Upload
jessie-willis
View
215
Download
0
Tags:
Embed Size (px)
Citation preview
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
WIDERTransnational Capitalisation Event:Central European Transfer Seminar
Eco-Smart Housing for Elderly
Prim PhD S. Tomek-Roksandić,PhD N.Tomasović Mrčela, MD Z. Šostar et all
Trieste, 14 May 2015
Smart Housing for Elderly
ensure an older person to stay in his home and in his local community
as long as possible
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
GERONTOLOGICAL CENTERS (out institutional care) –
CROATIAN MODEL OF SUCCESSFUL PRACTICEand SMART HOUSING FOR
ELDERLY
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
0-29 30-49 50-64 65+0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
33.78%
27.40%
21.12%
17.70%
35.84%
28.55%
21.27%
14.33%
31.86%
26.32%
20.98% 20.84%
Population aged 65 and over in Croatia (2011)
Ukupno Muškarci Žene DZS i CZG ZJZ "Dr. Andrija Štampar"
Referentni centar Ministarstva zdravlja RH za zaštitu zdravlja starijih osoba - Centar za zdravstvenu
gerontologiju
Izvor: http://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf
Referentni centar Ministarstva zdravlja RH za zaštitu zdravlja starijih osoba - Centar za zdravstvenu
gerontologiju
Izvor: http://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf
Referentni centar Ministarstva zdravlja RH za zaštitu zdravlja starijih osoba - Centar za zdravstvenu
gerontologiju
Izvor: http://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Gerontology(Gr. gerōn = old man; Gr. logos = word,reason)Multidisciplinary science on biological, psychological and social aspects of aging and old age. Practical application in gerontologic-public health service. Elie Metchnikoff from Pasteur's Institute in Paris was the first to use the term in 1903 in his biological study of aging. In Croatian his Gerontology is a sub-specialization of public health specialization
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Centers of GerontologyCenters of Gerontology have been established
at Public Health Institutes (PHI) of particular Croatian counties, City of Zagreb and Republic of Croatia, to perform gerontologic-public health service (Official Gazette 126/06), according to the Program of monitoring, studying, evaluation, reporting, health care needs and functional ability of the elderly, proposing the Program of measures and procedures in health care of the elderly and Program of primary, secondary and tertiary prevention for the elderly.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Gerontologic team at the Center of Health-Gerontology, Zagreb PHI, has a standard catchment population of 30,000 elderly aged ≥65. Gerontologic-public health team consists of various professionals: specialist in public health/epidemiology – gerontologist, registered nurse/occupational therapist for the elderly, and gerontologic-health care statistician.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Gerontology Center The service of Gerontology Center covers non-institutional care for the elderly. Gerontology Centers perform programs of primary prevention for the elderly; ensure daily assistance, care and rehabilitation; continuous physical, mental and occupational activities; cultural events and enterainment; recreational activities; psychological, medical, social and legal counseling; geronto-service and geronto-hosts; day-care for the elderly; meals on wheels; orthopedic and other aid rental shop for the elderly. The main objective is to enable the elderly stay at home with the family as long as possible.
Croatia is facing a rapidly aging population - the population aged 65 and over now makes up more than 17,7 % of the population (2011) it’s important to offer the elderly population a lot of opportunities for active and healthy ageing at the out institutional/GERONTOLOGICAL CENTERS
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Old people’s homes aren’t always the best
solution!
DO NOT FORCE an older person to live at an old people’s home if he actually doesn't
want to!
old people's home
Red.br. ŽUPANIJE I GRAD ZAGREB
Old people’s home / DOMOVI ZA STARIJE – 2014.g.
DRŽAVNI (OSNIVAČ
RH)
DECENTRALI-ZIRANI
DRUGI OSNIVAČI
UKUPVNO DOMOVA
UKUPNO DOMSKIH
KORISNIKA PO
POJEDINOJ ŽUPANIJI**
postotak korisnika po pojedinim
županijama
1 GRAD ZAGREB - 10 24 34 4607 30,272 ZAGREBAČKA - - 14 14 469 3,08
3BJELOVARSKO-BILOGORSKA - 1 4
5 359 2,364 BRODSKO-POSAVSKA - 1 1 2 280 1,84
5DUBROVAČKO-NERETVANSKA 2 4 -
6
443
2,916 ISTARSKA - 4 3 7 714 4,697 KARLOVAČKA - 1 2 3 303 1,99
8KOPRIVNIČKO-KRIŽEVAČKA - 1 3
4
388
2,559 KRAPINSKO-ZAGORSKA - - 4 4 384 2,52
10 LIČKO-SENJSKA - 1 - 1 353 2,3211 MEĐIMURSKA - 1 7 8 591 3,8812 OSJEČKO-BARANJSKA - 3 6 9 942 6,1913 POŽEŠKO-SLAVONSKA - 2 2 4 388 2,5514 PRIMORSKO-GORANSKA - 4 5 9 955 6,2715 SISAČKO-MOSLAVAČKA - 2 1 3 423 2,7816 SPLITSKO-DALMATINSKA - 4 13 17 1317 8,6517 ŠIBENSKO-KNINSKA 1 2 - 3 473 3,1118 VARAŽDINSKA - 1 6 7 825 5,4219 VIROVITIČKO-PODRAVSKA - - 3 3 114 0,7520 VUKOVARSKO-SRIJEMSKA - 2 2 4 525 3,4521 ZADARSKA - 1 - 1 368 2,42
HRVATSKA UKUPNO 3 45 100 148 15221 100.00
STRUKTURA UDJELA KORISNIKA DOMOVA ZA STARIJE PO ŽUPANIJAMA HRVATSKE (N= 15.221 / 2%) , 2014.G.*
AIMMaintain functional ability of
elderly people to
ensure them to stay at home / ECO SMART as
long as possible
GERONTOLOGICAL CENTERS
(outinstitutional care)
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Basic aim: keep an old person in his home and so in his local community
as long as possible and to ensure him an active way of life
and therefore also active and healthy ageing
1. Gerontological center ensures immediate care in
health protection of functionally active and functionally disabled
elderly in the local community /ECO SMART
Housing for elderly where old people live and create.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
2. Gerontological center is a center of coordinative
multiprofessional activities in choosing measures from the
Programme of primary, secondary and tertiary prevention for the elderly in the local community
where old people live and create.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
3. Gerontological center is the central meeting place of the elderly for the promotion and prevention of risk factors for sick aging, place of constant physical, psychical and working activities of the elderly,
teaching, reeducation and reintegration of older and younger people in the care for the elderly.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
4. Gerontological center ensures interdisciplinary approach and
coordinate activity, efficacy, rationality, systematics and
programming in integral activity of various carriers of health and
social care for the elderly.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
5. Gerontological centers are centers of gerontological
continuous education for older and younger people about old age and ageing as well as mini-educational
and creative institutions for the preparation of people for retirement
and old age.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Gerontological centers ensure everyday help, care and rehabilitation for the elderly living in their own homes
the provide daily stay, offer adequate services according to the Programme of primary, secondary and tertiary prevention for the eldery
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
permanent physical recreation, creative working and cultural activities together with health, psychological and economic advisory services
professional teams carry out all the necessary actions for detection and systematic care of the elderly
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Gerontological centers as noninstitutional care for
elderly can bewithin old people's homes
(but not necessarily)
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Zagreb started in 2004 with 4 Gerontological centers. In the
meanwhile there are, because of the big success and demand for it, 13 Gerontological centers in Zagreb and in the entire Croatia
there are 116 Gerontological centers.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Development of gerontological centers, promotion of outinstitutional care for
the elderly in their local community and infrastructure connection with old
people's homes allows resistance to the present passivity and social
isolation (loneliness) of the elderly to healthy active and productive ageing of
Croatian old population.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
GeroS / CEZIH (Central Health Information System of the Rebublic of Croatia)
SUBSYSTEM FOR MONITORING AND EVALUATION OF HEALTHCARE NEEDS
AND FUNCTIONAL ABILITY OF GERONTOLOGIC INSUREES AND
GERIATRIC PATIENTS
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
Source: Croatian Institute of Health Insurance and Department of Health Gerontology, Dr Andrija Štampar Institute of Public Health Teaching Unit (CIHI and DHG, Dr Andrija Štampar IPHTU)
GeroS
computerization of the geriatric healthcare at all three levels of primary healthcare for the elderly
enables rationalization of the rising geriatric healthcare cost and upgrading of healthcare for the elderly
enables monitoring, study, evaluation, reporting and planning of the healthcare needs and functional ability of the elderly (institutional as well as outinstitutional care)
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
GeroS includes the following entities:
primary health care specialist consulting healthcare hospital healthcare and long term/paliativgeriatrics treatment old people's homes and social and health care centers
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
GeroS allows regular revision of the list of drugs used by a geriatric patient (age 65+)
GeroS enables gerontologic NONduplication (NONoverlapping) and differentiation of healthcare procedures
Nutritional gerontologic standards for the elderly are also included as a link in GeroS
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
GeroS will detect gerontologic problems and geriatric difficulties in healthcare of the elderly via link to healthcare system and social welfare system Rationalization through GeroS enables development of focused gerontologic public health programs
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
IMPORTANCE OF CONTINUING
EDUCATION in gerontology, geriatrie and geriatrics
nursing health care
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
THE WORLD BELONGS TO THE YOUNG PEOPLE, BUT IT EXISTS THANKS TO THE
OLDER PEOPLE !
NA MLADIMA SVIJET OSTAJE A NA STARIJIMA OPSTAJE !
Die Gegenwart der Welt ruht in den Armen der Älteren, die Zukunft der Welt liegt in
den Händen der Jugend !
AIMMaintain functional ability of
elderly people to
ensure them to stay at home / ECO SMART
HOUSING for ELDERLY as long as possible
GERONTOLOGICAL CENTERS
(outinstitutional care)
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
OLD AGE IS NOT A DISEASE but a normal physiological phenomenon
and definitive perspective of every human, dependent on the genome of
ageing acquiring favorable health behavior during the process of ageing.
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of
Croatia – Department of Health Gerontology
83-year-old gymnast