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Health and Ageing Risk and Uncertainty in National Network for Integrated Continuous Care. School of Social and Political Sciences Technical University of Lisbon. JUSTIFICAÇÃO DO OBJECTO. Background: - PowerPoint PPT Presentation
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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 parameterization
Background:
Risk and Uncertainty in National Network for Integrated Continuous Care
OBJECTIVOS DA INVESTIGAÇÃO
3
• 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
5
•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
6
•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
7
•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
:
8
•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
9
•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