scholarly journals Háziorvosok és idősellátás egy kérdőíves kutatás tükrében

2018 ◽  
Vol 159 (8) ◽  
pp. 312-319
Author(s):  
Anett Mária Tróbert ◽  
Zsuzsanna Széman
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Social Care ◽  
The Elderly ◽  
Care Process ◽  
Efficient Operation ◽  
Health And Social Care ◽  
Care Systems ◽  
Care System

Abstract: According to statistical data, the number of healthy life years is not increasing in proportion with the longer average life expectancy. In the ageing societies, the long-term care systems are increasingly overburdened; cost-efficient operation and the related coordination of services is one of the key questions for their sustainability. The present separation of the health care and social care systems causes numerous difficulties. One aim of the online research by questionnaire was to survey the attitude of general practitioners – who play a very important part in care for the elderly – towards their elder patients, the patients’ family members, and social workers providing eldercare. The other aim was to gather information on shortcomings experienced by doctors in the care system and on what possibilities general practitioners see for the improvement of eldercare. Semi-structured questionnaires were applied and analysed by descriptive and content methodology. The questionnaires were sent out to 5060 addresses around the country: a total of 145 were returned filled in. The respondents made many recommendations for the improvement of eldercare in the categories of development of social services, family support, development of health services, and societal cooperation. The areas in need of development named by the general practitioners are closely interrelated: the reform of social care would support the health care system and vice versa. More effective operation of the health and social care systems would ease the burdens of families, and at the same time encourage more active participation of families in the care process. And the systematic education of society and communities is a long-term investment that would strengthen a positive attitude towards old age and a value-oriented view of the ageing process that is one of the basic conditions for successful social integration of the elderly. Orv Hetil. 2018; 159(8): 312–319.

Future Development of Medical Informatics from the Viewpoint of Health Telematics

2009 ◽  
Vol 48 (01) ◽  
pp. 55-61 ◽  
Author(s):  
K. P. Pfeiffer
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Information And Communication Technology ◽  
Medical Informatics ◽  
Communication Technology ◽  
Social Care ◽  
Care Process ◽  
Health And Social Care ◽  
Care Systems ◽  
Information And Communication

Summary Objectives: The transformation process of the health care systems in most countries in direction of integrated care needs the support of information and communication technology. The central element of this development is the electronic health care record. But there are many other applications around this record and the functionality and usability of these systems has to be improved and extended. Methods: A system-analytic approach to integrated care is used to analyze the possibilities and the role of information and communication technology in current and future health and social care systems. Results: The key elements of the improvements in the next years are the integration of evidence-based knowledge in the care process, the improvement of the usability for patients and health care providers, the development of pro-active systems for decision support, the support of the mobility of patients and the activities of daily living, the integration of data form molecular biology, semantic interoperability and last but not least the processing and analysis of these data. In a series of tables requirements of the functionality of eHealth applications are summarized. Conclusion: Research in medical informatics has to focus on strategic concepts and how to transform the demands of a modern integrated health and social care system into user-friendly, secure and efficient ICT solutions and to support the citizen’s responsibility for her/his own healthcare. But there is also a high demand for research to improve the technology of ICT systems in health and social care.

scholarly journals The governance of pluralist health care systems: An initial review and typology

2016 ◽  
Vol 30 (2) ◽  
pp. 61-71 ◽  
Author(s):  
Ewan Ferlie ◽  
Juan I. Baeza ◽  
Rachael Addicott ◽  
Rakesh Mistry
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Empirical Investigation ◽  
Social Care ◽  
Health Care Systems ◽  
Health Care Sector ◽  
Governance Systems ◽  
Health And Social Care ◽  
Care Systems ◽  
Care System

We here argue that study of governance systems within increasingly pluralist health care systems needs to be broadened beyond traditionally public sector orientated literature. We develop an initial typology of multiple governance systems within the English health care sector and derive exploratory questions to inform future empirical investigation. We add to existing literature by considering the coexistence of – and possible tensions between – multiple governance systems in a pluralised health and social care system.

scholarly journals How do health care workers manage a patient with multiple care needs from both health and social care services? – A vignette study

2017 ◽  
Vol 21 (1-2) ◽  
pp. 5-14 ◽  
Author(s):  
Tuulikki Vehko ◽  
Outi Jolanki ◽  
Anna-Mari Aalto ◽  
Timo Sinervo
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Social Services ◽  
General Practitioners ◽  
Social Care ◽  
Treatment Plan ◽  
Care Process ◽  
Care Services ◽  
Health And Social Care ◽  
Management Of Care

Introduction To assess how health care professionals outline the management of care and explore which health or social care professionals were involved in the patient's treatment. Methods A survey with a patient vignette for general practitioners (n = 31) and registered nurses (n = 31) working daily in Finnish health centres located in four cities. Respondents answered structural questions and explained in detail the care process that they tailored for the patient. The care process was examined using content analysis. Results A physician–nurse working pair was declared to be in charge of the care process by 27% of respondents, a registered nurse by 9% and a general practitioner by 11%. However, 53% reported that no single person or working pair was in charge of the care process (response rate 72%). The concluding result of the analyses of the presented process was that both treatment practices and the professionals participating in the patient's treatment varied. Collaboration with social services was occasional, and few care processes included referrals to social services. Conclusion For the patient who needs both health and social care services, the management of care is a challenge. To improve the chances of patients being actively involved in making treatment plans at least three factors need to be addressed. Firstly, a written treatment plan should explicate the care process. Second, collaboration and interaction between health and social care services should be strengthened, and third, a contact person should be named to avoid care gaps in primary health care. Next-step data from patients need to be collected to get their views on care management and compare these with those from general practitioners and registered nurses.

Beyond healthcare leadership? The imperative for health and social care systems

2020 ◽  
Vol 33 (4) ◽  
pp. 351-363
Author(s):  
John Duncan Edmonstone
Keyword(s):  
Health Care ◽  
Leadership Development ◽  
Social Care ◽  
Current Model ◽  
Healthcare Leadership ◽  
Content Type ◽  
Health And Social Care ◽  
The Future ◽  
Care Systems ◽  
The Uk

Purpose This paper aims to make the case that there is a need to move beyond a focus on an approach to leadership development which is confined to health care only. It argues that, given the economic, financial, social and organisational context within which health and social care organisations in the UK operate, there is a need to develop leadership within health and social care systems, rather than within the existing “siloed” sectors. Design/methodology/approach The paper considers the context within which health and social care organisations in the UK operate; examines the nature of those organisations; makes the case for focusing on the health and social car system through systems leadership; and identifies the need for leadership, rather than leader development. Findings There is a danger of health and social care organisations “walking backwards into the future” with eyes fixed on the past. The future lies with treating health and social care as a system, rather than focusing on organisations. The current model is individual leader focused, but the emerging model is one of collective multi-agency teams. Originality/value The paper seeks to go beyond a health-care-only focus, by asserting that there is a need to regard health and social care as a single system, delivered by a multiplicity of different organisations. This has implications for the kind of leadership involved and for how this might be developed.

scholarly journals Participatory approach in developing the long-term care strategy in Slovakia

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Z Katreniakova ◽  
M Levyova ◽  
M Giertl ◽  
I Nagyova
Keyword(s):  
Online Survey ◽  
Long Term Care ◽  
Social Care ◽  
Slovak Republic ◽  
Participatory Approach ◽  
Term Care ◽  
Starting Point ◽  
Health And Social Care ◽  
Care Systems

Abstract Issue/problem In Slovak Republic (SR) old-age dependency will rise rapidly in the near future and will more than double in the next 15 years. This profound demographic changes will require restructuring of health and social care systems with more people working in the long-term care (LTC) sector and most likely a higher level of public spending to cover the growing LTC needs. Description of the problem Providing LTC in Slovakia has many problem areas. It is governed by several acts and regulations, which are not always linked and sometimes do not cover the situation entirely. There is not coordinated and integrated LTC model implemented and the distribution of the roles between the health and social care systems is lacking. Results Since 2017 a policy dialog between the key stakeholders - the Ministry of Health of the SR; the Ministry of Labour, Social Affairs and Family of the SR; and civic societies led by the Association for the Patients’ Rights Protection has been in place with aim to improve the current LTC Strategy Proposal. Online survey was carried out in May - June 2018, which brought deeper insights into the needs regarding demand and supply, and uncovered the main limitations of the current LTC system, e.g. insufficient capacity of LTC beds or a malfunctioning information system. This was followed by six workshops for professional and lay public, organised between February and March 2019 with aim to collect further evidence on regional level. Lessons The LTC Strategy Proposal development is one of 12 pilot projects within the national project - Promoting partnership and dialogue on participatory public policy making in SR. The initiative takes into account the needs and demands of LTC target groups and will serve as a starting point for further action in this area. [Grant Support: APVV-15-0719]. Key messages In Slovakia, a complex solution of long-term care issues is essential. Developing the LTC Strategy Proposal through participatory approach is an important starting point for future action.

Regional themes

2016 ◽  
Author(s):  
Andrew Molodynski
Keyword(s):  
Health Care ◽  
Social Care ◽  
Real Life ◽  
Regional Research ◽  
Stigma Reduction ◽  
Health Care Availability ◽  
Health And Social Care ◽  
Care Systems ◽  
International Conventions ◽  
Care Availability

This chapter draws together the chapters that gave an overview of regional research and practice around the world. It teases out common themes from the different continents. There are vast social and economic differences between these regions and between the health and social care systems of the different countries. There are several common themes, however: the economy and its crucial importance in making health care available and the increasingly wide-ranging legislation but poor ‘real life’ adoption of international conventions and safeguards. There are also causes for optimism, as in the description of the situation in Indonesia following the tsunami and the crucial work on health-care availability, rights, and stigma reduction.

scholarly journals Psychogeriatricians and general practitioners: a national survey

1993 ◽  
Vol 17 (10) ◽  
pp. 592-594 ◽  
Author(s):  
Sube Banerjee ◽  
James Lindesay ◽  
Elaine Murphy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Social Care ◽  
The Elderly ◽  
Health Care Teams ◽  
Primary Health ◽  
Regular Screening ◽  
Health And Social Care ◽  
The Uk ◽  
The Relationship

Recent changes in the provision of health and social care in the UK such as the institution of a purchaser/provider system and regular screening of the elderly by GPs are of importance to the relationship between primary health care teams (PHCT) and psychogeriatricians. These changes have clarified the necessity for sensitivity by psychogeriatric services to the needs of GPs and commissioning authorities.

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