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Health and Ageing
Risk and Uncertainty in National Network for Integrated Continuous Care
Joint World Conference on Social Work and Social Development:Action and Impact 11 July 2012, Stockholm, Sweden
Jorge Lopes da Costa Researcher and Clinic social worker
School of Social and Political Sciences Technical University of
Lisbon
JUSTIFICAÇÃO DO OBJECTO
2
•Distinction between possibility and
reality (risk);
•Risk as a continuum which never
ceases;
•Ability of organisations to plan and
act upon situations of uncertainty;
•Risk as an instrument of social control
and surveillance over the territory
and over populations
•New concept of solidarity (diagnosed
and introduced by empirical facts) –
risk parameterizationBackground:
Risk and Uncertainty in National Network for Integrated Continuous Care
OBJECTIVOS DA INVESTIGAÇÃO
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• Evaluation of the Integrated
Continuous Care Network (RNCCI), in
light of risks and uncertainties of the
national policy.
MAIN OBJECTIVE
METHODS:
Collection and processing data
Theoretical basis InductivQualitative approach
Documentalanalysis
Depth InterviewsContent analysis
PRINCIPAIS C
RESULTS
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•Aging and dependence carry with it, a host of
other problems such as proliferation of
chronic diseases and the onset of multiple
comorbidities.
•The effects of demographic change and
potentiate the global costs of Long term care;
•Portugal will be the 4th country in European
Union with the highest percentage of elderly
(31,9%);
•Decreasing in deaths and live births
simultaneously (increment the dependence
ratio of elderly).
Between chronic disease
and family burden
The weight of demographic
factors
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•New social facilities are need for strategic
areas (mental health and palliative care);
•Skilled professionals/differentiation of care
including a more diversified number of
health professionals (reabilitations
physicians, phsyiotherapists, social
workers);
•Training to keep the guarantee quality
standards.
The balance between
structure and human
resources
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•It is important that the role of state in all its
functions could focus on the Long term care/NHS
continuing care over investment in the hospital
sector
•Diversity of funding and proper mix of
services( formal and informal) as the best
prescription for future sustainability
(Un) Sustainability of
National Network -RNCCI
:
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•Monitoring at the base of continuing care
supply;
•The prediction of the need of Continuous Care
over times requires an investment in studies,
surveys and audits that allow valid comparisons;
• It can be possible monitorize the evolution of
dependent and vulnerable people (eg. Cancer
and chronic diseases patients)
Demand and Supply of
RNCCI
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•The concerns about sustainnability of
continuing care has been related to the diversity
of funding and the appropriate combination of
services by formal and informal caregivers
•To overcome the unpredictability of demand
and supply of continuous care the importance
of studies is emphasized. These are often
supported by external evaluations that will
redirect existing answers to create more
adjusted measures.
Conclusions
