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2.09a19.5 19.5 0 0 0-.874 2.525l.277-.213c2.023-1.559 4.445-2.798 7.028-2.833h2.029v3.479L19.57 12z" clip-rule="evenodd"></path></svg></span><span class="sc-dpBQxM hngLce yds-button__text">Jaa</span></button></div></div></header><div id="yle__contentAnchor" class="GridSystem-sc-613a840-2 iPZOUh"><div class="GridSystem__GridRow-sc-613a840-1 ArticlePage__ArticleRow-sc-3554359d-2 dpyhkz cyGsjj"><main class="ArticlePage__ArticlePageMainColumn-sc-3554359d-0 kLCmGi"><div class="GridSystem__GridCell-sc-613a840-0 ArticlePage__ArticleGridCell-sc-3554359d-1 hHPPba bLwVpH"><div class="ArticleWrapper__Wrapper-sc-5e8d6cad-0 evDXNu"><article class="yle__article arkki-theme-default" data-vrsproduct="uutiset"><header class="yle__article__header"><div class="sc-lbZXOw cAsZCO"><a href="https://web.archive.org/web/20241002063554/https://yle.fi/t/18-213160/fi" aria-label="Lisää artikkeleita aiheesta Eläimet" class="sc-fIfZzT kEtXGR">Eläimet</a></div><h1 class="sc-enMaOJ wzCTD yle__article__heading yle__article__heading--1">Suomessa on enää 10 yöllä päivystävää eläinklinikkaa – hätäapu lemmikille voi olla satojen kilometrien päässä</h1><p class="sc-dwGkES sc-hSyjfr fmZXof bRXxCP yle__article__paragraph">Etelä-Suomessa lemmikille saa yöllä apua yksityiseltä pieneläinklinikalta tai kunnaneläinlääkäriltä. Taloudellinen paine on pakottanut yksityiset miettimään päivystyksen jatkoa.</p><figure class="sc-kJZLhT ersrhc yle__article__figure"><script type="application/ld+json">{"@id":"74-20112717","@context":"https://web.archive.org/web/20241002063554/https://schema.org","video":{"@type":"VideoObject","description":"Lemmikille saa apua päivystysaikaan julkisen puolen päivystävältä, mutta kunnaneläinlääkäri saattaa olla toisella puolella maakuntaa hoitamassa toista eläintä. Katso videolta kuka tavallisaesti menee hoitojonossa kärkeen. Video: Ville Välimäki / Yle ","name":"Kun lemmikki sairastaa yöllä, apu on entistä kauempana","thumbnailUrl":"https://web.archive.org/web/20241002063554/https://images.cdn.yle.fi/image/upload/c_fill,g_faces,w_1200/q_auto:eco/f_auto/fl_lossy/39-135527166f6ab45d305d","uploadDate":"2024-09-27T16:24:06+03:00"}}</script><div class="sc-bKXUjo juBWPl"><div><div data-testid="video-player" class="sc-eEVuZf caHjvh"></div></div></div><figcaption class="sc-gohMHu infMfp"><span>Lemmikille saa apua päivystysaikaan julkisen puolen päivystävältä, mutta kunnaneläinlääkäri saattaa olla toisella puolella maakuntaa hoitamassa toista eläintä. Katso videolta kuka tavallisaesti menee hoitojonossa kärkeen. Video: Ville Välimäki / Yle </span></figcaption></figure><div class="sc-bOdUTf iueKsP"><div class="sc-ePpfBx lizmxn"><div class="sc-txhaY kOAHoB"><span class="sc-iPHsxv ckWsUl">Johanna Talasterä</span><span class="sc-iPHsxv ckWsUl">, </span></div><div class="sc-txhaY kOAHoB"><span class="sc-iPHsxv ckWsUl">Nina Keski-Korpela</span></div></div></div><div class="sc-feCMOb iQwgKi"><div class="sc-gYGZqq gdZOjj yle__article__date"><time class="sc-jGSdlx fxCtdH yle__article__date--published" datetime="2024-10-02T08:33:35+03:00">8:33</time></div></div><div class="sc-jXpgWc joSncZ"><div class="sc-ddLvXF CaRJe"></div><div class="sc-bhcutL hIPcxY"></div></div></header><section class="yle__article__content"><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Ympärivuorokautisesti päivystävien yksityisten eläinlääkäriasemien määrä vähenee. Niitä on Suomessa enää kymmenen, joista neljä sijaitsee pääkaupunkiseudulla.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Evidensia-ketjun eläinsairaala Vethaus Hämeenlinnassa oli jo toinen yksityinen klinikka, joka tänä vuonna <a class="sc-byRyzU bHmPz yle__article__link" href="https://web.archive.org/web/20241002063554/https://yle.fi/a/74-20111254" role="link">ilmoitti sulkevansa yöpäivystyksen</a>.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Kustannukset ovat nousseet, ja 24/7-päivystys tulee yritykselle entistä kalliimmaksi. On myös vaikeaa löytää eläinlääkäreitä ja hoitajia yö- ja viikonlopputyöhön.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Vethausin päätös lisää todennäköisesti asiakaspainetta alueen kunnaneläinlääkäreiden lisäksi Tampereen ja pääkaupunkiseudun yksityisille päivystyksille. Vethaus oli ainoa ympäri vuorokauden avoinna oleva eläinsairaala Kanta-Hämeessä, jossa on noin 90 000 kotitaloutta.</p><div class="sc-ZVgAE gOnFTH yle__article__infogram"> <div class="infogram-embed" data-id="f1744a51-7312-4167-9478-fd7807b7f35b" data-type="interactive" data-title="Kartalla Suomen 24/7 auki olevat yksityiset eläinlääkäriasemat. Suurin osa kuuluu Evidensia-ketjuun."></div> </div><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Yöpäivystyksen sulkemisen taustalla on asiakkaiden väheneminen.<br/> – Kysyntä on laantunut, vahvistaa Evidensian toimitusjohtaja <strong class="sc-dRlUCX gZPRaT yle__article__strong">Antti Kuosmanen</strong> sähköpostitse Ylelle.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Aiemmin ympärivuorokautisesta päivystyksestä luopui samaan ketjuun kuuluva Mevet Helsingistä. Kuosmasen mukaan tarpeelliset muutokset ketjun sairaalaverkostoon on tällä erää tehty.</p><h2 class="sc-fUEImY epOJmm yle__article__heading yle__article__heading--2">Lehmä menee koiran ohi</h2><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Kunnaneläinlääkärit päivystävät, joten Etelä-Suomessa kiireellinen eläinlääkäriapu on lähes kaikkialla saatavilla kohtuullisen etäisyyden päässä. Se on eläinlääkintähuollon valtakunnallisen ohjelman mukaan alle 100 kilometriä.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Suomen eläinlääkäriliiton puheenjohtaja <strong class="sc-dRlUCX gZPRaT yle__article__strong">Mikko Turku</strong> kertoo, että kaikkien eläinten tarvitsema apu on varmistettu eläinlääkintähuoltolailla.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Kunnilla, kuntayhtymällä tai joissain tapauksissa hyvinvointialueella on velvollisuus järjestää järjestää ensiapuluonteinen hoito.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Tietenkin on hoitojonoja, aivan kuten ihmispuolella. Potilaat hoidetaan kiireellisyysjärjestyksessä. Esimerkiksi jos on hengitysvaikeuksia tai eläin on todella vakavasti loukkaantunut, tapaus menee menee jonon ohi.</p><figure class="sc-kJZLhT ersrhc yle__article__figure"><script type="application/ld+json">{"@id":"74-20112717","@context":"https://web.archive.org/web/20241002063554/https://schema.org","image":{"@type":"ImageObject","description":"Tuotantoeläimet ovat osa yritystoimintaa, ja laki määrittelee, että ne menevät kunnallisella puolella lemmikkien ohi hoitojonossa.","copyrightHolder":"Ville Välimäki / Yle","url":"https://web.archive.org/web/20241002063554/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/39-135526966f6ab296d028","keywords":"eläimet,lehmät,lypsykarjatilat"}}</script><div class="sc-bKXUjo lktuZr"><div class="sc-edsqmr chSZpd"><div class="sc-geoRQH cqQSHG"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20241002063554im_/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/v1727442481/39-135526966f6ab296d028 2x, https://web.archive.org/web/20241002063554im_/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/v1727442481/39-135526966f6ab296d028 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20241002063554im_/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/v1727442481/39-135526966f6ab296d028 2x, https://web.archive.org/web/20241002063554im_/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/v1727442481/39-135526966f6ab296d028 1x"/><img alt="mustavalkoinen lehmä katsoo kameraan ilmeikkään näköisenä. Lehmä seisoo pihattokatoksessa ja on työntänyt päänsä rautatankojen välistä syödäkseen rehua. Taustalla näkyy ruskea lehmä ja muita lehmiä. " src="https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/c_crop,h_3375,w_6000,x_0,y_250/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1727442481/39-135526966f6ab296d028" class="sc-kEsJEW bUUeLL"/></picture></div><div class="sc-fXwCOG kLfXOk"><button aria-disabled="false" class="sc-ivxoEo sc-kLhKbu eByFLI hhnzet"><span class="sc-dpBQxM kZHGnn yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="sc-gohMHu infMfp"><span>Tuotantoeläimet ovat osa yritystoimintaa, ja laki määrittelee, että ne menevät kunnallisella puolella lemmikkien ohi hoitojonossa.</span><span> Kuva: Ville Välimäki / Yle</span></figcaption></figure><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Uusi eläinlääkintähuoltolaki tulee voimaan <a class="sc-byRyzU bHmPz yle__article__link" href="https://web.archive.org/web/20241002063554/https://mmm.fi/-/uusi-elainlaakintahuoltolaki-tulee-voimaan-vuoden-2026-alusta-tasmentaen-kuntien-velvoitteita-elainlaakaripalvelujen-jarjestamisessa" role="link">vuoden 2026 alusta</a>. Mikko Turku kertoo, että lakia uudistavat pohtivat, kuinka myös lemmikkien kiireellinen hoito saataisiin järjestettyä julkisella puolella mahdollisimman hyvin.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Yksi ratkaisu on yhteistyö yksityisen ja julkisen toimijan välillä. Välillä on kovasti tarvetta yöpäivystykselle ja joskus on hiljaisempaa. Haasteena on, kuinka tämä saataisiin toteutettua taloudellisesti kestävällä pohjalla.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Yksityisiä eläinlääkäriasemia ei ole tulvinut tarjoamaan päivystyspalveluja julkisen puolen rinnalle.</p><div class="sc-lmsKoi kTULrw"><div></div></div><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Eläinlääkäriliitto seuraa ammattikunnan yleistä keskustelua esimerkiksi asiakasmääristä. Mikko Turku sanoo, että kokonaisuutena asiakasvolyymi alalla on pysynyt samana, mutta asiakkaat näyttävät ohjautuvan eri tavalla kuin ennen.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Turku otaksuu, että tämä näkyy mahdollisuuksissa järjestää yöpäivystys.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Esimerkiksi Evidensian kohdalla potilasmäärät kenties ohjaavat arvioimaan, millä paikkakunnilla ja alueilla päivystyksen tarvetta on niin paljon, että se on kustannusten kannalta kannattavaa.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Julkisella puolella kannattavuus ei ohjaa toimintaa aivan niin paljon kuin yksityisellä puolella.</p><h2 class="sc-fUEImY epOJmm yle__article__heading yle__article__heading--2">Kunnissa ei pystytä vaativiin toimenpiteisiin</h2><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Suomalaisten lemmikkien terveydenhuolto toimii pääsääntöisesti hyvin, ja hoitoketjut ovat yleensä nopeita.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Herkästi alle viikossa päästään esimerkiksi luunmurtuman diagnosoinnista kirurgiaan. Se on todella lyhyt aika, jos verrataan esimerkiksi ihmisten hoitojonoihin, sanoo Mikko Turku.</p><figure class="sc-kJZLhT ersrhc yle__article__figure"><script type="application/ld+json">{"@id":"74-20112717","@context":"https://web.archive.org/web/20241002063554/https://schema.org","image":{"@type":"ImageObject","description":"Hämeessä matka päivystävään eläinsairaalaan piteni Vethausin päivystyksen loputtua. Silti matkat Etelä-Suomessa ovat aivan eri luokkaa kuin pohjoisessa, jossa ollaan kunnallisen päivystyksen varassa. Arkistokuva, heinäkuu 2024. ","copyrightHolder":"Simo Pitkänen / Yle","url":"https://web.archive.org/web/20241002063554/https://images.cdn.yle.fi/image/upload/ar_1.3335047570069427,c_fill,g_faces,h_575,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-123966265c37d0bcf296","keywords":"eläinlääkärit,Koira,Vesikoirat,henkilökuvat "}}</script><div class="sc-bKXUjo fTnZXj"><div class="sc-edsqmr chSZpd"><div class="sc-geoRQH cqQSHG"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/ar_1.3335047570069427,c_fill,g_faces,h_575,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1710183190/39-123966265c37d0bcf296 2x, https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/ar_1.3335047570069427,c_fill,g_faces,h_575,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710183190/39-123966265c37d0bcf296 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/ar_1.3335047570069427,c_fill,g_faces,h_476,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1710183190/39-123966265c37d0bcf296 2x, https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/ar_1.3335047570069427,c_fill,g_faces,h_476,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710183190/39-123966265c37d0bcf296 1x"/><img alt="Eläinlääkäri katsoo koiran korvaan." src="https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/c_crop,h_2913,w_5180,x_5,y_71/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710183190/39-123966265c37d0bcf296" class="sc-kEsJEW bUUeLL"/></picture></div><div class="sc-fXwCOG kLfXOk"><button aria-disabled="false" class="sc-ivxoEo sc-kLhKbu eByFLI hhnzet"><span class="sc-dpBQxM kZHGnn yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="sc-gohMHu infMfp"><span>Hämeessä matka päivystävään eläinsairaalaan piteni Vethausin päivystyksen loputtua. Silti matkat Etelä-Suomessa ovat aivan eri luokkaa kuin pohjoisessa, jossa ollaan kunnallisen päivystyksen varassa. Arkistokuva, heinäkuu 2024. </span><span> Kuva: Simo Pitkänen / Yle</span></figcaption></figure><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Tämä koskee yksityisiä eläinklinikoita ja -sairaaloita. Julkisella puolella kunnissa ei ole resursseja kaikkeen.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Pystytään antamaan hyvä kivunlievitys ja ensiapu, mutta mahdollisuuksia isoihin hätäleikkauksiin tai todella vaativiin toimenpiteisiin ei yleensä ole.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Eläintä ei voida ottaa seurantaan kunnaneläinlääkärin praktiikalle kuten yksityiseen eläinsairaalaan.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Kunnaneläinlääkäreitä on vain se yksi, joka joutuu mahdollisesti samana yönä lähtemään useampaan navettaan, sanoo Turku.</p><h2 class="sc-fUEImY epOJmm yle__article__heading yle__article__heading--2">Päivystäminen on raskasta</h2><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Päivystystyö on kuormittavaa, ja päivystävien kunnaneläinlääkäreiden rekrytointi on vaikeutunut. Näin sanoo Etelä-Suomen aluehallintoviraston läänineläinlääkäri <strong class="sc-dRlUCX gZPRaT yle__article__strong">Satu-Mari Lehti</strong> sähköpostitse.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Kuormittavuutta voidaan lievittää laajentamalla päivystysalueita, mikä vähentää päivystystiheyttä.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Toisaalta tämä voi tehdä päivystysvuoroista raskaampia, koska potilasmäärät voivat kasvaa suuriksi ja mahdolliset sairasmatkat pidentyvät.</p><figure class="sc-kJZLhT ersrhc yle__article__figure"><script type="application/ld+json">{"@id":"74-20112717","@context":"https://web.archive.org/web/20241002063554/https://schema.org","image":{"@type":"ImageObject","description":"Lehmien ja muiden hyötyeläinten päivystys on lähes kokonaan julkisen puolen vastuulla. Jotkut kaupungit ovat ostaneet pieneläinten päivystyspalvelut yksityiseltä toimijalta. ","copyrightHolder":"Ville Välimäki / Yle","url":"https://web.archive.org/web/20241002063554/https://images.cdn.yle.fi/image/upload/ar_1.50013044612575,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-135527466f6ab6096af0","keywords":"eläimet,lehmät,lypsykarjatilat,tuotantoeläimet,kotieläimet"}}</script><div class="sc-bKXUjo bxSlhr"><div class="sc-edsqmr chSZpd"><div class="sc-geoRQH cqQSHG"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/ar_1.50013044612575,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1727442501/39-135527466f6ab6096af0 2x, https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/ar_1.50013044612575,c_fill,g_faces,h_511,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1727442501/39-135527466f6ab6096af0 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/ar_1.50013044612575,c_fill,g_faces,h_423,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1727442501/39-135527466f6ab6096af0 2x, https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/ar_1.50013044612575,c_fill,g_faces,h_423,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1727442501/39-135527466f6ab6096af0 1x"/><img alt="Vasemmalla mustavalkoinen lehmä on työntänyt päänsä kaltereiden välistä ja syö rehua. Sen vieressä oikealla on ruskea lehmä, joka myös syö rehua maasta pihattokatoksen edestä. " src="https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/c_crop,h_3219,w_5749,x_0,y_0/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1727442501/39-135527466f6ab6096af0" class="sc-kEsJEW bUUeLL"/></picture></div><div class="sc-fXwCOG kLfXOk"><button aria-disabled="false" class="sc-ivxoEo sc-kLhKbu eByFLI hhnzet"><span class="sc-dpBQxM kZHGnn yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="sc-gohMHu infMfp"><span>Lehmien ja muiden hyötyeläinten päivystys on lähes kokonaan julkisen puolen vastuulla. Jotkut kaupungit ovat ostaneet pieneläinten päivystyspalvelut yksityiseltä toimijalta. </span><span> Kuva: Ville Välimäki / Yle</span></figcaption></figure><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Tilannetta voidaan Lehden mukaan mahdollisesti helpottaa jakamalla päivystysvuoroja alueiden kesken. Apuna voisi olla myös esimerkiksi niin sanottu takapäivystäjäjärjestely, jossa toinen eläinlääkäri voi kiiretilanteissa auttaa varsinaista päivystävää eläinlääkäriä.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Lopulta kysymys on kuntien käytössä olevista resursseista, Lehti kirjoittaa.</p><h2 class="sc-fUEImY epOJmm yle__article__heading yle__article__heading--2">Painetta yliopistolliseen eläinsairaalaan</h2><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Kiire lisääntyy Yliopistollisessa eläinsairaalassa, joka palvelee helsinkiläisiä ympäri vuorokauden. Se vastaanottaa päivystysaikaan myös Espoon, Kauniaisten sekä Kirkkonummen lemmikkejä.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Lisäksi se on läheteklinikka, jonne kunnaneläinlääkärit ja yksityiset eläinlääkärit lähettävät vaativia tapauksia eri puolilta Suomea.</p><figure class="sc-kJZLhT ersrhc yle__article__figure"><script type="application/ld+json">{"@id":"74-20112717","@context":"https://web.archive.org/web/20241002063554/https://schema.org","image":{"@type":"ImageObject","description":"Koira viipalekuvauksessa Kuopiossa eläinsairaalassa, joka on yksityisen verkoston pohjoisin päivystävä yksikkö. Pääosin yöaikaan ja viikonloppuisin päivystävät eläinklinikat sijaitsevat Etelä-Suomessa. Arkistokuva, 2022. ","copyrightHolder":"Timo Turpeinen / Yle","url":"https://web.archive.org/web/20241002063554/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/39-917018620f607321a07","keywords":"Yle Kuopio,Pohjois-Savo,Eläinsairaala,Kuopio,lemmikkieläimet,Lemmikkieläinpalvelut,Lemmikkieläimen hoito,Pienet lemmikkieläimet,Koti- ja lemmikkieläinten omistajat,Lemmikkieläinvakuutus"}}</script><div class="sc-bKXUjo lktuZr"><div class="sc-edsqmr chSZpd"><div class="sc-geoRQH cqQSHG"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20241002063554im_/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/v1645175541/39-917018620f607321a07 2x, https://web.archive.org/web/20241002063554im_/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/v1645175541/39-917018620f607321a07 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20241002063554im_/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/v1645175541/39-917018620f607321a07 2x, https://web.archive.org/web/20241002063554im_/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/v1645175541/39-917018620f607321a07 1x"/><img alt="Koira viipalekuvauksissa." src="https://web.archive.org/web/20241002063554im_/https://images.cdn.yle.fi/image/upload/c_crop,h_3510,w_6240,x_0,y_8/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1645175541/39-917018620f607321a07" class="sc-kEsJEW bUUeLL"/></picture></div><div class="sc-fXwCOG kLfXOk"><button aria-disabled="false" class="sc-ivxoEo sc-kLhKbu eByFLI hhnzet"><span class="sc-dpBQxM kZHGnn yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="sc-gohMHu infMfp"><span>Koira viipalekuvauksessa Kuopiossa eläinsairaalassa, joka on yksityisen verkoston pohjoisin päivystävä yksikkö. Pääosin yöaikaan ja viikonloppuisin päivystävät eläinklinikat sijaitsevat Etelä-Suomessa. Arkistokuva, 2022. </span><span> Kuva: Timo Turpeinen / Yle</span></figcaption></figure><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Yliopistollisen eläinsairaalan johtaja <strong class="sc-dRlUCX gZPRaT yle__article__strong">Susanna Peiponen</strong> sanoo, että yksityisten 24/7-päivystävien yksiköiden vähentyminen näkyi heillä päivystyspotilaiden määrän kasvuna jo Mevetin yöpäivystyksen sulkeuduttua.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Kun Vethaus sulkee ympärivuorokautisen päivystyksen, potilaita oletettavasti tulee siltäkin suunnalta enemmän yöaikaan ja pyhäisin.</p><div class="sc-lmsKoi kTULrw"><div></div></div><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Pieneläinsairaala hoitaa vuodessa noin 20 000 potilasta. Luvussa ovat mukana arkena ja päivystysaikaan hoidettavat eläimet. Välillä hoitoon pääsyä voi joutua odottamaan, koska potilaat hoidetaan kiireellisyysjärjestyksessä.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Ruuhkaisina hetkinä ensiarvioinnin perusteella potilaat, jotka eivät vointinsa vuoksi tarvitse hoitoa välittömästi yön aikana, saatetaan ohjata ottamaan uudelleen yhteyttä seuraavana päivänä.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">Susanna Peiponen toteaa, että tarve sairaalatasoiselle päivystyshoidolle ei ole poistumassa.</p><p class="sc-dwGkES sc-kUiVwB fmZXof jeOJHA yle__article__paragraph">– Jos mietitään trendejä, niin lemmikit elävät yhä pidempään ja ovat rakkaita, karvaisia perheenjäseniä. Ihmiset haluavat tarjota lemmikeilleen jatkossakin myös sairaalatasoista hoitoa.</p></section><footer class="yle__article__footer"><div><div class="sc-erSfwj efriDv"><a href="https://web.archive.org/web/20241002063554/https://yle.fi/t/18-213160/fi" aria-label="Lisää artikkeleita aiheesta Eläimet" class="sc-fIfZzT bfxBjg">Eläimet</a><a href="https://web.archive.org/web/20241002063554/https://yle.fi/t/18-205293/fi" aria-label="Lisää artikkeleita aiheesta Eläinlääkärit" class="sc-fIfZzT bfxBjg">Eläinlääkärit</a><a href="https://web.archive.org/web/20241002063554/https://yle.fi/t/18-23630/fi" aria-label="Lisää artikkeleita aiheesta Eläinlääkintä" class="sc-fIfZzT bfxBjg">Eläinlääkintä</a><div class="sc-iRVXky ksktgD"><button aria-label="Näytä kaikki aiheet" aria-disabled="false" class="sc-ivxoEo sc-ixGGxD ffFYDH IRmth"><span class="sc-khLCKb sc-keTIit eHnKRV cMPAuC yds-button__icon"><svg width="24" height="24" fill="none" viewbox="0 0 24 24" aria-hidden="true" class="sc-ljhlHD 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class="MinimalHeadlines__Index-sc-a86400a0-3 kVlpdl">1</div><div class="MinimalHeadlines__ListLine-sc-a86400a0-2 fGcnsc"></div></div></div><div class="MinimalHeadlines__Texts-sc-a86400a0-1 lclBqm"><a href="https://web.archive.org/web/20241002063554/https://yle.fi/t/18-217084/fi" data-testid="minimal-headline-tag" class="sc-fIfZzT kEtXGR">Oikeudenkäynnit</a><h3 class="Typography-sc-d683ebd5-0 bZWmLC link-accent"><a href="https://web.archive.org/web/20241002063554/https://yle.fi/a/74-20114145" class="MinimalHeadlines__Title-sc-a86400a0-6 gBluDb visitable-link">Pojalta varastettiin takki, äiti osti sen Snapchatista 200 eurolla – erikoinen välikohtaus oikeudessa</a></h3></div></li><li class="MinimalHeadlines__TriggeredItem-sc-a86400a0-0 kuOHCr"><div class="MinimalHeadlines__BulletContainer-sc-a86400a0-7 frBTDL"><div class="MinimalHeadlines__BulletCell-sc-a86400a0-8 cVdqqb"><div aria-hidden="true" class="MinimalHeadlines__Index-sc-a86400a0-3 kVlpdl">2</div><div 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Taloudellinen paine on pakottanut yksityiset miettimään päivystyksen jatkoa.","type":"text"},{"text":"Ympärivuorokautisesti päivystävien yksityisten eläinlääkäriasemien määrä vähenee. Niitä on Suomessa enää kymmenen, joista neljä sijaitsee pääkaupunkiseudulla.","type":"text"},{"text":"Evidensia-ketjun eläinsairaala Vethaus Hämeenlinnassa oli jo toinen yksityinen klinikka, joka tänä vuonna [ilmoitti sulkevansa yöpäivystyksen](https:\u002F\u002Fyle.fi\u002Fa\u002F74-20111254).","type":"text"},{"text":"Kustannukset ovat nousseet, ja 24\u002F7-päivystys tulee yritykselle entistä kalliimmaksi. On myös vaikeaa löytää eläinlääkäreitä ja hoitajia yö- ja viikonlopputyöhön.","type":"text"},{"text":"Vethausin päätös lisää todennäköisesti asiakaspainetta alueen kunnaneläinlääkäreiden lisäksi Tampereen ja pääkaupunkiseudun yksityisille päivystyksille. Vethaus oli ainoa ympäri vuorokauden avoinna oleva eläinsairaala Kanta-Hämeessä, jossa on noin 90 000 kotitaloutta.","type":"text"},{"alt":"Kartalla Suomen 24\u002F7 auki olevat yksityiset eläinlääkäriasemat. Suurin osa kuuluu Evidensia-ketjuun.","infogramId":"f1744a51-7312-4167-9478-fd7807b7f35b","type":"infogram"},{"text":"Yöpäivystyksen sulkemisen taustalla on asiakkaiden väheneminen. \n– Kysyntä on laantunut, vahvistaa Evidensian toimitusjohtaja **Antti Kuosmanen** sähköpostitse Ylelle.","type":"text"},{"text":"Aiemmin ympärivuorokautisesta päivystyksestä luopui samaan ketjuun kuuluva Mevet Helsingistä. Kuosmasen mukaan tarpeelliset muutokset ketjun sairaalaverkostoon on tällä erää tehty.","type":"text"},{"text":"Lehmä menee koiran ohi","level":2,"type":"heading"},{"text":"Kunnaneläinlääkärit päivystävät, joten Etelä-Suomessa kiireellinen eläinlääkäriapu on lähes kaikkialla saatavilla kohtuullisen etäisyyden päässä. Se on eläinlääkintähuollon valtakunnallisen ohjelman mukaan alle 100 kilometriä.","type":"text"},{"text":"Suomen eläinlääkäriliiton puheenjohtaja **Mikko Turku** kertoo, että kaikkien eläinten tarvitsema apu on varmistettu eläinlääkintähuoltolailla.","type":"text"},{"text":"Kunnilla, kuntayhtymällä tai joissain tapauksissa hyvinvointialueella on velvollisuus järjestää järjestää ensiapuluonteinen hoito.","type":"text"},{"text":"– Tietenkin on hoitojonoja, aivan kuten ihmispuolella. Potilaat hoidetaan kiireellisyysjärjestyksessä. Esimerkiksi jos on hengitysvaikeuksia tai eläin on todella vakavasti loukkaantunut, tapaus menee menee jonon ohi.","type":"text"},{"displayStyle":"normal","alt":"mustavalkoinen lehmä katsoo kameraan ilmeikkään näköisenä. Lehmä seisoo pihattokatoksessa ja on työntänyt päänsä rautatankojen välistä syödäkseen rehua. Taustalla näkyy ruskea lehmä ja muita lehmiä. ","source":"Ville Välimäki \u002F Yle","aspect":1.5,"caption":"Tuotantoeläimet ovat osa yritystoimintaa, ja laki määrittelee, että ne menevät kunnallisella puolella lemmikkien ohi hoitojonossa.","id":"39-135526966f6ab296d028","type":"image","alts":[{"language":"fin","value":"mustavalkoinen lehmä katsoo kameraan ilmeikkään näköisenä. Lehmä seisoo pihattokatoksessa ja on työntänyt päänsä rautatankojen välistä syödäkseen rehua. Taustalla näkyy ruskea lehmä ja muita lehmiä. 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Mikko Turku sanoo, että kokonaisuutena asiakasvolyymi alalla on pysynyt samana, mutta asiakkaat näyttävät ohjautuvan eri tavalla kuin ennen.","type":"text"},{"text":"Turku otaksuu, että tämä näkyy mahdollisuuksissa järjestää yöpäivystys.","type":"text"},{"text":"– Esimerkiksi Evidensian kohdalla potilasmäärät kenties ohjaavat arvioimaan, millä paikkakunnilla ja alueilla päivystyksen tarvetta on niin paljon, että se on kustannusten kannalta kannattavaa.","type":"text"},{"text":"Julkisella puolella kannattavuus ei ohjaa toimintaa aivan niin paljon kuin yksityisellä puolella.","type":"text"},{"text":"Kunnissa ei pystytä vaativiin toimenpiteisiin","level":2,"type":"heading"},{"text":"Suomalaisten lemmikkien terveydenhuolto toimii pääsääntöisesti hyvin, ja hoitoketjut ovat yleensä nopeita.","type":"text"},{"text":"– Herkästi alle viikossa päästään esimerkiksi luunmurtuman diagnosoinnista kirurgiaan. Se on todella lyhyt aika, jos verrataan esimerkiksi ihmisten hoitojonoihin, sanoo Mikko Turku.","type":"text"},{"displayStyle":"normal","alt":"Eläinlääkäri katsoo koiran korvaan.","source":"Simo Pitkänen \u002F Yle","aspect":1.3335047570069427,"caption":"Hämeessä matka päivystävään eläinsairaalaan piteni Vethausin päivystyksen loputtua. Silti matkat Etelä-Suomessa ovat aivan eri luokkaa kuin pohjoisessa, jossa ollaan kunnallisen päivystyksen varassa. Arkistokuva, heinäkuu 2024. ","id":"39-123966265c37d0bcf296","type":"image","alts":[{"language":"fin","value":"Eläinlääkäri katsoo koiran korvaan."},{"language":"swe","value":"En veterinär kontrollerar en hunds öra. 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Julkisella puolella kunnissa ei ole resursseja kaikkeen.","type":"text"},{"text":"– Pystytään antamaan hyvä kivunlievitys ja ensiapu, mutta mahdollisuuksia isoihin hätäleikkauksiin tai todella vaativiin toimenpiteisiin ei yleensä ole.","type":"text"},{"text":"Eläintä ei voida ottaa seurantaan kunnaneläinlääkärin praktiikalle kuten yksityiseen eläinsairaalaan.","type":"text"},{"text":"– Kunnaneläinlääkäreitä on vain se yksi, joka joutuu mahdollisesti samana yönä lähtemään useampaan navettaan, sanoo Turku.","type":"text"},{"text":"Päivystäminen on raskasta","level":2,"type":"heading"},{"text":"Päivystystyö on kuormittavaa, ja päivystävien kunnaneläinlääkäreiden rekrytointi on vaikeutunut. Näin sanoo Etelä-Suomen aluehallintoviraston läänineläinlääkäri **Satu-Mari Lehti** sähköpostitse.","type":"text"},{"text":"Kuormittavuutta voidaan lievittää laajentamalla päivystysalueita, mikä vähentää päivystystiheyttä.","type":"text"},{"text":"– Toisaalta tämä voi tehdä päivystysvuoroista raskaampia, koska potilasmäärät voivat kasvaa suuriksi ja mahdolliset sairasmatkat pidentyvät.","type":"text"},{"displayStyle":"normal","alt":"Vasemmalla mustavalkoinen lehmä on työntänyt päänsä kaltereiden välistä ja syö rehua. Sen vieressä oikealla on ruskea lehmä, joka myös syö rehua maasta pihattokatoksen edestä. ","source":"Ville Välimäki \u002F Yle","aspect":1.50013044612575,"caption":"Lehmien ja muiden hyötyeläinten päivystys on lähes kokonaan julkisen puolen vastuulla. Jotkut kaupungit ovat ostaneet pieneläinten päivystyspalvelut yksityiseltä toimijalta. ","id":"39-135527466f6ab6096af0","type":"image","alts":[{"language":"fin","value":"Vasemmalla mustavalkoinen lehmä on työntänyt päänsä kaltereiden välistä ja syö rehua. Sen vieressä oikealla on ruskea lehmä, joka myös syö rehua maasta pihattokatoksen edestä. 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