Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology WIDER Transnational

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



GERONTOLOGICAL CENTERS (out institutional care) –

CROATIAN MODEL OF SUCCESSFUL PRACTICEand SMART HOUSING FOR

ELDERLY





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


gerontologiju



gerontologiju




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



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.



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.



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



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)





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.



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.



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.



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.



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.



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



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



Gerontological centers as noninstitutional care for

elderly can bewithin old people's homes

(but not necessarily)



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.



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.



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



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)



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



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



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



IMPORTANCE OF CONTINUING

EDUCATION in gerontology, geriatrie and geriatrics

nursing health care



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)



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.



83-year-old gymnast

Documents

Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology WIDER Transnational