Cent Eur J Public Health 2009, 17(3):128-132 | DOI: 10.21101/cejph.a3524

Analysis of Long Term Care in the Context of Social and Health Services in Social Institutional Facilities in Slovakia

Mário Ležovič
Department of Health Policy and Health Economy, Faculty of Public Health, Slovak Medical University, Slovakia

Objectives: Long-term care for people with chronic illnesses and disabilities present an urgent challenge around the world. Existing systems of care, which typically rely on unpaid family members, are not by themselves enough to meet growing demands. This analysis includes survey on the structure of services provided in selected social facilities in Slovakia.

Methods: The survey on structure of provided services includes social facilities providing services to the target groups involved in this analysis: Elderly people in retirement age; Disabled and chronically ill citizens in working age. For data collection from social facilities we used questionnaire method. The data were obtained from the managements of these facilities (n=405).

Results: In social facilities, the age range of clients was 76-85 years (31%); the length of stay of a patient in a social facility was in 36% patients 11 years and longer. The most frequently performed activities in employees were related to services and activities (31%) and social care (30%). For 52% social facilities is waiting time 1 year and longer. The length of stay of patient in social facilities is affected in 83% by combination of health and social problems and as to the diagnosis structure the most prevalent conditions are ischemic heart diseases, heart attack, hypertension (39%), locomotor disease (36%). In 2006 the budget resources of social facilities were in 72% contributions from the state budget.

Conclusion: Long-term care is closely interlinked with other programmes and systems, which can reduce the need for long-term care or which complement it.

Klíčová slova: elderly people, chronically ill, long term care, social care, health care, health services

Vloženo: 24. říjen 2008; Revidováno: 30. březen 2009; Přijato: 30. březen 2009; Zveřejněno: 1. září 2009  Zobrazit citaci

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Ležovič M. Analysis of Long Term Care in the Context of Social and Health Services in Social Institutional Facilities in Slovakia. Cent Eur J Public Health. 2009;17(3):128-132. doi: 10.21101/cejph.a3524. PubMed PMID: 20020601.
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    Reference

    1. Noro AM, Häkkinen UT, Laitinen OJ. Determinants of health service use and expenditure among the elderly Finnish population. Eur J Public Health. 1999;9(3):174-80. Přejít k původnímu zdroji...
    2. Lovell M. Caring for the elderly: changing perceptions and attitudes. J Vasc Nurs. 2006 Mar;24(1):22-6. Přejít k původnímu zdroji... Přejít na PubMed...
    3. Larizgoitia I. Evaluating long-term care: approaches to evaluating LTC systems. In: Brodsky J, Habib J, Hirschfeld MJ, editors. Key policy issues in long-term care. Geneva: WHO; 2003. p. 227-42.
    4. Lezovic M, Dzundova Z, Kovac R, Raucinova M. Long-term care as an urgent challenge. Bratisl Lek Listy. 2007;108(3):161-2. Přejít na PubMed...
    5. World Health Organization. Current and future long-term care needs. Geneva: who; 2002.
    6. Organisation for Economic Co-operation and Development. Projecting OECD health and long-term care expenditures: what are the main drivers? Economics Department Working Papers no. 477. Paris: OECD; 2006.
    7. Lezovic M, Kovac R. Comparison of long-term care in European developed countries to possible implementation in Slovakia. Bratisl Lek Listy. 2008;109(1):20-4. Přejít na PubMed...
    8. Organisation for Economic Co-operation and Development. Long-term care for older people. Paris: OECD; 2005.
    9. Brodsky J, Habib J, Hirschfeld MJ. Key policy issues in long-term care. Geneva: WHO; 2003.
    10. Brodsky J, Habib J, Mizrahi I. Long-term care laws in five developed countries: a review. Geneva: WHO; 2000.
    11. Lezovic M, Raucinová M, Kovác A, Moricová S, Kovác R. Long-term care in developed countries and recommendations for Slovak Republic. Cent Eur J Public Health. 2008 Mar;16(1):21-5. Přejít k původnímu zdroji...
    12. Topinková E. Health care services for the elderly in Czech Republic: new trends and future development. Cent Eur J Public Health. 1994 Dec;2(2):118-21.
    13. Van den Bos GA. The burden of chronic diseases in terms of disability, use of health care and healthy life expectancies. Eur J Public Health. 1995;5(1):29-34. Přejít k původnímu zdroji...
    14. Nihtilä EK, Martikainen PT, Koskinen SV, ReunanenAR, NoroAM, Häkkinen UT. Chronic conditions and the risk of long-term institutionalization among older people. Eur J Public Health. 2008 Feb;18(1):77-84. Přejít k původnímu zdroji... Přejít na PubMed...
    15. Gulis G, Korcova J, Letanovsky P, Marcinkova D. Transition and public health in the Slovak Republic. BMJ. 2005 Jul 23;331(7510):213-5. Přejít k původnímu zdroji...

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