KT:n laskelmien mukaan vuokratyön osuus kaikista henkilöstökuluista on lääkäreillä 13 prosenttia ja hoitajilla 3 prosenttia. Pääekonomisti Juho Ruskoaho sanoo tiedotteessa, että etenkin lääkärien osuus herättää huomiota.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Lääkäriliiton oman arvion mukaan vuokralääkärit tekevät vain 4–5 prosenttia kaikista lääkärintöistä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Tuloksista ei selviä, kuinka paljon alueet ovat ostaneet esimerkiksi päivä- ja yötyötä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Tilanne on epäreilu vakituisen henkilöstön kannalta. Seurantaa on kehitettävä, jotta tiedetään, miten paljon vuokrahenkilöstö maksaa ja mitä rahalla saadaan, Ruskoaho sanoo tiedotteessa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Hyvinvointialueiden vuokratyövoiman ja ostopalvelujen käyttöä ja keinoja käytön vähentämiseksi <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20231219102421/https://stm.fi/-/hyvinvointialueiden-vuokratyovoiman-kayton-selvitys-kaynnistyi">selvitetään parhaillaan</a> myös sosiaali- ja terveysministeriössä. Myös hyvinvointialueet ovat selvitystyössä mukana. Mietinnön pitäisi valmistua tammikuussa, mutta KT sanoo tiedotteessa toivovansa selvitykselle lisäaikaa.</p><figure class="aw-1dt1dwq ftjYYm yle__article__figure"><script type="application/ld+json">{"@id":"74-20065739","@context":"https://web.archive.org/web/20231219102421/https://schema.org","audio":{"@type":"AudioObject","description":"Uutispodcastissa Heikki Valkaman vieraana on Ylen toimittaja Anne-Pauliina Rytkönen, joka selvitti, miksi hyvinvointialueiden rahaa palaa kalliiseen vuokratyövoimaan ja ostopalveluihin."}}</script><div class="aw-g1mvng kdQXAe"><div class="aw-1wxgvdd gvAFxR"><div class="aw-a4cubu eFGymI"><strong class="aw-1tc72jz giNjwh">Keikkalääkäri 20 000 euroa/kk – vuokratyö käy hyvinvointialueille kalliiksi</strong></div><div class="aw-w3tzhx IpjbU"><figure class="aw-u5oz0a kehud yle__article__figure"><script type="application/ld+json">{"@id":"74-20065739","@context":"https://web.archive.org/web/20231219102421/https://schema.org","image":{"@type":"ImageObject","url":"https://web.archive.org/web/20231219102421/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_675,w_1200/dpr_1.0/q_auto:eco/f_auto/fl_lossy/13-1-61894955-1646223634943"}}</script><div class="aw-1a00tic hRtmkw"><div class="aw-1lwlbkg eqzbij"><div class="aw-9ft7vc"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20231219102421im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_1200,w_1200/dpr_2.0/q_auto:eco/f_auto/fl_lossy/13-1-61894955-1646223634943 2x, https://web.archive.org/web/20231219102421im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_1200,w_1200/dpr_1.0/q_auto:eco/f_auto/fl_lossy/13-1-61894955-1646223634943 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20231219102421im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_1200,w_1200/dpr_2.0/q_auto:eco/f_auto/fl_lossy/13-1-61894955-1646223634943 2x, https://web.archive.org/web/20231219102421im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_1200,w_1200/dpr_1.0/q_auto:eco/f_auto/fl_lossy/13-1-61894955-1646223634943 1x"/><img alt="" src="https://web.archive.org/web/20231219102421im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_675,w_1200/dpr_1.0/q_auto:eco/f_auto/fl_lossy/13-1-61894955-1646223634943" class="aw-15lr7gn bNAUcv"/></picture></div></div></div></figure></div></div><div class="aw-ml3my3 izabmR"></div></div><figcaption class="aw-kr26k0 dGzWNq"><span>Uutispodcastissa Heikki Valkaman vieraana on Ylen toimittaja Anne-Pauliina Rytkönen, joka selvitti, miksi hyvinvointialueiden rahaa palaa kalliiseen vuokratyövoimaan ja ostopalveluihin.</span></figcaption></figure></section><footer class="yle__article__footer"><h2 class="aw-zh6d69 dMYkJU">Aiheesta enemmän: Paketissa 2 linkkiä</h2><h2 class="sc-eqUAAy ctFUoD 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-imd7sr gZbcFW"><div class="aw-19emnvp fysKFp"><a href="/web/20231219102421/https://yle.fi/t/18-327171/fi" aria-label="Lisää artikkeleita aiheesta Hyvinvointialueet" class="aw-l7odld jXfkxq">Hyvinvointialueet</a></div><h3 class="aw-yse40z kwFDDP"><a href="https://web.archive.org/web/20231219102421/https://yle.fi/a/74-20064136" class="aw-d4kafy ddPIRg">Vuokrahoitaja ei enää menisi julkiselle töihin – kone näyttää, miten isoja summia alueet pulittavat lääkäreistä ja hoitajista</a></h3><time class="aw-ilm1oi epdHRr">15.12.</time></div></div><div class="aw-vhyz8i mQzOb"><div 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KT ajaa kuntien ja hyvinvointialueiden etuja.","type":"text"},{"text":"Pelkästään hoitajien ja lääkärien vuokraamiseen kuluu tänä vuonna KT:n mukaan arviolta 625 miljoonaa euroa, mutta summa on suuntaa-antava arvio. Kyselyyn vastasi 13 hyvinvointialuetta 21:stä, eivätkä kaikki yhdenmukaisesti.","type":"text"},{"text":"– Kustannukset olivat loppuvuotta kohden kasvussa, joten vuokratyön todellinen hintalappu voi olla suurempikin, sanoo KT:n pääekonomisti **Juho Ruskoaho** tiedotteessa.","type":"text"},{"text":"[Yle selvitti vastikään](https:\u002F\u002Fyle.fi\u002Fa\u002F74-20064136), minkä hintaisia sopimuksia alueilla on yksityisten yritysten kanssa. Esimerkiksi lääkäristä päivystykseen Etelä-Pohjanmaalle maksettiin 192 euroa tunnissa. Hyvinvointialueet käyttävät vuodessa miljardeja euroja palveluihin, joita eivät itse kykene tuottamaan.","type":"text"},{"text":"Vuokratyövoima on kuitenkin vain osa kaikista hyvinvointialueiden ostopalveluista. Rahaa menee myös terveyskeskusten ulkoistuksiin ja vanhusten vuorokautisen asumisen ostoihin. Joitain palveluita ostetaan myös muilta alueilta.","type":"text"},{"text":"Näin käytetty raha jakautuu lääkärien ja hoitajien kesken","level":2,"type":"heading"},{"text":"KT:n kyselyn perusteella noin puolet vuokratyöhön käytettävästä rahasta menee hoitajiin ja puolet lääkäreihin. Alueiden välillä on kuitenkin suuria eroja.","type":"text"},{"text":"KT:n laskelmien mukaan vuokratyön osuus kaikista henkilöstökuluista on lääkäreillä 13 prosenttia ja hoitajilla 3 prosenttia. Pääekonomisti Juho Ruskoaho sanoo tiedotteessa, että etenkin lääkärien osuus herättää huomiota.","type":"text"},{"text":"– Lääkäriliiton oman arvion mukaan vuokralääkärit tekevät vain 4–5 prosenttia kaikista lääkärintöistä.","type":"text"},{"text":"Tuloksista ei selviä, kuinka paljon alueet ovat ostaneet esimerkiksi päivä- ja yötyötä.","type":"text"},{"text":"– Tilanne on epäreilu vakituisen henkilöstön kannalta. Seurantaa on kehitettävä, jotta tiedetään, miten paljon vuokrahenkilöstö maksaa ja mitä rahalla saadaan, Ruskoaho sanoo tiedotteessa.","type":"text"},{"text":"Hyvinvointialueiden vuokratyövoiman ja ostopalvelujen käyttöä ja keinoja käytön vähentämiseksi [selvitetään parhaillaan](https:\u002F\u002Fstm.fi\u002F-\u002Fhyvinvointialueiden-vuokratyovoiman-kayton-selvitys-kaynnistyi) myös sosiaali- ja terveysministeriössä. Myös hyvinvointialueet ovat selvitystyössä mukana. Mietinnön pitäisi valmistua tammikuussa, mutta KT sanoo tiedotteessa toivovansa selvitykselle lisäaikaa.","type":"text"},{"caption":"Uutispodcastissa Heikki Valkaman vieraana on Ylen toimittaja Anne-Pauliina Rytkönen, joka selvitti, miksi hyvinvointialueiden rahaa palaa kalliiseen vuokratyövoimaan ja ostopalveluihin.","type":"audio","id":"1-66966611","programResponse":{"series":{"title":{"main":{"fin":"Uutispodcast"},"promotion":{"fin":"Otsikoiden takana joka arkipäivä"}},"image":{"main":{"fin":{"type":"Image","id":"13-1-61894955-1646223634943","version":1699865751}}}},"publications":[{"service":{"type":"Service","id":"yle-radio-1"},"publisher":{"type":"Service","id":"yle-radio-1"},"startTime":"2023-12-15T17:10:00+02:00","geoRestriction":"None","endTime":"2023-12-15T17:35:00+02:00","type":"Publication","duration":"PT25M","title":{"main":{"fin":"Uutispodcast: Keikkalääkäri 20 000 euroa\u002Fkk – vuokratyö käy hyvinvointialueille kalliiksi"}},"id":"4-66966613","kind":"Broadcast","protectionLevel":{"key":"default","type":"ContentProtectionPolicy","id":"22-1"},"media":{"downloadable":false,"type":"Audio","duration":"PT25M","id":"yle-radio-1","available":false}},{"service":{"type":"Service","id":"yle-areena"},"publisher":{"type":"Service","id":"yle-radio-1"},"startTime":"2023-12-15T16:00:00+02:00","geoRestriction":"None","type":"Publication","title":{"main":{"fin":"Keikkalääkäri 20 000 euroa\u002Fkk – vuokratyö käy hyvinvointialueille kalliiksi"}},"id":"4-66966612","kind":"Ondemand","protectionLevel":{"key":"none","type":"ContentProtectionPolicy","id":"22-0"},"media":{"downloadable":true,"type":"Audio","duration":"PT1245S","audioTracks":[{"format":"stereo","type":"AudioTrack","duration":"PT1245S","language":"fin"}],"id":"78-61ead7cd3f044fb889ef40b876a36f98","available":true}}],"title":{"transmission":{"fin":"Uutispodcast: Keikkalääkäri 20 000 euroa\u002Fkk – vuokratyö käy hyvinvointialueille kalliiksi"},"main":{"fin":"Keikkalääkäri 20 000 euroa\u002Fkk – vuokratyö käy hyvinvointialueille kalliiksi"}},"id":"1-66966611"}},{"type":"links","links":[{"external":{"url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20231219102421\u002Fhttps:\u002F\u002Fyle.fi\u002Fa\u002F74-20064136"},"internal":{"id":"74-20064136"},"title":"Vuokrahoitaja ei enää menisi julkiselle töihin – kone näyttää, miten isoja summia alueet pulittavat lääkäreistä ja hoitajista","datePublished":"2023-12-15T06:00:36+0200","subject":{"description":{"fi":"Hyvinvointialue on Marinin hallituksen sote-uudistuksessa kunnista ja valtiosta erillinen julkisoikeudellinen yhteisö, jolla on alueellaan itsehallinto. 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