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"Terveydenhuoltolain 45 \u00a7:n mukaan leikkaustoiminta, joka edellytt\u00e4\u00e4 leikkaussaliolosuhteita ja anestesiaa, tulee kokonaisuudessaan koota niihin sairaaloihin, joissa on ymp\u00e4rivuorokautinen perusterveydenhuollon ja erikoissairaanhoidon yhteisp\u00e4ivystys. Lains\u00e4\u00e4d\u00e4nt\u00f6 ei siten mahdollista t\u00e4ss\u00e4k\u00e4\u00e4n tapauksessa leikkaustoiminnan harjoittamista Forssan sairaalassa tai Kanta-H\u00e4meen keskussairaalan Riihim\u00e4en yksik\u00f6ss\u00e4. ",
"Kanta-H\u00e4meen keskussairaalan tilojen ulkopuolella teht\u00e4v\u00e4n leikkaustoiminnan tulee tapahtua H\u00e4meenlinnan kaupungin alueella, jotta hoito on saavutettavuudeltaan verrannollista Kanta-H\u00e4meen keskussairaalassa toteutettuun leikkaushoitoon. H\u00e4meenlinnassa toteutettuna toiminta on mahdollista Kanta-H\u00e4meen keskussairaalan p\u00e4ivystysvalmiuteen tukeutuen. ",
"",
"Mahdollisuutta leikkaussalipalvelun tuottamiseen selvitettiin Pihlajalinnasta, Terveystalosta ja Mehil\u00e4isest\u00e4. N\u00e4ill\u00e4 toimijoilla on H\u00e4meenlinnassa toimipisteet, joissa tehd\u00e4\u00e4n eri tasoisia toimenpiteit\u00e4. Paikallisista palveluntuottajista Pihlajalinna ja Terveystalo eiv\u00e4t pysty tarjoamaan leikkaus-salipalvelua hoitajineen ja anestesial\u00e4\u00e4k\u00e4reineen. Mehil\u00e4inen sen sijaan pystyy t\u00e4m\u00e4n palvelun tarjoamaan. ",
"",
"Julkisista hankinnoista ja k\u00e4ytt\u00f6oikeussopimuksista annetun lain 40 \u00a7:n mukaan hankintayksikk\u00f6 voi valita suorahankinnan, jos teknisest\u00e4 syyst\u00e4 vain tietty toimittaja voi toteuttaa hankinnan. Lis\u00e4edellytyksen\u00e4 on, ett\u00e4 j\u00e4rkevi\u00e4 vaihtoehtoisia tai korvaavia ratkaisuja ei ole eik\u00e4 kilpailun puuttuminen johdu hankinnan ehtojen keinotekoisesta kaventamisesta. K\u00e4sill\u00e4 olevassa tilanteessa hankinta on leikkaustoimintaan kohdistuvien lain-s\u00e4\u00e4d\u00e4nn\u00f6llisten vaatimusten, keskussairaalan p\u00e4ivystystoimintaan tukeutumisen ja leikkaustoiminnan k\u00e4yt\u00e4nn\u00f6n j\u00e4rjestelyjen vuoksi mahdollista tehd\u00e4 vain Mehil\u00e4inen Oy:n H\u00e4meenlinnan toimipisteess\u00e4.",
""
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