1 / 7

Position of the primary care in the care for elderly in Slovakia

Position of the primary care in the care for elderly in Slovakia. www.vpl.sk. Peter Liptak, Iveta Vaverkova , Jana Bendova, Peter Pekarovic Slovak Society of General Practice SkMA EFPC Conference Pisa 31.08.2010. Slovakia. Fate of chronic polymorbid elderly patient in Slovakia. D I A

justina-pearson
Télécharger la présentation

Position of the primary care in the care for elderly in Slovakia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Positionoftheprimarycarein thecareforelderlyin Slovakia www.vpl.sk Peter Liptak, Iveta Vaverkova, Jana Bendova, Peter PekarovicSlovak Society of General Practice SkMA EFPC Conference Pisa 31.08.2010

  2. Slovakia

  3. Fateofchronicpolymorbidelderlypatient in Slovakia D I A B E T O L Ó G I S T GERIATRICIAN P S Y C H I A T R IST I N F E C T O L ÓG I S T INTERNIST A LLERGOLO GI S T N E U R O L Ó G I S T PNEUM OLÓGIST C A R DI O L ÓG I S T ☻ ... SPECIALISTS – DISPENSARISATION CARE no power(no competences) GP - P H C - Chronicpolymorbidelderlypatient This patient is early exhausted. In the best case he ends up in a good private institution for elderly - outside of community. Too expensive and inefficient care. Insufficient public health care.

  4. Pim´s questions... b? homevisits by GP's, nurses and otherhealthworkers in order to prevent or recognizeearlydeteriorationofthehealthofelderlypeople? ThenumberofGP´shomevisitsisreduced. Homevisits are notsupported by paymentsfrominsurancecompaniesneither by policyofhealthcaresystem. GP withoutcompetences in hisofficeisn´tmotivated to providehomecare.Nurses do thehomevisitsrarely. In thepast - one GP used to have 2 nurses – oneforhomevisits. Thissystemisnotsupportedanymore. Independenthomenursingcareagenciesoperate in thecommunitywithlimitedcompetencies, humanaswellasfinancialrecouces. a? in howfar do geriatricians/specialistsin elderlycareoperateinprimarycare? Do theyassist/trainGP's, do theyoperate in parallel to GP's? Theyoperate in parallel to GPs, Theyhavecompetences, buttheydon´toperate in community in primarycare. Thereis a meaningfulcoordinationwithGPsmissingCoordination is assuredviatransportingpatients to geriatricians/specialists officeswithambulances or otherwise. Often, thisprocessemploysthewholefamily... c? preventionoffallsathome (falls are animportantcauseofdisability and dependence) - doesprimarycareplay a role?Identicalwith b)

  5. Privateinstitutionsforelderly are trendy...outsideofcommunity, outsideof PHC... expensive – ineffective - insufficient Primary care as a hub of coordination? SLOVAKIAPoliticians prefer business/market models in healthcare for elderly...

  6. Thistroubleshootingrequires a veryentusiasticpeople XXXI. Annualconference in Bojnice 21 – 23 October 2010 We are invitingyou...

  7. Thank you for your attention!

More Related